2013-11-04T10:04:47-06:00 2012-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2012-01-01 510567466 COMMUNITY HEALTH CENTER OF RICHMOND INC COMM 7189242254 235 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 HENRY THOMPSON 7189242254 2013-11-01 1 JULIUS GREEN CPA P00350393 2159720701 2012 2016-02-24 21:20:13Z HENRY THOMPSON 235 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 6388336 0 X CHCRICHMOND.ORG X 2006 NY PROVIDE PRIMARY CARE SERVICES WITH AN EMPHASIS ON SERVING THE POOR AND UNDERINSURED. 14 14 44 14 0 0 4095323 2678498 2769815 3515979 2830 6211 175825 187648 7043793 6388336 0 0 0 0 2997470 3175214 0 0 0 2410104 2248548 5407574 5423762 1636219 964574 6576276 8058524 2315519 2833193 4260757 5225331 THE MISSION OF THE COMMUNITY HEALTH CENTER OF RICHMOND IS TO PROVIDE QUALITY PRIMARY CARE THAT IS ACCESSIBLE, AFFORDABLE AND RESPECTFUL TO ALL OF THE COMMUNITIES IT SERVES. 0 0 3313917 3515979 PROVIDING PRIMARY CARE SERVICES TO RESIDENTS OF STATEN ISLAND, NEW YORK WITH PARTICULAR EMPHASIS PLACED ON SERVING THE POOR AND UNDER-INSURED WITHIN THE COMMUNITY. THERE WERE 23,693 VISITS FOR 2012. CHCR HAS PROVIDED SERVICES TO 6,750 PATIENTS OF WHICH 2,192 WERE UNINSURED AND 5,360 WERE AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINE. THERE WERE 18.93 MEDICAL PROVIDER FTES WHO DELIVERED THE SERVICES DURING THE YEAR. 3313917 1 1 0 0 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 1 0 0 0 0 0 0 0 0 1 20 0 1 44 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X BENNY LINDO CFO 7189242254 242 PORT RICHMOND AVE STATEN ISLAND NY 10302 MARIBEL SANSONE 1.00 X X 0 0 0 GONZALO MERCADO 1.00 X X 0 0 0 JACK DE SANTIS 1.00 X X 0 0 0 CHRISTINE HOLLIE 1.00 X X 0 0 0 TERRY TROIA 1.00 X 0 0 0 PATRICIA KARNATSKI 1.00 X 0 0 0 RICHARD YOUNGE MD 1.00 X 0 0 0 FERN ZAGOR 1.00 X 0 0 0 URSZULA CZYSZKIEWICZ 1.00 X 0 0 0 ELIZABETH LOPEZ 1.00 X 0 0 0 ESMERALDA RAMOS EFF 82012 1.00 X 0 0 0 CAMILIA RANGEL 1.00 X 0 0 0 RONALD SPEIGHT JREND 42012 1.00 X 0 0 0 INES BRATCHER 1.00 X 0 0 0 HENRY THOMPSON 40.00 X 172441 0 16350 ROSALINDA ROSARIO-LIPKA DO 40.00 X 134707 0 8080 KUDUVALLI OMPRAKASH MD 40.00 X 150115 0 15010 JESSIE PITA MD 40.00 X 143238 0 8590 ELAINE CLARKE MD 40.00 X 138759 0 14330 739260 0 62360 5 0 1 0 HENRICH GROUP LLC 125-28 QUEENS BLVD SUITE 617 KEW GARDENS NY 11415 PROJECT MANAGEMENT 127515 1 2678493 5 237918 2678498 NET PATIENT SVC REV 623000 3515979 3515979 3515979 6211 6211 PHARMACY SALES AT COST 446110 187648 187648 187648 6388336 3515979 0 193859 X 331578 207021 124557 2161347 1349438 811909 68470 42749 25721 418747 240089 178658 195072 121793 73279 23927 23927 17000 17000 783403 206730 576673 23699 23699 729450 508844 220606 4457 4457 274573 274573 44400 37931 6469 315 315 160953 160953 1573 40 1533 REPAIRS AND MAINTENANCE 52242 52242 DUES AND SUBSCRIPTIONS 41575 27680 13895 BAD DEBT EXPENSE 31891 31891 MEALS AND ENTERTAINMENT 26356 26356 32734 20815 11919 5423762 3313917 2109845 0 250 250 418770 377252 55580 97116 845797 735761 35281 44739 5462482 468898 3827128 4993584 1393470 1809822 6576276 8058524 741158 1042957 1574361 1790236 2315519 2833193 X 4260757 5225331 4260757 5225331 6576276 8058524 964574 0 X X 0 1 X 1 1 1 X 4256220 2929979 2803070 3808430 2678498 16476197 1896766 2655394 3181478 2769816 3515979 14019433 6152986 5585373 5984548 6578246 6194477 30495630 0 0 0 30495630 12708 3990 3881 2830 6211 29620 12708 3990 3881 2830 6211 29620 1006 102239 26 165122 187648 456041 6166700 5691602 5988455 6746198 6388336 30981291 0.98430 0.98830 0.00100 0.00130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193078 88057 105021 232431 112631 119800 308495 135824 172671 4728478 132386 4596092 4993584 SECURITY DEPOSITS 19586 ASSETS WHOSE USE IS LIMITED 1790236 1809822 LOAN PAYABLE- PCDC 1790236 1790236 X 6388207 -129 -129 6388336 0 6388336 5423633 -129 -129 5423762 0 5423762 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE FEDERAL EXEMPT ORGANIZATION TAX RETURNS FOR THE ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2009, 2010 AND 2011 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: OTHER EXPENSE NETTED AGAINST MISCELLANEOUS INCOME -129. PART XII, LINE 2D - OTHER ADJUSTMENTS: OTHER EXPENSE INCLUDED IN MISCELLANEOUS INCOME -129. X X X X 0 0 0 0 0 0 0 0 0 HENRY THOMPSON 172441 0 0 0 0 0 10350 0 6000 0 188791 0 0 0 KUDUVALLI OMPRAKASH MD 150115 0 0 0 0 0 9010 0 6000 0 165125 0 0 0 JESSIE PITA MD 143238 0 0 0 0 0 8590 0 0 0 151828 0 0 0 ELAINE CLARKE MD 138759 0 0 0 0 0 8330 0 6000 0 153089 0 0 0 X 1 237918 COST PAID BY DONOR 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 THE CEO AND CFO REVIEW THE FORM 990 BEFORE IT IS FILED. THE RETURN IS THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND THEN TO THE GENERAL BOARD FOR APPROVAL OF FILING. FORM 990, PART VI, SECTION B, LINE 12C CHCR PROVIDES BOARD MEMBERS AND STAFF WITH A CONFLICT OF INTEREST STATEMENT WHICH SUMMARIZES THE KEY ELEMENTS OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THE STATEMENT IS PROVIDED TO AND SIGNED BY BOARD MEMBERS AND STAFF BOTH AT THE TIME OF THE INDIVIDUAL'S INITIAL AFFILIATION WITH THE ORGANIZATION AND ANNUALLY THEREAFTER. THE CEO IS RESPONSIBLE FOR MONITORING THE CONFLICTS. THE BOARD OF DIRECTORS REVIEWS THE CEO'S ANNUAL CONFLICT OF INTEREST STATEMENT. IN THE CASE OF CONFLICT OF INTEREST, THE BOARD MEMBER WILL REPORT THE CONFLICT TO THE FULL BOARD PRIOR TO ANY DISCUSSION OF THE MATTER AND POTENTIALLY RECUSE THEMSELVES FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 OFFICER COMPENSATION IS DETERMINED AND COMPARED BASED ON THE CURRENT MARKET, INDUSTRY STANDARDS AND SURVEYS TAKEN. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S SALARY. THERE IS A WRITTEN CONTRACT BETWEEN THE CHIEF EXECUTIVE OFFICER AND THE CENTER, AND IS NEGOTIABLE AT A CERTAIN TIME PERIOD. THE COMPENSATION SETTING PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 206,730. MANAGEMENT AND GENERAL EXPENSES 500,447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 707,177. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 76,226. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,226. THE PROCESSES USED BY COMMITTEE THAT ASSUMES RESPONSIBLITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.