2014-11-12T15:11:55-06:00 2013-12-31 990 2013-01-01 133083068 COMMUNITY HEALTH CARE NETWORK COMM 2125452404 60 MADISON AVENUE NEW YORK NY 10010 ALAN WENGROFSKY CFO/VP 2125452404 2014-11-12 1 P00851654 2122970400 2013 2015-11-30 17:44:51Z MATTHEW WEISSMAN 60 MADISON AVENUE NEW YORK NY 10010 61819391 0 X WWW.CHNNYC.ORG X 1978 NY COMMUNITY HEALTHCARE NETWORK, INC ("CHN") OPERATES FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NEW YORK STATE HEALTH LAW, LOCATED THOUGHOUT NEW YORK CITY. CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 18 18 584 0 0 0 16482638 14920234 30805023 44899280 56123 79017 669662 1889077 48013446 61787608 0 0 0 0 28208145 31494382 0 0 0 13637309 15637468 41845454 47131850 6167992 14655758 43993043 58720729 4271178 4343106 39721865 54377623 CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 38761912 46787015 CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDEERSERVED POPULATION. CHN PORVIDED HEALTH CARE SERVICES FOR 208,869 HEALTH CARE VISITS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2013. 38761912 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 68 0 1 584 1 0 0 0 0 0 1 1 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X ALAN WENGROFSKY 2125452481 60 MADISON AVE NEW YORK NY 10010 ANGELA DEWS BOARD MEMBER 1.00 X 0 0 0 BOOSHI TE SILVA BOARD MEMBER 1.00 X 0 0 0 BRENDA MERRITT BOARD MEMBER 1.00 X 0 0 0 DANIEL LEYVA BOARD MEMBER 1.00 X 0 0 0 DONNA ANDERSON BOARD MEMBER 1.00 X 0 0 0 ELEANORA SOTTILARO SECRETARY 1.00 X X 0 0 0 ELIZABETH KELLNER CHAIRPERSON 1.00 X X 0 0 0 ENRIQUE VELA BOARD MEMBER 1.00 X 0 0 0 ERIC GROSSMAN BOARD MEMBER 1.00 X 0 0 0 ERIKA LINDSEY BOARD MEMBER 1.00 X 0 0 0 GRETA ELYSEE BOARD MEMBER 1.00 X 0 0 0 JOSEPHINE DIAZ BOARD MEMBER 1.00 X 0 0 0 JUNE NIKLUS VICE CHAIRPERSON 1.00 X X 0 0 0 KATHERINE BASS BOARD MEMBER 1.00 X 0 0 0 KRISTIN L MANZOLILO BOARD MEMBER 1.00 X 0 0 0 NANCY RAPOPORT TREASURER 1.00 X X 0 0 0 PETER TADAO GEE BOARD MEMBER 1.00 X 0 0 0 RACQUEL HALL BOARD MEMBER 1.00 X 0 0 0 RALPH SALAMANCA BOARD MEMBER 1.00 X 0 0 0 RANDY SILLER BOARD MEMBER 1.00 X 0 0 0 RONALD PERRY BOARD MEMBER 1.00 X 0 0 0 ALAN WENGROFSKY CFO/VP OF FINANCE 35.00 X 230486 0 28376 CATHERINE ABATE PRESIDENT/CEO 35.00 X 310850 0 24387 CHRISTOPHER QUINONES VP OF ADMINSTRATION 35.00 X 172173 0 26024 DOROTHY FARLEY VP OF SOCIAL SERVICE 35.00 X 134858 0 24318 ELIZABETH HOWELL VP OF DEVELOPMENT 35.00 X 148492 0 6116 JASON POMASKI AVP OF TECHNOLOGY 35.00 X 122795 0 22660 KENNETH MEYER VP OF HUMAN RESOURCES 35.00 X 136356 0 11475 LI LIN AVP OF NURSING 35.00 X 129826 0 23884 LUIS FREDDY MOLANO AVP OF HIV SERVICES 35.00 X 135821 0 13076 MARTHA FEBUZ AVP OF CLINICAL OPERATION 35.00 X 126569 0 16460 MATTHEW WEISSMAN VP MEDICAL AFFAIRS 35.00 X 267378 0 24523 ELLIOT DEHAAN PHYSICIAN 35.00 X 167770 0 9613 GALE BLAKLEY ASSOC. MEDICAL DIRECTOR 35.00 X 181658 0 18348 HAFIZ MAJE PHYSICIAN 35.00 X 187108 0 21628 JEAN BIEN-AIME DIRECTOR OF PSYCHIATRY 35.00 X 191322 0 17927 LAWRENCE KRAMER PHYSICIAN 35.00 X 181372 0 17827 2824834 0 306642 45 0 1 0 COHNREZNICK LLP 1122 AVE OF AMERICAS NEW YORK NY 10036 ACCOUNTING & TAX 157976 JACOB HODES 70 S ELLIOT PLACE BROOKLYN NY 11217 DATA ANALYST 140478 2 110537 12723098 2086599 687544 14920234 NEW YORK STATE MEDICAID MANAGED C 623000 13558166 13558166 MEDICAID 623000 12960553 12960553 MEDICAID MANAGED CARE 623000 9375741 9375741 NEW YORK STATE UNCOMPENSATED CARE 623000 6231137 6231137 SELF-PAY 623000 1290649 1290649 1483034 1483034 44899280 79017 79017 3125 0 3125 3125 3125 30000 110537 31783 -1783 -1783 MEANINGFUL USE INCENTIVE 623000 1186750 1186750 HEALTH REVENUE 900099 437500 437500 MANAGEMENT REVENUE 900099 161952 161952 101533 101533 1887735 61787608 46787015 0 80359 2136903 1758981 377922 22962448 18927939 4034509 138543 112656 25887 4152715 3376785 775930 2103773 1710686 393087 161952 161952 95886 95886 190476 190476 1869357 1531105 338252 69588 69588 1614604 1214347 400257 8702 8702 3146180 2359635 786545 115130 81742 33388 157245 111644 45601 1514991 1136243 378748 173299 129974 43325 MEDICAL SUPPLIES 3282098 3282098 BAD DEBT 1427261 1427261 LABORATORY 546359 546359 EQUIPMENT RENTAL 277389 208043 69346 986951 776826 210125 47131850 38761912 8369938 0 7791345 17248013 14184314 20349606 4533670 2652581 5487279 5742007 172410 785601 25998400 14662276 11276346 11336124 164138 164138 383541 442659 43993043 58720729 3769127 3710195 502051 632911 4271178 4343106 X 39721865 54377623 39721865 54377623 43993043 58720729 14655758 0 X X 0 1 X 1 1 1 X 13499870 13847283 14395337 16482638 14920234 73145362 13499870 13847283 14395337 16482638 14920234 73145362 73145362 6828 21238 48224 56123 82142 214555 16664 21881 59956 669662 1917735 2685898 76045815 151436235 0.96190 0.98570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000000 4036718 2971178 11065540 6938659 4971695 1910354 10000000 6935864 2037616 2034821 6938659 2952385 6118427 2134948 6935864 2500000 756000 303615 2952385 1.00000 0 0 37931 37931 12128928 5589551 6539377 5954781 2600328 3354453 6602334 5763524 838810 1274426 708873 565553 11336124 DEFERRED RENT 533691 DEFERRED COMPENSATION 99220 632911 X 60392130 -1427261 -1427261 61819391 -31783 -31783 61787608 45736372 31783 31783 45704589 1427261 1427261 47131850 PART V, LINE 4: FUNDS LISTED HAVE BEEN DESIGNATED BY THE BOARD TO BE USED FOR CAPITAL PROJECTS. PART X, LINE 2: CHN 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. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. CHN HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2013. CHN'S FEDERAL AND STATE INCOME 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. CHN RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -1,427,261. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRASING EXPENSES -31,783. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRASING EXPENSES 31,783. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,427,261. GALA 140437 110437 30000 21667 10116 140437 110437 30000 21667 10116 31783 -1783 X X 0 0 0 0 0 0 0 0 0 ALAN WENGROFSKY CFO/VP OF FINANCE 230306 0 0 0 180 0 2378 0 25998 0 258862 0 0 0 CATHERINE ABATE PRESIDENT/CEO 309326 0 0 0 1524 0 0 0 24387 0 335237 0 0 0 CHRISTOPHER QUINONES VP OF ADMINSTRATION 172065 0 0 0 108 0 1808 0 24216 0 198197 0 0 0 DOROTHY FARLEY VP OF SOCIAL SERVICE 134610 0 0 0 248 0 1398 0 22920 0 159176 0 0 0 ELIZABETH HOWELL VP OF DEVELOPMENT 148216 0 0 0 276 0 1510 0 4606 0 154608 0 0 0 LI LIN AVP OF NURSING 129594 0 0 0 232 0 1344 0 22540 0 153710 0 0 0 MATTHEW WEISSMAN VP MEDICAL AFFAIRS 267270 0 0 0 108 0 2705 0 21818 0 291901 0 0 0 ELLIOT DEHAAN PHYSICIAN 167662 0 0 0 108 0 0 0 9613 0 177383 0 0 0 GALE BLAKLEY ASSOC. MEDICAL DIRECTOR 181451 0 0 0 207 0 0 0 18348 0 200006 0 0 0 HAFIZ MAJE PHYSICIAN 186941 0 0 0 167 0 1912 0 19716 0 208736 0 0 0 JEAN BIEN-AIME DIRECTOR OF PSYCHIATRY 190530 0 0 0 792 0 1911 0 16016 0 209249 0 0 0 LAWRENCE KRAMER PHYSICIAN 180580 0 0 0 792 0 1811 0 16016 0 199199 0 0 0 X 2 687544 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY INDEPENDENT ACCOUNTANT AND REVIEWED BY MANAGEMENT. IT IS THEN REVIEWED BY THE CHAIR OF THE BOARD AND THE FINANCE COMMITTEE AND DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS BEFORE FILLING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL MANAGEMENT AND EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISIONS BY THE CHN SHALL, AT LEAST ANNUALLY, FILE A CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND CONSULT WITH OUTSIDE COUNSEL, AS NECESSARY, CONCERNING ANY POTENTIAL PROBLEMS OR POSSIBLE CONFLICTS OF INTEREST. IN ADDITION, TO COMPLETING THE ANNUAL DISCLOSURE STATEMENT, ALL EMPLOYEES MUST ALSO IMMEDIATELY DISCLOSE TO THE COMPLIANCE OFFICER ANY POSSIBLE CONFLICTS OF INTEREST AS THEY ARISE. THE COMPLIANCE OFFICER, AS NECESSARY, WILL THEN CONSULT WITH OUTSIDE COUNSEL. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS DETERMINES AND APPROVES COMPENSATION OF THE CEO BASED ON FORM 990 OF OTHER ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.