STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHARLES B WANG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHARLES B WANG COMMUNITY HEALTH CENTER INC (EIN 13-2739694)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-31
IRS object ID
201723049349301202
Schema version
2016v3.0
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)
Return2017-10-31T10:35:35-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN132739694EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARLES B WANG COMMUNITY HEALTH CENTERBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHARBusinessNameControlTxt
Phone2123796988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personjane t engPersonNm
Person TitleCEOPersonTitleTxt
Phone2123796988PhoneNum
Signature2017-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
Preparation2017-10-18PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.3.217.20IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-30IPDt
IP Tm12:57:06IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id90CC17281F34CD083B051E620E31C1B2A26173FCAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal Officerjane t engPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$56,818,731GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cbwchc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionPROVIDE HIGH QUALITY AND AFFORDABLE HEALTH CARE TO THE UNDERSERVED, WITH A FOCUS ON ASIAN AMERICANS.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee736TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,801,408PYContributionsGrantsAmt
CY Contributions Grants$9,296,250CYContributionsGrantsAmt
PY Program Service Revenue$41,240,565PYProgramServiceRevenueAmt
CY Program Service Revenue$44,047,545CYProgramServiceRevenueAmt
PY Investment Income-$188,675PYInvestmentIncomeAmt
CY Investment Income$190,132CYInvestmentIncomeAmt
PY Other Revenue$4,018,303PYOtherRevenueAmt
CY Other Revenue$3,284,804CYOtherRevenueAmt
PY Total Revenue$56,871,601PYTotalRevenueAmt
CY Total Revenue$56,818,731CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,190,421PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,863,253CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,566,197PYOtherExpensesAmt
CY Other Expenses$14,766,614CYOtherExpensesAmt
PY Total Expenses$51,756,618PYTotalExpensesAmt
CY Total Expenses$56,629,867CYTotalExpensesAmt
PY Revenues Less Expenses$5,114,983PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$188,864CYRevenuesLessExpensesAmt
Total Assets BOY$59,878,844TotalAssetsBOYAmt
Total Assets EOY$61,847,590TotalAssetsEOYAmt
Total Liabilities BOY$10,887,984TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,279,469TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$48,990,860NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,568,121NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HIGH QUALITY AND AFFORDABLE HEALTH CARE TO THE UNDERSERVED, WITH A FOCUS ON ASIAN AMERICANS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$49,205,704ExpenseAmt
Revenue$47,332,349RevenueAmt
DescThe organization operated a federally qualified health center, which had 244,324 visits in 2016.Desc
Total Program Service Expenses$49,205,704TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee736EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LYNN D SHERMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2123796988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Emily Woo
Board Member2.00Yes (X)$0$0$0
Irene Chu
Treasurer3.00Yes (X)$0$0$0Yes (X)
James Wong
Board Member2.00Yes (X)$0$0$0
Jeanne Lee Jackson
Board Member2.00Yes (X)$0$0$0
Jiming Liang
Vice Chairperson3.00Yes (X)$0$0$0Yes (X)
Kenny Chin Esq
Board Member2.00Yes (X)$0$0$0
Leslie Chuang MD
Board Member2.00Yes (X)$0$0$0
Marie Lam
Board Member2.00Yes (X)$0$0$0
MARY AGNES PAN
Board Member2.00Yes (X)$0$0$0
Owh Kian Ong
Board Member2.00Yes (X)$0$0$0
Pauline Tse
Board Member2.00Yes (X)$0$0$0
Philip Chong Jr
Board Member2.00Yes (X)$0$0$0
ROBERT BELL
Board Member2.00Yes (X)$0$0$0
Sophia Tsao
Secretary3.00Yes (X)$0$0$0Yes (X)
Stephanie Cheng
Board Member2.00Yes (X)$0$0$0
Timothy Hsu
Board Member2.00Yes (X)$0$0$0
Victor Lee
Chairperson4.00Yes (X)$0$0$0Yes (X)
William Tam
Board Member2.00Yes (X)$0$0$0
Yvonne Ghaw
Board Member2.00Yes (X)$0$0$0
Betty K Cheng
Chief Operating Officer35.00$228,322$0$21,041Yes (X)
JANE T ENG ESQ
Chief Executive Officer35.00$342,074$0$41,823Yes (X)
Lynn D Sherman
Chief Financial Officer35.00$248,491$0$42,616Yes (X)
Kenneth Shieh
Chief Strategy Officer35.00$190,140$0$14,886Yes (X)
PERRY PONG MD
Chief Medical Officer35.00$295,996$0$42,667Yes (X)
REGINA F LEE ESQ
Chief Development Officer35.00$228,436$0$32,328Yes (X)
ALLAN HO MD
Chief of OBGYN35.00$418,427$0$26,824Yes (X)
CHRISTINE J SHEN MD
Senior Pediatrician II35.00$342,155$0$32,935Yes (X)
Du Chu Wu MD
Senior Internist Level I35.00$302,783$0$37,171Yes (X)
JIAN-PING CHEN MD
MD of Mental Health35.00$309,211$0$41,220Yes (X)
JIE YING SHEN MD
Senior Pediatrician II35.00$434,847$0$34,178Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,340,882TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$367,689TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K64IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Proskauer Rose LLP
Eleven Times SquareNew YorkNY10036Legal Services$199,921
Paladin Consulting
755 West End Avenue Suite 14Bnew YorkNY10025Computer Consulting$141,958
COhnReznick LLP
1301 Avenue of the AmericasNew YorkNY10019Accounting and Tax Services$123,750
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$7,065,706GovernmentGrantsAmt
All Other Contributions$2,230,544AllOtherContributionsAmt
Noncash Contributions$2,054,925NoncashContributionsAmt
Total Contributions$9,296,250TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NEW YORK STATE MEDICAID MANAGED C621400$18,846,000$18,846,000
Medicaid managed care621400$8,671,477$8,671,477
private insurance621400$8,415,562$8,415,562
Medicaid621400$3,144,649$3,144,649
new york state uncompensated care621400$2,311,009$2,311,009

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,658,848TotalRevenueColumnAmt
Related Or Exempt Func Income$2,658,848RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$44,047,545TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$190,132TotalRevenueColumnAmt
Exclusion$190,132ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HEALTH PLAN QUALITY DISTRIBUTION900099$2,728,821$2,728,821
management services fees900099$250,573$250,573
meaningful use incentive900099$242,250$242,250

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,160TotalRevenueColumnAmt
Related Or Exempt Func Income$63,160RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,284,804OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,818,731TotalRevenueColumnAmt
Related Or Exempt Func Income$47,332,349RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$190,132ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,728,821TotalAmt
Program Services$1,503,136ProgramServicesAmt
Management And General$225,685ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,054,529TotalAmt
Program Services$27,869,970ProgramServicesAmt
Management And General$4,184,559ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,272,603TotalAmt
Program Services$1,106,498ProgramServicesAmt
Management And General$166,105ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,179,012TotalAmt
Program Services$3,633,551ProgramServicesAmt
Management And General$545,461ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,628,288TotalAmt
Program Services$2,285,233ProgramServicesAmt
Management And General$343,055ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$91,677TotalAmt
Management And General$91,677ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$144,550TotalAmt
Management And General$144,550ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$586,234TotalAmt
Program Services$489,966ProgramServicesAmt
Management And General$96,268ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,001,525TotalAmt
Program Services$861,290ProgramServicesAmt
Management And General$140,235ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,899,795TotalAmt
Program Services$3,321,845ProgramServicesAmt
Management And General$577,950ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$358,138TotalAmt
Program Services$237,187ProgramServicesAmt
Management And General$120,951ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$229,508TotalAmt
Program Services$151,998ProgramServicesAmt
Management And General$77,510ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,296,116TotalAmt
Program Services$1,104,032ProgramServicesAmt
Management And General$192,084ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$158,541TotalAmt
Program Services$62,780ProgramServicesAmt
Management And General$95,761ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Donated vaccines$2,054,925$2,054,925
Pharmaceuticals$1,694,668$1,694,668
Equpment rental and mai$873,883$719,327$154,556
Consumable supplies$758,361$639,772$118,589

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,618,693TotalAmt
Program Services$1,469,526ProgramServicesAmt
Management And General$149,167ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,629,867TotalAmt
Program Services$49,205,704ProgramServicesAmt
Management And General$7,424,163ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,067,781BOYAmt
EOY$1,332,421EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,686,603BOYAmt
EOY$10,563,326EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,048,641BOYAmt
EOY$1,980,010EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,631,240BOYAmt
EOY$7,566,476EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$500,652BOYAmt
EOY$617,373EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$44,558,842LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,380,224LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,707,756BOYAmt
EOY$29,178,618EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,466,562BOYAmt
EOY$5,987,156EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,769,609BOYAmt
EOY$4,622,210EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$59,878,844BOYAmt
EOY$61,847,590EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,922,986BOYAmt
EOY$7,725,697EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,964,998BOYAmt
EOY$4,553,772EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,887,984BOYAmt
EOY$12,279,469EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$48,553,485BOYAmt
EOY$49,439,980EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$437,375BOYAmt
EOY$128,141EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,990,860BOYAmt
EOY$49,568,121EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,878,844BOYAmt
EOY$61,847,590EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$188,864ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$388,397NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,778,579CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,891,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,989,685CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,801,408CurrentTaxYearMinus1YearAmt
Current Tax Year$9,296,250CurrentTaxYearAmt
Total$44,757,126TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,320,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,662,634CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,220,402CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,847,842CurrentTaxYearMinus1YearAmt
Current Tax Year$44,047,545CurrentTaxYearAmt
Total$206,099,076TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,099,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$53,553,838CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,210,087CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,649,250CurrentTaxYearMinus1YearAmt
Current Tax Year$53,343,795CurrentTaxYearAmt
Total$250,856,202TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$250,856,202PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,334CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,698CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$322,058CurrentTaxYearMinus1YearAmt
Current Tax Year$190,132CurrentTaxYearAmt
Total$742,435TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,334CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,698CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$322,058CurrentTaxYearMinus1YearAmt
Current Tax Year$190,132CurrentTaxYearAmt
Total$742,435TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$595,933CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$519,145CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,134,268CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,411,026CurrentTaxYearMinus1YearAmt
Current Tax Year$3,284,804CurrentTaxYearAmt
Total$10,945,176TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,735,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,108,196CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,499,053CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,382,334CurrentTaxYearMinus1YearAmt
Current Tax Year$56,818,731CurrentTaxYearAmt
Total$262,543,813TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95550PublicSupportCY509Pct
Public Support PY5090.96050PublicSupportPY509Pct
Investment Income CY0.00280InvestmentIncomeCYPct
Investment Income PY0.00240InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationHealth plan quality distribution - 2014 Amount: $ 1,957,315. 2015 Amount: $ 2,337,220. 2016 Amount: $ 2,728,821. Meaningful use incentive - 2014 Amount: $ 463,250. 2015 Amount: $ 416,500. 2016 Amount: $ 242,250. Management services fees - 2012 Amount: $ 217,662. 2013 Amount: $ 230,562. 2014 Amount: $ 238,555. 2015 Amount: $ 243,654. 2016 Amount: $ 250,573. Metrocard reimbursement - 2014 Amount: $ 239,803. 2015 Amount: $ 364,095. Medical records charges - 2013 Amount: $ 22,731. 2014 Amount: $ 27,520. 2015 Amount: $ 37,457. 2016 Amount: $ 42,103. Other - 2012 Amount: $ 5,445. 2013 Amount: $ 265,852. 2014 Amount: $ 207,825. 2015 Amount: $ 12,100. 2016 Amount: $ 21,057. insurance plan proceeds - 2012 Amount: $ 308,031. miscellaneous income - 2012 Amount: $ 64,795.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,958,494OtherCostOrOtherBasisAmt
Book Value$14,958,494BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,396,199OtherCostOrOtherBasisAmt
Depreciation$7,701,299DepreciationAmt
Book Value$11,694,900BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,544,213OtherCostOrOtherBasisAmt
Depreciation$4,772,794DepreciationAmt
Book Value$771,419BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,659,936OtherCostOrOtherBasisAmt
Depreciation$2,906,131DepreciationAmt
Book Value$1,753,805BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,178,618TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$621,293
DEFERRED COMPENSATION ACCOUNT$4,000,917
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,622,210TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED COMPENSATION PAYABLE$4,000,917
DEFERRED RENT$552,855
FieldValueIRS element (for citing)
Total Liability$4,553,772TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$57,526,441TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$388,397NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$2,640DonatedServicesAndUseFcltsAmt
Other Revenue$316,673OtherRevenueAmt
Revenue Not Reported$707,710RevenueNotReportedAmt
Revenue Subtotal$56,818,731RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$56,818,731TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$56,949,180TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$2,640DonatedServicesUseFcltsAmt
Expenses Not Reported$2,640ExpensesNotReportedAmt
Expenses Subtotal$56,946,540ExpensesSubtotalAmt
Other Expenses Not Included-$316,673OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$316,673ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$56,629,867TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:The Center has no unrecognized tax benefits at December 31, 2016. The Center's Federal and state income tax returns prior to fiscal year 2013 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. The Center recognizes interest and penalties associated with tax matters as operating expenses and includes accrued interest and penalties with accrued expenses in the statement of financial position.
Part XI, Line 2d - Other Adjustments:employee benefit reimbursements 316,673.
Part XII, Line 4b - Other Adjustments:employee benefit reimbursements -316,673.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Betty K Cheng
Chief Operating Officer$207,496$0$0$0$20,826$0$13,564$0$7,477$0$249,363$0$0$0
JANE T ENG ESQ
Chief Executive Officer$322,359$0$0$0$19,715$0$15,900$0$25,923$0$383,897$0$0$0
Lynn D Sherman
Chief Financial Officer$229,459$0$0$0$19,032$0$15,126$0$27,490$0$291,107$0$0$0
Kenneth Shieh
Chief Strategy Officer$171,940$0$0$0$18,200$0$11,565$0$3,322$0$205,027$0$0$0
PERRY PONG MD
Chief Medical Officer$294,964$0$0$0$1,032$0$15,788$0$26,880$0$338,664$0$0$0
REGINA F LEE ESQ
Chief Development Officer$208,721$0$0$0$19,715$0$13,564$0$18,764$0$260,764$0$0$0
ALLAN HO MD
Chief of OBGYN$399,395$0$0$0$19,032$0$15,900$0$10,924$0$445,251$0$0$0
CHRISTINE J SHEN MD
Senior Pediatrician II$323,825$0$0$0$18,330$0$7,615$0$25,320$0$375,090$0$0$0
Du Chu Wu MD
Senior Internist Level I$284,327$0$0$0$18,456$0$8,917$0$28,255$0$339,955$0$0$0
JIAN-PING CHEN MD
MD of Mental Health$290,659$0$0$0$18,552$0$15,900$0$25,320$0$350,431$0$0$0
JIE YING SHEN MD
Senior Pediatrician II$416,305$0$0$0$18,542$0$8,078$0$26,100$0$469,025$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART II:FormAndLineReferenceDesc
ExplanationA PORTION OF THE AMOUNT PRESENTED IN COLUMN B(III) FOR Allan Ho, Christine J. Shen, Jian-Ping Chen, Jie Ying Shen, Kenneth Shieh, Regina F. Lee, Betty K. Cheng, Jane T. Eng, Du Chu Wu, and Lynn D. Sherman REPRESENT AMOUNTS DEFERRED INTO A QUALIFIED RETIREMENT PLAN.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRE COURT HOLDINGS LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionIrene Chu, Board member, has financial interest in Centre Court Hldngs LLCRelationshipDescriptionTxt
Transaction$396,624TransactionAmt
TransactionRENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$2,054,925NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bCOPIES OF THE FORM 990 ARE DISTRIBUTED THE BOARD OF DIRECTORS. IT IS REVIEWED BY SENIOR MANAGEMENT, INCLUDING THE CEO AND CFO, AND THE BOARD AUDIT COMMITTEE, WHO PRESENT IT TO THE BOARD OF DIRECTORS FOR A VOTE BEFORE IT IS FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12cTHE ORGANIZATION'S DIRECTORS, OFFICERS AND KEY EMPLOYEES SIGN DISCLOSURE STATEMENTS ANNUALLY. THE BOARD DEVELOPMENT COMMITTEE AND AUDIT COMMITTEE ARE RESPONSIBLE FOR MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IN THE EVENT A CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE HIMSELF/HERSELF FROM ANY DELIBERATION AND VOTING REGARDING THE CONFLICT.
Form 990, Part VI, Section B, line 15aANNUALLY, THE compensation COMMITTEE OF THE BOARD REVIEWS AND EVALUATES THE CEO AND DECIDES ON COMPENSATION. INFORMATION FROM OUTSIDE CONSULTANTS ON COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS MAY BE USED IN THEIR DETERMINATION. SALARIES FOR OTHER OFFICERS & KEY EMPLOYEES ARE DETERMINED BY THE CEO, USING SALARY SURVEYS WITH INFORMATION FROM OTHER HEALTH CENTERS, AS WELL AS EMPLOYEE ANNUAL EVALUATIONS.
Form 990, Part VI, Section C, line 19COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AREAVAILABLE UPON REQUEST.
form 990, part XII, line 2c:No change from prior period process.