2013-08-14T07:40:26-05:00 2012-09-30 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2011-10-01 132690296 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC COMM 2122799686 111 BROADWAY NO 1402 NEW YORK NY 10006 ELIZABETH H SWAIN 2127103802 2013-08-13 1 THOMAS LANNING P00851654 2122970400 2011 2016-02-24 21:20:13Z X CHCANYS ELIZABETH H SWAIN 111 BROADWAY NO 1402 NEW YORK NY 10006 7582566 0 X WWW.CHCANYS.ORG X 1971 NY 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 (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. 28 28 84 0 0 0 6297745 6876634 543255 699283 1106 1074 1964 5575 6844070 7582566 0 0 0 0 3476004 3524051 0 0 28380 3406733 3987225 6882737 7511276 -38667 71290 2325707 3004194 1147889 1755086 1177818 1249108 X THE 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. 0 0 6347681 704858 CHCANYS 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. 6347681 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 84 1 0 0 0 0 0 0 0 0 0 0 X 28 28 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X STEVEN SOLINSKY SENIOR DIRECTOR OF FINANCE 2127103819 111 BROADWAY SUITE 1402 NEW YORK NY 10006 ANNE K NOLON 1.00 X 0 0 0 ARTURO PEREZ 1.00 X 0 0 0 BARBARA MINCH 1.00 X X 0 0 0 CAROLE MORRIS 1.00 X X 0 0 0 CATHERINE ABATE 1.00 X 0 0 0 DANIEL DEY 1.00 X 0 0 0 DAVID FISHER 1.00 X 0 0 0 DR RUBEN COWART DDS 1.00 X X 0 0 0 ELIZABETH COLE 1.00 X 0 0 0 ELLEN STUBBS 1.00 X 0 0 0 HARVEY LAWRENCE 1.00 X X 0 0 0 JANE T ENG 1.00 X 0 0 0 JOHN RUGGE MD 1.00 X 0 0 0 JORGE L RODRIGUEZ 1.00 X 0 0 0 LARRY MCREYNOLDS 1.00 X 0 0 0 LAVONNE ANSARI 1.00 X 0 0 0 LAZETTA DUNCAN MOORE 1.00 X 0 0 0 LINDA MULLER 1.00 X X 0 0 0 LINDSAY FARRELL 1.00 X 0 0 0 MARY ANN ZELAZNY 1.00 X 0 0 0 MICHAEL L LEARY 1.00 X 0 0 0 NEIL CALMAN MD 1.00 X 0 0 0 PALOMA HERNANADEZ 1.00 X 0 0 0 PASCALE KERSAINT MD 1.00 X 0 0 0 PAUL KAYE MD 1.00 X 0 0 0 PETER NELSON 1.00 X 0 0 0 REINALDO GONZALEZ 1.00 X 0 0 0 VERONA GREENLAND 1.00 X 0 0 0 WARRIA ESMOND MD 1.00 X 0 0 0 ELIZABETH SWAIN 35.00 X 273044 0 11125 EDWIN GRAHAM 35.00 X 156124 0 5095 KAMERON L WELLS 35.00 X 154735 0 7269 LISA PERRY HELLERSTEIN 35.00 X 167584 0 3577 JENNA COOPER 35.00 X 121851 0 7596 SANDRA CAFARCHIO 35.00 X 147586 0 13683 STEFANIE A LINDEMAN 35.00 X 101263 0 7196 MARGARET BRENNAN 35.00 X 112960 0 7896 1235147 0 63437 8 1 1 0 ONXUSA LLC 9183 PAYSPHERE CIRCLE CHICAGO IL 60604 DATA SOLUTIONS 289997 BROWN & WEINRUAB LLC 79 COLUMBIA ST ALBANY NY 12210 LEGAL 187500 FELDESMAN TUCKER LEIFER FIDELL LLP 1129 20TH ST WASHINGTON DC 20036 LEGAL 136989 3 1503021 3444077 1929536 6876634 CONFERENCES & MEETINGS 541700 387071 387071 FEE REVENUE 541700 312212 312212 699283 1074 1074 OTHER REVENUE 900099 5575 5575 5575 7582566 704858 0 1074 650077 553835 92596 3646 2418461 2060416 344483 13562 47429 40407 6756 266 187498 159739 26707 1052 220586 187929 31420 1237 115788 98659 17129 24223 20640 3583 32212 27447 4765 183017 155943 27074 138375 117905 20470 1832568 1561476 271092 85139 65270 19490 379 317936 270867 45286 1783 489525 417052 69728 2745 443444 377793 63164 2487 155051 132096 22085 870 OTHER EXPENSES 97655 39676 57979 EQUIPMENT RENTAL AND MA 35467 30216 5052 199 CONSUMABLE SUPPLIES 27455 23390 3911 154 RECRUITMENT AND RETENTI 9370 6925 2445 7511276 6347681 1135215 28380 542057 391489 275768 543076 964016 1144670 187684 370863 57178 48027 1170975 664906 299004 506069 2325707 3004194 572040 971065 275849 409021 300000 375000 1147889 1755086 X 747911 851821 429907 397287 1177818 1249108 2325707 3004194 71290 0 X X 0 1 1 X 1 1 X 4717516 5334014 6278470 6297745 6876634 29504379 4717516 5334014 6278470 6297745 6876634 29504379 308970 29195409 6286 1219 624 1106 1074 10309 4543 1901 22764 1964 5575 36747 29551435 2161673 0.98800 0.97160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 285032 285032 7226244 7511276 525564 131391 0 0 436237 449759 494137 525564 1905697 2858546 156897 296301 287255 285032 1025485 109059 112440 123534 131391 476424 714636 PART IV, SUPPLEMENTAL INFORMATION: PART 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. 189793 186272 3521 803819 313785 490034 177363 164849 12514 506069 7582566 7511276 71290 71290 7582566 0 7582566 0 7582566 7511276 0 7511276 0 7511276 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 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. X X X 0 0 0 0 0 0 0 0 0 ELIZABETH SWAIN 273044 0 0 0 0 0 0 0 11545 0 284589 0 0 0 EDWIN GRAHAM 156124 0 0 0 0 0 0 0 5127 0 161251 0 0 0 KAMERON L WELLS 154735 0 0 0 0 0 0 0 7954 0 162689 0 0 0 LISA PERRY HELLERSTEIN 167584 0 0 0 0 0 0 0 3997 0 171581 0 0 0 SANDRA CAFARCHIO 147586 0 0 0 0 0 0 0 14013 0 161599 0 0 0 MARGARET BRENNAN 112960 0 0 0 0 0 0 0 7896 0 120856 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THERE 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 7A EACH 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 7B THE 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 11 AN 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 12C MEMBERS 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 15 PRESIDENT/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 19 CHCANYS 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.