2015-11-06T09:55:50-06:00 2014-12-31 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2014-01-01 132739694 CHARLES B WANG COMMUNITY HEALTH CENTER INC CHAR 2123796988 268 CANAL STREET NEW YORK NY 10013 JANE T ENG CEO 2123796988 2015-10-28 1 THOMAS LANNING P00851654 2122970400 2014 2016-02-25 16:41:14Z JANE T ENG 268 CANAL STREET NEW YORK NY 10013 52493173 0 X WWW.CBWCHC.ORG X 1972 NY THE MISSION OF THE CHARLES B. WANG COMMUNITY HEALTH CENTER IS TO ELIMINATE DISPARITIES IN HEALTH, IMPROVE HEALTH STATUS, AND EXPAND ACCESS TO THE MEDICALLY UNDERSERVED WITH A FOCUS ON ASIAN AMERICANS. 18 17 636 21 0 0 7891204 7983805 45662634 40729849 35213 154698 519145 3624821 54108196 52493173 0 0 0 0 31372172 36343689 0 0 13062 10282147 12164831 41654319 48508520 12453877 3984653 47720887 53769178 8404655 10272241 39316232 43496937 THE MISSION OF THE CHARLES B WANG COMMUNITY HEALTH CENTER IS TO ELIMINATE DISPARITIES IN HEALTH, IMPROVE HEALTH STATUS, AND EXPAND ACCESS TO THE MEDICALLY UNDERSERVED WITH A FOCUS ON ASIAN AMERICAN. 0 0 41945217 44354670 THE ORGANIZATION OPERATED A FEDERALLY QUALIFIED HEALTH CENTER, WHICH HAD 234,153 VISITS IN 2014. 41945217 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 22 0 1 636 1 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X LYNN D SHERMAN 2123796988 268 CANAL STREET NEW YORK NY 10013 X CHUN K YIP MD VICE CHAIRPERSON 3.00 X X 0 0 0 EMILY WOO BOARD MEMBER 2.00 X 0 0 0 IRENE CHU BOARD MEMBER 2.00 X 0 0 0 JAMES WONG TREASURER 3.00 X X 0 0 0 JEANNE LEE JACKSON BOARD MEMBER 2.00 X 0 0 0 JIMING LIANG BOARD MEMBER 2.00 X 0 0 0 KENNETH SHIEH BOARD MEMBER 2.00 X 0 0 0 KENNY CHIN ESQ CHAIRPERSON 4.00 X X 0 0 0 MARIE LAM BOARD MEMBER 2.00 X 0 0 0 MARY AGNES PAN SECRETARY 3.00 X X 0 0 0 PAULINE TSE BOARD MEMBER 2.00 X 0 0 0 ROBERT BELL BOARD MEMBER 2.00 X 0 0 0 SOPHIA NG BOARD MEMBER 2.00 X 0 0 0 STEPHANIE CHENG BOARD MEMBER 2.00 X 0 0 0 TIMOTHY HSU BOARD MEMBER 2.00 X 0 0 0 VICTOR LEE BOARD MEMBER 2.00 X 0 0 0 WILLIAM TAM BOARD MEMBER 2.00 X 0 0 0 YVONNE GHAW BOARD MEMBER 2.00 X 0 0 0 BETTY K CHENG CHIEF OPERATING OFFICER 35.00 X 206632 0 13989 JANE T ENG ESQ CHIEF EXECUTIVE OFFICER 35.00 X 326533 0 39895 LYNN D SHERMAN CHIEF FINANCIAL OFFICER 35.00 X 225666 0 38792 PERRY PONG MD CHIEF MEDICAL OFFICER 35.00 X 268659 0 39631 REGINA F LEE ESQ CHIEF DEVELOPMENT OFFICER 35.00 X 208372 0 22078 SHAO-CHEE SIM CHIEF STRATEGY OFFICER 35.00 X 196347 0 36846 ALLAN HO MD CHIEF OF OBSTETRICS AND GYNECOLOGY 35.00 X 348733 0 9256 CHRISTINE J SHEN MD SENIOR PEDIATRICIAN II 35.00 X 334041 0 30334 JIAN-PING CHEN MD MEDICAL DIRECTOR OF MENTAL HEALTH BRIDGE PROGRAM 35.00 X 295287 0 39113 JIE YING SHEN MD SENIOR PEDIATRICIAN II 35.00 X 396738 0 32175 KIN CHING KONG MD SENIOR OBSTETRICIAN/GYNECOLOGIST 35.00 X 345554 0 36439 3152562 0 338548 65 0 1 0 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 ACCOUNTING & TAX SERVICES 139825 LOTHROP ASSOCIATES LLP 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 ARCHITECTURAL DESIGN SERVICES 137193 PROSKAUER ROSE LLP ELEVEN TIMES SQUARE NEW YORK NY 100368299 LEGAL SERVICES 105720 3 5776327 2207478 1671384 7983805 NEW YORK STATE MEDICAID MANAGED C 621400 17883571 17883571 MEDICAID MANAGED CARE 621400 8503235 8503235 PRIVATE INSURANCE 621400 6948955 6948955 MEDICAID 621400 3235583 3235583 NEW YORK STATE UNCOMPENSATED CARE 621400 1996706 1996706 2161799 2161799 40729849 154698 154698 HEALTH PLAN QUALITY DISTRIBUTION 900099 1957315 1957315 340B PHARMACY 900099 490553 490553 MEANINGFUL USE INCENTIVE 900099 463250 463250 713703 713703 3624821 52493173 44354670 0 154698 1623440 1403494 219946 27252591 23560365 3692226 2539960 2195842 344118 2589974 2239080 350894 2337724 2021006 316718 133108 133108 139825 139825 428890 309733 119157 735954 636826 99128 198733 159688 39045 3451986 2916930 535056 302981 261932 41049 202870 175384 27486 1063658 898791 164867 134541 75074 59467 DONATED VACCINES 1671384 1671384 PHARMACEUTICALS 1176367 1176367 LABORATORY AND RADIOLOG 774409 774409 MEDICAL SUPPLIES 381633 330047 51586 1368492 1138865 216565 13062 48508520 41945217 6550241 13062 121526 85696 15294870 14121412 1066853 1114911 15187860 4924877 340356 527870 26525984 12889687 12247555 13636297 24402 15341554 3437465 4016561 47720887 53769178 4801214 6309935 21849 78050 3581592 3884256 8404655 10272241 X 39174448 42980270 141784 516667 39316232 43496937 47720887 53769178 3984653 196052 0 X X 0 1 X 1 1 1 X 11319078 8241051 7778579 7891204 7989685 43219597 27743629 29869824 33320653 45662634 40729849 177326589 39062707 38110875 41099232 53553838 48719534 220546186 0 0 0 220546186 63685 33246 40334 35213 154698 327176 63685 33246 40334 35213 154698 327176 308837 305808 595933 519145 3624821 5354544 39435229 38449929 41735499 54108196 52499053 226227906 0.97490 0.98910 0.00140 0.00160 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: HEALTH PLAN QUALITY DISTRIBUTION - 2014 AMOUNT: $ 1,957,315. MEANINGFUL USE INCENTIVE - 2014 AMOUNT: $ 463,250. 340 B PHARMACY - 2014 AMOUNT: $ 490,553. MANAGEMENT SERVICES FEES - 2010 AMOUNT: $ 208,695. 2011 AMOUNT: $ 210,769. 2012 AMOUNT: $ 217,662. 2013 AMOUNT: $ 230,562. 2014 AMOUNT: $ 238,555. METROCARD REIMBURSEMENT - 2014 AMOUNT: $ 239,803. MEDICAL RECORDS CHARGES - 2010 AMOUNT: $ 4,047. 2011 AMOUNT: $ 5,015. 2013 AMOUNT: $ 22,731. 2014 AMOUNT: $ 27,520. OTHER - 2012 AMOUNT: $ 5,445. 2013 AMOUNT: $ 265,852. 2014 AMOUNT: $ 207,825. INSURANCE PLAN PROCEEDS - 2012 AMOUNT: $ 308,031. MISCELLANEOUS INCOME - 2010 AMOUNT: $ 96,095. 2011 AMOUNT: $ 90,024. 2012 AMOUNT: $ 64,795. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16772707 5983263 10789444 4929419 4219070 710349 4823858 2687354 2136504 13636297 SECURITY DEPOSITS 599562 DEFERRED COMPENSATION ACCOUNT 3416999 4016561 DEFERRED COMPENSATION PAYABLE 3416999 DEFERRED RENT 467257 3884256 X 52695105 196052 5880 201932 52493173 0 52493173 48514400 5880 5880 48508520 0 48508520 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2014. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2011 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION. X X X X 0 0 0 0 0 0 0 0 0 BETTY K CHENG CHIEF OPERATING OFFICER 205048 0 0 0 1584 0 12303 0 1686 0 220621 0 0 0 JANE T ENG ESQ CHIEF EXECUTIVE OFFICER 323929 0 0 0 2604 0 15600 0 24295 0 366428 0 0 0 LYNN D SHERMAN CHIEF FINANCIAL OFFICER 224634 0 0 0 1032 0 13720 0 25072 0 264458 0 0 0 PERRY PONG MD CHIEF MEDICAL OFFICER 268107 0 0 0 552 0 14558 0 25073 0 308290 0 0 0 REGINA F LEE ESQ CHIEF DEVELOPMENT OFFICER 206788 0 0 0 1584 0 12303 0 9775 0 230450 0 0 0 SHAO-CHEE SIM CHIEF STRATEGY OFFICER 195987 0 0 0 360 0 11774 0 25072 0 233193 0 0 0 ALLAN HO MD CHIEF OF OBSTETRICS AND GYNECOLOGY 348181 0 0 0 552 0 0 0 9256 0 357989 0 0 0 CHRISTINE J SHEN MD SENIOR PEDIATRICIAN II 333749 0 0 0 292 0 6821 0 23513 0 364375 0 0 0 JIAN-PING CHEN MD MEDICAL DIRECTOR OF MENTAL HEALTH BR 294735 0 0 0 552 0 15600 0 23513 0 334400 0 0 0 JIE YING SHEN MD SENIOR PEDIATRICIAN II 396250 0 0 0 488 0 7102 0 25073 0 428913 0 0 0 KIN CHING KONG MD SENIOR OBSTETRICIAN/GYNECOLOGIST 345194 0 0 0 360 0 8366 0 28073 0 381993 0 0 0 CENTRE COURT HOLDINGS LLC IRENE CHU, BOARD MEMBER, HAS A FINANCIAL INTERESTIN CENTRE COURT HOLDINGS, 370248 RENT 0 X 1 1671384 VACCINE 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11 COPIES OF THE FORM 990 ARE DISTRIBUTED THE BOARD OF DIRECTORS. IT IS REVIEWED BY SENIOR MANAGEMENT, INCLUDING THE CEO AND CFO, AND THE BOARD FINANCE COMMITTEE, WHO PRESENT IT TO THE BOARD OF DIRECTORS FOR A VOTE BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S DIRECTORS, OFFICERS AND KEY EMPLOYEES 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 B, LINE 15A ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND EVALUATES THE CEO AND DECIDES ON COMPENSATION. INFORMATION FROM OUTSIDE CONSULTANTS ON COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS MAY BE USED IN THEIR DETERMINATION. SALARIES FOR OTHER OFFICERS & KEY EMPLOYEES ARE DETERMINED BY THE CEO, USING SALARY SURVEYS WITH INFORMATION FROM OTHER HEALTH CENTERS, AS WELL AS EMPLOYEE ANNUAL EVALUATIONS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AREAVAILABLE UPON REQUEST. FORM 990, PART VII THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN PART VII, COLUMN F AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR PERIOD PROCESS.