COMMUNITY HEALTHCARE NETWORK INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTHCARE NETWORK INC (EIN 13-3083068)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201613199349308241
- Schema version
- 2015v2.1
- 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 C
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T14:56:15-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 Avenue of the Americas | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133083068 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTHCARE NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2125452404 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 MADISON AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10010 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN WENGROFSKY | PersonNm |
| Person Title | CFO AND VP OF FINANCE | PersonTitleTxt |
| Phone | 2125452404 | PhoneNum |
| Signature | 2016-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS LANNING | PreparerPersonNm |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | robert hayes | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 MADISON AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $69,698,623 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.chnnyc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HEALTHCARE NETWORK, INC ("CHN") OPERATES FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NEW YORK STATE HEALTH LAW, LOCATED THOUGHOUT NEW YORK CITY. CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY AND PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 708 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,982,200 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,600,052 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,679,213 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $48,698,049 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,052,129 | PYInvestmentIncomeAmt |
| CY Investment Income | $345,380 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,647,687 | PYOtherRevenueAmt |
| CY Other Revenue | $926,293 | CYOtherRevenueAmt |
| PY Total Revenue | $66,361,229 | PYTotalRevenueAmt |
| CY Total Revenue | $66,569,774 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,194,833 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,861,838 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,017,203 | PYOtherExpensesAmt |
| CY Other Expenses | $20,541,627 | CYOtherExpensesAmt |
| PY Total Expenses | $53,212,036 | PYTotalExpensesAmt |
| CY Total Expenses | $62,403,465 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,149,193 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,166,309 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $73,228,107 | TotalAssetsBOYAmt |
| Total Assets EOY | $85,150,288 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,768,448 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,964,453 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $67,459,659 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $71,185,835 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY and PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $51,051,004 | ExpenseAmt |
| Revenue | $49,644,103 | RevenueAmt |
| Desc | CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY AND PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. CHN PROVIDED HEALTH CARE SERVICES FOR 220,430 HEALTH CARE VISITS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2015. | Desc |
| Total Program Service Expenses | $51,051,004 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | 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 | 87 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 708 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAN Wengrofsky | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2125452481 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 MADISON AVE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10010 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| BRENDA MERRITT | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAROLINE DORSEN | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Denise Gordon | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DONNA ANDERSON | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELEANORA SOTTILARO | |||||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ELIZABETH KELLNER | |||||||||
| Chairperson | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ENRIQUE VELA | |||||||||
| outgoing BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ERIKA LINDSEY | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GRETA ELYSEE | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Harlem Gunness | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jennifer Ramirez | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPHINE DIAZ | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUNE NIKLUS | |||||||||
| Vice Chairperson | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| KRISTIN L MANZOLILO | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY RAPOPORT | |||||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| PETER TADAO GEE | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ralph Aquila | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ralph Salamanca | |||||||||
| outgoing BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Randy Siller | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Alan Wengrofsky | |||||||||
| CFO and VP of Finance | 35.00 | $262,997 | $0 | $30,572 | Yes (X) | ||||
| Robert Hayes | |||||||||
| CEO | 35.00 | $317,887 | $0 | $31,236 | Yes (X) | ||||
| Matthew Weissman | |||||||||
| VP Medical Affairs | 35.00 | $308,640 | $0 | $30,160 | Yes (X) | ||||
| Daniel Napolitano | |||||||||
| Medical Director | 35.00 | $225,274 | $0 | $24,113 | Yes (X) | ||||
| Grace Chow | |||||||||
| Physician | 35.00 | $179,136 | $0 | $24,755 | Yes (X) | ||||
| Gregory Taddeo | |||||||||
| dentist | 35.00 | $178,499 | $0 | $13,715 | Yes (X) | ||||
| Hafiz Maje | |||||||||
| Physician | 35.00 | $225,003 | $0 | $28,119 | Yes (X) | ||||
| Lawrence Kramer | |||||||||
| Associate Medical Director | 35.00 | $205,145 | $0 | $25,261 | Yes (X) | ||||
| Catherine Abate | |||||||||
| Former CEO | 0.00 | $887,390 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,789,971 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $207,931 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 58 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Advanced Medical Billing Systems | |||||
| 18 woodhaven drive | nEW YORK | NY | 10956 | DATA ANALYST | $293,204 |
| COHNREZNICK LLP | |||||
| 1212 AVE OF the AMERICAS | NEW YORK | NY | 10036 | ACCOUNTING & TAX | $168,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $252,779 | FundraisingAmt |
| Government Grants | $14,379,726 | GovernmentGrantsAmt |
| All Other Contributions | $1,967,547 | AllOtherContributionsAmt |
| Noncash Contributions | $763,309 | NoncashContributionsAmt |
| Total Contributions | $16,600,052 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicaid and Medicaid managed car | 623000 | $27,034,015 | $27,034,015 |
| Health home revenue | 623000 | $12,969,166 | $12,969,166 |
| Self-pay | 623000 | $3,306,709 | $3,306,709 |
| New York State uncompensated care | 623000 | $3,104,564 | $3,104,564 |
| Private insurance | 623000 | $1,682,164 | $1,682,164 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $601,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $601,431 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $48,698,049 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $618,996 | TotalRevenueColumnAmt |
| Exclusion | $618,996 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,500 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,500 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,500 | TotalRevenueColumnAmt |
| Exclusion | $3,500 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,770,372 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,043,988 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$273,616 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$273,616 | TotalRevenueColumnAmt |
| Exclusion | -$273,616 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $61,600 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $252,779 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $84,861 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$23,261 | TotalRevenueColumnAmt |
| Exclusion | -$23,261 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| meaningful use | 623000 | $391,000 | $391,000 |
| CCMP | 900099 | $195,691 | $195,691 |
| QARR HIV REVNUE | 900099 | $90,021 | $90,021 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $269,342 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $269,342 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $946,054 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,569,774 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,644,103 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $325,619 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $981,492 | TotalAmt |
| Program Services | $792,552 | ProgramServicesAmt |
| Management And General | $188,940 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,158,295 | TotalAmt |
| Program Services | $25,160,223 | ProgramServicesAmt |
| Management And General | $5,998,072 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $499,293 | TotalAmt |
| Program Services | $403,178 | ProgramServicesAmt |
| Management And General | $96,115 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,619,930 | TotalAmt |
| Program Services | $5,345,572 | ProgramServicesAmt |
| Management And General | $1,274,358 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,602,828 | TotalAmt |
| Program Services | $2,101,775 | ProgramServicesAmt |
| Management And General | $501,053 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,841 | TotalAmt |
| Management And General | $68,841 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,950 | TotalAmt |
| Management And General | $147,950 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,214,492 | TotalAmt |
| Program Services | $1,788,175 | ProgramServicesAmt |
| Management And General | $426,317 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,347 | TotalAmt |
| Program Services | $61,347 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,121,929 | TotalAmt |
| Program Services | $1,531,956 | ProgramServicesAmt |
| Management And General | $589,973 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,914 | TotalAmt |
| Program Services | $69,444 | ProgramServicesAmt |
| Management And General | $2,470 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,009,485 | TotalAmt |
| Program Services | $2,265,316 | ProgramServicesAmt |
| Management And General | $744,169 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,324 | TotalAmt |
| Program Services | $86,474 | ProgramServicesAmt |
| Management And General | $38,850 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,440 | TotalAmt |
| Program Services | $147,963 | ProgramServicesAmt |
| Management And General | $66,477 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,541,923 | TotalAmt |
| Program Services | $1,906,442 | ProgramServicesAmt |
| Management And General | $635,481 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,082 | TotalAmt |
| Program Services | $154,562 | ProgramServicesAmt |
| Management And General | $51,520 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| medical supplies | $4,443,304 | $4,443,304 | |
| bad debt | $2,943,455 | $2,943,455 | |
| laboratory | $516,562 | $516,562 | |
| LICENSES AND FEES | $493,424 | $240,552 | $252,872 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,361,155 | TotalAmt |
| Program Services | $1,092,152 | ProgramServicesAmt |
| Management And General | $269,003 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,403,465 | TotalAmt |
| Program Services | $51,051,004 | ProgramServicesAmt |
| Management And General | $11,352,461 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,318,796 | BOYAmt |
| EOY | $1,730,463 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,475,378 | BOYAmt |
| EOY | $28,583,242 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,522,934 | BOYAmt |
| EOY | $3,688,426 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,120,438 | BOYAmt |
| EOY | $7,429,915 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,581 | BOYAmt |
| EOY | $404,682 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,285,192 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,508,955 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,585,564 | BOYAmt |
| EOY | $9,776,237 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,990,913 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,447 | BOYAmt |
| EOY | $657,345 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,362,969 | BOYAmt |
| EOY | $18,889,065 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,228,107 | BOYAmt |
| EOY | $85,150,288 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,102,216 | BOYAmt |
| EOY | $5,732,735 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,484,362 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $666,232 | BOYAmt |
| EOY | $747,356 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,768,448 | BOYAmt |
| EOY | $13,964,453 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,459,659 | BOYAmt |
| EOY | $71,185,835 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,459,659 | BOYAmt |
| EOY | $71,185,835 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,228,107 | BOYAmt |
| EOY | $85,150,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,166,309 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$514,564 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $74,431 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,395,337 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,482,638 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,920,234 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,982,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,600,052 | CurrentTaxYearAmt |
| Total | $78,380,461 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,395,337 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,482,638 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,920,234 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,982,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,600,052 | CurrentTaxYearAmt |
| Total | $78,380,461 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $78,380,461 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $48,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,123 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $82,142 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $128,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $622,496 | CurrentTaxYearAmt |
| Total | $937,149 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,956 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $669,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,917,735 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,645,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,007,654 | CurrentTaxYearAmt |
| Total | $6,300,819 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $85,618,429 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $197,909,814 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91550 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91550 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2011 Amount: $ 15,831. 2012 Amount: $ 32,162. 2013 Amount: $ 101,533. 2014 Amount: $ 103,552. 2015 Amount: $ 196,257. FUNDRAISING REVENUE - 2011 Amount: $ 44,125. 2013 Amount: $ 30,000. 2015 Amount: $ 61,600. MEANINGFUL USE - 2012 Amount: $ 637,500. 2013 Amount: $ 1,186,750. 2014 Amount: $ 556,750. 2015 Amount: $ 391,000. ADMIN FEES - 2013 Amount: $ 161,952. 2014 Amount: $ 267,672. HEALTH REVENUE - 2013 Amount: $ 437,500. QUALITY INCENTIVE - 2014 Amount: $ 160,132. CCMP REVENUE - 2014 Amount: $ 170,986. 2015 Amount: $ 195,691. QCCP REVENUE - 2014 Amount: $ -36,877. 2015 Amount: $ 73,085. EXPENSE WRITE OFF - 2014 Amount: $ 150,000. LIFE INSURANCE PROCEEDS - 2014 Amount: $ 1,273,597. qarr hiv revenue - 2015 Amount: $ 90,021. | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $73,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $73,500 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | THE LOBBYING ACTIVITIES INCLUDE RETENTION OF CONSULTANTS TO ADVISE CHN ON POLICY INITIATIVES AND ON OPPORTUNITIES TO SECURE SUPPORT FOR NEEDED COMMUNITY HEALTHCARE SERVICES INCLUDING A MOBILE OPTOMETRY CENTER AND ADDITIONAL CLINIC SPACE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,931 | OtherCostOrOtherBasisAmt |
| Book Value | $37,931 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,807,556 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,346,463 | DepreciationAmt |
| Book Value | $5,461,093 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,167,185 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,528,569 | DepreciationAmt |
| Book Value | $2,638,616 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,664,646 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,483,981 | DepreciationAmt |
| Book Value | $1,180,665 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,607,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,149,942 | DepreciationAmt |
| Book Value | $457,932 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,776,237 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| security deposits | $414,043 |
| SUBVENTION RECEIVABLE | $1,000,000 |
| Restricted CD-Letter of Credit | $207,350 |
| total assets limited as to use | $17,000,000 |
| due from affiliated party | $267,672 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,889,065 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Rent | Desc |
| Amt | $747,356 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $747,356 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $63,271,047 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$514,564 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,943,455 | OtherRevenueAmt |
| Revenue Not Reported | -$3,458,019 | RevenueNotReportedAmt |
| Revenue Subtotal | $66,729,066 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$159,292 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$159,292 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $66,569,774 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $59,544,871 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $84,861 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $84,861 | ExpensesNotReportedAmt |
| Expenses Subtotal | $59,460,010 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,943,455 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,943,455 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $62,403,465 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | CHN has no unrecognized tax benefits at December 31, 2015. CHN's Federal and state income tax returns prior to fiscal year 2012 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. CHN recognizes interest and penalties associated with tax matters as operating expenses and include accrued interest and penalties with accrued expenses in the statements of financial position. |
| Part XI, Line 2d - Other Adjustments: | BAD DEBT EXPENSE -2,943,455. |
| Part XI, Line 4b - Other Adjustments: | tax adjustment queens coordinated care partners llc -147,516. tax adjustment community care management partners llc 73,085. fundraising direct expenses -84,861. |
| Part XII, Line 2d - Other Adjustments: | fundraising direct expenses 84,861. |
| Part XII, Line 4b - Other Adjustments: | BAD DEBT EXPENSE 2,943,455. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $317,179 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $252,779 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $64,400 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $403 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $46,800 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $35,033 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $2,625 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $317,179 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $252,779 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $64,400 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $403 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $46,800 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $35,033 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,625 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $84,861 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$20,461 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE G, PART II: | FormAndLineReferenceDesc |
| Explanation | CONTRIBUTIONS were RECEIVED IN ADVANCE OF THE EVENT in 2014, these contributions of $2,800 are reported on schedule G as gross fundraising revenue, but not on Form 990, Part VIII as they were received and reported in prior year. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alan Wengrofsky | ||||||||||||||
| CFO and VP of Finance | $252,817 | $0 | $10,000 | $0 | $180 | $0 | $5,348 | $0 | $25,224 | $0 | $293,569 | $0 | $0 | $0 |
| Robert Hayes | ||||||||||||||
| CEO | $317,227 | $0 | $0 | $0 | $660 | $0 | $6,462 | $0 | $24,774 | $0 | $349,123 | $0 | $0 | $0 |
| Matthew Weissman | ||||||||||||||
| VP Medical Affairs | $308,520 | $0 | $0 | $0 | $120 | $0 | $6,236 | $0 | $23,924 | $0 | $338,800 | $0 | $0 | $0 |
| Daniel Napolitano | ||||||||||||||
| Medical Director | $225,154 | $0 | $0 | $0 | $120 | $0 | $0 | $0 | $24,113 | $0 | $249,387 | $0 | $0 | $0 |
| Grace Chow | ||||||||||||||
| Physician | $179,016 | $0 | $0 | $0 | $120 | $0 | $3,591 | $0 | $21,164 | $0 | $203,891 | $0 | $0 | $0 |
| Gregory Taddeo | ||||||||||||||
| dentist | $178,379 | $0 | $0 | $0 | $120 | $0 | $3,615 | $0 | $10,100 | $0 | $192,214 | $0 | $0 | $0 |
| Hafiz Maje | ||||||||||||||
| Physician | $224,823 | $0 | $0 | $0 | $180 | $0 | $4,555 | $0 | $23,564 | $0 | $253,122 | $0 | $0 | $0 |
| Lawrence Kramer | ||||||||||||||
| Associate Medical Director | $204,353 | $0 | $0 | $0 | $792 | $0 | $4,097 | $0 | $21,164 | $0 | $230,406 | $0 | $0 | $0 |
| Catherine Abate | ||||||||||||||
| Former CEO | $0 | $0 | $0 | $0 | $887,390 | $0 | $0 | $0 | $0 | $0 | $887,390 | $0 | $737,391 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | THE AMOUNT ON SCHEDULE J PART II COLUMN C FOR CATHERINE ABATE RELATES TO A LIFE INSURANCE POLICY. CHN RECEIVED THIS $737,391 AS PROCEEDS FROM FIRST AMERITUS LIFE INSURANCE CORP. OF NEW YORK FOLLOWING MS. ABATE'S DEATH ON MAY 17TH 2014. CHN'S BOARD OF DIRECTORS HAD AUTHORIZED THE PURCHASE OF THESE CONTRACTS IN 2010 THRU 2013, FOR THE PURPOSE OF PROVIDING PERFORMANCE BASED DEFERRED COMPENSATION FOR MS. ABATE WITH THE EXPECTATION THAT FOLLOWING HER RETIREMENT SHE WOULD DRAW THE INCOME AS AN ANNUITY OVER THE COURSE OF HER RETIREMENT. MS ABATE PASSED AWAY PRIOR TO HER RETIREMENT, AND PER THE POLICY TERMS, A LUMP SUM WAS PAID TO CHN AS THE HOLDER OF THE CONTRACT. CHN THEN paid the proceeds as follows in 2015: The Estate of Catherine Abate $ 679,520 Kyle Kliegerman (beneficary of the The Estate of Catherine Abate ) $ 207,870 |
| Part I, Line 7 | THE AMOUNTS INCLUDED ON PART II, B(II), REPRESENT bonuses that were approved by the board. These amounts were included in the individuals W2. |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $763,309 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | 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 | column b represents the number of contributions. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | Form 990 is prepared by independent accountant and reviewed by management. It is then reviewed by the chair of the board and the finance committee and distributed to the entire board of directors before filling with the IRS. |
| Form 990, Part VI, Section B, line 12c | ALL MANAGEMENT AND EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISIONs SHALL, AT LEAST ANNUALLY, FILE A CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND CONSULT WIth OUTSIDE COUNSEL, AS NECESSARY, CONCERNING ANY POTENTIAL PrOBLEMS OR POSSIBLE CONFLICTS OF INTEREST. IN ADDITION, TO COMPLETING THE ANNUAL DISCLOSURE STATEMENT, ALL EMPLOYEES MUST AlsO IMMEDIATELY DISCLOSE TO THE COMPLIANCE OFFICER ANY POSSIBLE CONFLICTS OF INTEREST AS THEY ARISE. THE COMPLIANCE OFFICER, AS NECESSARY, WILL THEN CONSULT WITH OUTSIDE COUNSEL. |
| Form 990, Part VI, Section B, line 15a | The board of directors determines and approves compensation of the CEo based on form 990 of other organizations. |
| Form 990, Part VI, Section C, line 19 | The documents are available upon request. |
| Form 990, Part XI, line 9: | tax adjustment queens coordinated care partners llc -73,085. tax adjustment community care management partners llc 147,516. |
| form 990, part xii, line 2c: | The selection and oversight process has not changed from the prior year. |
| 990, part IV, line 20A: | The organization is licensed under article 28 of New York State Public Health Law. However, subsection 10 of article 28 excludes certain healthcare facilities from the definition of general hospital. Therefore, the organization is not including schedule H in the current year form 990 as they do not meet this definition. |