FURP.ORG / PUBLIC DATA EXPLORER

RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER (EIN 13-3911827)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-11
IRS object ID
201242859349300229
Schema version
2011v1.2
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)
Timestamp2012-10-11T10:37:45-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCBA WATSON RICE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15 PENN PLAZA 15TH FLAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100011810ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133911827EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RYANCHELSEA-CLINTON COMMUNITY HEALTHBusinessNameLine1
Business Name Line2CENTER INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlRYANNameControl
Phone2122654500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1645 10TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWALTER DELACRUZ ESQName
TitleCHAIRPERSONTitle
Date Signed2012-10-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAZEMBE BEKTEMBA CPAName
Phone2124477300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWALTER DELACRUZ ESQNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1645 10TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8939777GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.RYANCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionRYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC. (THE "CENTER") OPERATES A FREESTANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN MANHATTAN.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees101TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1836656ContributionsGrantsPriorYear
Contributions Grants Current Year2792553ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6751160ProgramServiceRevenuePriorYear
Program Service Revenue CY6020987ProgramServiceRevenueCY
Investment Income Prior Year61553InvestmentIncomePriorYear
Investment Income Current Year18849InvestmentIncomeCurrentYear
Other Revenue Prior Year28553OtherRevenuePriorYear
Other Revenue Current Year107388OtherRevenueCurrentYear
Total Revenue Prior Year8677922TotalRevenuePriorYear
Total Revenue Current Year8939777TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4629517SalariesEtcPriorYear
Salaries Etc Current Year4255442SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year15000TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4376189OtherExpensePriorYear
Other Expenses Current Year4157780OtherExpensesCurrentYear
Total Expenses Prior Year9020706TotalExpensesPriorYear
Total Expenses Current Year8413222TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-342784RevenuesLessExpensesPriorYear
Revenues Less Expenses CY526555RevenuesLessExpensesCY
Total Assets BOY14066270TotalAssetsBOY
Total Assets EOY13189203TotalAssetsEOY
Total Liabilities BOY18667364TotalLiabilitiesBOY
Total Liabilities EOY17263742TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4601094NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-4074539NetAssetsOrFundBalancesEOY
Mission DescriptionTHE GUIDING MISSION OF THE RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC. IS THAT "HEALTH CARE IS A RIGHT, NOT A PRIVILEGE." THE CENTER IS DEDICATED TO PROVIDING HIGH QUALITY, AFFORDABLE, COMPREHENSIVE, LINGUISTICALLY APPROPRIATE AND CULTURALLY COMPETENT HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS. ALL PATIENTS ARE TREATED EQUALLY WITH DIGNITY, RESPECT, COURTESY, CONFIDENTIALITY, AND CONCERN FOR SAFETY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6221210Expense
Revenue6020987Revenue
DescriptionTHE CENTER OPERATES FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN MANHATTAN. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 9,836 PATIENTS GENERATING 38,306 ENCOUNTERS WERE SERVED BY THIS PROGRAM IN 2011.Description
Total Program Service Expense6221210TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees101NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBrian P McIndoe -NamePerson
Telephone Number2122654500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1645 10TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
E RONALD GUY
BOARD MEMBER1.00X000
SHERRIE SANTORE
Secretary1.00X000
HECTOR PEREIRA
Board MEMBER1.00X000
BOBBIE MANIECE-HARRISON
BOARD MEMBER1.00X000
HOPE MASON
BOARD MEMBER1.00X000
BRAD DOLES
Board member1.00X000
WALTER DELACRUZ ESQ
CHAIRPERSON1.00X000X
MICHAEL WILLIAMS
CO-CHAIR1.00X000X
BETH GOLDSTEIN-MCCUSKER
CHAIR, Fin.Com.1.00X000X
ARNEL TIRADO
Executive Dir.35.00148346011238X
YASMIN HASSAN
PHYSICIAN35.00177671026881X
ANDREW GOTLIN
MEDICAL DIRECTOR35.0012239703939X
MAHEEN SAEED
PHYSICIAN35.0010683703881X
ERIC WAHL
OB-GYN PHYSICIAN24.50162780023284X
FieldValueIRS element (for citing)
Total Reportable Comp From Org718031TotalReportableCompFromOrg
Total Other Compensation69223TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STRATEGIC SERVICES GROUP INC
545 FIFTH AVENYNY10017SECURITY SERVICES215695
ECLINICAL WORKS
10 TURNPIKE RD SUITE 308WESTBOROMA01581DATA PROCESSING117213
COMMUNITY EYECARE ASSOCIATES
229 EAST 79TH STNEW YORKNY10021EYECARE SERVICES135261
BENDINER & SCHLESINGER INC
310 EAST 65 STNEW YORKNY10021LABORATORY SERVICES106975
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants1307348GovernmentGrants
All Other Contributions1485205AllOtherContributions
Noncash Contributions157348NoncashContributions
Total Contributions2792553TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Self-pay621990438918438918
NYS Wraparound62199017117281711728
NYS Uncompensated Care621990634745634745
Medicaid Managed Care62199012268161226816
Medicaid62199012894291289429

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column719351TotalRevenueColumn
Related Or Exempt Function Income719351RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6020987TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18849TotalRevenueColumn
Exclusion$18,849ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME900099104836104836
MEDICAL RECORDS90009925522552
FieldValueIRS element (for citing)
Total Other Revenue107388TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8939777TotalRevenueColumn
Related Or Exempt Function Income6128375RelatedOrExemptFunctionIncome
Exclusion$18,849ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total159584Total
Management And General159584ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3105208Total
Program Services2576465ProgramServices
Management And General528743ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total120507Total
Program Services107477ProgramServices
Management And General13030ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total606094Total
Program Services510708ProgramServices
Management And General95386ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total264049Total
Program Services207547ProgramServices
Management And General56502ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total137863Total
Program Services5000ProgramServices
Management And General132863ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49904Total
Management And General49904ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1464690Total
Program Services777435ProgramServices
Management And General687255ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total655888Total
Program Services589980ProgramServices
Management And General65908ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total121338Total
Program Services76443ProgramServices
Management And General44895ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total578775Total
Program Services463020ProgramServices
Management And General115755ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total32188Total
Program Services19668ProgramServices
Management And General12520ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4474Total
Program Services1983ProgramServices
Management And General2491ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total45593Total
Program Services36474ProgramServices
Management And General9119ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total516506Total
Program Services413205ProgramServices
Management And General103301ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total43556Total
Program Services26819ProgramServices
Management And General16737ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for doubtful account142391142391
Personnel Recruitment655904132224268
Laboratory104245104245
Equipment rental & Maintenance1050338402621007
Bond fees46252370029250

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total43494Total
Management And General43494ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8413222Total
Program Services6221210ProgramServices
Management And General2192012ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7915BOY
EOY20479EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY188608BOY
EOY442649EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY98967BOY
EOY18460EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2147721BOY
EOY1462361EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74031BOY
EOY158100EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13781343LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4355005LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9841596BOY
EOY9426338EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1707432BOY
EOY1660816EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14066270BOY
EOY13189203EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1472358BOY
EOY1095323EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7325613BOY
EOY6693323EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1090224BOY
EOY1051848EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8779169BOY
EOY8423248EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18667364BOY
EOY17263742EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4601094BOY
EOY-4074539EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4601094BOY
EOY-4074539EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14066270BOY
EOY13189203EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses526555ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1578628CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2427106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1468784CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1836656CurrentTaxYearMinus1Year
Current Tax Year2792553CurrentTaxYear
Total10103727Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5705866CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7826686CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7032564CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6751160CurrentTaxYearMinus1Year
Current Tax Year6020987CurrentTaxYear
Total33337263Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7284494CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10253792CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8501348CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8587816CurrentTaxYearMinus1Year
Current Tax Year8813540CurrentTaxYear
Total43440990Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50943440990PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43770CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60114CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61553CurrentTaxYearMinus1Year
Current Tax Year18849CurrentTaxYear
Total286479Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43770CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60114CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61553CurrentTaxYearMinus1Year
Current Tax Year18849CurrentTaxYear
Total286479Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years110753CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76708CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58863CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74272CurrentTaxYearMinus1Year
Current Tax Year107388CurrentTaxYear
Total427984Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7439017CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10432693CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8620325CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8723641CurrentTaxYearMinus1Year
Current Tax Year8939777CurrentTaxYear
Total44155453Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98380PublicSupportPercentage509
Prior Year Support Percentage0.98260PriorYearSupportPercentage
Investment Income Percentage0.00650InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00880PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis1964266OtherCostOrOtherBasis
Book Value1964266BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9325141OtherCostOrOtherBasis
Depreciation2449027Depreciation
Book Value6876114BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2491936OtherCostOrOtherBasis
Depreciation1905978Depreciation
Book Value585958BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9426338TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
RESTRICTED CASH215195
DEFERRED BOND FEES169656
DEBT SERVICE RESERVE FUND569294
debt service fund563186
CONSTRUCTION FUND143485
FieldValueIRS element (for citing)
Total Book Value Other Assets1660816TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SUBVENTION CERTIFICATE PAYABLE$1,600,000
Due to William F. Ryan CHC$6,823,248
FieldValueIRS element (for citing)
Total Of Amounts8423248TotalOfAmounts
Total Revenue8939777TotalRevenue
Total Expenses8413222TotalExpenses
Excess Or Deficit For Year526555ExcessOrDeficitForYear
Excess Or Deficit Per FS526555ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8939777TotRevenueEtcAuditedFinclStmt
Revenue Subtotal8939777RevenueSubtotal
Total Revenue Per Form9908939777TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8413222TotExpensesEtcAuditedFinclStmt
Expenses Subtotal8413222ExpensesSubtotal
Total Expenses Per Form9908413222TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
YASMIN HASSAN
177671355323328204552
ERIC WAHL
16278023284186064
ARNEL TIRADO
14834629678271159584

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990157348NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE CENTER PROVIDES COPIES ON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesWhen determining compensation for the Organization's Executive Director, other top management officials and key employees, the Human resources Department contacts the HR Department of other community health centers and healthcare institutions for the comparison of salary, including benefits; and visits relevant internet websites.The Center also participates in the National Association of Community Health Centers (NACHC) Annual Health Center Salary and Benefit Survey.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Chair of the Board of Directors ensures that all board members and the Executive director submit attestations on an annual basis. Key employees submit their attestations to the executive director. Any cases of potential conflicts of interest are dealt with appropriately, as per policy.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Executive Director, Chief Financial Officer and Controller review the Form 990 before it is presented and reviewed by the Finance Committee of the Board of Directors. The Chair of Finance Committee then presents the Form 990 for full board review at the Board of Directors meeting, before it is filed with the IRS.