2017-08-10T12:48:55-05:00 2016-09-30 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2015-10-01 132690296 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC COMM 2122799686 111 broadway No 1402 NEW YORK NY 10006 Rose Duhan PRESIDENT and Ceo 2122799686 2017-08-09 1 MAGDALENA M CZERNIAWSKI CPA P00535099 2122970400 2017-08-09 2015 2021-01-29 14:40:06Z CHCANYS Rose Duhan 111 broadway No 1402 NEW YORK NY 10006 8649372 0 X WWW.CHCANYS.ORG X 1971 NY 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. 29 29 69 30 24196 3892 7056130 7959727 599215 669148 257 97 3519 2143 7659121 8631115 18970 19037 0 0 4106268 4594530 0 0 206338 3735431 3909693 7860669 8523260 -201548 107855 1893400 1790589 1678923 1468257 214477 322332 X 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. 0 0 7219003 19037 644952 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 7219003 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 69 1 1 1 0 0 0 0 1 1 0 0 0 0 X 29 29 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X Steven Solinsky VP of Finance & Operations 2127103819 111 Broadway Suite 1402 NEW YORK NY 10006 ANNE K NOLON Trustee 1.00 X 0 0 0 Arturo Perez Trustee 1.00 X 0 0 0 Brian McIndoe Trustee 1.00 X 0 0 0 Daniel Dey Trustee 1.00 X 0 0 0 David Kim Trustee 1.00 X 0 0 0 David Shippee Trustee 1.00 X 0 0 0 Gabrielle Vonleh Trustee 1.00 X 0 0 0 Harvey Lawrence Treasurer 1.00 X X 0 0 0 Henry Thompson trustee 1.00 X 0 0 0 Jane T Eng Trustee 1.00 X 0 0 0 Janice Harbin Trustee 1.00 X 0 0 0 Joanne Haefner Trustee 1.00 X 0 0 0 John Rugge MD Trustee 1.00 X 0 0 0 Larry McReynolds TRustee & Immedidate Past Chair 1.00 X X 0 0 0 LaVonne Ansari Trustee 1.00 X 0 0 0 Lazetta Duncan Moore Trustee 1.00 X 0 0 0 Linda Muller TRustee & 2nd Vice President 1.00 X X 0 0 0 Lindsay Farrell trustee & Secretary 1.00 X X 0 0 0 Mali Trilla Trustee 1.00 X 0 0 0 Mary Ann Zelazny trustee & Board Chair 1.00 X X 0 0 0 Matt Weissman Trustee 1.00 X 0 0 0 Michael L Leary Trustee 1.00 X 0 0 0 Neil Calman MD trustee & 1st Vice Chair 1.00 X X 0 0 0 Paloma Hernanadez Trustee 1.00 X 0 0 0 Patricia Fernandez Trustee 1.00 X 0 0 0 Paul Kaye MD Trustee 1.00 X 0 0 0 Paul Vitale Trustee 1.00 X 0 0 0 randall coppin trustee 1.00 X 0 0 0 Verona Greenland outgoing Trustee 1.00 X 0 0 0 Warria Esmond MD Trustee 1.00 X 0 0 0 Elizabeth Swain Outgoing President and CEO 35.00 X 261386 0 16115 Lisa Hellerstein SENIOR VP/ interim CEO and President 35.00 X 189681 0 6921 Steven Solinsky VP of Finance & Operations 35.00 X 145152 0 16219 Amy Grandov DIR OF HEALTH INFO TECH 35.00 X 125518 0 4031 Beverly Grossman POLICY DIRECTOR 35.00 X 131122 0 4499 Diane Ferran DIR CLINICAL QUALITY IMPROvement 28.00 X 175352 0 12633 Suzanne Rossel DIr OF HEALTH CENTER SUPPORT 35.00 X 144284 0 25400 1172495 0 85818 7 0 1 0 Dakota Holdings LLC DBA Azara Healthcar 3500 American Blvd Suite 300 Bloomington MN 55431 Electronic Health Record Contractor 1077510 Brown and Weinraub PLLC 50 State Street 4th floor Albany NY 12207 Lobbyist 122500 2 1402116 49660 2872096 3635855 7959727 CONFERENCES & MEETINGS 541700 596768 596768 FEE REVENUE 541700 72380 48184 24196 669148 97 97 20400 49660 18257 2143 2143 8631115 644952 24196 2240 X 19037 19037 606543 507980 80852 17711 3324518 2784284 443159 97075 67358 56412 8979 1967 304205 254772 40550 8883 291906 244471 38911 8524 20606 20606 33718 33718 105351 105351 2167649 1993118 130548 43983 187659 155046 23586 9027 81897 75379 5347 1171 380574 318731 50731 11112 165541 132245 28024 5272 426603 352008 74595 3020 3020 16993 14232 2265 496 20473 3208 17265 Honorarium Stipends 160489 160489 EQUIP RENTAL & MAINT 38278 32057 5104 1117 SuBSCRIPTIONS 31452 31452 RECRUITMENT & RETENTION 27521 8719 18802 41869 1464 40405 8523260 7219003 1097919 206338 345797 105705 120323 126420 1074677 1259447 84983 25579 77513 66909 549659 464515 68722 85144 121385 121385 1893400 1790589 889527 743944 613528 519934 175868 204379 1678923 1468257 X -199198 -119157 413675 441489 214477 322332 1893400 1790589 107855 0 X X 0 1 X 1 1 1 X 6876634 7494515 6982590 7056130 7959727 36369596 6876634 7494515 6982590 7056130 7959727 36369596 25424 36344172 1074 1510 519 257 97 3457 5575 14696 19560 20400 60231 36433284 3003527 0.99760 0.90090 X Schedule A, Part II, Line 10, Explanation of Other Income: MISCELLANEOUS REVENUE - 2011 Amount: $ 5,575. Fundraising Revenue - 2012 Amount: $ 14,696. 2014 Amount: $ 19,560. 2015 Amount: $ 20,400. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 306528 306528 6912475 7219003 510950 127738 0 0 555926 517830 543033 510950 2127739 3191609 282210 376283 336087 306528 1301108 138982 129458 135758 127738 531936 797904 PART II-A LINE 1B: 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 43311 13612 29699 255272 251844 3428 251076 199059 52017 85144 security deposits 120104 Restricted cash 1281 121385 deferred rent 204379 204379 X 8649372 0 8649372 -18257 -18257 8631115 8541517 18257 18257 8523260 0 8523260 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. Day at the races 70060 49660 20400 17207 1050 70060 49660 20400 17207 1050 18257 2143 0 Primary Care Development Corp 45 Broadway New York NY 10006 133711803 501(c)(3) 8000 unrestricted PAYMENT TO A NON-PROFIT ORGANIZATION to SUPPORT THEIR FUNDRAISING event. 1 0 X X X 0 0 0 0 0 0 0 0 0 Elizabeth Swain Outgoing President and CEO 260601 0 0 0 785 0 5131 0 10984 0 277501 0 0 0 Lisa Hellerstein SENIOR VP/ interim CEO and President 188896 0 0 0 785 0 3792 0 3129 0 196602 0 0 0 Steven Solinsky VP of Finance & Operations 144367 0 0 0 785 0 2974 0 13246 0 161372 0 0 0 Diane Ferran DIR CLINICAL QUALITY IMPROvement 174567 0 0 0 785 0 3506 0 9128 0 187986 0 0 0 Suzanne Rossel DIr OF HEALTH CENTER SUPPORT 143499 0 0 0 785 0 3126 0 22274 0 169684 0 0 0 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.