CHINATOWN HEALTH CLINIC FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHINATOWN HEALTH CLINIC FOUNDATION INC (EIN 13-3808933)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-05
IRS object ID
201403099349301305
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-05T10:56:31-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11185 AVENUE OF THE AMERICASAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100362602ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133808933EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHINATOWN HEALTH CLINIC FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCHINBusinessNameControlTxt
Phone2123796988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10013ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANE T ENGPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone2123796988PhoneNum
Signature2014-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARTIN GREIFPreparerPersonNm
PTINP00029738PTIN
Phone2123721000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANE T ENGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10013ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,866,916GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCHINATOWNHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH CONDITIONS OF THE ASIAN AMERICAN COMMUNITY IN THE GREATER NY METROPOLITAN AREAActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$613,266PYContributionsGrantsAmt
CY Contributions Grants$882,939CYContributionsGrantsAmt
PY Program Service Revenue$723,095PYProgramServiceRevenueAmt
CY Program Service Revenue$737,557CYProgramServiceRevenueAmt
PY Investment Income$132,029PYInvestmentIncomeAmt
CY Investment Income$149,116CYInvestmentIncomeAmt
PY Other Revenue-$1,181PYOtherRevenueAmt
CY Other Revenue-$23,185CYOtherRevenueAmt
PY Total Revenue$1,467,209PYTotalRevenueAmt
CY Total Revenue$1,746,427CYTotalRevenueAmt
PY Grants And Similar Paid$64,396PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$80,792CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$12,918CYTotalFundraisingExpenseAmt
PY Other Expenses$561,025PYOtherExpensesAmt
CY Other Expenses$554,885CYOtherExpensesAmt
PY Total Expenses$625,421PYTotalExpensesAmt
CY Total Expenses$635,677CYTotalExpensesAmt
PY Revenues Less Expenses$841,788PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,110,750CYRevenuesLessExpensesAmt
Total Assets BOY$13,601,762TotalAssetsBOYAmt
Total Assets EOY$16,571,623TotalAssetsEOYAmt
Total Liabilities BOY$2,905,313TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,579,131TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,696,449NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,992,492NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCHINATOWN HEALTH CLINIC FOUNDATION, INC.'S PURPOSE IS TO IMPROVE THE HEALTH CONDITIONS OF THE ASIAN-AMERICAN COMMUNITY IN THE GREATER NEW YORK METROPOLITAN AREA, TO PROMOTE THE CONCEPT THAT QUALITY HEALTHCARE SHOULD BE A PERSONAL RIGHT OF ALL PEOPLE AND SHOULD BE PROVIDED IN A MANNER THAT IS CULTURALLY RELEVANT AND RESPECTFUL OF THE INDIVIDUAL'S DIGNITY, AND TO SUPPORT AND BENEFIT CHARLES B. WANG COMMUNITY HEALTH CENTER, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, THAT PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION, BY CONDUCTING ACTIVITIES THAT INCLUDE FUND-RAISING, PUBLIC EDUCATION AND RESEARCH, COMMUNITY AWARENESS AND PLANNING, AND POLICY-MAKING RELATED TO HEALTHCARE SERVICES IN THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$365,616ExpenseAmt
Grant$80,792GrantAmt
Revenue$737,557RevenueAmt
DescCHINATOWN HEALTH CLINIC FOUNDATION, INC.'S PURPOSE IS TO IMPROVE THE HEALTH CONDITIONS OF THE ASIAN AMERICAN COMMUNITY IN THE GREATER NEW YORK METROPOLITAN AREA.Desc
Total Program Service Expenses$365,616TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LYNN SHERMANBusinessNameLine1
FieldValueIRS element (for citing)
Phone2123796988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10013ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RAYMOND FONG MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SAMUEL YEH MD
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SANDRA LEE-KAWANO
SECRETARY1.00Yes (X)Yes (X)$0$0$0
PETER LAU
TREASURER1.00Yes (X)Yes (X)$0$0$0
DONALD ARMSTRONG MD
BOARD MEMBER1.00Yes (X)$0$0$0
PAK CHUNG MD
BOARD MEMBER1.00Yes (X)$0$0$0
PYSER EDELSACK
BOARD MEMBER1.00Yes (X)$0$0$0
MARIE LAM
BOARD MEMBER1.00Yes (X)$0$0$0
JOANNE MJ QUAN
BOARD MEMBER1.00Yes (X)$0$0$0
JANE T ENG
CHIEF EXECUTIVE OFFICER4.00Yes (X)$0$0$0
LYNN SHERMAN
CHIEF FINANCIAL OFFICER5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$419,361FundraisingAmt
All Other Contributions$463,578AllOtherContributionsAmt
Total Contributions$882,939TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTAL INCOMEDesc
Business532000BusinessCd
Total Revenue Column$737,557TotalRevenueColumnAmt
Related Or Exempt Func Income$737,557RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$737,557TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,116TotalRevenueColumnAmt
Exclusion$149,116ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$97,304FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$419,361ContriRptFundraisingEventAmt
Fundraising Direct Expenses$120,489FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,185TotalRevenueColumnAmt
Exclusion-$23,185ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,746,427TotalRevenueColumnAmt
Related Or Exempt Func Income$737,557RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$125,931ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$50,701TotalAmt
Program Services$50,701ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$30,091TotalAmt
Program Services$30,091ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$189,080TotalAmt
Management And General$189,080ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,265TotalAmt
Management And General$14,265ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,326TotalAmt
Management And General$6,408ManagementAndGeneralAmt
Fundraising$12,918FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$28,444TotalAmt
Management And General$28,444ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$118,148TotalAmt
Program Services$118,148ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$132,070TotalAmt
Program Services$132,070ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$46,701TotalAmt
Program Services$30,963ProgramServicesAmt
Management And General$15,738ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total$6,851TotalAmt
Program Services$3,643ProgramServicesAmt
Management And General$3,208ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$635,677TotalAmt
Program Services$365,616ProgramServicesAmt
Management And General$257,143ManagementAndGeneralAmt
Fundraising$12,918FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$70,623BOYAmt
EOY$63,452EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,095,097BOYAmt
EOY$2,866,887EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,931BOYAmt
EOY$19,264EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,182,815LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,915,019LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,399,866BOYAmt
EOY$4,267,796EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$382,223BOYAmt
EOY$590,443EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,338,022BOYAmt
EOY$8,463,781EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$300,000BOYAmt
EOY$300,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,601,762BOYAmt
EOY$16,571,623EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$15,299EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$61,464BOYAmt
EOY$62,693EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,543,849BOYAmt
EOY$2,201,139EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$300,000BOYAmt
EOY$300,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,905,313BOYAmt
EOY$2,579,131EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,920,218BOYAmt
EOY$12,751,513EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$776,231BOYAmt
EOY$1,240,979EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,696,449BOYAmt
EOY$13,992,492EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,601,762BOYAmt
EOY$16,571,623EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,110,750ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,185,293NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$290,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$433,167CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,177,086CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$613,266CurrentTaxYearMinus1YearAmt
Current Tax Year$882,939CurrentTaxYearAmt
Total$3,397,198TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$290,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$433,167CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,177,086CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$613,266CurrentTaxYearMinus1YearAmt
Current Tax Year$882,939CurrentTaxYearAmt
Total$3,397,198TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$566,348SubstantialContributorsTotAmt
Public Support Total170$2,830,850PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$110,318CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$106,977CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$132,029CurrentTaxYearMinus1YearAmt
Current Tax Year$149,116CurrentTaxYearAmt
Total$603,465TotalAmt
FieldValueIRS element (for citing)
Total Support$4,000,663TotalSupportAmt
Gross Receipts Rltd Activities$3,546,098GrossReceiptsRltdActivitiesAmt
Public Support CY1700.70760PublicSupportCY170Pct
Public Support PY1700.65180PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$900,000OtherCostOrOtherBasisAmt
Book Value$900,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,282,815OtherCostOrOtherBasisAmt
Depreciation$1,915,019DepreciationAmt
Book Value$3,367,796BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,267,796TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SPDR S&P 500 ETF TRUST UNIT SER 1 S&P$3,182,631F
SPDR DOW JONES INDL AVERAGE ETF TR UNIT$2,324,853F
ISHARES RUSSELL 2000 ETF$1,667,799F
POWERSHARES QQQ TR UNIT SER 1$1,288,498F
FieldValueIRS element (for citing)
Total Book Value Securities$8,463,781TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSECURITY DEPOSIT PAYABLEDesc
Amt$300,000Amt
FieldValueIRS element (for citing)
Total Liability$300,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,931,720TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,185,293NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,185,293RevenueNotReportedAmt
Revenue Subtotal$1,746,427RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,746,427TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$635,677TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$635,677ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$635,677TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES. IN ADDITION, THE FOUNDATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. MANAGEMENT EVALUATED THE FOUNDATION'S INCOME TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD TAKEN NO UNCERTAIN INCOME TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE TO THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2010, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1DINNERNameOfEvent1Amt
Gross Receipts Event1$393,430GrossReceiptsEvent1Amt
Charitable Contri Event1$361,750CharitableContriEvent1Amt
Gross Revenue Event1$31,680GrossRevenueEvent1Amt
Food And Beverage Event1$36,372FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$16,018OtherDirectExpensesEvent1Amt
Name Of Event2GOLF OUTINGNameOfEvent2Amt
Gross Receipts Event2$123,235GrossReceiptsEvent2Amt
Charitable Contri Event2$57,611CharitableContriEvent2Amt
Gross Revenue Event2$65,624GrossRevenueEvent2Amt
Rent Facility Costs Event2$8,576RentFacilityCostsEvent2Amt
Food And Beverage Event2$57,048FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,475OtherDirectExpensesEvent2Amt
Gross Receipts Total$516,665GrossReceiptsTotalAmt
Charitable Contributions Tot$419,361CharitableContributionsTotAmt
Gross Revenue Total Events$97,304GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$8,576RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$93,420FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$18,493OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$120,489DirectExpenseSummaryEventsAmt
Net Income Summary-$23,185NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARLES B WANG COMMUNITY HEALTH CENTER INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10013ZIPCode
FieldValueIRS element (for citing)
Recipient EIN132739694RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$50,701CashGrantAmt
Purpose Of GrantSOCIAL WORK AND PATIENT NAVIGATIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient14RecipientCnt
Cash Grant$30,091CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION RECEIVES REPORTS FROM ORGANIZATIONS ON HOW THE FUNDS WERE SPENT. FOR SCHOLARSHIPS TO INDIVIDUALS, WE RECEIVE COPIES OF TRANSCRIPTS AND BURSAR BILLS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS DELEGATED CONTROL AND PERFORMANCE OF VARIOUS ACCOUNTING AND MANAGEMENT SERVICES TO AN UNRELATED 501(C)(3) ORGANIZATION, CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY SENIOR MANAGEMENT, INCLUDING THE CEO & CFO. COPIES ARE DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S DIRECTORS AND OFFICERS 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 C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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