2014-11-05T10:58:34-06:00 2013-12-31 420714325 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2013-01-01 132739694 CHARLES B WANG COMMUNITY HEALTH CENTER INC CHAR 2123796988 268 CANAL STREET NEW YORK NY 10013 JANE T ENG CHIEF EXECUTIVE OFFICER 2123796988 2014-11-05 1 MARTIN GREIF P00029738 2123721000 2013 2015-11-30 17:44:51Z JANE T ENG 268 CANAL STREET NEW YORK NY 10013 54108196 0 X WWW.CBWCHC.ORG X 1972 NY THE MISSION OF THE CHARLES B. WANG COMMUNITY HEALTH CENTER IS TO ELIMINATE DISPARITIES IN HEALTH, IMPROVE HEALTH STATUS, AND EXPAND ACCESS TO THE MEDICALLY UNDERSERVED WITH A FOCUS ON ASIAN AMERICANS. 13 13 634 26 0 0 7778579 7891204 33320653 45662634 40334 35213 595933 519145 41735499 54108196 0 0 0 0 29473534 31372172 0 0 12197 9945110 10282147 39418644 41654319 2316855 12453877 34721969 47720887 7867125 8404655 26854844 39316232 THE MISSION OF THE CHARLES B. WANG COMMUNITY HEALTH CENTER IS TO ELIMINATE DISPARITIES IN HEALTH, IMPROVE HEALTH STATUS, AND EXPAND ACCESS TO THE MEDICALLY UNDERSERVED WITH A FOCUS ON ASIAN AMERICANS. 0 0 35961949 45685365 THE ORGANIZATION OPERATED A FEDERALLY QUALIFIED HEALTH CENTER, WHICH HAD 222,002 VISITS IN 2013. 35961949 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 22 0 1 634 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X LYNN D SHERMAN 2123796988 268 CANAL STREET NEW YORK NY 10013 X KENNETH CHIN ESQ CHAIRPERSON 4.00 X X 0 0 0 CHUN K YIP MD VICE CHAIRPERSON 3.00 X X 0 0 0 JAMES WONG TREASURER 3.00 X X 0 0 0 MARY AGNES PAN SECRETARY 3.00 X X 0 0 0 ROBERT BELL BOARD MEMBER 2.00 X 0 0 0 TIMOTHY HSU BOARD MEMBER 2.00 X 0 0 0 MARIE LAM BOARD MEMBER 2.00 X 0 0 0 VICTOR LEE BOARD MEMBER 2.00 X 0 0 0 KENNETH SHIEH BOARD MEMBER 2.00 X 0 0 0 YVONNE GHAW BOARD MEMBER - FROM 11/2013 2.00 X 0 0 0 JEANNE LEE JACKSON BOARD MEMBER - FROM 11/2013 2.00 X 0 0 0 JIMING LIANG BOARD MEMBER - FROM 11/2013 2.00 X 0 0 0 EMILY WOO BOARD MEMBER - FROM 11/2013 2.00 X 0 0 0 ROBERT CHANG BOARD MEMBER - THRU 11/2013 2.00 X 0 0 0 JOHN LI MD BOARD MEMBER - THRU 11/2013 2.00 X 0 0 0 PYSER EDELSACK BOARD MEMBER - THRU 11/2013 2.00 X 0 0 0 YVONNE LIU BOARD MEMBER - THRU 11/2013 2.00 X 0 0 0 DOUGLAS JUNG BOARD MEMBER - THRU 11/2013 2.00 X 0 0 0 IRENE CHU BOARD MEMBER - THRU 11/2013 2.00 X 0 0 0 PAULINE TSE BOARD MEMBER - THRU 11/2013 2.00 X 0 0 0 JANE T ENG ESQ CHIEF EXECUTIVE OFFICER 35.00 X 308342 0 33601 LYNN D SHERMAN CHIEF FINANCIAL OFFICER 35.00 X 213753 0 31891 BETTY CHENG CHIEF OPERATING OFFICER 35.00 X 204267 0 13395 REGINA LEE CHIEF DEVELOPMENT OFFICER 35.00 X 193772 0 20656 PERRY PONG MD CHIEF MEDICAL OFFICER 35.00 X 253707 0 31796 SHAO-CHEE SIM CHIEF STRATEGY OFFICER 35.00 X 186655 0 29084 JIEYING SHEN MD SENIOR PEDIATRICIAN II 35.00 X 372080 0 25947 KIN CHING KONG MD OBSTETRICIAN/GYNECOLOGIST 35.00 X 359819 0 28897 JIAN-PING CHEN MD PSYCHIATRIST/PROJECT DIRECTOR 35.00 X 296978 0 31527 CHRISTINE J SHEN MD SENIOR PEDIATRICIAN 35.00 X 276655 0 22823 YING ZHOU MD OBSTETRICIAN/GYNECOLOGIST 35.00 X 255816 0 24469 2921844 0 294086 58 0 1 0 GE HEALTHCARE PO BOX 640944 PITTSBURGH PA 15264 ELECTRONIC MEDICAL RECORDS 197562 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 ACCOUNTING & TAX SERVICES 124077 2 3658121 4233083 7891204 MEDICAID 900099 25312123 25312123 RETRO MEDICAID ADJUSTMENT 900099 8673650 8673650 OTHER THIRD PARTY 900099 5925324 5925324 MEDICAL HOME 900099 1604930 1604930 SELF-PAY 900099 1537596 1537596 2609011 2609011 45662634 35213 35213 MANAGEMENT FEES - 501(C)(3)ORG. 900099 230562 230562 MEDICAL RECORDS 900099 22731 22731 265852 265852 519145 54108196 45685365 0 531627 1503614 1297121 206493 23549796 20315674 3234122 839162 723919 115243 3458170 2983255 474915 2021430 1743824 277606 108912 108912 106577 106577 377332 291815 85517 1311164 1139920 171244 3204294 2708910 495384 251191 216695 34496 189686 163636 26050 1101363 931092 170271 133275 79308 53967 PHARMACEUTICALS 1232139 1232139 LABORATORY & RADIOLOGY 1115087 1115087 REPAIRS & MAINTENANCE 426871 381304 45567 DUES AND SUBSCRIPTIONS 234309 208798 25511 489947 429452 48298 12197 41654319 35961949 5680173 12197 2000 2000 14039333 15414396 1057321 1066853 3610587 15187860 288723 340356 24073584 11826029 12890509 12247555 16891 24402 2816605 3437465 34721969 47720887 5005895 4801214 18602 21849 2842628 3581592 7867125 8404655 X 26654511 39174448 200333 141784 26854844 39316232 34721969 47720887 12453877 7511 0 X 0 1 X 1 1 1 X 9743897 11319078 8241051 7778579 7891204 44973809 27548348 27747676 29874839 33326098 45685365 164182326 37292245 39066754 38115890 41104677 53576569 209156135 0 0 0 209156135 175287 63685 33246 40334 35213 347765 175287 63685 33246 40334 35213 347765 274068 304790 300793 590488 496414 1966553 37741600 39435229 38449929 41735499 54108196 211470453 0.98910 0.98780 0.00160 0.00330 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS MANAGMENT FEES - 501C3 ORG RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16658254 5566552 11091702 4672123 3828774 843349 2743207 2430703 312504 12247555 SECURITY DEPOSITS 488976 DEFERRED COMPENSATION ACCOUNT 2948489 3437465 DEFERRED COMPENSATION PAYABLE 2948489 DEFERRED RENT 633103 3581592 X 54122067 7511 6360 13871 54108196 0 54108196 41660679 6360 6360 41654319 0 41654319 PART X, LINE 2: THE HEALTH CENTER WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE HEALTH CENTER IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. AT DECEMBER 31, 2013 AND 2012, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. THE HEALTH CENTER FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES). WHEN THE RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH CENTERS INCLUDE SUCH MATTERS AS THE FOLLOWING: TAX-EXEMPT STATUS OF THE ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX (UBIT). UBIT IS REPORTED ON INTERNAL REVENUE SERVICE FORM 990-T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH THE TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORM 990, FILED BY THE HEALTH CENTER, IS SUBJECT TO EXAMINATION UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. X X X 0 0 0 0 0 0 0 0 0 JANE T ENG ESQ CHIEF EXECUTIVE OFFICER 306758 0 0 0 1584 0 15300 0 18301 0 341943 0 0 0 LYNN D SHERMAN CHIEF FINANCIAL OFFICER 212721 0 0 0 1032 0 13058 0 18833 0 245644 0 0 0 BETTY CHENG CHIEF OPERATING OFFICER 202683 0 0 0 1584 0 11709 0 1686 0 217662 0 0 0 REGINA LEE CHIEF DEVELOPMENT OFFICER 192188 0 0 0 1584 0 11709 0 8947 0 214428 0 0 0 PERRY PONG MD CHIEF MEDICAL OFFICER 253155 0 0 0 552 0 13855 0 17941 0 285503 0 0 0 SHAO-CHEE SIM CHIEF STRATEGY OFFICER 186415 0 0 0 240 0 11206 0 17878 0 215739 0 0 0 JIEYING SHEN MD SENIOR PEDIATRICIAN II 371633 0 0 0 447 0 6869 0 19078 0 398027 0 0 0 KIN CHING KONG MD OBSTETRICIAN/GYNECOLOGIST 359459 0 0 0 360 0 8089 0 20808 0 388716 0 0 0 JIAN-PING CHEN MD PSYCHIATRIST/PROJECT DIRECTOR 296426 0 0 0 552 0 15149 0 16378 0 328505 0 0 0 CHRISTINE J SHEN MD SENIOR PEDIATRICIAN 276423 0 0 0 232 0 6445 0 16378 0 299478 0 0 0 YING ZHOU MD OBSTETRICIAN/GYNECOLOGIST 255264 0 0 0 552 0 8156 0 16313 0 280285 0 0 0 CENTRE COURT HOLDINGS LLC IRENE CHU, BOARD MEMBER, HAS A FINANCIAL INTEREST IN THE INTERESTED PERSON 357732 RENT - IRENE CHU, BOARD MEMBER, HAS A FINANCIAL INTEREST IN CENTRE COURT HOLDINGS, LLC, WHICH RENTS SPACE TO THE HEALTH CENTER. 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY SENIOR MANAGEMENT, INCLUDING THE CEO & CFO. COPIES ARE DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S DIRECTORS, OFFICERS AND KEY EMPLOYEES SIGN DISCLOSURE STATEMENTS ANNUALLY. THE BOARD DEVELOPMENT COMMITTEE IS 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 15A ANNUALLY, THE EXECUTIVE 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 19 COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN PART VII, COLUMN F AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS.