RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER (EIN 13-3911827)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-08
- IRS object ID
- 202223129349303592
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-08T15:17:18-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE SUITE 301 | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133911827 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RYANCHELSEA-CLINTON COMMUNITY HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RYAN | BusinessNameControlTxt |
| Phone | 2122654500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 10TH AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL PICHINSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2122654500 | PhoneNum |
| Signature | 2022-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DANIEL | PersonFirstNm |
| Person Last | PICHINSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2022-11-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL PICHINSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 10TH AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,053,740 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | RYAN/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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 142 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,496,024 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,847,753 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,291,671 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,112,995 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,738 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,183 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,327 | PYOtherRevenueAmt |
| CY Other Revenue | $55,832 | CYOtherRevenueAmt |
| PY Total Revenue | $20,797,760 | PYTotalRevenueAmt |
| CY Total Revenue | $24,020,763 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $205,467 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $207,580 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,624,492 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,904,590 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,995,056 | PYOtherExpensesAmt |
| CY Other Expenses | $10,545,297 | CYOtherExpensesAmt |
| PY Total Expenses | $16,825,015 | PYTotalExpensesAmt |
| CY Total Expenses | $19,657,467 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,972,745 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,363,296 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,981,086 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,966,484 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,305,578 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,927,680 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,675,508 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,038,804 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE RYAN CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC., IS GUIDED BY THE FOUNDING PRINCIPLE THAT "HEALTH CARE IS A RIGHT, NOT A PRIVILEGE." THE CENTER IS DEDICATED TO PROVIDING HIGH QUALITY, AFFORDABLE, COMPREHENSIVE, LINGUISTICALLY APPROPRIATE AND CULTURALLY COMPETENT HEALTHCARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS ON THE WEST SIDE OF MANHATTAN. ALL PATIENTS ARE TREATED EQUALLY WITH DIGNITY, RESPECT, COURTESY, CONFIDENTIALITY, AND CONCERN FOR SAFETY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,857,877 | ExpenseAmt |
| Grant | $207,580 | GrantAmt |
| Revenue | $17,112,995 | RevenueAmt |
| Desc | RYAN/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. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2021, OVER 10,000 PATIENTS WERE SERVED BY THIS PROGRAM, GENERATING MORE THAN 46,000 ENCOUNTERS. | Desc |
| Total Program Service Expenses | $16,857,877 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 142 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT D MORGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2127697245 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST 97TH STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10025 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WALTER DELACRUZ ESQ | ||||||||
| CHAIRPERSON | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SARAH BOUCHER | ||||||||
| VICE-CHAIR/TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HOWARD LONG | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HARRIET CHAN KING ESQ | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MERISSA GOODSTEIN | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARGARET GRAMINS | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| E RONALD GUY | ||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JERMEL HAWKINS MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HOPE L MASON | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TOSIA MCCORMICK | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA PERRY | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LEONARDO RUIZ | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| AARON L STORO | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL PICHINSON | ||||||||
| EXECUTIVE DIRECTOR | 35.00 | 0.00 | Yes (X) | $224,625 | $0 | $45,958 | ||
| SCOTT MORGAN | ||||||||
| CFO | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| YASMIN HASSAN MD | ||||||||
| PEDIATRIC PHYSICIAN | 35.00 | 0.00 | $228,287 | $0 | $28,833 | Yes (X) | ||
| ZEHRA SIDDIQUI DO | ||||||||
| MEDICAL DIRECTOR | 35.00 | 0.00 | $241,445 | $0 | $27,721 | Yes (X) | ||
| ERIC WAHL MD | ||||||||
| OB/GYN PHYSICIAN | 35.00 | 0.00 | $238,265 | $0 | $18,747 | Yes (X) | ||
| EDWARD SOLIS MD | ||||||||
| ASSIST. DIR. OF CLINICAL OPERATIONS | 35.00 | 0.00 | $213,249 | $0 | $16,092 | Yes (X) | ||
| JEFFRY MUTUC MD | ||||||||
| FAMILY PRACTITIONER | 35.00 | 0.00 | $188,749 | $0 | $14,536 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,334,620 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $151,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WILLIAM F RYAN COMMUNITY HEALTH CENTER | |||||
| 110 WEST 97TH STREET | NEW YORK | NY | 10025 | ADMIN & SUPPORT SERVICES | $1,200,000 |
| ST LUKE'S ROOSEVELT HOSPITAL | |||||
| 150 EAST 42ND STREET 5TH FLOOR | NEW YORK | NY | 10170 | MEDICAL SERVICES | $528,879 |
| COMMUNITY EYECARE ASSOCIATES | |||||
| 229 EAST 79TH STREET | NEW YORK | NY | 10021 | EYE CARE SERVICES | $294,050 |
| AQUILA PSYCHIATRIC SERVICES LLC | |||||
| 850 S STATE STREET SUITE 1 | DOVER | DE | 19901 | PSYCHIATRIC SERVICES | $254,505 |
| LS GENERAL RESTORATION CORP | |||||
| 41 4TH STREET | BROOKLYN | NY | 11231 | CONSTRUCTION | $234,825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $109,512 | FundraisingAmt |
| Related Organizations | $273,113 | RelatedOrganizationsAmt |
| Government Grants | $5,927,115 | GovernmentGrantsAmt |
| All Other Contributions | $538,013 | AllOtherContributionsAmt |
| Noncash Contributions | $175,577 | NoncashContributionsAmt |
| Total Contributions | $6,847,753 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHARMACY (340B) | 621990 | $8,391,483 | $8,391,483 |
| NYS AND CHILD HEALTH PLUS WRAPARO | 621990 | $2,752,725 | $2,752,725 |
| MEDICAID MANAGED CARE | 621990 | $2,206,261 | $2,206,261 |
| MEDICARE | 621990 | $1,086,314 | $1,086,314 |
| MEDICAID | 621990 | $908,428 | $908,428 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,767,784 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,767,784 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,112,995 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,183 | TotalRevenueColumnAmt |
| Exclusion | $4,183 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $109,512 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $32,977 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,977 | TotalRevenueColumnAmt |
| Exclusion | -$27,977 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REBATES AND REFUNDS | 900099 | $82,173 | $82,173 |
| OTHER INCOME | 900099 | $1,597 | $1,597 |
| MEDICAL RECORDS | 900099 | $39 | $39 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $83,809 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,020,763 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,112,995 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $60,015 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,969 | TotalAmt |
| Program Services | $2,969 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,611 | TotalAmt |
| Program Services | $204,611 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,583 | TotalAmt |
| Program Services | $236,283 | ProgramServicesAmt |
| Management And General | $34,300 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,369,696 | TotalAmt |
| Program Services | $5,566,267 | ProgramServicesAmt |
| Management And General | $803,429 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,161 | TotalAmt |
| Program Services | $342,110 | ProgramServicesAmt |
| Management And General | $51,051 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,377,689 | TotalAmt |
| Program Services | $1,198,799 | ProgramServicesAmt |
| Management And General | $178,890 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,461 | TotalAmt |
| Program Services | $429,386 | ProgramServicesAmt |
| Management And General | $64,075 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200,000 | TotalAmt |
| Program Services | $660,000 | ProgramServicesAmt |
| Management And General | $540,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,388 | TotalAmt |
| Program Services | $38,107 | ProgramServicesAmt |
| Management And General | $17,281 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,479 | TotalAmt |
| Program Services | $1,909 | ProgramServicesAmt |
| Management And General | $51,570 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,557,388 | TotalAmt |
| Program Services | $2,109,861 | ProgramServicesAmt |
| Management And General | $447,527 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,105 | TotalAmt |
| Program Services | $18,564 | ProgramServicesAmt |
| Management And General | $17,541 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,601 | TotalAmt |
| Program Services | $195,877 | ProgramServicesAmt |
| Management And General | $124,724 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,988 | TotalAmt |
| Program Services | $135,246 | ProgramServicesAmt |
| Management And General | $45,742 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,798 | TotalAmt |
| Program Services | $16,237 | ProgramServicesAmt |
| Management And General | $22,561 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,591 | TotalAmt |
| Program Services | $6,909 | ProgramServicesAmt |
| Management And General | $5,682 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,756 | TotalAmt |
| Program Services | $12,532 | ProgramServicesAmt |
| Management And General | $32,224 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $499,603 | TotalAmt |
| Program Services | $429,659 | ProgramServicesAmt |
| Management And General | $69,944 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,609 | TotalAmt |
| Program Services | $28,789 | ProgramServicesAmt |
| Management And General | $12,820 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS & MEDIC | $5,163,607 | $4,959,686 | $203,921 |
| EQUIP RENTAL AND MAINTE | $223,542 | $169,107 | $54,435 |
| PROGRAM EXPENSE | $40,676 | $35,867 | $4,809 |
| REPAIRS AND MAINTENANCE | $30,103 | $23,933 | $6,170 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,063 | TotalAmt |
| Program Services | $35,169 | ProgramServicesAmt |
| Management And General | $10,894 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,657,467 | TotalAmt |
| Program Services | $16,857,877 | ProgramServicesAmt |
| Management And General | $2,799,590 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,448 | BOYAmt |
| EOY | $2,448 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,327,778 | BOYAmt |
| EOY | $6,993,780 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390,661 | BOYAmt |
| EOY | $175,377 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,662,105 | BOYAmt |
| EOY | $1,626,077 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,751 | BOYAmt |
| EOY | $25,751 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,255 | BOYAmt |
| EOY | $290,501 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,463,499 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,610,949 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,702,088 | BOYAmt |
| EOY | $8,852,550 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $717,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,981,086 | BOYAmt |
| EOY | $17,966,484 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,018,172 | BOYAmt |
| EOY | $1,987,009 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,522,738 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $854,902 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,909,766 | BOYAmt |
| EOY | $3,915,671 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,305,578 | BOYAmt |
| EOY | $5,927,680 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,730,204 | BOYAmt |
| EOY | $11,543,500 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $945,304 | BOYAmt |
| EOY | $495,304 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,675,508 | BOYAmt |
| EOY | $12,038,804 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,981,086 | BOYAmt |
| EOY | $17,966,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,363,296 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,694,465 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,840,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,032,446 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,496,024 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,847,753 | CurrentTaxYearAmt |
| Total | $19,911,271 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,340,873 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,699,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,377,107 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,291,671 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,112,995 | CurrentTaxYearAmt |
| Total | $67,821,893 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,035,338 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,539,830 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,409,553 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,787,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,960,748 | CurrentTaxYearAmt |
| Total | $87,733,164 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $800 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,443 | CurrentTaxYearAmt |
| Total | $8,243 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $800 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,443 | CurrentTaxYearAmt |
| Total | $8,243 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $87,724,921 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,291 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,738 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,183 | CurrentTaxYearAmt |
| Total | $11,212 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,291 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,738 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,183 | CurrentTaxYearAmt |
| Total | $11,212 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,393 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,703 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,327 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $83,809 | CurrentTaxYearAmt |
| Total | $186,313 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,047,731 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,605,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,430,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,797,760 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,048,740 | CurrentTaxYearAmt |
| Total | $87,930,689 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99770 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99440 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 10,514. 2018 AMOUNT: $ 64,173. 2019 AMOUNT: $ 18,975. 2020 AMOUNT: $ 3,397. 2021 AMOUNT: $ 1,597. MEDICAL RECORDS - 2017 AMOUNT: $ 1,879. 2018 AMOUNT: $ 1,908. 2019 AMOUNT: $ 728. 2020 AMOUNT: $ 930. 2021 AMOUNT: $ 39. REBATES AND REFUNDS - 2021 AMOUNT: $ 82,173. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,964,266 | OtherCostOrOtherBasisAmt |
| Book Value | $1,964,266 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,562,559 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,084,117 | DepreciationAmt |
| Book Value | $6,478,442 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,936,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,526,832 | DepreciationAmt |
| Book Value | $409,842 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,852,550 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. | $1,717,791 |
| SUBVENTION CERTIFICATE PAYABLE | $1,600,000 |
| DUE TO AFIA FOUNDATION | $597,880 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,915,671 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $23,993,261 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $23,993,261 | RevenueSubtotalAmt |
| Other Revenues Not Included | $27,502 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $27,502 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $24,020,763 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,629,965 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,629,965 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $27,502 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $27,502 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,657,467 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2018. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT INCLUDED IN REVENUE ON AFS 27,502. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT INCLUDED IN REVENUE ON AFS 27,502. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CARING FOR NY GALA | Event1Nm |
| Gross Receipts Event1 | $114,512 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $109,512 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,000 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $4,101 | NonCashPrizesEvent1Amt |
| Entertainment Event1 | $5,226 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $23,650 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $114,512 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $109,512 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,000 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $4,101 | NonCashPrizesTotalEventsAmt |
| Entertainment Total Events | $5,226 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,650 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $32,977 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$27,977 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | MEDICAL ASSISTANCE FOR INDIGENT CHILDREN | GrantTypeTxt |
| Recipient | 3940 | RecipientCnt |
| Non Cash Assistance | $204,611 | NonCashAssistanceAmt |
| Valuation Method Used | COST | ValuationMethodUsedDesc |
| Non Cash Assistance | VACCINES | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PARTICIPATES IN THE NEW YORK STATE VACCINES FOR CHILDREN PROGRAM, WHICH IS A FEDERALLY-FUNDED PROGRAM THAT PROVIDES VACCINES AT NO COST TO ELIGIBLE CHILDREN. ELIGIBILITY FOR ALL RECIPIENTS IS REPORTED TO THE STATE OF NEW YORK VIA THE NEW YORK STATE IMMUNIZATION INFORMATION SYSTEM. THIS INFORMATION IS USED BY THE NYS DEPARTMENT OF HEALTH AND IS ALSO REPORTED TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). THE VACCINES ARE DISTRIBUTED TO RYAN/CHELSEA-CLINTON AS THE ORGANIZATION IS A REGISTERED VFC PROVIDER. THE ORGANIZATION THEN PROVIDES THE VACCINES TO VFC-ELIGIBLE CHILDREN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL PICHINSON | ||||||||||||||
| EXECUTIVE DIRECTOR | $223,155 | $0 | $0 | $0 | $1,470 | $0 | $21,635 | $0 | $24,323 | $0 | $270,583 | $0 | $0 | $0 |
| ZEHRA SIDDIQUI DO | ||||||||||||||
| MEDICAL DIRECTOR | $233,115 | $0 | $7,750 | $0 | $580 | $0 | $15,934 | $0 | $11,787 | $0 | $269,166 | $0 | $0 | $0 |
| YASMIN HASSAN MD | ||||||||||||||
| PEDIATRIC PHYSICIAN | $211,294 | $0 | $9,500 | $0 | $7,493 | $0 | $4,510 | $0 | $24,323 | $0 | $257,120 | $0 | $0 | $0 |
| ERIC WAHL MD | ||||||||||||||
| OB/GYN PHYSICIAN | $226,302 | $0 | $7,730 | $0 | $4,233 | $0 | $4,765 | $0 | $13,982 | $0 | $257,012 | $0 | $0 | $0 |
| EDWARD SOLIS MD | ||||||||||||||
| ASSIST. DIR. OF CLINICAL OPERATIONS | $204,785 | $0 | $7,600 | $0 | $864 | $0 | $4,510 | $0 | $11,582 | $0 | $229,341 | $0 | $0 | $0 |
| JEFFRY MUTUC MD | ||||||||||||||
| FAMILY PRACTITIONER | $183,303 | $0 | $5,000 | $0 | $446 | $0 | $0 | $0 | $14,536 | $0 | $203,285 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $175,577 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | DONOR VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. PROVIDES GENERAL OVERSIGHT AND FINANCIAL MANAGEMENT SERVICES TO THE ORGANIZATION. WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. WAS PAID $1,200,000 IN 2021 FOR THESE SERVICES. SCOTT MORGAN WAS PAID BY WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. FOR 2021, HE RECEIVED REPORTABLE COMPENSATION IN THE AMOUNT OF $285,547, DEFERRED COMPENSATION IN THE AMOUNT OF $25,300, AND NONTAXABLE BENEFITS IN THE AMOUNT OF $39,893. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS PRESENTED AND REVIEWED BY THE BOARD OF DIRECTORS. THE CHAIR OF THE FINANCE COMMITTEE THEN PRESENTS THE FORM 990 FOR FULL BOARD REVIEW AT THE BOARD OF DIRECTORS MEETING, BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | RCC REQUIRES THAT ALL BOARD MEMBERS, CANDIDATES FOR BOARD MEMBERSHIP, AND EMPLOYEES DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN WRITING AND UPDATE AT LEAST ANNUALLY. MEMBERS OF THE BOARD AND CANDIDATES FOR MEMBERSHIP ON THE BOARD MAKE DISCLOSURES IN WRITING TO THE CHAIR OF THE BOARD. IF THE CHAIR HAS SUCH AN INTEREST, HE OR SHE MUST MAKE DISCLOSURE IN WRITING TO THE VICE CHAIR, WHO WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD. THE EXECUTIVE DIRECTOR WILL MAKE DISCLOSURES IN WRITING TO THE CHAIR OF THE BOARD WHO WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD OF SUCH DISCLOSURE. EMPLOYEES WILL MAKE DISCLOSURES IN WRITING TO THE EXECUTIVE DIRECTOR. IN THE CASE OF A POTENTIALLY CONFLICTED PERSON WHO IS A BOARD MEMBER, THAT PERSON MAY MAKE A PRESENTATION TO THE BOARD REGARDING WHETHER HE OR SHE HAS A CONFLICT, AND MAY RESPOND TO RELATED QUESTIONS FROM THE BOARD. HOWEVER, AFTER SUCH PRESENTATION, HE OR SHE WILL LEAVE THE MEETING DURING ANY DISCUSSION OF, OR VOTE ON, WHETHER A CONFLICT OF INTEREST EXISTS. IF SUCH CONFLICT IS DETERMINED BY THE BOARD TO EXIST, HE OR SHE WILL LEAVE THE MEETING DURING ANY DISCUSSION OF, AND VOTING ON, THE TRANSACTION OR ARRANGEMENT THAT INVOLVES THE CONFLICT OF INTEREST. IN THE CASE OF AN EMPLOYEE, THE EXECUTIVE DIRECTOR WILL DECIDE WHETHER A CONFLICT EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | WHEN DETERMINING COMPENSATION FOR THE ORGANIZATION'S EXECUTIVE DIRECTOR, THE HUMAN RESOURCES DEPARTMENT CONTACTS THE HR DEPARTMENT OF OTHER COMMUNITY HEALTH CENTERS AND HEALTH INSTITUTIONS FOR COMPARISON OF SALARY, INCLUDING BENEFITS, AND VISITS RELEVANT WEBSITES. ADDITIONALLY, RYAN CHELSEA CLINTON USED MARKET RESEARCH AND STUDIES TO DETERMINE COMPENSATION. RYAN CHELSEA CLINTON PARTICIPATES IN THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS ANNUAL HEALTH CENTER SALARY AND BENEFIT SURVEY. THE DECISIONS AND DELIBERATIONS OF THE BOARD PERTAINING TO THESE MATTERS ARE DOCUMENTED WITH THE MINUTES OF THE MEETING. THIS PROCESS WAS UNDERTAKEN IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPE OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, AND BYLAWS ARE ALSO AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER CONTRACTED & PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 168,394. MANAGEMENT AND GENERAL EXPENSES 71,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 239,769. PROCESSING FEES: PROGRAM SERVICE EXPENSES 75,061. MANAGEMENT AND GENERAL EXPENSES 140,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,364. CONSULTANTS: PROGRAM SERVICE EXPENSES 1,640,775. MANAGEMENT AND GENERAL EXPENSES 212,819. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,853,594. PERSONNEL RECRUITMENT: PROGRAM SERVICE EXPENSES 94,287. MANAGEMENT AND GENERAL EXPENSES 7,998. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,285. FACILITIES SERVICE FEES: PROGRAM SERVICE EXPENSES 8,375. MANAGEMENT AND GENERAL EXPENSES 5,182. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,557. EQUIPMENT SERVICE FEES: PROGRAM SERVICE EXPENSES 62,764. MANAGEMENT AND GENERAL EXPENSES 9,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,614. LABORATORY SERVICE FEES: PROGRAM SERVICE EXPENSES 60,205. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,205. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S AUDIT/FINANCE COMMITTEE IS RESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE CORPORATION AND THE AUDIT OF THE CORPORATION'S FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AFIA FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PARKWEST FIN STATION PO BOX 20997 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203957960 | EIN |
| Primary Activities | TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |