COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC (EIN 13-2690296)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201302269349300215
Schema version
2011v1.5
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)
Timestamp2013-08-14T07:40:26-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

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 Signed2013-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

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 Receipts7582566GrossReceipts
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 1.5 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 Employees84TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6297745ContributionsGrantsPriorYear
Contributions Grants Current Year6876634ContributionsGrantsCurrentYear
Program Service Revenue Prior Year543255ProgramServiceRevenuePriorYear
Program Service Revenue CY699283ProgramServiceRevenueCY
Investment Income Prior Year1106InvestmentIncomePriorYear
Investment Income Current Year1074InvestmentIncomeCurrentYear
Other Revenue Prior Year1964OtherRevenuePriorYear
Other Revenue Current Year5575OtherRevenueCurrentYear
Total Revenue Prior Year6844070TotalRevenuePriorYear
Total Revenue Current Year7582566TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3476004SalariesEtcPriorYear
Salaries Etc Current Year3524051SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year28380TotalFundrsngExpCurrentYear
Other Expense Prior Year3406733OtherExpensePriorYear
Other Expenses Current Year3987225OtherExpensesCurrentYear
Total Expenses Prior Year6882737TotalExpensesPriorYear
Total Expenses Current Year7511276TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-38667RevenuesLessExpensesPriorYear
Revenues Less Expenses CY71290RevenuesLessExpensesCY
Total Assets BOY2325707TotalAssetsBOY
Total Assets EOY3004194TotalAssetsEOY
Total Liabilities BOY1147889TotalLiabilitiesBOY
Total Liabilities EOY1755086TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1177818NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1249108NetAssetsOrFundBalancesEOY
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 1.5 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6347681Expense
Revenue704858Revenue
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 IMPROVEMENT; WORKFORCE DEVELOPMENT; STATEWIDE HEALTH INFORMATION TECHNOLOGY; THE HEALTH CENTER NETWORK OF NEW YORK; HEALTH CENTER SUPPORT; EMERGENCY MANAGEMENT; AND AMERICORPS.Description
Total Program Service Expense6347681TotalProgramServiceExpense
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 Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees84NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
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 Other1CompensationProcessOther
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 (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
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
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
MARY ANN ZELAZNY
TRUSTEE1.00X000
MICHAEL L LEARY
TRUSTEE1.00X000
NEIL CALMAN MD
TRUSTEE1.00X000
PALOMA HERNANADEZ
IMMEDIATE PAST CHAIRPERSON1.00X000
PASCALE KERSAINT MD
BOARD MEMBER1.00X000
PAUL KAYE MD
TRUSTEE1.00X000
PETER NELSON
TRUSTEE1.00X000
REINALDO GONZALEZ
TRUSTEE1.00X000
VERONA GREENLAND
TRUSTEE1.00X000
WARRIA ESMOND MD
TRUSTEE1.00X000
ELIZABETH SWAIN
PRESIDENT AND CEO35.00273044011125X
EDWIN GRAHAM
VICE-PRESIDENT, POLICY35.0015612405095X
KAMERON L WELLS
VICE PRESIDENT, CLINICAL AFFAIRS35.0015473507269X
LISA PERRY HELLERSTEIN
VICE-PRESIDENT, HEALTH IT35.0016758403577X
JENNA COOPER
ASSISTANT DIRECTOR HEALTH IT35.0012185107596X
SANDRA CAFARCHIO
DIRECTOR HEALTH CARE NETWORK35.00147586013683X
STEFANIE A LINDEMAN
DIRECTOR OF OPERATIONS35.0010126307196X
MARGARET BRENNAN
FORMER CHIEF OPERATING OFFICER35.0011296007896X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1235147TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation63437TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ONXUSA LLC
9183 PAYSPHERE CIRCLECHICAGOIL60604DATA SOLUTIONS289997
BROWN & WEINRUAB LLC
79 COLUMBIA STALBANYNY12210LEGAL187500
FELDESMAN TUCKER LEIFER FIDELL LLP
1129 20TH STWASHINGTONDC20036LEGAL136989
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Membership Dues1503021MembershipDues
Government Grants3444077GovernmentGrants
All Other Contributions1929536AllOtherContributions
Total Contributions6876634TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONFERENCES & MEETINGS541700387071387071
FEE REVENUE541700312212312212
FieldValueIRS element (for citing)
Total Program Service Revenue699283TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1074TotalRevenueColumn
Exclusion$1,074ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column5575TotalRevenueColumn
Related Or Exempt Function Income5575RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5575TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7582566TotalRevenueColumn
Related Or Exempt Function Income704858RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,074ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total650077Total
Program Services553835ProgramServices
Management And General92596ManagementAndGeneral
Fundraising3646Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2418461Total
Program Services2060416ProgramServices
Management And General344483ManagementAndGeneral
Fundraising13562Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total47429Total
Program Services40407ProgramServices
Management And General6756ManagementAndGeneral
Fundraising266Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total187498Total
Program Services159739ProgramServices
Management And General26707ManagementAndGeneral
Fundraising1052Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total220586Total
Program Services187929ProgramServices
Management And General31420ManagementAndGeneral
Fundraising1237Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total115788Total
Program Services98659ProgramServices
Management And General17129ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24223Total
Program Services20640ProgramServices
Management And General3583ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32212Total
Program Services27447ProgramServices
Management And General4765ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total183017Total
Program Services155943ProgramServices
Management And General27074ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total138375Total
Program Services117905ProgramServices
Management And General20470ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1832568Total
Program Services1561476ProgramServices
Management And General271092ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total85139Total
Program Services65270ProgramServices
Management And General19490ManagementAndGeneral
Fundraising379Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total317936Total
Program Services270867ProgramServices
Management And General45286ManagementAndGeneral
Fundraising1783Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total489525Total
Program Services417052ProgramServices
Management And General69728ManagementAndGeneral
Fundraising2745Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total443444Total
Program Services377793ProgramServices
Management And General63164ManagementAndGeneral
Fundraising2487Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total155051Total
Program Services132096ProgramServices
Management And General22085ManagementAndGeneral
Fundraising870Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER EXPENSES976553967657979
EQUIPMENT RENTAL AND MA35467302165052199
CONSUMABLE SUPPLIES27455233903911154
RECRUITMENT AND RETENTI937069252445

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7511276Total
Program Services6347681ProgramServices
Management And General1135215ManagementAndGeneral
Fundraising28380Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY542057BOY
EOY391489EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY275768BOY
EOY543076EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY964016BOY
EOY1144670EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY187684BOY
EOY370863EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY57178BOY
EOY48027EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1170975LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec664906LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY299004BOY
EOY506069EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2325707BOY
EOY3004194EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY572040BOY
EOY971065EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY275849BOY
EOY409021EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY300000BOY
EOY375000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1147889BOY
EOY1755086EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY747911BOY
EOY851821EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY429907BOY
EOY397287EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1177818BOY
EOY1249108EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2325707BOY
EOY3004194EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses71290ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years4717516CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5334014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6278470CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6297745CurrentTaxYearMinus1Year
Current Tax Year6876634CurrentTaxYear
Total29504379Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4717516CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5334014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6278470CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6297745CurrentTaxYearMinus1Year
Current Tax Year6876634CurrentTaxYear
Total29504379Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total308970AmountsSubstContributorsTotal
Public Support Total17029195409PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6286CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1219CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years624CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1106CurrentTaxYearMinus1Year
Current Tax Year1074CurrentTaxYear
Total10309Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4543CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1901CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22764CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1964CurrentTaxYearMinus1Year
Current Tax Year5575CurrentTaxYear
Total36747Total
FieldValueIRS element (for citing)
Total Support29551435TotalSupport
Gross Receipts From Admissions Etc2161673GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98800PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97160PublicSupportPertcentPriorYear
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 Totals285032FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals285032FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals7226244FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals7511276FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals525564FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals131391FilingOrganizationsTotals

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 Minus3436237CurrentYearMinus3
Current Year Minus2449759CurrentYearMinus2
Current Year Minus1494137CurrentYearMinus1
Current Year525564CurrentYear
Total1905697Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,858,546LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3156897CurrentYearMinus3
Current Year Minus2296301CurrentYearMinus2
Current Year Minus1287255CurrentYearMinus1
Current Year285032CurrentYear
Total1025485Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3109059CurrentYearMinus3
Current Year Minus2112440CurrentYearMinus2
Current Year Minus1123534CurrentYearMinus1
Current Year131391CurrentYear
Total476424Total
FieldValueIRS element (for citing)
Grassroots Ceiling$714,636GrassrootsCeilingAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationPART II-A LINE 1B: INFLUENCE THE PASSAGE OR DEFEAT OF GOVERNMENTAL LAWS, REGULATIONS AND RESOLUTIONS IN AN EFFORT TO SUPPORT THE PROVISION OF PRIMARY HEALTH CARE SERVICES TO THOSE IN NEED.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis189793OtherCostOrOtherBasis
Depreciation186272Depreciation
Book Value3521BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis803819OtherCostOrOtherBasis
Depreciation313785Depreciation
Book Value490034BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis177363OtherCostOrOtherBasis
Depreciation164849Depreciation
Book Value12514BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings506069TotalOfBookValueLandBuildings
Total Revenue7582566TotalRevenue
Total Expenses7511276TotalExpenses
Excess Or Deficit For Year71290ExcessOrDeficitForYear
Excess Or Deficit Per FS71290ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7582566TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal7582566RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907582566TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7511276TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7511276ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907511276TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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, 2012 AND 2011. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.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 (6 entries)

Base 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
2730440000000115450284589000
EDWIN GRAHAM
156124000000051270161251000
KAMERON L WELLS
154735000000079540162689000
LISA PERRY HELLERSTEIN
167584000000039970171581000
SANDRA CAFARCHIO
1475860000000140130161599000
MARGARET BRENNAN
112960000000078960120856000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 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 15PRESIDENT/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). THERE IS NO CFO. FOR KEY EMPLOYEES, THE PRESIDENT/CEO LOOKS AT DATA FROM COMPARABLY SIZED PCAS AND OTHER ASSOCIATIONS.
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 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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