2022-11-08T15:17:18-06:00 2021-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2021-01-01 133911827 RYANCHELSEA-CLINTON COMMUNITY HEALTH CENTER INC RYAN 2122654500 645 10TH AVENUE NEW YORK NY 10036 DANIEL PICHINSON EXECUTIVE DIRECTOR 2122654500 2022-11-08 1 DANIEL PICHINSON XXX-XX-XXXX GARRETT M HIGGINS P00543209 9143818900 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DANIEL PICHINSON 645 10TH AVENUE NEW YORK NY 10036 24053740 0 X N/A X 1996 NY 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. 13 13 142 13 0 0 4496024 6847753 16291671 17112995 5738 4183 4327 55832 20797760 24020763 205467 207580 0 0 8624492 8904590 0 0 0 7995056 10545297 16825015 19657467 3972745 4363296 17981086 17966484 10305578 5927680 7675508 12038804 X 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. 0 0 16857877 207580 17112995 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. 16857877 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 41 0 142 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X SCOTT D MORGAN 2127697245 110 WEST 97TH STREET NEW YORK NY 10025 WALTER DELACRUZ ESQ CHAIRPERSON 2.00 1.00 X X 0 0 0 SARAH BOUCHER VICE-CHAIR/TREASURER 2.00 0.00 X X 0 0 0 HOWARD LONG SECRETARY 2.00 0.00 X X 0 0 0 HARRIET CHAN KING ESQ DIRECTOR 2.00 0.00 X 0 0 0 MERISSA GOODSTEIN DIRECTOR 2.00 0.00 X 0 0 0 MARGARET GRAMINS DIRECTOR 2.00 0.00 X 0 0 0 E RONALD GUY DIRECTOR 2.00 1.00 X 0 0 0 JERMEL HAWKINS MD DIRECTOR 2.00 0.00 X 0 0 0 HOPE L MASON DIRECTOR 2.00 0.00 X 0 0 0 TOSIA MCCORMICK DIRECTOR 2.00 0.00 X 0 0 0 LISA PERRY DIRECTOR 2.00 0.00 X 0 0 0 LEONARDO RUIZ DIRECTOR 2.00 0.00 X 0 0 0 AARON L STORO DIRECTOR 2.00 0.00 X 0 0 0 DANIEL PICHINSON EXECUTIVE DIRECTOR 35.00 0.00 X 224625 0 45958 SCOTT MORGAN CFO 1.00 5.00 X 0 0 0 YASMIN HASSAN MD PEDIATRIC PHYSICIAN 35.00 0.00 X 228287 0 28833 ZEHRA SIDDIQUI DO MEDICAL DIRECTOR 35.00 0.00 X 241445 0 27721 ERIC WAHL MD OB/GYN PHYSICIAN 35.00 0.00 X 238265 0 18747 EDWARD SOLIS MD ASSIST. DIR. OF CLINICAL OPERATIONS 35.00 0.00 X 213249 0 16092 JEFFRY MUTUC MD FAMILY PRACTITIONER 35.00 0.00 X 188749 0 14536 1334620 0 151887 14 0 1 0 WILLIAM F RYAN COMMUNITY HEALTH CENTER 110 WEST 97TH STREET NEW YORK NY 10025 ADMIN & SUPPORT SERVICES 1200000 ST LUKE'S ROOSEVELT HOSPITAL 150 EAST 42ND STREET 5TH FLOOR NEW YORK NY 10170 MEDICAL SERVICES 528879 COMMUNITY EYECARE ASSOCIATES 229 EAST 79TH STREET NEW YORK NY 10021 EYE CARE SERVICES 294050 AQUILA PSYCHIATRIC SERVICES LLC 850 S STATE STREET SUITE 1 DOVER DE 19901 PSYCHIATRIC SERVICES 254505 LS GENERAL RESTORATION CORP 41 4TH STREET BROOKLYN NY 11231 CONSTRUCTION 234825 10 109512 273113 5927115 538013 175577 6847753 PHARMACY (340B) 621990 8391483 8391483 NYS AND CHILD HEALTH PLUS WRAPARO 621990 2752725 2752725 MEDICAID MANAGED CARE 621990 2206261 2206261 MEDICARE 621990 1086314 1086314 MEDICAID 621990 908428 908428 1767784 1767784 17112995 4183 4183 5000 109512 32977 -27977 -27977 REBATES AND REFUNDS 900099 82173 82173 OTHER INCOME 900099 1597 1597 MEDICAL RECORDS 900099 39 39 83809 24020763 17112995 0 60015 X 2969 2969 204611 204611 270583 236283 34300 6369696 5566267 803429 393161 342110 51051 1377689 1198799 178890 493461 429386 64075 1200000 660000 540000 55388 38107 17281 53479 1909 51570 2557388 2109861 447527 36105 18564 17541 320601 195877 124724 180988 135246 45742 38798 16237 22561 12591 6909 5682 44756 12532 32224 499603 429659 69944 41609 28789 12820 PHARMACEUTICALS & MEDIC 5163607 4959686 203921 EQUIP RENTAL AND MAINTE 223542 169107 54435 PROGRAM EXPENSE 40676 35867 4809 REPAIRS AND MAINTENANCE 30103 23933 6170 46063 35169 10894 19657467 16857877 2799590 0 2448 2448 6327778 6993780 390661 175377 1662105 1626077 25751 25751 153255 290501 17463499 8610949 8702088 8852550 717000 0 17981086 17966484 2018172 1987009 1522738 25000 854902 0 5909766 3915671 10305578 5927680 X 6730204 11543500 945304 495304 7675508 12038804 17981086 17966484 4363296 0 X X 0 1 X 1 1 1 X 2694465 2840583 3032446 4496024 6847753 19911271 10340873 10699247 13377107 16291671 17112995 67821893 13035338 13539830 16409553 20787695 23960748 87733164 800 7443 8243 0 800 7443 8243 87724921 1291 5738 4183 11212 1291 5738 4183 11212 12393 66081 19703 4327 83809 186313 13047731 13605911 16430547 20797760 24048740 87930689 0.99770 0.99440 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1964266 1964266 11562559 5084117 6478442 3936674 3526832 409842 8852550 DUE TO WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. 1717791 SUBVENTION CERTIFICATE PAYABLE 1600000 DUE TO AFIA FOUNDATION 597880 3915671 X 23993261 0 23993261 27502 27502 24020763 19629965 0 19629965 27502 27502 19657467 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. CARING FOR NY GALA 114512 109512 5000 4101 5226 23650 114512 109512 5000 4101 5226 23650 32977 -27977 1 MEDICAL ASSISTANCE FOR INDIGENT CHILDREN 3940 204611 COST VACCINES PART I, LINE 2: 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. X X X X 0 0 0 0 0 0 0 0 0 DANIEL PICHINSON EXECUTIVE DIRECTOR 223155 0 0 0 1470 0 21635 0 24323 0 270583 0 0 0 ZEHRA SIDDIQUI DO MEDICAL DIRECTOR 233115 0 7750 0 580 0 15934 0 11787 0 269166 0 0 0 YASMIN HASSAN MD PEDIATRIC PHYSICIAN 211294 0 9500 0 7493 0 4510 0 24323 0 257120 0 0 0 ERIC WAHL MD OB/GYN PHYSICIAN 226302 0 7730 0 4233 0 4765 0 13982 0 257012 0 0 0 EDWARD SOLIS MD ASSIST. DIR. OF CLINICAL OPERATIONS 204785 0 7600 0 864 0 4510 0 11582 0 229341 0 0 0 JEFFRY MUTUC MD FAMILY PRACTITIONER 183303 0 5000 0 446 0 0 0 14536 0 203285 0 0 0 X 1 175577 DONOR VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS. 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. AFIA FOUNDATION INC PARKWEST FIN STATION PO BOX 20997 NEW YORK NY 10025 203957960 TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS NY 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0