COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC (EIN 13-2690296)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-07-24
IRS object ID
201442059349300004
Schema version
2012v2.1
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)
Timestamp2014-07-24T08:47:02-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 AVENUE OF THE AMERICASAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN132690296EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CARE ASSOCIATIONBusinessNameLine1
Business Name Line2OF NEW YORK STATE INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone2122799686Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 BROADWAY NO 1402AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10006ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameELIZABETH H SWAINName
TitlePRESIDENT/CEOTitle
Phone2127103802Phone
Date Signed2014-07-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CHCANYSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonELIZABETH H SWAINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1111 BROADWAY NO 1402AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10006ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7170252GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHCANYS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHAT 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members28NbrIndependentVotingMembers
Total Nbr Employees79TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI12218TotalGrossUBI
Net Unrelated Business Txbl Income-482NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6876634ContributionsGrantsPriorYear
Contributions Grants Current Year7494515ContributionsGrantsCurrentYear
Program Service Revenue Prior Year699283ProgramServiceRevenuePriorYear
Program Service Revenue CY525961ProgramServiceRevenueCY
Investment Income Prior Year1074InvestmentIncomePriorYear
Investment Income Current Year1510InvestmentIncomeCurrentYear
Other Revenue Prior Year5575OtherRevenuePriorYear
Other Revenue Current Year-872968OtherRevenueCurrentYear
Total Revenue Prior Year7582566TotalRevenuePriorYear
Total Revenue Current Year7149018TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY40608GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3524051SalariesEtcPriorYear
Salaries Etc Current Year3810955SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY40000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year150727TotalFundrsngExpCurrentYear
Other Expense Prior Year3987225OtherExpensePriorYear
Other Expenses Current Year4226962OtherExpensesCurrentYear
Total Expenses Prior Year7511276TotalExpensesPriorYear
Total Expenses Current Year8118525TotalExpensesCurrentYear
Revenues Less Expenses Prior Year71290RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-969507RevenuesLessExpensesCY
Total Assets BOY3004194TotalAssetsBOY
Total Assets EOY2422913TotalAssetsEOY
Total Liabilities BOY1755086TotalLiabilitiesBOY
Total Liabilities EOY2143312TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1249108NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY279601NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6831044Expense
Grants40608Grants
Revenue513743Revenue
DescriptionCHCANYS 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 MANAGEMENTDescription
Total Program Service Expense6831044TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees79NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members28NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEVEN SOLINSKY SENIOR DIRECTOR OF FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2127103819TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 BROADWAY SUITE 1402AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10006ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ANNE K NOLON
TRUSTEE1.00X000
ARTURO PEREZ
TRUSTEE1.00X000
BARBARA MINCH
1ST VICE-PRESIDENT1.00X000X
CAROLE MORRIS
SECRETARY1.00X000X
CATHERINE ABATE
TRUSTEE1.00X000
DANIEL DEY
TRUSTEE1.00X000
DAVID FISHER
TRUSTEE1.00X000
DR RUBEN COWART DDS
2ND VICE-PRESIDENT1.00X000X
ELIZABETH COLE
TRUSTEE1.00X000
ELLEN STUBBS
TRUSTEE1.00X000
HARVEY LAWRENCE
TREASURER1.00X000X
HENRY THOMPSON
TRUSTEE1.00X000
JANE T ENG
TRUSTEE1.00X000
JOHN RUGGE MD
TRUSTEE1.00X000
JORGE L RODRIGUEZ
TRUSTEE1.00X000
LARRY MCREYNOLDS
TRUSTEE1.00X000
LAVONNE ANSARI
TRUSTEE1.00X000
LAZETTA DUNCAN MOORE
TRUSTEE1.00X000
LINDA MULLER
BOARD CHAIRPERSON1.00X000X
LINDSAY FARRELL
TRUSTEE1.00X000
MARGUERITE GEBHARDT
TRUSTEE1.00X000
MARY ANN ZELAZNY
TRUSTEE1.00X000
MICHAEL L LEARY
TRUSTEE1.00X000
NEIL CALMAN MD
TRUSTEE1.00X000
PALOMA HERNANADEZ
IMMEDIATE PAST CHAIRPERSON1.00X000
PAUL KAYE MD
TRUSTEE1.00X000
RANDALL COPPIN
TRUSTEE1.00X000
REINALDO GONZALEZ
TRUSTEE1.00X000
VERONA GREENLAND
TRUSTEE1.00X000
WARRIA ESMOND MD
TRUSTEE1.00X000
ELIZABETH SWAIN
PRESIDENT AND CEO40.00249563017758X
KAMERON WELLS
VP CLINICAL QUALITY IMPROVEMENT40.00158858011532X
LISA PERRY HELLERSTEIN
SENIOR VP HEALTH IT40.0017318607264X
JAMES WELSH
DIRECTOR, DATA SYSTEMS40.0011793501438X
RICHARD STACKHOUSE
DIRECTOR, WORKFORCE DEVELOPMENT40.00120358012280X
SANDY CAFARCHIO
EXEC. DIRECTOR, HEALTH CENTER NETWORK OF NY40.00147841017250X
STEFANIE LINDEMAN
DIRECTOR, OPERATIONS40.00115644011165X
STEPHANIE ROSE
ASST. DIRECTOR HEALTH CENTER NETWORK OF NY40.0011447309630X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1197858TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation88317TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARCADIA SOLUTIONS LLC
20 BLANCHARD RDBURLINGTONMA01803IT SUB-CONTRACTORS533962
FELDSMAN TUCKER LLP
1129 20 STNWWASHINGTONDC20036LEGAL SERVICES449541
AZARA HEALTHCARE LLC
24 NEW ENGLAND EXEC PARKBURLINGTONMA01803IT SUB-CONTRACTORS293206
535 8TH AVENUE
535 8TH AVENUE SUITE 2400NEW YORKNY10018RENT217463
BROWN AND WEINRAUB PLLC
50 STATE STALBANYNY12207LOBBYING194119
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Membership Dues1273612MembershipDues
Fundraising Events342304FundraisingEvents
Government Grants2181956GovernmentGrants
All Other Contributions3696643AllOtherContributions
Total Contributions7494515TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CONFERENCES & MEETINGS541700513020513020
FEE REVENUE5417001294172312218
FieldValueIRS element (for citing)
Total Program Service Revenue525961TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1510TotalRevenueColumn
Exclusion$1,510ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events14696GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events342304CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses21234FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-6538TotalRevenueColumn
Exclusion-$6,538ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS FROM DISCOUNTINUEDescription
Business Code900099BusinessCode
Total Revenue Column-866430TotalRevenueColumn
Related Or Exempt Function Income-866430RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-866430TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7149018TotalRevenueColumn
Related Or Exempt Function Income-352687RelatedOrExemptFunctionIncome
Unrelated Business Revenue12218UnrelatedBusinessRevenue
Exclusion-$5,028ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total40608Total
Program Services40608ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total612309Total
Program Services518768ProgramServices
Management And General80998ManagementAndGeneral
Fundraising12543Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2715521Total
Program Services2300676ProgramServices
Management And General359217ManagementAndGeneral
Fundraising55628Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36021Total
Program Services30518ProgramServices
Management And General4765ManagementAndGeneral
Fundraising738Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total199769Total
Program Services169251ProgramServices
Management And General26426ManagementAndGeneral
Fundraising4092Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total247335Total
Program Services209549ProgramServices
Management And General32719ManagementAndGeneral
Fundraising5067Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9972Total
Management And General9972ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total163343Total
Management And General163343ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total184909Total
Program Services184909ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total40000Total
Fundraising40000Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2211595Total
Program Services2183092ProgramServices
Management And General28503ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total661265Total
Program Services532425ProgramServices
Management And General110725ManagementAndGeneral
Fundraising18115Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total145771Total
Program Services15776ProgramServices
Management And General129995ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total407624Total
Program Services345352ProgramServices
Management And General53922ManagementAndGeneral
Fundraising8350Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total170246Total
Program Services144238ProgramServices
Management And General22521ManagementAndGeneral
Fundraising3487Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total16102Total
Management And General16102ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EQUIPMENT RENTAL AND MA132151111963174812707
OFFICE RELOCATION5068350683
RECRUITMENT AND RETENTI32796341429382
PROGRAM SUPPLIES2836428364

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12141Total
Program Services12141ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8118525Total
Program Services6831044ProgramServices
Management And General1136754ManagementAndGeneral
Fundraising150727Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY391489BOY
EOY507711EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY543076BOY
EOY322170EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1144670BOY
EOY1083909EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY370863BOY
EOY344873EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY48027BOY
EOY55704EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis692086LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec600221LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY506069BOY
EOY91865EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY16681EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3004194BOY
EOY2422913EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY971065BOY
EOY1005954EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY409021BOY
EOY572285EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY375000BOY
EOY130000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY435073EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1755086BOY
EOY2143312EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY851821BOY
EOY-18581EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY397287BOY
EOY298182EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1249108BOY
EOY279601EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3004194BOY
EOY2422913EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-969507ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5334014CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6278470CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6297745CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6876634CurrentTaxYearMinus1Year
Current Tax Year7494515CurrentTaxYear
Total32281378Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5334014CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6278470CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6297745CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6876634CurrentTaxYearMinus1Year
Current Tax Year7494515CurrentTaxYear
Total32281378Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total950481AmountsSubstContributorsTotal
Public Support Total17031330897PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years624CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1106CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1074CurrentTaxYearMinus1Year
Current Tax Year1510CurrentTaxYear
Total5533Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1901CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22764CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1964CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5575CurrentTaxYearMinus1Year
Current Tax Year-851734CurrentTaxYear
Total-819530Total
FieldValueIRS element (for citing)
Total Support31467381TotalSupport
Gross Receipts From Admissions Etc2368926GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99570PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98800PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals282210FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals282210FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals7836315FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals8118525FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals555926FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals138982FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3449759CurrentYearMinus3
Current Year Minus2494137CurrentYearMinus2
Current Year Minus1525564CurrentYearMinus1
Current Year555926CurrentYear
Total2025386Total
FieldValueIRS element (for citing)
Lobbying Ceiling$3,038,079LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3296301CurrentYearMinus3
Current Year Minus2287255CurrentYearMinus2
Current Year Minus1285032CurrentYearMinus1
Current Year282210CurrentYear
Total1150798Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3112440CurrentYearMinus3
Current Year Minus2123534CurrentYearMinus2
Current Year Minus1131391CurrentYearMinus1
Current Year138982CurrentYear
Total506347Total
FieldValueIRS element (for citing)
Grassroots Ceiling$759,521GrassrootsCeilingAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationPART II-A LINE 1B: EDUCATES LEGISLATORS AND GOVERNMENT ENTITIES ABOUT ISSUES OF IMPORTANCE TO FEDERALLY QUALIFIED HEALTH CENTERS.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance397287BeginningOfYearBalance
Contributions300000Contributions
Other Expenditures399105OtherExpenditures
End Of Year Balance298182EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance429907BeginningOfYearBalance
Contributions366928Contributions
Other Expenditures399548OtherExpenditures
End Of Year Balance397287EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance603012BeginningOfYearBalance
Contributions705467Contributions
Other Expenditures878572OtherExpenditures
End Of Year Balance429907EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance67742BeginningOfYearBalance
Contributions920820Contributions
Other Expenditures385550OtherExpenditures
End Of Year Balance603012EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance56279BeginningOfYearBalance
Contributions67742Contributions
Other Expenditures56279OtherExpenditures
End Of Year Balance67742EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis219154OtherCostOrOtherBasis
Depreciation151328Depreciation
Book Value67826BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis247585OtherCostOrOtherBasis
Depreciation271700Depreciation
Book Value-24115BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis225347OtherCostOrOtherBasis
Depreciation177193Depreciation
Book Value48154BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings91865TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO HCNNY$386,744
DEFERRED RENT$48,329
FieldValueIRS element (for citing)
Total Of Amounts435073TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt7170252TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal7170252RevenueSubtotal
Other Revenues Not Included-21234OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-21234RevenueNotRptdOnFinStmt
Total Revenue Per Form9907149018TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8139759TotExpensesEtcAuditedFinclStmt
Other Expenses Included21234OtherExpensesIncluded
Expenses Not Rptd F99021234ExpensesNotRptdF990
Expenses Subtotal8118525ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908118525TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT FUNDS ARE INTENDED FOR CERTAIN EMPLOYEE'S SALARIES AND SPECIFIC PROGRAMS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ASSOCIATION WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2013 AND 2012. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2010 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -21,234.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 21,234.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1SPECIAL EVENTS UNLIMITED INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1440 KENT AVENUE SUITE 6EAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11249ZIPCode
FieldValueIRS element (for citing)
ActivityEVENT PLANNINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts357000GrossReceipts
Amount Retained By Contractor40000AmountRetainedByContractor
Net To Organization317000NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts357000TotalGrossReceipts
Total Retained By Contractors40000TotalRetainedByContractors
Total Net To Organization317000TotalNetToOrganization
Licensed StatesNYLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1NIGHT OF STARS GALANameOfEvent1
Gross Receipts Event1357000GrossReceiptsEvent1
Charitable Contributions Event1342304CharitableContributionsEvent1
Gross Revenue Event114696GrossRevenueEvent1
Non Cash Prizes Event1171NonCashPrizesEvent1
Food And Beverage Event120063FoodAndBeverageEvent1
Entertainment Event11000EntertainmentEvent1
Gross Receipts Total357000GrossReceiptsTotal
Charitable Contributions Total342304CharitableContributionsTotal
Gross Revenue Total Events14696GrossRevenueTotalEvents
Non Cash Prizes Total Events171NonCashPrizesTotalEvents
Food And Beverage Total Events20063FoodAndBeverageTotalEvents
Entertainment Total Events1000EntertainmentTotalEvents
Direct Expense Summary Events21234DirectExpenseSummaryEvents
Net Income Summary-6538NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF FUNDRAISING PAYMENTSIdentifier
Return ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)ReturnReference
ExplanationTHE FUNDRAISER WAS PAID ACCORDING TO A WRITTEN CONTRACT.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1PRIMARY CARE DEVELOPMENT CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line122 CORTLANDT STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10007ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient133711803EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant12500AmountOfCashGrant
Purpose Of GrantAN UNRESTRICTED GRANT TO FURTHER THE DONEE'S EXEMPT PURPOSE.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR GRANTS AFTER THEY ARE GIVEN.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ELIZABETH SWAIN
PRESIDENT AND CEO2495630000073500104080267321000
KAMERON WELLS
VP CLINICAL QUALITY IMPROVEMENT158858000004734067980170390000
LISA PERRY HELLERSTEIN
SENIOR VP HEALTH IT173186000005192020720180450000
SANDY CAFARCHIO
EXEC. DIRECTOR, HEALTH CENTER NETWOR1478410000046200126300165091000

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (2 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
HEALTH CENTER NETWORK OF NY
CASH, RECEIVABLES, PAYABLES2013-07-01530880FMV141980688103 WOERNER AVELIVERPOOLNY13088501(C)(3)
HEALTH CENTER NETWORK OF NY
PROPERTY AND EQUIPMENT2013-09-01335550COST LESS DEPRECIATION141980688103 WOERNER AVELIVERPOOLNY13088501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor21DirectorOfSuccessor2
Employee Of Successor21EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII (2 entries)

ExplanationExplanation
PART II, LINE 2E: SANDY CARFACHIO, DAVID SHIPPEE, MICHAEL LEARY, LINDSAY FARRELL, ANNE NOLON, ELIZABETH SWAIN
PART II, LINE 2E: SANDY CARFACHIO, A KEY EMPLOYEE OF CHCANYS, WAS TERMINATED AS AN EMPLOYEE AND IS THE CEO OF TRANSFEREE ORGANIZATION. IN ADDITION, THE FOLLOWING TRUSTEES OF THE ORGANIZATION ARE TRUSTEES OF THE TRANSFEREE ORGANIZATION: DAVID SHIPPEE, MICHAEL LEARY, LINDSAY FARRELL, ANNE NOLON. THE CEO OF CHCANYS, ELIZABETH SWAIN, IS A TRUSTEE OF THE TRANSFEREE ORGANIZATION.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THERE 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 7AEACH 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. ON ANY MATTERS REQUIRING A MEMBERSHIP VOTE OF THE ORGANIZATIONAL MEMBERSHIP, EACH ORGANIZATIONAL MEMBER SHALL BE ENTITLED TO ONE VOTE. EACH ORGANIZATIONAL MEMBER SHALL APPOINT AND CERTIFY TO THE CHIEF EXECUTIVE OFFICER OF THE ASSOCIATION A PERSON TO BE ITS REPRESENTATIVE WHO SHALL REPRESENT, VOTE AND ACT FOR SUCH ORGANIZATIONAL MEMBER WHENEVER MEMBERSHIP ACTION IS REQUIRED.
FORM 990, PART VI, SECTION A, LINE 7BTHE NOMINATING COMMITTEE SHALL BE ELECTED AT THE ANNUAL MEETING, BY THE ORGANIZATIONAL MEMBERS. THE BYLAWS COMMITTEE SHALL REVIEW AND ANALYZE THE BYLAWS AND, WHEN APPROPRIATE, RECOMMEND CHANGES AND ADDITIONS TO THE GENERAL MEMBERSHIP AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 11AN 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 12CMEMBERS 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 15APRESIDENT/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).
FORM 990, PART VI, SECTION C, LINE 19CHCANYS PROVIDES ITS FINANCIAL STATEMENTS TO ALL OF ITS FUNDERS, ITS BOARD OF DIRECTORS AND ANYONE WHO REQUESTS IT.
FORM 990, PART IX, LINE 11GGRANT CONSULTANTS: PROGRAM SERVICE EXPENSES 92,016. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,016. HUMAN RESOURCES CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,849. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,849. PROGRAM CONSULTANTS AND SUB-CONTRACTORS: PROGRAM SERVICE EXPENSES 2,091,076. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,091,076. TRAINING CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,654.OTHER FEES
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.

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