2012-11-07T09:06:33-06:00 2011-12-31 420714325 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2011-01-01 132739694 CHARLES B WANG COMMUNITY HEALTH CENTER INC CHAR 2123796988 268 CANAL STREET NEW YORK NY 10013 JANE T ENG 2123796988 2012-11-07 1 MARTIN GREIF P00029738 2123721000 2011 2016-02-24 21:20:13Z JANE T ENG 268 CANAL STREET NEW YORK NY 10013 38451313 0 X WWW.CBWCHC.ORG X 1972 NY TO BE A LEADER IN PROVIDING QUALITY, CULTURALLY RELEVANT, AND AFFORDABLE HEALTH CARE AND EDUCATION, AND TO ADVOCATE ON BEHALF OF THE HEALTH AND SOCIAL NEEDS OF UNDERSERVED ASIAN AMERICANS 18 18 585 7 0 0 11319078 8241051 27743629 29869824 63685 33262 308837 305808 39435229 38449945 0 0 0 0 29384586 29640433 0 0 11095 8970164 9051937 38354750 38692370 1080479 -242425 30657741 31194628 5866647 6662429 24791094 24532199 OUR MISSION IS TO BE A LEADER IN PROVIDING QUALITY, CULTURALLY RELEVANT, AND AFFORDABLE HEALTH CARE AND EDUCATION, AND TO ADVOCATE ON BEHALF OF THE HEALTH AND SOCIAL NEEDS OF UNDERSERVED ASIAN AMERICANS. 0 0 33259030 29874839 THE ORGANIZATION OPERATED A FEDERALLY QUALIFIED HEALTH CENTER, WHICH HAD 206,002 VISITS IN 2011. 33259030 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 30 0 1 585 1 0 0 0 0 0 0 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 1 0 NY X LYNN D SHERMAN 2123796988 268 CANAL STREET NEW YORK NY 10013 X PYSER EDELSACK 4.00 X X 0 0 0 CHUN K YIP MD 3.00 X X 0 0 0 EMILY WOO 3.00 X X 0 0 0 YVONNE GHAW 3.00 X X 0 0 0 ROBERT BELL 2.00 X 0 0 0 ROBERT CHANG 2.00 X 0 0 0 HELEN CHONG 2.00 X 0 0 0 IRENE CHU 2.00 X 0 0 0 DOUGLAS JUNG 2.00 X 0 0 0 JEANNE LEE JACKSON 2.00 X 0 0 0 VICTOR LEE 2.00 X 0 0 0 JOHN LI MD 2.00 X 0 0 0 YVONNE LIU 2.00 X 0 0 0 MARY PAN 2.00 X 0 0 0 KENNETH SHIEH 2.00 X 0 0 0 LILY TANG 2.00 X 0 0 0 PAULINE TSE 2.00 X 0 0 0 JAMES WONG 2.00 X 0 0 0 JANE ENG ESQ 35.00 X 269809 0 31537 LYNN SHERMAN 35.00 X 193762 0 29510 BETTY K CHENG 35.00 X 179107 0 12369 REGINA F LEE ESQ 35.00 X 176267 0 18030 PERRY PONG MD 35.00 X 231609 0 30332 JIAN-PING CHEN MD 35.00 X 303074 0 26474 KIN CHING KONG MD 35.00 X 451905 0 25555 CHRISTINE SHEN MD 35.00 X 227170 0 22479 JIEYING SHEN MD 35.00 X 341171 0 24018 LORETTA AU MD 35.00 X 225103 0 11000 2598977 0 231304 52 0 1 0 GANNON CONTRACTING LLC 49 WEST 38TH STREET NEW YORK NY 10018 CONSTRUCTION 343386 GE HEALTHCARE PO BOX 640944 PITTSBURGH PA 15264 ELECTRONIC MEDICAL RECORDS 221180 THE CITY COLLEGE OF NEW YORK 160 CONVENT AVENUE NEW YORK NY 10031 STAFF TRAINING 112300 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 ACCOUNTING & TAX SERVICES 109800 4 4991910 3249141 63597 8241051 MEDICAID 900099 21773198 21773198 OTHER THIRD PARTY 900099 3481851 3481851 MEDICAL HOME 900099 1197040 1197040 NYS UNCOMPENSATED CARE 900099 1154876 1154876 SELF-PAY 900099 894363 894363 1368496 1368496 29869824 33246 33246 1384 1368 16 16 16 EXP REIMB-501(C)(3)ORG 900099 210769 210769 MISCELLANEOUS INCOME 900099 90024 90024 MEDICAL RECORDS 900099 5015 5015 305808 38449945 29874839 0 334055 1163882 1005805 158077 22350468 19314850 3035618 874418 755656 118762 3764212 3252961 511251 1487453 1285429 202024 67556 67556 109800 109800 366573 225363 141210 1261510 1053983 207527 2795621 2362300 433321 104349 90176 14173 130853 113081 17772 4161 3516 645 1028062 868712 159350 118716 78655 40061 LABORATORY & RADIOLOGY 1178392 1178392 PHARMACEUTICALS 760858 760858 REPAIRS & MAINTENANCE 366721 298635 68086 DUES AND SUBSCRIPTIONS 310222 219076 91146 448543 391582 45866 11095 38692370 33259030 5422245 11095 2000 2000 7254100 11123273 3790683 2183685 3602886 2662046 1236969 572529 21951743 9595749 12665042 12355994 28939 11101 2077122 2284000 30657741 31194628 4105588 4766568 40333 19123 59436 1661290 1876738 5866647 6662429 X 23576093 23703341 1215001 828858 24791094 24532199 30657741 31194628 X -242425 -16470 X 0 1 1 X 1 1 X 6880855 8795837 9743897 11319078 8241051 44980718 25849362 26193965 27544356 27743629 29869824 137201136 32730217 34989802 37288253 39062707 38110875 182181854 0 0 0 182181854 259344 326879 175287 63685 33246 858441 259344 326879 175287 63685 33246 858441 212741 234662 278060 308837 305808 1340108 33202302 35551343 37741600 39435229 38449929 184380403 0.98810 0.98680 0.00470 0.00600 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MEDICAL RECORDS MISCELLANEOUS CHC FDTN REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15316144 4349318 10966826 4182676 3280648 902028 2452923 1965783 487140 12355994 SECURITY DEPOSITS 407262 DEFERRED COMPENSATION ACCOUNT 1876738 2284000 DEFERRED COMPENSATION PAYABLE 1876738 1876738 38449945 38692370 -242425 -16470 -16470 -258895 38441275 -16470 7800 -8670 38449945 0 38449945 38700170 7800 7800 38692370 0 38692370 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: AT DECEMBER 31, 2011, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. THE HEALTH CENTER FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES). WHEN THE RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH CENTERS INCLUDE SUCH MATTERS AS THE FOLLOWING: TAX-EXEMPT STATUS OF THE ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX ("UBIT"). UBIT IS REPORTED ON INTERNAL REVENUE SERVICE FORM 990-T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH THE TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORM 990, FILED BY THE HEALTH CENTER, IS SUBJECT TO EXAMINATION UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. X X X 0 0 0 0 0 0 0 0 0 JANE ENG ESQ 268225 0 0 0 1584 0 14700 0 16837 0 301346 0 0 0 LYNN SHERMAN 193210 0 0 0 552 0 11879 0 17631 0 223272 0 0 0 BETTY K CHENG 177523 0 0 0 1584 0 10651 0 1718 0 191476 0 0 0 REGINA F LEE ESQ 174683 0 0 0 1584 0 10651 0 7379 0 194297 0 0 0 PERRY PONG MD 231057 0 0 0 552 0 12701 0 17631 0 261941 0 0 0 JIAN-PING CHEN MD 302714 0 0 0 360 0 8843 0 17631 0 329548 0 0 0 KIN CHING KONG MD 451665 0 0 0 240 0 7924 0 17631 0 477460 0 0 0 CHRISTINE SHEN MD 227015 0 0 0 155 0 5355 0 17124 0 249649 0 0 0 JIEYING SHEN MD 340879 0 0 0 292 0 6387 0 17631 0 365189 0 0 0 LORETTA AU MD 224743 0 0 0 360 0 10475 0 525 0 236103 0 0 0 CENTRE COURT HOLDINGS LLC IRENE CHU, BOARD MEMBER, HAS A FINANCIAL INTEREST IN THE INTERESTED PERSON 333938 RENT - IRENE CHU, BOARD MEMBER, HAS A FINANCIAL INTEREST IN CENTRE COURT HOLDINGS, LLC, WHICH RENTS SPACE TO THE HEALTH CENTER. 0 X FORGIVENESS OF DEBT 1 63597 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY SENIOR MANAGEMENT, INCLUDING THE CEO & CFO. COPIES ARE DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S DIRECTORS, OFFICERS AND KEY EMPLOYEES SIGN DISCLOSURE STATEMENTS ANNUALLY, AND PERIODIC REVIEWS ARE CONDUCTED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS AND EVALUATES THE CEO AND DECIDES ON COMPENSATION. INFORMATION FROM OUTSIDE CONSULTANTS ON COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS MAY BE USED IN THEIR DETERMINATION. SALARIES FOR OTHER OFFICERS & KEY EMPLOYEES ARE DETERMINED BY THE CEO, USING SALARY SURVEYS WITH INFORMATION FROM OTHER HEALTH CENTERS, AS WELL AS EMPLOYEE ANNUAL EVALUATIONS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN PART VII, COLUMN F AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -16,470.