2012-11-13T14:02:04-06:00 2011-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2011-01-01 510567466 COMMUNITY HEALTH CENTER OF RICHMOND INC COMM 7189242254 235 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 HENRY THOMPSON 7189242254 2012-11-08 1 JULIUS GREEN CPA P00350393 2159720701 2011 2016-02-24 21:20:13Z HENRY THOMPSON 235 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 7060248 0 X CHCRICHMOND.ORG X 2006 NY PROVIDE PRIMARY CARE SERVICES WITH AN EMPHASIS ON SERVING THE POOR AND UNDERINSURED. 14 14 50 0 0 0 2803070 4095323 3181478 2769815 3881 2830 26 175825 5988455 7043793 0 0 0 0 3041965 2997470 0 0 0 2736064 2410104 5778029 5407574 210426 1636219 3411015 6576276 786477 2315519 2624538 4260757 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 3214898 2769815 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 22,235 VISITS FOR 2011. CHCR HAS PROVIDED SERVICES TO 9,821 PATIENTS OF WHICH 3,727 WERE UNINSURED AND 7,417 WERE AT OR BELOW THE FEDERAL POVERTY GUIDELINE. THERE WERE 19.92 MEDICAL PROVIDER FTES WHO DELIVERED THE SERVICES DURING THE YEAR. 3214898 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 0 1 30 0 1 50 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 HENRY THOMPSON 7189242254 235 PORT RICHMOND AVENUE 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 URSULA CZYSZKIEWICZ 1.00 X 0 0 0 ELIZABETH LOPEZ 1.00 X 0 0 0 NAYELI SOTO 1.00 X 0 0 0 CAMILIA RANGEL 1.00 X 0 0 0 RONALD SPEIGHT JR 1.00 X 0 0 0 NORMA JUAREZ 1.00 X 0 0 0 HENRY THOMPSON 40.00 X 168369 0 14300 ROSALINDA ROSARIO-LIPKA DO 40.00 X 160016 0 9600 KUDUVALLI OMPRAKASH MD 40.00 X 143500 0 14610 JESSIE PITA MD 40.00 X 136087 0 8170 ELAINE CLARKE MD 40.00 X 111136 0 12670 719108 0 59350 5 0 1 0 HENRICH GROUP LLC 125-28 QUEENS BLVD SUITE 617 KEW GARDENS NY 11415 PROJECT MANAGEMENT 159853 MJCL ARCHITECTS PLLC 1416 AVENUE M SUITE 401 BROOKLYN NY 11230 ARCHITECTURAL DESIGN 140819 HERZOG GROUP LLP 1855 RICHMOND AVE STATEN ISLAND NY 10302 OB/GYN SERVICES 117238 3 4095323 286893 4095323 NET PATIENT SERVICE RE 623000 2769815 2769815 2769815 2830 2830 27157 16455 10702 10702 PHARMACY SALES AT COST 446110 164837 164837 MISCELLANEOUS 900099 286 286 165123 7043793 2769815 0 178655 322285 174262 148023 2076453 1122755 953698 66578 35999 30579 346263 185349 160914 185891 100513 85378 47980 47980 38145 38145 785337 256298 529039 13067 13067 852588 689504 163084 3708 3708 273857 273857 33892 26534 7358 142510 142510 5641 3627 2014 REPAIRS AND MAINTENANCE 57607 57607 BAD DEBT EXPENSE 55081 55081 MEALS AND ENTERTAINMENT 26320 26320 RECRUITING EXPENSE 24150 24150 50221 36824 13397 5407574 3214898 2192676 0 250 250 339852 418770 55580 693731 845797 26565 35281 4135071 307943 2332231 3827128 18386 1393470 3411015 6576276 786477 741158 0 1574361 786477 2315519 X 2624538 4260757 2624538 4260757 3411015 6576276 1636219 0 X X 0 1 1 X 1 1 X 1144312 4256220 2929979 2803070 3808430 14942011 144312 1896766 2655394 3181478 2769816 10647766 1288624 6152986 5585373 5984548 6578246 25589777 0 0 0 25589777 10273 12708 3990 3881 2830 33682 10273 12708 3990 3881 2830 33682 1006 102239 26 165122 268393 1298897 6166700 5691602 5988455 6746198 25891852 0.98830 0.99300 0.00130 0.00160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193078 60718 132360 163686 61289 102397 303631 100359 203272 3474676 85577 3389099 3827128 SECURITY DEPOSITS 69680 ASSETS WHOSE USE IS LIMITED 1323790 1393470 LOAN PAYABLE- PCDC 1574361 1574361 7043793 5407574 1636219 1636219 6773355 0 6773355 270438 270438 7043793 5137136 16455 16455 5120681 286893 286893 5407574 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2011 AND 2010. THE FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2009 AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATED VACCINES 286,893. FUND RAISING EXPENSES -16,455. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUND RAISING EXPENSES 16,455. PART XIII, LINE 4B - OTHER ADJUSTMENTS: DONATED VACCINES 286,893. GALA NIGHT 27157 27157 11835 1350 3270 27157 27157 11835 1350 3270 16455 10702 X X X X 0 0 0 0 0 0 0 0 0 HENRY THOMPSON 168369 0 0 0 0 0 8300 0 6000 0 182669 0 0 0 ROSALINDA ROSARIO-LIPKA DO 160016 0 0 0 0 0 9600 0 0 0 169616 0 0 0 KUDUVALLI OMPRAKASH MD 143500 0 0 0 0 0 8610 0 6000 0 158110 0 0 0 X 1 286893 FMV 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. IN THE CASE OF CONFLICT OF INTEREST, THE BOARD MEMBER WILL REPORT THE CONFLICT TO THE FULL BOARD/EMPLOYEE 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. 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. AUDIT COMMITTEE 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.