2015-08-14T12:05:08-05:00 2014-09-30 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2013-10-01 132690296 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC COMM 2122799686 111 BRODWAY NO 1402 NEW YORK NY 10006 ELIZABETH H SWAIN PRESIDENT/CEO 2127103802 2015-08-10 1 THOMAS LANNING P00851654 2122970400 2013 2016-04-25 22:37:26Z CHCANYS ELIZABETH H SWAIN 111 BRODWAY NO 1402 NEW YORK NY 10006 7493029 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 1.6 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET. 29 29 65 0 7977 0 7494515 6982590 525961 509920 1510 519 -872968 0 7149018 7493029 40608 39400 0 0 3810955 3596849 40000 0 142088 4226962 3720356 8118525 7356605 -969507 136424 2422913 1679373 2143312 1263348 279601 416025 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 1.6 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET. 0 0 6029707 39400 501943 CHCANYS WORKS TO INCREASE ACCESS TO HEALTH CARE FOR ALL NEW YORKERS THROUGH A PROGRAM OF HEALTH POLICY LEADERSHIP, REGULATORY REFORM AND 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 6029707 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 29 0 1 65 1 1 1 0 0 0 0 0 0 0 0 0 X 29 29 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X STEVEN SOLINSKY SENIOR DIRECTOR OF FINANCE 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 BARBARA MINCH TRUSTEE 1.00 X 0 0 0 CAROLE MORRIS TRUSTEE 1.00 X 0 0 0 CATHERINE ABATE TRUSTEE 1.00 X 0 0 0 DANIEL DEY TRUSTEE 1.00 X 0 0 0 DAVID SHIPPEE TRUSTEE 1.00 X 0 0 0 DR RUBEN COWART DDS 2ND VICE-PRESIDENT 1.00 X X 0 0 0 ELIZABETH COLE TRUSTEE 1.00 X 0 0 0 HARVEY LAWRENCE SECRETARY 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 JOANNE HAEFNER TRUSTEE 1.00 X 0 0 0 JOHN RUGGE MD TRUSTEE 1.00 X 0 0 0 JORGE L RODRIGUEZ TRUSTEE 1.00 X 0 0 0 LARRY MCREYNOLDS BOARD CHAIRPERSON 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 IMMEDIATE PAST CHAIRPERSON 1.00 X 0 0 0 LINDSAY FARRELL TREASURER 1.00 X X 0 0 0 MALI TRILLA TRUSTEE 1.00 X 0 0 0 MARGUERITE GEBHARDT TRUSTEE 1.00 X 0 0 0 MARY ANN ZELAZNY 1ST VICE-PRESIDENT 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 1.00 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 RANDALL COPIN TRUSTEE 1.00 X 0 0 0 REINALDO GONZALEZ TRUSTEE 1.00 X 0 0 0 VERONA GREENLAND TRUSTEE 1.00 X 0 0 0 WARRIA ESMOND MD TRUSTEE 1.00 X 0 0 0 ELIZABETH SWAIN PRESIDENT AND CEO 35.00 X 281505 0 18509 LISA PERRY HELLERSTEIN SENIOR VICE PRESIDENT 35.00 X 186996 0 8806 BEVERLY GROSSMAN SENIOR POLICY DIRECTOR 35.00 X 130304 0 5489 JAMES WELSH DIRECTOR OF DATA SYSTEMS 35.00 X 131975 0 3640 STEFANIE LINDEMAN SENIOR DIRECTOR OF OPERATIONS 35.00 X 129215 0 11951 STEVEN SOLINSKY SENIOR DIRECTOR OF FINANCE 35.00 X 132699 0 7911 WILLIAM LEO DIRECTOR OF IT 35.00 X 123571 0 27056 1116265 0 83362 7 0 1 0 ARCADIA SOLUTIONS LLC 3500 AMERICAN BLVD SUITE 300 BLOOMINGTON MN 55431 HEALTH IT CONTRACTOR 481700 AZARA HEALTHCARE LLC 70 BLANCHARD ROAD SUITE 401 BURLINGTON MA 01803 HEALTH IT CONTRACTOR 426888 FELDESMAN TUCKER LEIFER FIDELL 1129 20TH ST NW 4TH FLOOR WASHINGTON DC 20036 LEGAL AND CONSULTING 391710 BROWN AND WEINRAUB PLLC 50 STATE STREET 4TH FLOOR ALBANY NY 12207 LOBBYING 208095 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK CITY NY 10036 ACCOUNTING AND FINANCIAL SERVICES 176436 6 1285321 2451829 3245440 6982590 CONFERENCES & MEETINGS 541700 473969 473969 FEE REVENUE 541700 35951 27974 7977 509920 519 519 7493029 501943 7977 519 X 39400 39400 523065 418574 89077 15414 2619681 2096069 446068 77544 45854 36812 7834 1208 169967 136452 29039 4476 238282 191297 40710 6275 15923 15923 52149 52149 198403 198403 2076664 1902108 174556 92441 56956 33677 1808 38646 38646 366324 293104 62376 10844 107490 86004 18303 3183 558288 446694 95061 16533 2066 2066 19916 15936 3391 589 18125 5744 12381 EQUIP RENTAL & MAINT 59194 47360 10079 1755 CONSUMABLE SUPPLIES 40616 31959 6801 1856 RECRUITMENT & RETENTION 27461 3121 24340 INTERNAL MEETINGS 20373 16301 3469 603 26277 5347 20930 7356605 6029707 1184810 142088 507711 205398 322170 198225 1083909 1060138 344873 79439 55704 62943 692086 620137 91865 71949 16681 1281 2422913 1679373 1005954 596280 572285 441228 130000 435073 225840 2143312 1263348 X -18581 -389340 298182 805365 279601 416025 2422913 1679373 136424 0 X X 0 1 X 1 1 1 X 6278470 6297745 6876634 7494515 6982590 33929954 6278470 6297745 6876634 7494515 6982590 33929954 2458124 31471830 624 1106 1074 1510 519 4833 22764 1964 5575 14696 44999 33979786 2465893 0.92620 0.99570 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2009 AMOUNT: $ 22,764. 2010 AMOUNT: $ 1,964. 2011 AMOUNT: $ 5,575. 2012 AMOUNT: $ 14,696. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 376283 376283 6980322 7356605 517830 129458 0 0 494137 525564 555926 517830 2093457 3140186 287255 285032 282210 376283 1230780 123534 131391 138982 129458 523365 785048 PART II-A LINE 1B: EDUCATES LEGISLATORS AND GOVERNMENT ENTITIES ABOUT ISSUES OF IMPORTANCE TO FEDERALLY QUALIFIED HEALTH CENTERS. 298182 967756 460573 805365 397287 300000 399105 298182 429907 366928 399548 397287 603012 705467 878572 429907 67742 920820 385550 603012 1.00000 0 0 219154 193907 25247 247585 241316 6269 225347 184914 40433 71949 DUE TO HCNNY 79255 DEFERRED RENT 146585 225840 X 7493029 0 7493029 0 7493029 7356605 0 7356605 0 7356605 PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED FOR CERTAIN EMPLOYEE'S SALARIES AND SPECIFIC PROGRAMS. PART X, LINE 2: THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2014. THE ASSOCIATION'S FEDERAL AND STATE 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. 1 PRIMARY CARE DEVELOPMENT CORPORATION 22 CORTLANDT STREET NEW YORK NY 10007 133711803 501(C)(3) 5500 AN UNRESTRICTED GRANT TO FURTHER THE DONEE'S EXEMPT PURPOSE. 1 PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR GRANTS AFTER THEY ARE GIVEN. X X X 0 0 0 0 0 0 0 0 0 ELIZABETH SWAIN PRESIDENT AND CEO 280720 0 0 0 785 0 7350 0 11159 0 300014 0 0 0 LISA PERRY HELLERSTEIN SENIOR VICE PRESIDENT 186211 0 0 0 785 0 5457 0 3349 0 195802 0 0 0 WILLIAM LEO DIRECTOR OF IT 122831 0 0 0 740 0 4119 0 22937 0 150627 0 0 0 DAVID SHIPPEE MIKE LEARY LINDSAY DIRECTOR 423796 HEALTH CENTER NETWORK OF NEW YORK (HCNNY) IS AN ORGANIZATION THAT WAS PART OF CHCANYS BEFORE IT WAS SPUN-OFF. CHCANYS HAS A CONTRACT FOR SERVICES WITH HCNNY. BOTH ORGANIZATIONS HAVE COMMON BOARD MEMBERS WHICH ARE: DAVID SHIPPEE, MIKE LEARY, LINDSAY FARREL, ANNE NOLON, AND ELIZABETH SWAIN. THE BOARD OF CHCANYS IS AWARE OF THE RELATIONSHIP. THE AMOUNT REPORTED REPRESENTS THE TOTAL PAID FOR SERVICES TO HCNNY DURING THE YEAR. 0 FORM 990, PART VI, SECTION A, LINE 6 THERE ARE TWO CLASSES OF MEMBERSHIP IN THE COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE (CHCANYS). ORGANIZATIONAL MEMBERSHIP IN THE ASSOCIATION SHALL BE AVAILABLE TO : (1) ANY NOT FOR PROFIT COMMUNITY/MIGRANT HEALTH CENTER (C/MHC) THAT RECEIVES GRANT FUNDS UNDER SECTION 330(E) AND/OR 330(G) OF THE PUBLIC HEALTH SERVICE ACT TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO A MEDICALLY UNDERSERVED AREA (MUA) OR MEDICALLY UNDERSERVED POPULATION (MUP), AS WELL AS ANY C/MHC DETERMINED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) TO MEET THE REQUIREMENTS TO RECEIVE A GRANT UNDER SECTION 330(E) AND/OR 330(G), BUT DOES NOT ACTUALLY RECEIVE SUCH GRANT (C/MHC LOOK-ALIKE ENTITIES), AND IS LICENSED AS AN ARTICLE 28 DIAGNOSTIC AND TREATMENT CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH (HEREINAFTER, COLLECTIVELY REFERRED TO AS A(1) ORGANIZATIONAL MEMBERS); AND (2) ANY HOMELESS, PUBLIC HOUSING OR SCHOOL-BASED AGENCY THAT RECEIVES GRANT FUNDS UNDER SECTION 330(H), 330(I) OR THE HEALTHY SCHOOLS/HEALTH COMMUNITIES (HSHC) PROGRAM TO PROVIDE HEALTH CARE AND RELATED SERVICES TO MEDICALLY UNDERSERVED HOMELESS, PUBLIC HOUSING AND SCHOOL-BASED POPULATIONS, AS WELL AS ANY ENTITY DETERMINED BY DHHS TO MEET THE REQUIREMENTS TO RECEIVE A GRANT UNDER SECTION 330(H), 330(I) OR THE HSHC PROGRAM BUT DOES NOT ACTUALLY RECEIVE FUNDING (HEREINAFTER, COLLECTIVELY REFERRED TO AS A(2) ORGANIZATIONAL MEMBERS). PROVIDED THAT, AT ALL TIMES, ENTITIES THAT QUALIFY AS A(1) ORGANIZATIONAL MEMBERS SHALL COMPRISE NO LESS THAN 88% OF THE TOTAL NUMBER OF ORGANIZATIONAL MEMBERS AND ENTITIES THAT QUALIFY AS A(2) ORGANIZATIONAL MEMBERS SHALL COMPRISE NO MORE THAN 12% OF THE TOTAL NUMBER OF ORGANIZATIONAL MEMBERS. ALL SUCH ORGANIZATIONAL MEMBERS SHALL BE COMMITTED TO THE PURPOSES OF THE ASSOCIATION AND ACTIVELY ENGAGED IN COMPREHENSIVE HEALTH CARE SERVICES. 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 NOT FOR PROFIT ORGANIZATIONS. ASSOCIATE MEMBERSHIP INCLUDES ALL PRIVILEGES OF ORGANIZATIONAL MEMBERSHIP EXCEPT FULL VOTING. ASSOCIATE MEMBERSHIP IS DESIGNATED ASSOCIATED 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 EMPLOYERS, 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. 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 BY REQUEST. FORM 990, PART IX, LINE 11G GRANT CONSULTANTS: PROGRAM SERVICE EXPENSES 88,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,159. HUMAN RESOURCES CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 53,744. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,744. PROGRAM CONSULTANTS AND SUB-CONTRACTORS: PROGRAM SERVICE EXPENSES 1,813,949. MANAGEMENT AND GENERAL EXPENSES 120,812. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,934,761. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.