2017-11-09T14:56:57-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 472915863 CENTRAL NEW YORK CARE COLLABORATIVE CENT 3157032960 109 OTISCO STREET SYRACUSE NY 13204 VIRGINIA A OPIPARE EXECUTIVE DIRECTOR 3157032960 2017-11-09 1 ANGELA M FRANCO P00589741 3154463600 2017-11-09 24.39.85.114 2017-11-09 08:23:30 ES P 517AEBE328CBAAA90E396C2FD1060AA56161F780 517AEBE328CBAAA90E396C2FD1060AA56161F780 2016 2021-01-29 14:40:06Z VIRGINIA A OPIPARE 109 OTISCO STREET SYRACUSE NY 13204 19879870 0 X WWW.CNYCARES.ORG X 2015 NY THE PURPOSE OF THE CORPORATION IS TO ACT AS A PERFORMING PROVIDER SYSTEM(PPS) LEAD ORGANIZATION UNDER NEW YORK'S MEDICAID REDESIGN TEAM'S WAIVER AMENDMENT DELIVERY SYSTEM REFORM INCENTIVE PAYMENT(DSRIP) PROGRAM BY DEVELOPING AND IMPLEMENTING: DSRIP PROJECT PLANS FOCUSING ON OUTPATIENT CLINICAL MANAGEMENT AND POPULATION HEALTH: INTEGRATED DELIVERY SYSTEMS; PRIMARY CARE AND BEHAVIORAL HEALTH ACCESS AND COORDINATION; CARE COORDINATION AND TRANSITIONAL CARE PROGRAMS; CLINICAL IMPROVEMENT PROJECTS RELATING TO BEHAVIORAL HEALTH AND PHYSICAL HEALTH NEEDS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT; PROCESSES TO REDUCE AVOIDABLE EMERGENCY ROOM UTILIZATION AND HOSPITALIZATION; AND POPULATION HEALTH, PROMOTING NEW YORK STATE'S PREVENTATIVE AGENDA. 20 0 2 20 0 0 3812121 19864170 0 0 0 15700 0 0 3812121 19879870 0 0 0 0 151671 401720 0 0 0 3660450 19478150 3812121 19879870 0 0 31552295 63508892 31552295 63508892 0 0 X THE PURPOSE OF THE CORPORATION IS TO ACT AS A PERFORMING PROVIDER SYSTEM(PPS) LEAD ORGANIZATION UNDER NEW YORK'S MEDICAID REDESIGN TEAM'S WAIVER AMENDMENT DELIVERY SYSTEM REFORM INCENTIVE PAYMENT(DSRIP) PROGRAM BY DEVELOPING AND IMPLEMENTING: DSRIP PROJECT PLANS FOCUSING ON OUTPATIENT CLINICAL MANAGEMENT AND POPULATION HEALTH: INTEGRATED DELIVERY SYSTEMS; PRIMARY CARE AND BEHAVIORAL HEALTH ACCESS AND COORDINATION; CARE COORDINATION AND TRANSITIONAL CARE PROGRAMS; CLINICAL IMPROVEMENT PROJECTS RELATING TO BEHAVIORAL HEALTH AND PHYSICAL HEALTH NEEDS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT; PROCESSES TO REDUCE AVOIDABLE EMERGENCY ROOM UTILIZATION AND HOSPITALIZATION; AND POPULATION HEALTH, PROMOTING NEW YORK STATE'S PREVENTATIVE AGENDA. 0 0 19600796 THE PURPOSE OF THE CORPORATION IS TO ACT AS A PERFORMING PROVIDER SYSTEM(PPS) LEAD ORGANIZATION UNDER NEW YORK'S MEDICAID REDESIGN TEAM'S WAIVER AMENDMENT DELIVERY SYSTEM REFORM INCENTIVE PAYMENT(DSRIP) PROGRAM BY DEVELOPING AND IMPLEMENTING: DSRIP PROJECT PLANS FOCUSING ON OUTPATIENT CLINICAL MANAGEMENT AND POPULATION HEALTH: INTEGRATED DELIVERY SYSTEMS; PRIMARY CARE AND BEHAVIORAL HEALTH ACCESS AND COORDINATION; CARE COORDINATION AND TRANSITIONAL CARE PROGRAMS; CLINICAL IMPROVEMENT PROJECTS RELATING TO BEHAVIORAL HEALTH AND PHYSICAL HEALTH NEEDS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT; PROCESSES TO REDUCE AVOIDABLE EMERGENCY ROOM UTILIZATION AND HOSPITALIZATION; AND POPULATION HEALTH, PROMOTING NEW YORK STATE'S PREVENTATIVE AGENDA. 19600796 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 97 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 20 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X VIRGINIA A OPIPARE CNY CARE COLLABORATIVE 3157032960 109 OTISCO STREET SYRACUSE NY 13204 SCOTT PERRA DIRECTOR 0.50 X 0 0 0 MARK CATTALANI MD DIRECTOR 0.50 X 0 0 0 TEISHA COOK SECRETARY 0.50 X X 0 0 0 DIANE COOPER-CURRIER DIRECTOR 0.50 X 0 0 0 LAURA EANNACE DIRECTOR 0.50 X 0 0 0 SEAN FADALE DIRECTOR 0.50 X 0 0 0 SETH KRONENBERG MD DIRECTOR 0.50 X 0 0 0 MICHAEL LEARY DIRECTOR 0.50 X 0 0 0 PATRICIA MCMAHON DIRECTOR 0.50 X 0 0 0 GENE MORREALE VICE CHAIR 0.50 X X 0 0 0 ELIZABETH NOLAN DIRECTOR 0.50 X 0 0 0 LEOLA RODGERS DIRECTOR 0.50 X 0 0 0 CHRISTA SERAFIN TREASURER 0.50 X X 0 0 0 KIMBERLY TOWNSEND CHAIRWOMAN 0.50 X X 0 0 0 CHUCK GIJANTO DIRECTOR 0.50 X 0 0 0 SCOTT BERLUCCHI DIRECTOR 0.50 X 0 0 0 MARK MURPHY DIRECTOR 0.50 X 0 0 0 DAVID LUNDQUIST DIRECTOR 0.50 X 0 0 0 JOHN MCCABE DIRECTOR 0.50 X 0 0 0 PATRICIA ROACH DIRECTOR 0.50 X 0 0 0 VIRGINIA OPIPARE EXECUTIVE DIRECTOR 50.00 X 215746 0 14365 LAUREL BAUM CORPORATE COMPLIANCE OFFICER 50.00 X 157115 0 10144 372861 0 24509 2 0 1 0 THE CHARTIS GROUP LLC 27308 NETWORK PLACE CHICAGO IL 60673 CONSULTING SERVICES 159700 BOND SCHOENECK AND KING PLLC ONE LINCOLN CENTER SYRACUSE NY 13202 LEGAL SERVICES 153659 IROQUOIS HEALTCARE ASSOCIATION 5740 COMMONS PARK EAST SYRACUSE NY 13057 PROFESSIONAL SERVICES 138983 HEALTH WORKFORCE NEW YORK 105 MAIN STREET CANTON NY 13617 CONSULTING SERVICES 119331 NEAR WESTSIDE INITIATIVE 350 W FAYETTE ST SYRACUSE NY 13202 RENT 102000 5 19864170 19864170 15700 15700 19879870 0 0 15700 401720 341462 60258 135082 102267 32815 72360 72360 39499 28267 11232 7720 6631 1089 102000 91800 10200 13523 11566 1957 13100 10616 2484 673 673 38687 34818 3869 51264 51264 PARTNER PAYMENTS 16501183 16501183 0 CONTRACTED LABOR 1740981 1740981 0 PURCHASED SERVICES 761326 730673 30653 752 532 220 19879870 19600796 279074 0 10227567 34412898 18053253 26551050 3172538 2481470 121235 57761 98937 63474 31552295 63508892 953236 2677474 30590609 60823915 8450 7503 31552295 63508892 X 0 0 0 0 0 0 0 0 31552295 63508892 0 0 X X 0 1 X 1 0 X 3812121 19864170 23676291 3812121 19864170 23676291 23676291 15700 15700 23691991 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 121235 57761 63474 63474 CAPITAL LEASE PAYABLE 7503 7503 X 19879870 0 19879870 0 19879870 19879870 0 19879870 0 19879870 PART X, LINE 2: CNYCC IS A TYPE B NOT-FOR-PROFIT CORPORATION AS DEFINED BY SECTION 201 OF THE NEW YORK STATE NOT-FOR-PROFIT CORPORATION LAW. CNYCC HAS APPLIED FOR TAX-EXEMPT STATUS UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE. MANAGEMENT ANTICIPATES THAT TAX-EXEMPT STATUS WILL BE GRANTED. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE CNYCC FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2016 AND 2015, CNYCC DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE 2015 AND 2016 TAX YEARS ARE OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. X 0 0 0 0 0 0 0 0 0 VIRGINIA OPIPARE EXECUTIVE DIRECTOR 215746 0 0 0 0 0 6472 0 7893 0 230111 0 0 0 LAUREL BAUM CORPORATE COMPLIANCE OFFICER 157115 0 0 0 0 0 3272 0 6872 0 167259 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS 2 CLASSES OF MEMBERS, CLASS A MEMBERS AND CLASS B MEMBERS. THE CLASS A MEMBERS ARE FAXTON ST. LUKE'S HEALTHCARE, ST. JOSEPH'S HOSPITAL HEALTH CENTER AND THE STATE UNIVERSITY OF NEW YORK UPSTATE MEDICAL UNIVERSITY. THE CLASS B MEMBER IS AUBURN COMMUNITY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A EACH CLASS A MEMBER AND CLASS B MEMBER OF THE CORPORATION HAS AN EQUAL VOTE WITH RESPECT TO ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN BY THE MEMBERS, OTHER THAN WITH RESPECT TO POWERS RESERVED SOLELY TO THE CLASS A MEMBERS. THE ACT OF THE CHIEF EXECUTIVE OFFICER OF A MEMBER ON BEHALF OF THE MEMBER SHALL BE DEEMED THE ACT OF THE MEMBER WITH RESPECT TO THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS SHALL RETAIN THE POWER AND AUTHORITY TO: A. ADOPT AND/OR AMEND THE CERTIFICATE OF INCORPORATION; B. ADOPT AND/OR AMEND THE BY-LAWS; C. EACH MEMBER SHALL DESIGNATE AN INDIVIDUAL REPRESENTATIVE TO SERVE ON THE BOARD OF DIRECTORS, WHO SHALL BE A VOTING MEMBER OF THE BOARD (EACH A "MEMBER DESIGNATED DIRECTOR"); D. ELECT THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS FROM THE SLATE PROPOSED BY THE NOMINATING COMMITTEE (EACH AN "ELECTED BOARD MEMBER"), AND, IN THE EVENT THAT THE MEMBERS' DO NOT APPROVE ANY SUCH SLATE, TO APPOINT A NEW NOMINATING COMMITTEE; E. APPOINT THE CHAIRPERSON AND THE EXECUTIVE DIRECTOR; F. ELECT THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FROM THE SLATE PROPOSED BY THE NOMINATING COMMITTEE; G. APPROVE THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; H. APPROVE THE MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM; I. DISSOLVE THE CORPORATION AND APPROVE THE DISPOSITION OF ITS ASSETS; J. APPROVE THE DSRIP PROJECT PLAN APPLICATION TO BE SUBMITTED TO THE DEPARTMENT OF HEALTH, INCLUDING BUT NOT LIMITED TO THE METHODOLOGY AND DISTRIBUTION PLAN FOR ALLOCATING ANY DSRIP PAYMENTS HELD BY THE CORPORATION AND ANY MODIFICATIONS TO THE APPROVED DSRIP PROJECT PLAN; K. APPROVE SERVICE AGREEMENTS BETWEEN A MEMBER AND THE CORPORATION, OR ANY AMENDMENT THERETO, WHEREBY THE MEMBER WILL PROVIDE SERVICES TO THE CORPORATION AT FAIR MARKET RATES; L. APPROVE AN AGREEMENT BETWEEN UPSTATE AND THE CORPORATION, OR ANY AMENDMENT THERETO, WHEREBY UPSTATE WILL PROVIDE TO THE CORPORATION DSRIP PAYMENTS PAID TO UPSTATE AS THE FINANCIAL LEAD FOR PPS; M. APPROVE AND ENFORCE THE CORPORATION'S WRITTEN POLICY FOR ADDRESSING THE MANAGEMENT AND, IF NECESSARY, SANCTION OF POOR PERFORMING PARTNER ORGANIZATIONS; AND N. APPROVE SETTLEMENT OF LITIGATION INVOLVING THE CORPORATION WHEN ANY SUCH SETTLEMENT AMOUNT EXCEEDS APPLICABLE INSURANCE COVERAGE. CLASS A MEMBERS, VOTING AS A SEPARATE CLASS, RETAIN THE SOLE POWER AND AUTHORITY TO APPROVE THE CORPORATION'S: (I) ANNUAL CAPITAL AND OPERATING CASH BUDGETS; (II)SUBVENTIONS, (III) INDEBTEDNESS, (IV) CAPITAL CALLS AND/OR FUNDING REQUESTS TO THE CLASS A MEMBERS; AND (V) DUES ASSESSMENTS TO ALL OF THE MEMBERS AND PARTNER ORGANIZATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO THE FINANCE COMMITTEE, BOARD OF DIRECTORS AND MEMBERS OF THE ORGANIZATION FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE STATEMENTS ARE REVIEWED BY THE ORGANIZATION AND ADDRESSED IN THE APPROPRIATE COMMITTEE AND BOARD MEETING AS NEEDED. SUCH INDIVIDUALS ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST AND RECUSE THEMSELVES FROM VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR COMMITTEE. IN ADDITION, EVERY BOARD AND COMMITTEE AGENDA CONTAINS A WRITTEN REMINDER THAT EACH BOARD OR COMMITTEE MEMBER MUST EXECUTE HIS OR HER POWERS IN GOOD FAITH AND IN THE BEST INTEREST OF THE ORGANIZATION, RATHER THAN IN HIS OR HER OWN INTERESTS OR IN THE INTERESTS OF ANOTHER PERSON OR ENTITY. FORM 990, PART VI, SECTION B, LINE 15 THE BYLAWS STATE THE MEMBERS APPOINT THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE FOUR CORPORATE MEMBERS WITH REVIEW BY THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 18 CNYCC HAS APPLIED FOR AND ON AUGUST 18, 2017 RECEIVED TAX-EXEMPT STATUS UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE EFFECTIVE JANUARY 9 ,2015. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTE ASSUMES RESPONSIBILITY FOR THE FINANCIAL STATEMENT PROCESS AND HAS NOT CHANGED FROM THE PRIOR YEAR.