2011-11-08T09:55:25-06:00 2010-12-31 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-01-01 510567466 COMMUNITY HEALTH CENTER OF RICHMOND INC COMM 7189242254 235 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 HENRY THOMPSON 7189242254 2011-10-26 1 JULIUS GREEN CPA 2159720701 2010 2016-03-07 17:11:31Z HENRY THOMPSON 235 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 5988455 0 X CHCRICHMOND.ORG X 2006 NY PROVIDE PRIMARY CARE SERVICES WITH AN EMPHASIS ON SERVING THE POOR AND UNDERINSURED. 14 14 53 0 0 0 2929979 2803070 2655394 3181478 3990 3881 102239 26 5691602 5988455 0 0 0 0 3299477 3041965 0 0 0 1972287 2736064 5271764 5778029 419838 210426 3476022 3411015 1061910 786477 2414112 2624538 X CHCR IS A CONSUMER-LED, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION WHOSE MISSION IS TO IMPROVE THE QUALITY OF LIFE OF THE ETHNICALLY RICH AND CULTURALLY DIVERSE COMMUNITIES OF STATEN ISLAND BY PROVIDING COMPREHENSIVE PRIMARY CARE THAT IS ACCESSIBLE, AFFORDABLE AND RESPECTFUL. WE ELIMINATE DISPARITIES IN HEALTH CARE AND ASSURE THAT OUR COMMUNITIES RECEIVE COMPASSIONATE SERVICES OF THE HIGHEST QUALITY, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. 0 0 3772580 3181478 PROVIDING PRIMARY CARE SERVICES TO RESIDENTS OF STATEN ISLAND, NEW YORK WITH PARTICULAR EMPHASIS PLACED ON SERVING THE POOR AND UNDER-INSURED WITHIN THE COMMUNITY. THERE WERE 23,046 VISITS FOR 2010. CHCR HAS PROVIDED SERVICES TO 7,898 PATIENTS OF WHICH 3,489 WERE UNINSURED AND 5,993 WERE AT OR BELOW THE FEDERAL POVERTY GUIDELINE. THERE WERE 19.47 MEDICAL PROVIDER FTES WHO DELIVERED THE SERVICES DURING THE YEAR. 3772580 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 27 0 1 53 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X HENRY THOMPSON 7189242254 235 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 MARIBEL SANSONE 1.00 X 0 0 0 GONZALO MERCADO 1.00 X 0 0 0 JACK DE SANTIS 1.00 X 0 0 0 CHRISTINE HOLLIE 1.00 X 0 0 0 TERRY TROIA 1.00 X 0 0 0 PATRICIA KARNATSKI 1.00 X 0 0 0 RICHARD YOUNGE MD 1.00 X 0 0 0 FERN ZAGOR 1.00 X 0 0 0 URSULA CZYZKIEWICZ 1.00 X 0 0 0 ELIZABETH LOPEZ 1.00 X 0 0 0 CAMILIA RANGEL 1.00 X 0 0 0 NORMA JUAREZ 1.00 X 0 0 0 RONALD SPEIGHT JR 1.00 X 0 0 0 NAYELI SOTO 1.00 X 0 0 0 HENRY THOMPSON 40.00 X X 177617 0 0 OMPRAKASH KUDUVALLI 40.00 X 138050 0 8615 LILLIAN DIAZ 40.00 X 123050 0 577 JESSIE PITA 40.00 X 125000 0 6402 JUDY WRIGHT 40.00 X 129025 0 6300 JOHN L ESSEX 0.00 X 25045 0 1512 DAWN BENJAMIN 0.00 X 11423 0 1371 EDITH CALAMIA 0.00 X 204908 0 10231 934118 0 35008 6 1 1 0 HERZOG GROUP 1855 RICHMOND AVE STATEN ISLAND NY 10302 OB.GYN SERVICES 327250 IJR CONSULTATING CORP 6901 JERICHO TPKE SYOSSET NY 11794 CONSULTING 257397 FT SOLUTIONS INC 1129 20TH ST WASHINGTON DC 20036 CONSULTING 223024 3 2803070 2803070 NET PATIENT SERVICE RE 623000 3181478 3181478 3181478 3881 3881 MISCELLANEOUS 900099 26 26 26 5988455 3181478 0 3907 929775 595861 333914 1458538 934727 523811 37454 24003 13451 433542 291446 142096 182656 117058 65598 122484 122484 77777 77777 1185958 677099 508859 16763 16763 587270 417608 169662 36029 36029 268611 268611 40499 36486 4013 88897 88897 101462 94826 6636 BAD DEBT EXPENSE 72660 72660 REPAIRS AND MAINTENANCE 41349 41349 DUES AND SUBSCRIPTIONS 35626 21330 14296 MISCELLANEOUS 25858 19769 6089 RECRUITING EXPENSE 17559 17559 17262 17262 5778029 3772580 2005449 0 100 250 105733 339852 12947 507494 693731 885619 26565 2497665 165434 1945743 2332231 18386 18386 3476022 3411015 1061910 786477 1061910 786477 X 2414112 2624538 2414112 2624538 3476022 3411015 210426 0 X 0 1 1 X 1 1 X 1144312 4256220 2929979 2803070 11133581 144312 1896766 2655394 3181478 7877950 1288624 6152986 5585373 5984548 19011531 0 0 0 19011531 10273 12708 3990 3881 30852 10273 12708 3990 3881 30852 1006 102239 26 103271 1298897 6166700 5691602 5988455 19145654 0.99300 0.99080 0.00160 0.01900 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 175466 34642 140824 139086 20970 118116 269067 68477 200590 1914046 41345 1872701 2332231 5988455 5778029 210426 0 210426 5988455 0 5988455 0 5988455 5778029 0 5778029 0 5778029 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010 AND 2009. THE FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE CORPORATION FOR THE YEARS ENDED DECEMBER 31, 2008 AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. X X 1 0 0 0 0 0 0 0 0 HENRY THOMPSON 177617 0 0 0 0 0 0 0 0 0 177617 0 0 0 EDITH CALAMIA 0 0 0 0 204908 0 10231 0 0 0 215139 0 0 0 PART I, LINE 4A THE FOLLOWING FORMER OFFICERS RECEIVED SEVERANCE PAYMENTS IN 2010: JOHN ESSEX $26,557 DAWN BENJAMIN $12,794 EDITH CALAMIA $215,139 X 287094 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CEO AND CFO REVIEW THE FORM 990 BEFORE IT IS FILED. THE RETURN IS THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND THEN TO THE GENERAL BOARD FOR APPROVAL OF FILING. FORM 990, PART VI, SECTION B, LINE 12C CHCR PROVIDES BOARD MEMBERS AND STAFF WITH A CONFLICT OF INTEREST STATEMENT WHICH SUMMARIZES THE KEY ELEMENTS OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THE STATEMENT IS PROVIDED TO AND SIGNED BY BOARD MEMBERS AND STAFF BOTH AT THE TIME OF THE INDIVIDUAL'S INITIAL AFFILIATION WITH THE ORGANIZATION AND ANNUALLY THEREAFTER. THE CEO IS RESPONSIBLE FOR MONITORING THE CONFLICTS. IN THE CASE OF CONFLICT OF INTEREST, THE BOARD MEMBER WILL REPORT THE CONFLICT TO THE FULL BOARD/EMPLOYEE PRIOR TO ANY DISCUSSION OF THE MATTER AND POTENTIALLY RECUSE THEMSELVES FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 OFFICER COMPENSATION IS DETERMINED AND COMPARED BASED ON THE CURRENT MARKET, INDUSTRY STANDARDS AND SURVEYS TAKEN. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.