COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC (EIN 13-2690296)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-10
IRS object ID
201232239349300908
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-10T10:18:16-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JH COHN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN132690296EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CARE ASSOCIATIONBusinessNameLine1
Business Name Line2OF NEW YORK STATE INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone2122799686Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1535 8TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10018ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameELIZABETH H SWAINName
TitlePRESIDENT/CEOTitle
Phone2127103802Phone
Date Signed2012-08-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CHCANYSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonELIZABETH H SWAINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1535 8TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10018ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6844070GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHCANYS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members28NbrIndependentVotingMembers
Total Nbr Employees77TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4955413ContributionsGrantsPriorYear
Contributions Grants Current Year6297745ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1510531ProgramServiceRevenuePriorYear
Program Service Revenue CY543255ProgramServiceRevenueCY
Investment Income Prior Year624InvestmentIncomePriorYear
Investment Income Current Year1106InvestmentIncomeCurrentYear
Other Revenue Prior Year22764OtherRevenuePriorYear
Other Revenue Current Year1964OtherRevenueCurrentYear
Total Revenue Prior Year6489332TotalRevenuePriorYear
Total Revenue Current Year6844070TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2937699SalariesEtcPriorYear
Salaries Etc Current Year3476004SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3057487OtherExpensePriorYear
Other Expenses Current Year3406733OtherExpensesCurrentYear
Total Expenses Prior Year5995186TotalExpensesPriorYear
Total Expenses Current Year6882737TotalExpensesCurrentYear
Revenues Less Expenses Prior Year494146RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-38667RevenuesLessExpensesCY
Total Assets BOY2088957TotalAssetsBOY
Total Assets EOY2325707TotalAssetsEOY
Total Liabilities BOY872472TotalLiabilitiesBOY
Total Liabilities EOY1147889TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1216485NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1177818NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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 500 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 1.4 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5823480Expense
Revenue543255Revenue
DescriptionCHCANYS 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 FQHCS 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 FQHCS 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/COMMUNITY HEALTHCORPS.Description
Total Program Service Expense5823480TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees77NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members28NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH SWAIN PRESIDENTCEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2127103802TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1535 8TH AVENUE 8TH FLAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10018ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ANNE K NOLON
BOARD MEMBER1.00X000
ARTURO PEREZ
BOARD MEMBER1.00X000
BARBRA MINCH
2ND VICE PRESIDENT1.00X000X
CAROLE MORRIS
IMMEDIATE PAST CHAIRPERSON1.00X000X
CATHERINE ABATE
BOARD MEMBER1.00X000
DANIEL DEY
BOARD MEMBER1.00X000
DAVID FISHER
TREASURER1.00X000X
DR RUBEN COWART DDS
1ST VICE PRESIDENT1.00X000X
ELIZABETH COLE
BOARD MEMBER1.00X000
ELLEN STUBBS
BOARD MEMBER1.00X000
HARVEY LAWRENCE
SECRETARY1.00X000X
JANE T ENG
BOARD MEMBER1.00X000
JOHN RUGGE MD
BOARD MEMBER1.00X000
JORGE L RODRIGUEZ
BOARD MEMBER1.00X000
LARRY MCREYNOLDS
BOARD MEMBER1.00X000
LAVONNE E ANSARI PHD
BOARD MEMBER1.00X000
LAZETTA DUNCAN MOORE
BOARD MEMBER1.00X000
LINDA MULLER
BOARD MEMBER1.00X000
LINDSAY FARRELL
BOARD MEMBER1.00X000
LIONEL STEWART
BOARD MEMBER1.00X000
MARY ANN ZELAZNY
BOARD MEMBER1.00X000
NEIL CALMAN MD
BOARD MEMBER1.00X000
PALOMA HERNANDEZ
PRESIDENT1.00X000X
PASCALE KERSAINT MD
BOARD MEMBER1.00X000
PAUL KAYE MD
BOARD MEMBER1.00X000
PETER NELSON PHD
BOARD MEMBER1.00X000
REINALDO GONZALEZ
BOARD MEMBER1.00X000
VERONA GREENLAND
BOARD MEMBER1.00X000
ELIZABETH SWAIN
PRESIDENT & CEO35.0025653209614X
MARGARET BRENNAN
CHIEF OPERATING OFFICER35.00161064014614X
LISA PERRY HELLERSTEIN
VICE PRESIDENT, HEALTH IT.35.0015763602601X
SANDRA CAFARCHIO
EXECUTIVE DIR., HCNNY35.0012115106747X
FieldValueIRS element (for citing)
Total Reportable Comp From Org696383TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation33576TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FELDESMAN TUCKER LEIFER FIDELL LLP
2001 L ST NW 2ND FLWASHINGTONDC20036LEGAL245007
ONX USA LLC
9183 PAYSPHERE CIRCLECHICAGOIL60674SOFTWARE SERVICE AND EQUIPMENT PURCHASE206676
BROWN & WEINRUB PLLC
79 COLUMBIA STREETALBANYNY12210LOBBYING150869
SG ASSOCIATES CONSULTING
425 E 79TH ST 12GNEW YORKNY10075CONSULTING100630
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Membership Dues1130377MembershipDues
Government Grants3064559GovernmentGrants
All Other Contributions2102809AllOtherContributions
Total Contributions6297745TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEE REVENUE900099272500272500
CONFERENCES & MEETINGS900099270755270755
FieldValueIRS element (for citing)
Total Program Service Revenue543255TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1106TotalRevenueColumn
Exclusion$1,106ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column1964TotalRevenueColumn
Related Or Exempt Function Income1964RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1964TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6844070TotalRevenueColumn
Related Or Exempt Function Income545219RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,106ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total634153Total
Program Services546003ProgramServices
Management And General88150ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2414383Total
Program Services2078771ProgramServices
Management And General335612ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total360Total
Program Services310ProgramServices
Management And General50ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total427108Total
Program Services367739ProgramServices
Management And General59369ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total131070Total
Program Services6483ProgramServices
Management And General124587ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total35115Total
Program Services24278ProgramServices
Management And General10837ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total175000Total
Program Services63567ProgramServices
Management And General111433ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total211132Total
Program Services211132ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1542002Total
Program Services1514701ProgramServices
Management And General27301ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total121360Total
Program Services98821ProgramServices
Management And General22539ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total456590Total
Program Services393121ProgramServices
Management And General63469ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total452377Total
Program Services389493ProgramServices
Management And General62884ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8092Total
Management And General8092ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total66207Total
Program Services57004ProgramServices
Management And General9203ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12055Total
Program Services2676ProgramServices
Management And General9379ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER EXPENSES999022337176531
BAD DEBT EXPENSE4065240652
EQUIPMENT RENTAL AND MA34440296524788
EQUIPMENT PURCHASE1158399731610
RECRUITMENT AND RETENTI915663852771

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6882737Total
Program Services5823480ProgramServices
Management And General1059257ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY553825BOY
EOY542057EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY275187BOY
EOY275768EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY913978BOY
EOY964016EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY122380BOY
EOY187684EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY84612BOY
EOY57178EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis808859LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec509855LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY136029BOY
EOY299004EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2946BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2088957BOY
EOY2325707EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY489330BOY
EOY572040EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY383142BOY
EOY275849EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY300000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY872472BOY
EOY1147889EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY613473BOY
EOY747911EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY603012BOY
EOY429907EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1216485BOY
EOY1177818EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2088957BOY
EOY2325707EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-38667ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3173329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4717516CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5334014CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6278470CurrentTaxYearMinus1Year
Current Tax Year6297745CurrentTaxYear
Total25801074Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3173329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4717516CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5334014CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6278470CurrentTaxYearMinus1Year
Current Tax Year6297745CurrentTaxYear
Total25801074Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total19318AmountsSubstContributorsTotal
Public Support Total17025781756PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38646CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1219CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year624CurrentTaxYearMinus1Year
Current Tax Year1106CurrentTaxYear
Total47881Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years335201CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years323251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22764CurrentTaxYearMinus1Year
Current Tax Year1964CurrentTaxYear
Total685081Total
FieldValueIRS element (for citing)
Total Support26534036TotalSupport
Gross Receipts From Admissions Etc1143682GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97160PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99240PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals287255FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals287255FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals6595482FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals6882737FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals494137FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals123534FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3297262CurrentYearMinus3
Current Year Minus2436237CurrentYearMinus2
Current Year Minus1449759CurrentYearMinus1
Current Year494137CurrentYear
Total1677395Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,516,093LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3297262CurrentYearMinus3
Current Year Minus2156897CurrentYearMinus2
Current Year Minus1296301CurrentYearMinus1
Current Year287255CurrentYear
Total1037715Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus399515CurrentYearMinus3
Current Year Minus2109059CurrentYearMinus2
Current Year Minus1112440CurrentYearMinus1
Current Year123534CurrentYear
Total444548Total
FieldValueIRS element (for citing)
Grassroots Ceiling$666,822GrassrootsCeilingAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationPART 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.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis189793OtherCostOrOtherBasis
Depreciation180478Depreciation
Book Value9315BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis619066OtherCostOrOtherBasis
Depreciation329377Depreciation
Book Value289689BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings299004TotalOfBookValueLandBuildings
Total Revenue6844070TotalRevenue
Total Expenses6882737TotalExpenses
Excess Or Deficit For Year-38667ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-38667ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6844070TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal6844070RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9906844070TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6882737TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6882737ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906882737TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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, 2011 AND 2010. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2008 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ELIZABETH SWAIN
25653200000009614026614602077030
MARGARET BRENNAN
161064000000014614017567801413540
LISA PERRY HELLERSTEIN
15763600000002601016023701212000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THERE ARE TWO (2) CLASSES OF MEMBERSHIP IN THE COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE. 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/HEALTHY 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 EIGHTY-EIGHT PERCENT (88%) OF THE TOTAL NUMBER OF ORGANIZATIONAL MEMBERS AND ENTITIES THAT QUALIFY AS A (2) ORGANIZATIONAL MEMBERS SHALL COMPRISE NO MORE THAN TWELVE PERCENT (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 NON-PROFIT ORGANIZATIONS. ASSOCIATE MEMBERSHIP INCLUDES ALL PRIVILEGES OF ORGANIZATIONAL MEMBERSHIP EXCEPT FULL VOTING. ASSOCIATE MEMBERSHIP IS DESIGNATED ASSOCIATE 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 EMPLOYEES, 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 7AEACH YEAR, AT THE ANNUAL MEETING, THE ORGANIZATIONAL MEMBERSHIP SHALL FIRST ELECT MEMBERS TO ITS BOARD OF DIRECTORS. ELECTION SHALL BE 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 7BTHE NOMINATING COMMITTEE SHALL BE ELECTED AT THE ANNUAL MEETING, BY THE ORGANIZATIONAL MEMBERS. THE BY-LAWS 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 11INDEPENDENT ACCOUNTING FIRM PREPARES THE RETURN BASED ON AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY MANAGEMENT. THE RETURN IS THEN REVIEWED BY A MANAGER AND THE PRESIDENT AND CEO AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION.
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 FORM ARE MAINTAINED. ANY CONFLICTS ARE RESOLVED BY THE BOARD.FORM 990, PART VI, SECTION B, LINE 12C
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 THE COO AND KEY EMPLOYEES, THE PRESIDENT/CEO LOOKS AT DATA FROM COMPARABLY SIZED PCAS AND OTHER ASSOCIATIONS.FORM 990, PART VI, SECTION B, LINE 15
CHCANYS PROVIDES ITS FINANCIAL STATEMENTS TO ALL OF ITS FUNDERS, ITS BOARD OF DIRECTORS AND ANYONE WHO REQUESTS IT.FORM 990, PART VI, SECTION C, LINE 19
MARGARET BRENNAN NORTH SHORE COMMUNITY HEALTH, INC. 27 CONGRESS STREET, SUITE 103 SALEM, MA 01970FORM 990, PART VI, LINE 9:
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.FORM 990, PART XII, LINE 2C:

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