2012-08-10T10:18:16-05:00 2011-09-30 JH COHN LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2010-10-01 132690296 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC COMM 2122799686 535 8TH AVENUE NEW YORK NY 10018 ELIZABETH H SWAIN 2127103802 2012-08-03 1 THOMAS LANNING 2122970400 2010 2016-02-24 21:20:13Z CHCANYS ELIZABETH H SWAIN 535 8TH AVENUE NEW YORK NY 10018 6844070 0 X WWW.CHCANYS.ORG X 1971 NY THE 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. 28 28 77 0 0 0 4955413 6297745 1510531 543255 624 1106 22764 1964 6489332 6844070 0 0 0 0 2937699 3476004 0 0 0 3057487 3406733 5995186 6882737 494146 -38667 2088957 2325707 872472 1147889 1216485 1177818 X THE 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. 0 0 5823480 543255 CHCANYS 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. 5823480 1 1 0 1 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 0 0 0 0 0 0 0 0 0 0 1 28 0 1 77 1 0 0 0 0 0 0 0 0 0 0 X 28 28 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 NY X ELIZABETH SWAIN PRESIDENTCEO 2127103802 535 8TH AVENUE 8TH FL NEW YORK NY 10018 ANNE K NOLON 1.00 X 0 0 0 ARTURO PEREZ 1.00 X 0 0 0 BARBRA MINCH 1.00 X X 0 0 0 CAROLE MORRIS 1.00 X X 0 0 0 CATHERINE ABATE 1.00 X 0 0 0 DANIEL DEY 1.00 X 0 0 0 DAVID FISHER 1.00 X X 0 0 0 DR RUBEN COWART DDS 1.00 X X 0 0 0 ELIZABETH COLE 1.00 X 0 0 0 ELLEN STUBBS 1.00 X 0 0 0 HARVEY LAWRENCE 1.00 X X 0 0 0 JANE T ENG 1.00 X 0 0 0 JOHN RUGGE MD 1.00 X 0 0 0 JORGE L RODRIGUEZ 1.00 X 0 0 0 LARRY MCREYNOLDS 1.00 X 0 0 0 LAVONNE E ANSARI PHD 1.00 X 0 0 0 LAZETTA DUNCAN MOORE 1.00 X 0 0 0 LINDA MULLER 1.00 X 0 0 0 LINDSAY FARRELL 1.00 X 0 0 0 LIONEL STEWART 1.00 X 0 0 0 MARY ANN ZELAZNY 1.00 X 0 0 0 NEIL CALMAN MD 1.00 X 0 0 0 PALOMA HERNANDEZ 1.00 X X 0 0 0 PASCALE KERSAINT MD 1.00 X 0 0 0 PAUL KAYE MD 1.00 X 0 0 0 PETER NELSON PHD 1.00 X 0 0 0 REINALDO GONZALEZ 1.00 X 0 0 0 VERONA GREENLAND 1.00 X 0 0 0 ELIZABETH SWAIN 35.00 X 256532 0 9614 MARGARET BRENNAN 35.00 X 161064 0 14614 LISA PERRY HELLERSTEIN 35.00 X 157636 0 2601 SANDRA CAFARCHIO 35.00 X 121151 0 6747 696383 0 33576 6 0 1 0 FELDESMAN TUCKER LEIFER FIDELL LLP 2001 L ST NW 2ND FL WASHINGTON DC 20036 LEGAL 245007 ONX USA LLC 9183 PAYSPHERE CIRCLE CHICAGO IL 60674 SOFTWARE SERVICE AND EQUIPMENT PURCHASE 206676 BROWN & WEINRUB PLLC 79 COLUMBIA STREET ALBANY NY 12210 LOBBYING 150869 SG ASSOCIATES CONSULTING 425 E 79TH ST 12G NEW YORK NY 10075 CONSULTING 100630 4 1130377 3064559 2102809 6297745 FEE REVENUE 900099 272500 272500 CONFERENCES & MEETINGS 900099 270755 270755 543255 1106 1106 OTHER REVENUE 900099 1964 1964 1964 6844070 545219 0 1106 634153 546003 88150 2414383 2078771 335612 360 310 50 427108 367739 59369 131070 6483 124587 35115 24278 10837 175000 63567 111433 211132 211132 1542002 1514701 27301 121360 98821 22539 456590 393121 63469 452377 389493 62884 8092 8092 66207 57004 9203 12055 2676 9379 OTHER EXPENSES 99902 23371 76531 BAD DEBT EXPENSE 40652 40652 EQUIPMENT RENTAL AND MA 34440 29652 4788 EQUIPMENT PURCHASE 11583 9973 1610 RECRUITMENT AND RETENTI 9156 6385 2771 6882737 5823480 1059257 0 553825 542057 275187 275768 913978 964016 122380 187684 84612 57178 808859 509855 136029 299004 2946 0 2088957 2325707 489330 572040 383142 275849 300000 872472 1147889 X 613473 747911 603012 429907 1216485 1177818 2088957 2325707 -38667 0 X X 0 1 1 X 1 1 X 3173329 4717516 5334014 6278470 6297745 25801074 3173329 4717516 5334014 6278470 6297745 25801074 19318 25781756 38646 6286 1219 624 1106 47881 335201 323251 1901 22764 1964 685081 26534036 1143682 0.97160 0.99240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 287255 287255 6595482 6882737 494137 123534 0 0 297262 436237 449759 494137 1677395 2516093 297262 156897 296301 287255 1037715 99515 109059 112440 123534 444548 666822 PART IV, SUPPLEMENTAL INFORMATION: PART 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. 189793 180478 9315 619066 329377 289689 299004 6844070 6882737 -38667 0 -38667 6844070 0 6844070 0 6844070 6882737 0 6882737 0 6882737 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE 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. X X X 0 0 0 0 0 0 0 0 0 ELIZABETH SWAIN 256532 0 0 0 0 0 0 0 9614 0 266146 0 207703 0 MARGARET BRENNAN 161064 0 0 0 0 0 0 0 14614 0 175678 0 141354 0 LISA PERRY HELLERSTEIN 157636 0 0 0 0 0 0 0 2601 0 160237 0 121200 0 FORM 990, PART VI, SECTION A, LINE 6 THERE 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 7A EACH 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 7B THE 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 11 INDEPENDENT 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. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 19 CHCANYS PROVIDES ITS FINANCIAL STATEMENTS TO ALL OF ITS FUNDERS, ITS BOARD OF DIRECTORS AND ANYONE WHO REQUESTS IT. FORM 990, PART VI, LINE 9: MARGARET BRENNAN NORTH SHORE COMMUNITY HEALTH, INC. 27 CONGRESS STREET, SUITE 103 SALEM, MA 01970 FORM 990, PART XII, LINE 2C: 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.