2013-06-03T13:19:47-05:00 2012-06-30 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2011-07-01 133409680 COMMUNITY HEALTH PROJECT INC COMM 2122717200 356 WEST 18TH STREET NEW YORK NY 10011 JAY LAUDATO 2122717200 2013-05-20 1 THOMAS LANNING P00851654 2122970400 2011 2016-03-07 17:11:31Z X CALLEN LORDE COMMUNITY HEALTH CENTER JAY LAUDATO 356 WEST 18TH STREET NEW YORK NY 10011 34179468 0 X WWW.CALLEN-LORDE.ORG X 1998 NY PROVIDES SENSITIVE QUALITY HEALTH CARE TO AND RELATED SERVICES PRIMARILY TO NEW YORK'S LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITIES IN ALL THEIR DIVERSITY REGARDLESS OF THEIR ABILITY TO PAY. 12 12 265 0 0 0 7652317 5649574 15755039 28454898 1176 494 79407 -79783 23487939 34025183 0 0 0 0 13295366 13467254 0 0 367221 9250492 18463950 22545858 31931204 942081 2093979 13304481 14168137 8616739 7386416 4687742 6781721 PROVIDES SENSITIVE QUALITY HEALTH CARE TO AND RELATED SERVICES PRIMARILY TO NEW YORK'S LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITIES IN ALL THEIR DIVERSITY REGARDLESS OF THEIR ABILITY TO PAY. 0 0 27721693 28454898 CALLEN-LORDE OFFERS A COMPREHENSIVE, INTEGRATED PROGRAM OF QUALITY MEDICAL AND MENTAL HEALTH SERVICES UNDER A PRIMMARY CARE MODEL, WHICH EMPHASIZES PREVENTIVE HEALTH AND WELLNESS. ALL OF CLCHC'S SERVICES HAVE BEEN SHAPED BY COMMUNITY NEED, AND INCLUDE COMPREHENSIVE PRIMARY CARE, ADOLESCENT/ YOUNG ADULT SERVICES, URGENT/EPISODIC CARE, GINECOLOGY, FAMILY PLANNING, HIV AND SEXUALLY TRANSMITTED INFECTION SCREENING AND TREATMENT SERVICES, HEALTH EDUCATION/ TREATMENT ADHERENCE COUNSELING, DENTISTRY, PSYCHIATRY, INDIVIDUAL AND GROUP PSYCHOTHERAPY, COMMUNITY OUTREACH, AND CARE COORDINATION. IN FY 2012, CLCHC PROVIDED OVER 73,283 PATIENT VISITS. 27721693 1 1 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1 67 0 1 265 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 0 0 NY X ALESSANDRA DA CRUZ DIRECTOR OF FINANCE 2122717200 39-47 W 19TH STREET ROOM 614 NEW YORK NY 10011 ARCHLEY PRUDENT 1.00 X 0 0 0 CARLOS RIOBO 1.00 X 0 0 0 CLAUDIA SLACIK 1.00 X X 0 0 0 DANIEL DOKOS 1.00 X 0 0 0 DAVID SANDMAN 1.00 X 0 0 0 ELIZABETH BENJAMIN MSPH JD 1.00 X 0 0 0 ELIZABETH LORDE-ROLLINS MD 1.00 X 0 0 0 JUSTUS EISFELD 1.00 X 0 0 0 KAREN SAUVIGNE 1.00 X X 0 0 0 KRISCZAR BUNGAY MD 1.00 X 0 0 0 LAURA JACOBS LMSW 1.00 X 0 0 0 MICHAEL BAYER 1.00 X X 0 0 0 TOM VIOLA 1.00 X 0 0 0 ALESSANDRA DA CRUZ 20.00 X 0 0 0 WENDY STARK 40.00 X 136875 0 5704 ANITA RADIX 40.00 X 158597 0 8722 ANTHONY VAVASIS 40.00 X 153406 0 8766 GAL MAYER 40.00 X 172591 0 9566 GERALD LADAUTO 40.00 X 135856 0 8343 RONA VAIL 40.00 X 130760 0 9566 888085 0 50667 17 0 1 0 NEXTGEN HEALTHCARE 795 HORSHAM ROAD HORSHAM PA 19044 BILLING SOFTWARE 316407 CAULDWELL WINGATE CO LLC 380 LEXINGTON AVENUE NEW YORK NY 10168 CONSTRUCTION 143106 J PREVEDELLO SERVICES 160 E 38TH ST NEW YORK NY 100162651 CLEANING SERVICES 132106 3 277919 3866664 1504991 5649574 PHARMACY 340B PROGRAM 624100 16829445 16829445 MEDICAID 624100 3965982 3965982 NEW YORK STATE MEDICAI 624100 2536179 2536179 NEW YORK STATE UNCOMPE 624100 1971790 1971790 MEDICAID MANAGED CARE 624100 1284516 1284516 1866986 1866986 28454898 494 494 4000 0 4000 4000 4000 37065 277919 154285 -117220 -117220 MISCELLANEOUS 900099 26003 26003 MEDICAL RECORDS 900099 7434 7434 33437 34025183 28454898 0 -79289 150249 119300 27872 3077 10804752 8579104 2004356 221292 1428930 1134588 265076 29266 1083323 860171 200964 22188 118283 118283 77995 77995 1118170 449117 664103 4950 126340 100621 25719 254802 170650 54057 30095 54329 48468 4488 1373 10175 9077 841 257 274523 249541 24982 363384 330316 33068 117131 85578 31553 PHARMACEUTICALS 14474807 14474807 CONSUMABLE SUPPLIES 710727 609893 100834 PROVISION FOR BAD DEBTS 168270 168270 OTHER 166551 30010 87397 49144 428463 302182 120702 5579 31931204 27721693 3842290 367221 780 780 532542 1766373 2611552 3324899 2236798 1241617 362396 361776 50576 110794 12049470 5339578 6830688 6709892 407135 379992 272014 272014 13304481 14168137 2096582 2444017 5965687 4680676 554470 261723 8616739 7386416 X 4509358 6515272 178384 266449 4687742 6781721 13304481 14168137 2093979 0 X X 0 1 1 X 1 1 X 3995332 4334308 5116010 7652317 5649574 26747541 3995332 4334308 5116010 7652317 5649574 26747541 26747541 48065 320 37041 27176 494 113096 130466 191317 370818 352845 70502 1115948 27976585 73575282 0.95610 0.95260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000000 1000000 7876907 2836187 5040720 3172563 2503391 669172 6709892 DUE TO THIRD PARTY 261723 261723 34025183 31931204 2093979 2093979 34179468 0 34179468 -154285 -154285 34025183 32085489 0 32085489 -154285 -154285 31931204 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: CALLEN-LORDE 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. CALLEN-LORDE HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2012 AND 2011. CALLEN-LORDE'S U.S. FEDERAL AND STATE INCOME 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. CALLEN-LORDE RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. CALLEN-LORDE HAS FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYROLL TAXES DUE HAVE BEEN PAID. PART XII, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES -154,285. PART XIII, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES -154,285. HEALTH AWARDS 190491 166516 23975 50417 320 8686 2175 ZOO 108684 101369 7315 25150 39431 1225 19822 1 15809 10034 5775 5128 225 1706 314984 277919 37065 75567 44879 10136 23703 154285 -117220 X X 0 0 0 0 0 0 0 0 0 ANITA RADIX 158597 0 0 0 0 0 0 0 8722 0 167319 0 0 0 ANTHONY VAVASIS 153406 0 0 0 0 0 0 0 8766 0 162172 0 0 0 GAL MAYER 172591 0 0 0 0 0 0 0 9566 0 182157 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR OF FINANCE ALESSANDRA DA CRUZ WORK FOR A MANGEMENT COMPANY THAT IS USED BY CALLEN LORDE COMMUNITY HEALTH CENTER. THEREFORE SHE IS NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED PRIMARILY BY THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE. A DRAFT COPY IS FINALIZED AND THE FINAL VERSION IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE STATEMENTS OF ANY CONFLICT OF INTEREST ARE REQUIRED AND SIGN IF THE BOARD OR EXECUTIVE DIRECTOR, AS APPLICABLE, HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS FAILED TO DISCLOSE AN INTEREST, THE PERSON SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL WHO FAILED TO DISCLOSE AN INTEREST, AND MAKING SUCH FURTHER INVESTIGATION AS MY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR EXECUTIVE DIRECTOR DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN INTEREST IN ACCORDANCE WITH SECTION II F 3, APPROPRIATE CORRECTIVE AND/OR DISCIPLINARY ACTION SHALL BE TAKEN, INCLUDING REMOVAL OF THE INDIVIDUAL FROM THE SELECTION, NEGOTIATION OR ADMINSTRATION OF ANY CONTRACTS OR GRANTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE DIRECTOR'S ("ED") COMPENSATION PACKAGE, THIS IS DOCUMENTED IN HER EMPLOYEES FILE (WHICH IS KEPT BY HR) THE COMPNESATION OF THE REST OF THE SENIOR MANAGEMENT TEAM IS SET BY THE ED IN CONSULTATION WITH THE HUMAN RESOURCES DEPARTMENT, WHICH USES INDUSTRY BENCHMARKS. FORM 990, PART VI, SECTION C, LINE 19 OUR GOVERNING DOCUMENTS AND OTHER POLICY STATEMENTS ARE AVILABLE BY REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PAGE 1, SECTION B: THE RETURN IS BEING AMENDED DUE TO NEW INFORMAITON BECOMING AVAILABLE THAT WAS NOT AT THE TIME OF FILING. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THE ORGANIZATION DOES NOT MEET THIS DEFINITION.