2014-07-29T15:55:36-05:00 2013-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-01-01 510567466 COMMUNITY HEALTH CENTER OF RICHMOND INC COMM 7189242254 439 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 HENRY THOMPSON CEO 7189242254 2014-07-24 1 JULIUS GREEN CPA P00350393 2159720701 2013 2015-11-30 17:44:51Z X HENRY THOMPSON 439 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 9536360 0 X CHCRICHMOND.ORG X 2006 NY TO PROVIDE QUALITY PRIMARY HEALTH CARE AND COORDINATED ACCESS TO SPECIALTY SERVICES THAT IS AFFORDABLE, ACCESSIBLE AND RESPECTFUL TO ALL PERSONS THAT WE SERVE. 13 13 47 13 0 0 2678498 5086817 3515979 3956519 6211 4062 187648 488962 6388336 9536360 0 0 0 0 3175214 3430071 0 0 0 2248548 3129263 5423762 6559334 964574 2977026 8058524 9016629 2833193 814272 5225331 8202357 THE MISSION OF THE COMMUNITY HEALTH CENTER OF RICHMOND IS TO PROVIDE QUALITY PRIMARY CARE THAT IS ACCESSIBLE, AFFORDABLE AND RESPECTFUL TO ALL OF THE COMMUNITIES IT SERVES. 0 0 4215089 3956519 PROVIDING PRIMARY CARE SERVICES TO RESIDENTS OF STATEN ISLAND, NEW YORK WITH PARTICULAR EMPHASIS PLACED ON SERVING THE POOR AND UNDER-INSURED WITHIN THE COMMUNITY. THERE WERE 23,273 VISITS FOR 2013. CHCR HAS PROVIDED SERVICES TO 6,900 PATIENTS OF WHICH 2,335 WERE UNINSURED AND 6,058 WERE AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINE. THERE WERE 18.02 MEDICAL PROVIDER FTES WHO DELIVERED THE SERVICES DURING THE YEAR. 4215089 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 24 0 1 47 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X BENNY LINDO CFO 7189242254 439 PORT RICHMOND AVE STATEN ISLAND NY 10302 MARIBEL SANSONE CHAIRPERSON 1.00 X X 0 0 0 GONZALO MERCADO SECOND VICE CHAIRPERSON 1.00 X X 0 0 0 JACK DE SANTIS TREASURER 1.00 X X 0 0 0 CHRISTINE HOLLIE SECRETARY 1.00 X X 0 0 0 TERRY TROIA MEMBER 1.00 X 0 0 0 PATRICIA KARNATSKI MEMBER 1.00 X 0 0 0 LUIS RODRIGUEZ MEMBER 1.00 X 0 0 0 SHERIF FARAG MD MEMBER 1.00 X 0 0 0 URSZULA CZYSZKIEWICZ MEMBER 1.00 X 0 0 0 ELIZABETH LOPEZ MEMBER 1.00 X 0 0 0 ESMERALDA RAMOS MEMBER 1.00 X 0 0 0 CAMILIA RANGEL MEMBER 1.00 X 0 0 0 INES BRATCHER MEMBER 1.00 X 0 0 0 HENRY THOMPSON CHIEF EXECUTIVE OFFICER 40.00 X 196452 0 17790 ROSALINDA ROSARIO-LIPKA DO MEDICAL DIRECTOR 40.00 X 169244 0 10150 BENITO LINDO CHIEF FINANCIAL OFFICER 30.00 X 105679 0 0 MONIQUE WELBECK NURSE PRACTITIONER 30.00 X 105437 0 0 KUDUVALLI OMPRAKASH MD PHYSICIAN 40.00 X 149203 0 14950 JESSIE PITA MD PHYSICIAN 40.00 X 141000 0 8460 ELAINE CLARKE MD PHYSICIAN 40.00 X 128606 0 13720 995621 0 65070 7 0 1 0 RICHMOND UNIVERSITY MEDICAL CENTER 355 BARD AVENUE STATEN ISLAND NY 10310 OB-GYN SERVICES 213720 HENRICH GROUP LLC 125-28 QUEENS BLVD SUITE 617 KEW GARDENS NY 11415 PROJECT MANAGEMENT 186983 DESIGN FOR SOCIAL GOOD 19 HUEMMER TERRACE CLIFTON NJ 07013 TECHNOLOGY & MARKETING CONSULTING 108344 3 4918805 168012 308188 5086817 NET PATIENT SVC REV 623000 3956519 3956519 3956519 4062 4062 PATIENT INCENTIVE REVE 900099 257093 257093 PHARMACY SALES AT COST 446110 230581 230581 MEDICAL RECORDS REVENU 900099 1187 1187 101 101 488962 9536360 3956519 0 493024 X 393636 179394 214242 2269323 1477470 791853 63563 43284 20279 474724 302350 172374 228825 143001 85824 66833 66833 31579 31579 855773 222071 633702 17137 17137 832072 569648 262424 16952 16952 306929 306929 95546 75832 19714 638878 638878 7680 566 7114 BAD DEBT EXPENSE 72381 72381 REPAIRS AND MAINTENANCE 46671 46671 TRAINING EXPENSE 45190 45190 DUES AND SUBSCRIPTIONS 41275 31458 9817 54367 43014 11353 6559334 4215089 2344245 0 250 250 377252 1159885 97116 264896 735761 648108 44739 62168 7963831 1107775 4993584 6856056 1809822 25266 8058524 9016629 1042957 804009 10263 1790236 0 2833193 814272 X 5225331 8202357 5225331 8202357 8058524 9016629 2977026 0 X 0 1 X 1 1 1 X 2929979 2803070 3808430 2678498 5086817 17306794 2655394 3181478 2769816 3515979 3956519 16079186 5585373 5984548 6578246 6194477 9043336 33385980 0 0 0 33385980 3990 3881 2830 6211 4062 20974 3990 3881 2830 6211 4062 20974 102239 26 165122 187648 488962 943997 5691602 5988455 6746198 6388336 9536360 34350951 0.97190 0.98430 0.00060 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193078 115620 77458 2030329 665396 1364933 343346 275970 67376 5397078 50789 5346289 6856056 X 9463979 -72381 -72381 9536360 0 9536360 6486953 0 6486953 72381 72381 6559334 PART X, LINE 2: THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE FEDERAL EXEMPT ORGANIZATION TAX RETURNS FOR THE ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2010, 2011 AND 2012 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISON FOR BAD DEBTS NETTED AGAINST REVENUE -72,381. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISON FOR BAD DEBTS NETTED AGAINST REVENUE 72,381. X X X 0 0 0 0 0 0 0 0 0 HENRY THOMPSON CHIEF EXECUTIVE OFFICER 196452 0 0 0 0 0 11790 0 6000 0 214242 0 0 0 ROSALINDA ROSARIO-LIPKA DO MEDICAL DIRECTOR 169244 0 0 0 0 0 10150 0 0 0 179394 0 0 0 KUDUVALLI OMPRAKASH MD PHYSICIAN 149203 0 0 0 0 0 8950 0 6000 0 164153 0 0 0 X 1 308188 COST PAID BY DONOR 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 THE CEO AND CFO REVIEW THE FORM 990 BEFORE IT IS FILED. THE RETURN IS THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND THEN TO THE GENERAL BOARD FOR APPROVAL OF FILING. FORM 990, PART VI, SECTION B, LINE 12C CHCR PROVIDES BOARD MEMBERS AND STAFF WITH A CONFLICT OF INTEREST STATEMENT WHICH SUMMARIZES THE KEY ELEMENTS OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THE STATEMENT IS PROVIDED TO AND SIGNED BY BOARD MEMBERS AND STAFF BOTH AT THE TIME OF THE INDIVIDUAL'S INITIAL AFFILIATION WITH THE ORGANIZATION AND ANNUALLY THEREAFTER. THE CEO IS RESPONSIBLE FOR MONITORING THE CONFLICTS. THE BOARD OF DIRECTORS REVIEWS THE CEO'S ANNUAL CONFLICT OF INTEREST STATEMENT. IN THE CASE OF CONFLICT OF INTEREST, THE BOARD MEMBER WILL REPORT THE CONFLICT TO THE FULL BOARD PRIOR TO ANY DISCUSSION OF THE MATTER AND POTENTIALLY RECUSE THEMSELVES FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 OFFICER COMPENSATION IS DETERMINED AND COMPARED BASED ON THE CURRENT MARKET, INDUSTRY STANDARDS AND SURVEYS TAKEN. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S SALARY. THERE IS A WRITTEN CONTRACT BETWEEN THE CHIEF EXECUTIVE OFFICER AND THE CENTER, AND IS NEGOTIABLE AT A CERTAIN TIME PERIOD. THE COMPENSATION SETTING PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. THIS PROCESS IS THE DONE WITH THE GOAL OF ENSURING A SALARY OF NO MORE THAN THE FAIR MARKET VALUE OF THE SERVICES RENDERED. SALARIES FOR THE OTHER OFFICERS AND STAFF ARE BASED UPON INDUSTRY SURVEY, E.G. NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), AND THE COMMUNITY HEALTH CENTER ASSOCIATION OF NEW YORK STATE (CHCANYS). THE ORGANIZATION HAS A BOARD PERSONNEL COMMITTEE THAT OVERSEES HIRING AND CREDENTIALING OF EMPLOYEES. THE CEO HAS THE PRIVILEGE AND SOLE AUTHORITY TO HIRE AND FIRE EMPLOYEES; TO ESTABLISH SALARIES BASED UPON THE SURVEY PARAMETERS, AND PROVIDES RECOMMENDATIONS TO THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 213,720. MANAGEMENT AND GENERAL EXPENSES 532,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 745,899. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 79,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,320. CONSULTANTS: PROGRAM SERVICE EXPENSES 8,351. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,351. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,203.