COMMUNITY HEALTH PROJECT INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH PROJECT INC (EIN 13-3409680)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349305634
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)
Timestamp2012-05-15T14:22:11-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133409680EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PROJECT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone2122717200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1356 WEST 18TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10011ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWENDY STARKName
TitleEXECUTIVE DIRECTORTitle
Phone2122717200Phone
Date Signed2012-05-15DateSigned
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 Line1CALLEN LORDE COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonWENDY STARKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1356 WEST 18TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23673208GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CALLEN-LORDE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPROVIDES SENSITIVE QUALITY HEALTH CARE TO AND RELATED SERVICES PRIMARILY TO NEW YORK'S LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITIES IN ALL THEIR DIVERSITY REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees256TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5116010ContributionsGrantsPriorYear
Contributions Grants Current Year7652317ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10982272ProgramServiceRevenuePriorYear
Program Service Revenue CY15755039ProgramServiceRevenueCY
Investment Income Prior Year5154InvestmentIncomePriorYear
Investment Income Current Year1176InvestmentIncomeCurrentYear
Other Revenue Prior Year216541OtherRevenuePriorYear
Other Revenue Current Year79407OtherRevenueCurrentYear
Total Revenue Prior Year16319977TotalRevenuePriorYear
Total Revenue Current Year23487939TotalRevenueCurrentYear
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 Year9977203SalariesEtcPriorYear
Salaries Etc Current Year13295366SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year338791TotalFundrsngExpCurrentYear
Other Expense Prior Year6105691OtherExpensePriorYear
Other Expenses Current Year9250492OtherExpensesCurrentYear
Total Expenses Prior Year16082894TotalExpensesPriorYear
Total Expenses Current Year22545858TotalExpensesCurrentYear
Revenues Less Expenses Prior Year237083RevenuesLessExpensesPriorYear
Revenues Less Expenses CY942081RevenuesLessExpensesCY
Total Assets BOY10415112TotalAssetsBOY
Total Assets EOY13304481TotalAssetsEOY
Total Liabilities BOY8537865TotalLiabilitiesBOY
Total Liabilities EOY8616739TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1877247NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4687742NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES SENSITIVE QUALITY HEALTH CARE TO AND RELATED SERVICES PRIMARILY TO NEW YORK'S LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITIES IN ALL THEIR DIVERSITY REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18673716Expense
Revenue15922615Revenue
DescriptionCALLEN-LORDE OFFERS A COMPREHENSIVE, INTEGRATED PROGRAM OF QUALITY MEDICAL AND MENTAL HEALTH SERVICES UNDER A PRIMMARY CARE MODEL, WHICH EMPHASIZES PREVENTIVE HEALTH AND WELLNESS. ALL OF CLCHC'S SERVICES HAVE BEEN SHAPED BY COMMUNITY NEED, AND INCLUDE COMPREHENSIVE PRIMARY CARE, ADOLESCENT/ YOUNG ADULT SERVICES, URGENT/EPISODIC CARE, GINECOLOGY, FAMILY PLANNING, HIV AND SEXUALLY TRANSMITTED INFECTION SCREENING AND TREATMENT SERVICES, HEALTH EDUCATION/ TREATMENT ADHERENCE COUNSELING, DENTISTRY, PSYCHIATRY, INDIVIDUAL AND GROUP PSYCHOTHERAPY, COMMUNITY OUTREACH, AND CARE COORDINATION. IN FY 2010, CLCHC PROVIDED OVER 58,571 PATIENT VISITS.Description
Total Program Service Expense18673716TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Liabilities1ReportOtherLiabilities
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
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 With109671NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees256NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALESSANDRA DA CRUZ DIRECTOR OF FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2127217200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line139-47 W 19TH STREET ROOM 614AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10011ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ARCHLEY PRUDENT
BOARD MEMBER1.00X000
CARLOS RIOBO
BOARD MEMBER1.00X000
CLAUDIA SLACIK
CO-CHAIR1.00X000X
DANIEL S DOKOS
BOARD MEMBER1.00X000
DAVID SANDMAN
BOARD MEMBER1.00X000
ELIZABETH BENJAMIN MSPH JD
BOARD MEMBER1.00X000
ELIZABETH LORDE-ROLLINS MD
BOARD MEMBER1.00X000
JUSTUS EISFELD
BOARD MEMBER1.00X000
KAREN SAUVIGNE
SECRETARY1.00X000X
KRISCZAR BUNGAY MD
BOARD MEMBER1.00X000
LAURA JACOBS LMSW
BOARD MEMBER1.00X000
MICAHAEL BAYER
CO-CHAIR1.00X000X
TOM VIOLA
BOARD MEMBER1.00X000
JOSE ROMAN
SENIOR DIRECTOR OF FINANCE40.0012970807581X
WENDY STARK
EXECUTIVE DIRECTOR40.00139349011149X
ADRIAN DEMIDONT
PHYSICIAN40.0013563608574X
ANITA RADIX
DIRECTOR OF RESEARCH AND EDUCATION40.00140217013903X
GAL MAYER
MEDICAL DIRECTOR40.00151270011149X
MICHAEL MCNETT
PHYSICIAN40.0014291907731X
RICHIE TRAN
PHYSICIAN40.0012744503568X
FieldValueIRS element (for citing)
Total Reportable Comp From Org966544TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation63655TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CAULDWELL WINGATE CO LLC
380 LEXINGTON AVENUENEW YORKNY10168CONSTRUCTION1329027
NEXTGEN HEALTHCARE
795 HORSHAM ROADHORSHAMPA19044BILLING SOFTWARE272870
ESTAFF CONTROL
261 MADISON AVENEW YORKNY10016TEMP AGENCY128955
WESTPRINT PRODUCTION
873 WASHINGTON STREETNEW YORKNY10014PRINTING COMPANY117902
J PREVEDELLO SERVICES
160 E 38TH STNEW YORKNY100162651CLEANING SERVICES106354
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Fundraising Events243363FundraisingEvents
Government Grants5391651GovernmentGrants
All Other Contributions2017303AllOtherContributions
Total Contributions7652317TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY 340B PROGRAM90009958549985854998
MEDICAID90009947521394752139
NEW YORK STATE MEDICAI90009915500721550072
NEW YORK STATE UNCOMPE90009912491971249197
SELF-PAY900099790982790982

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1557651TotalRevenueColumn
Related Or Exempt Function Income1557651RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15755039TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1176TotalRevenueColumn
Exclusion$1,176ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real26000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real26000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column26000TotalRevenueColumn
Exclusion$26,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events71100GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events243363CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses185269FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-114169TotalRevenueColumn
Exclusion-$114,169ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE900099125108125108
MEDICAL RECORDS9000993598335983
MISCELLANEOUS90009964856485
FieldValueIRS element (for citing)
Total Other Revenue167576TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23487939TotalRevenueColumn
Related Or Exempt Function Income15922615RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$86,993ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total225869Total
Program Services182456ProgramServices
Management And General38199ManagementAndGeneral
Fundraising5214Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10827625Total
Program Services8746566ProgramServices
Management And General1831122ManagementAndGeneral
Fundraising249937Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2200Total
Program Services1777ProgramServices
Management And General372ManagementAndGeneral
Fundraising51Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1122064Total
Program Services906404ProgramServices
Management And General189759ManagementAndGeneral
Fundraising25901Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1117608Total
Program Services902805ProgramServices
Management And General189005ManagementAndGeneral
Fundraising25798Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total152863Total
Management And General152863ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78248Total
Management And General78248ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1250239Total
Program Services669887ProgramServices
Management And General576850ManagementAndGeneral
Fundraising3502Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total315731Total
Program Services255437ProgramServices
Management And General55032ManagementAndGeneral
Fundraising5262Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total296901Total
Program Services243459ProgramServices
Management And General37692ManagementAndGeneral
Fundraising15750Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total83897Total
Program Services72765ProgramServices
Management And General10914ManagementAndGeneral
Fundraising218Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total325844Total
Program Services244936ProgramServices
Management And General80908ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total331679Total
Program Services294233ProgramServices
Management And General37446ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total114195Total
Program Services54323ProgramServices
Management And General59872ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PHARMACEUTICALS50753275075327
CONSUMABLE SUPPLIES586423459551126263609
LABORATORY AND RADIOLOG202482202482
OTHER174988117672529344382
PROVISION FOR BAD DEBTS167820167820

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total93855Total
Program Services75816ProgramServices
Management And General15872ManagementAndGeneral
Fundraising2167Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22545858Total
Program Services18673716ProgramServices
Management And General3533351ManagementAndGeneral
Fundraising338791Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY730BOY
EOY780EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY598097BOY
EOY532542EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1772838BOY
EOY2611552EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1484235BOY
EOY2236798EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY362396EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8483BOY
EOY50576EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11807339LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4976651LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5819828BOY
EOY6830688EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY434277BOY
EOY407135EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY296624BOY
EOY272014EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10415112BOY
EOY13304481EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3346616BOY
EOY2096582EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5191249BOY
EOY4815687EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY1704470EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8537865BOY
EOY8616739EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1877247BOY
EOY4509358EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY178384EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1877247BOY
EOY4687742EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10415112BOY
EOY13304481EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses942081ReconcilationRevenueExpenses
Reconcilation Other Changes1868414ReconcilationOtherChanges
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 Years4223444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3995332CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4334308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5116010CurrentTaxYearMinus1Year
Current Tax Year7408954CurrentTaxYear
Total25078048Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4223444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3995332CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4334308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5116010CurrentTaxYearMinus1Year
Current Tax Year7408954CurrentTaxYear
Total25078048Total
FieldValueIRS element (for citing)
Public Support Total17025078048PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48065CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years320CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37041CurrentTaxYearMinus1Year
Current Tax Year27176CurrentTaxYear
Total137031Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2827CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10179CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years98332CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15274CurrentTaxYearMinus1Year
Current Tax Year167576CurrentTaxYear
Total294188Total
FieldValueIRS element (for citing)
Total Support25509267TotalSupport
Gross Receipts From Admissions Etc52763492GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98310PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97120PublicSupportPertcentPriorYear
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1000000OtherCostOrOtherBasis
Book Value1000000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7864723OtherCostOrOtherBasis
Depreciation2659127Depreciation
Book Value5205596BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2942616OtherCostOrOtherBasis
Depreciation2317524Depreciation
Book Value625092BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6830688TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$1,150,000
CURRENT MATURITIES OF NOTE PAYABLE$387,803
DUE TO THIRD PARTY LESS CURRENT MATURITY$166,667
FieldValueIRS element (for citing)
Total Of Amounts1704470TotalOfAmounts
Total Revenue23487939TotalRevenue
Total Expenses22545858TotalExpenses
Excess Or Deficit For Year942081ExcessOrDeficitForYear
Prior Period Adjustments1868414PriorPeriodAdjustments
Total Adjustments1868414TotalAdjustments
Excess Or Deficit Per FS2810495ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23673208TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal23673208RevenueSubtotal
Other Revenues Not Included-185269OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-185269RevenueNotRptdOnFinStmt
Total Revenue Per Form99023487939TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22731127TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal22731127ExpensesSubtotal
Other Expenses Not Included-185269OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-185269ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022545858TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:CALLEN-LORDE WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. CALLEN-LORDE HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2011 AND 2010. CALLEN-LORDE'S U.S. FEDERAL AND STATE INCOME 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. CALLEN-LORDE RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. CALLEN-LORDE HAS FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYROLL TAXES DUE HAVE BEEN PAID.
PART XII - OTHER SPECIAL EVENTS EXPENSES 185,269
PART XIII LINE 4B - OTHER SPECIAL EVENT EXPENSES 185,269

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HEALTH AWARDSNameOfEvent1
Gross Receipts Event1157210GrossReceiptsEvent1
Charitable Contributions Event1107685CharitableContributionsEvent1
Gross Revenue Event149525GrossRevenueEvent1
Other Direct Expenses Event170980OtherDirectExpensesEvent1
Name Of Event2ZOONameOfEvent2
Gross Receipts Event2120731GrossReceiptsEvent2
Charitable Contributions Event2107256CharitableContributionsEvent2
Gross Revenue Event213475GrossRevenueEvent2
Other Direct Expenses Event244921OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events36522GrossReceiptsOtherEvents
Charitable Contrib Other Events28422CharitableContribOtherEvents
Gross Revenue Other Events8100GrossRevenueOtherEvents
Food And Beverage Other Events53156FoodAndBeverageOtherEvents
Other Direct Expenses Other Events16212OtherDirectExpensesOtherEvents
Gross Receipts Total314463GrossReceiptsTotal
Charitable Contributions Total243363CharitableContributionsTotal
Gross Revenue Total Events71100GrossRevenueTotalEvents
Food And Beverage Total Events53156FoodAndBeverageTotalEvents
Other Direct Expenses Total Events132113OtherDirectExpensesTotalEvents
Direct Expense Summary Events185269DirectExpenseSummaryEvents
Net Income Summary-114169NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage100.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5313882TotalCommunityBenefitExpense
Direct Offsetting Revenue1872359DirectOffsettingRevenue
Net Community Benefit Expense3441523NetCommunityBenefitExpense
Percent Of Total Expense0.15140PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6862685TotalCommunityBenefitExpense
Direct Offsetting Revenue6817641DirectOffsettingRevenue
Net Community Benefit Expense45044NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12176567TotalCommunityBenefitExpense
Direct Offsetting Revenue8690000DirectOffsettingRevenue
Net Community Benefit Expense3486567NetCommunityBenefitExpense
Percent Of Total Expense0.15340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12176567TotalCommunityBenefitExpense
Direct Offsetting Revenue8690000DirectOffsettingRevenue
Net Community Benefit Expense3486567NetCommunityBenefitExpense
Percent Of Total Expense0.15340PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$167,820BadDebtExpenseAmount
Amount Attributable To167820AmountAttributableTo
Amount Reimbursed By Medicare287401AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare672936CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-385535MedicareSurplusOrShortfall
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (4 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
WENDY STARK
13934900000001114901504980699320
ANITA RADIX
14021700000001390301541200787050
GAL MAYER
15127000000001114901624190824320
MICHAEL MCNETT
1429190000000773101506500697200

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED PRIMARILY BY THE EXECUTIVE DIRECTOR AND THE CFO. A DRAFT COPY IS FINALIZED AND THE FINAL VERSION IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN.
ANNUAL DISCLOSURE STATEMENTS OF ANY CONFLICT OF INTEREST ARE REQUIRED AND SIGN IF THE BOARD OR EXECUTIVE DIRECTOR, AS APPLICABLE, HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS FAILED TO DISCLOSE AN INTEREST, THE PERSON SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL WHO FAILED TO DISCLOSE AN INTEREST, AND MAKING SUCH FURTHER INVESTIGATION AS MY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR EXECUTIVE DIRECTOR DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN INTEREST IN ACCORDANCE WITH SECTION II F 3, APPROPRIATE CORRECTIVE AND/OR DISCIPLINARY ACTION SHALL BE TAKEN, INCLUDING REMOVAL OF THE INDIVIDUAL FROM THE SELECTION, NEGOTIATION OR ADMINSTRATION OF ANY CONTRACTS OR GRANTS.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE DIRECTOR'S ("ED") COMPENSATION PACKAGE, THIS IS DOCUMENTED IN HER EMPLOYEES FILE (WHICH IS KEPFT BY HR) THE COMPNESATION OF THE REST OF THE SENIOR MANAGEMENT TEAM IS SET BY THE ED IN CONSULTATION WITH THE HUMAN RESOURCES DEPARTMENT, WHICH USES INDUSTRY BENCHMARKS.FORM 990, PART VI, SECTION B, LINE 15
OUR GOVERNING DOCUMENTS AND OTHER POLICY STATEMENTS (LIKE CONFLICTS OF INTEREST) ARE PROVIDED TO THE PUBLIC UPON REQUEST. OUR FINANCIAL STATEMENTS ARE POSTED ON OUR WEB-SITE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:PRIOR PERIOD ADJUSTMENTS: 1,868,414.FORM 990, PART XI, LINE 5:
THE PROCESS OF OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEAR.FORM 990, PART XII, LINE 2C:

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