CHARLES B WANG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES B WANG COMMUNITY HEALTH CENTER INC (EIN 13-2739694)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-28
- IRS object ID
- 201323019349301367
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-28T17:04:19-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1185 AVENUE OF THE AMERICAS | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100362602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 132739694 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES B WANG COMMUNITY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHAR | NameControl |
| Phone | 2123796988 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 CANAL STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10013 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANE T ENG | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 2123796988 | Phone |
| Date Signed | 2013-10-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARTIN GREIF | Name |
| PTIN | P00029738 | PTIN |
| Phone | 2123721000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JANE T ENG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 CANAL STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10013 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 41735499 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CBWCHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO BE A LEADER IN PROVIDING QUALITY, CULTURALLY RELEVANT, AND AFFORDABLE HEALTH CARE AND EDUCATION, AND TO ADVOCATE ON BEHALF OF THE HEALTH AND SOCIAL NEEDS OF UNDERSERVED ASIAN AMERICANS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 583 | TotalNbrEmployees |
| Total Nbr Volunteers | 27 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8241051 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7778579 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 29869824 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 33320653 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 33262 | InvestmentIncomePriorYear |
| Investment Income Current Year | 40334 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 305808 | OtherRevenuePriorYear |
| Other Revenue Current Year | 595933 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 38449945 | TotalRevenuePriorYear |
| Total Revenue Current Year | 41735499 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29640433 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29473534 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 11417 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9051937 | OtherExpensePriorYear |
| Other Expenses Current Year | 9945110 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 38692370 | TotalExpensesPriorYear |
| Total Expenses Current Year | 39418644 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -242425 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2316855 | RevenuesLessExpensesCY |
| Total Assets BOY | 31194628 | TotalAssetsBOY |
| Total Assets EOY | 34721969 | TotalAssetsEOY |
| Total Liabilities BOY | 6662429 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7867125 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24532199 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 26854844 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION IS TO BE A LEADER IN PROVIDING QUALITY, CULTURALLY RELEVANT, AND AFFORDABLE HEALTH CARE AND EDUCATION, AND TO ADVOCATE ON BEHALF OF THE HEALTH AND SOCIAL NEEDS OF UNDERSERVED ASIAN AMERICANS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 33528162 | Expense |
| Revenue | 33326098 | Revenue |
| Description | THE ORGANIZATION OPERATED A FEDERALLY QUALIFIED HEALTH CENTER, WHICH HAD 214,518 VISITS IN 2012. | Description |
| Total Program Service Expense | 33528162 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 583 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYNN D SHERMAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2123796988 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 CANAL STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10013 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KENNY CHIN | ||||||||
| CHAIRPERSON | 4.00 | X | X | 0 | 0 | 0 | ||
| CHUN K YIP MD | ||||||||
| VICE CHAIRPERSON | 3.00 | X | X | 0 | 0 | 0 | ||
| MARY AGNES PAN | ||||||||
| SECRETARY | 3.00 | X | X | 0 | 0 | 0 | ||
| JAMES WONG | ||||||||
| TREASURER | 3.00 | X | X | 0 | 0 | 0 | ||
| ROBERT BELL | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT CHANG | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| IRENE CHU | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| PYSER EDELSACK | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| TIMOTHY HSU | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| DOUGLAS JUNG | ||||||||
| 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 | |||
| JOHN LI MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| YVONNE LIU | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| KENNETH SHIEH | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| PAULINE TSE | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JEANNE LEE JACKSON | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| EMILY WOO | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| LILY TANG | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| YVONNE GHAW | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| HELEN CHONG | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JANE ENG ESQ | ||||||||
| CHIEF EXECUTIVE OFFICER | 35.00 | X | 289257 | 0 | 35582 | |||
| LYNN SHERMAN | ||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | X | 200319 | 0 | 33613 | |||
| BETTY K CHENG | ||||||||
| CHIEF OPERATING OFFICER | 35.00 | 184234 | 0 | 12693 | X | |||
| REGINA F LEE ESQ | ||||||||
| CHIEF DEVELOPMENT OFFICER | 35.00 | 181837 | 0 | 20684 | X | |||
| PERRY PONG MD | ||||||||
| CHIEF MEDICAL OFFICER | 35.00 | 237610 | 0 | 34382 | X | |||
| SHAO-CHEE SIM | ||||||||
| CHIEF STRATEGY OFFICER | 35.00 | 171315 | 0 | 31147 | X | |||
| KIN CHING KONG MD | ||||||||
| OBSTETRICIAN/GYNECOLOGIST | 35.00 | 408533 | 0 | 32099 | X | |||
| JIEYING SHEN MD | ||||||||
| SENIOR PEDIATRICIAN II | 35.00 | 357399 | 0 | 27812 | X | |||
| JIAN-PING CHEN MD | ||||||||
| PSYCHIATRIST/PROJECT DIRECTOR | 35.00 | 281939 | 0 | 31665 | X | |||
| CHRISTINE J SHEN MD | ||||||||
| SENIOR PEDIATRICIAN | 35.00 | 243090 | 0 | 25302 | X | |||
| LORETTA AU MD | ||||||||
| SECTION CHIEF - PEDIATRICS | 35.00 | 217151 | 0 | 13621 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2772684 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 298600 | TotalOtherCompensation |
| Number Individuals GT100 K | 54 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GANNON CONTRACTING LLC | |||||
| 49 WEST 38TH STREET | NEW YORK | NY | 10018 | CONSTRUCTION | 1074245 |
| DONG & TANG INC | |||||
| 728 MEEKER AVENUE | BROOKLYN | NY | 11222 | CONSTRUCTION | 228317 |
| MCGLADREY LLP | |||||
| 1185 AVENUE OF THE AMERICAS | NEW YORK | NY | 10036 | ACCOUNTING & TAX SERVICES | 113540 |
| GE HEALTHCARE | |||||
| PO BOX 640944 | PITTSBURGH | PA | 15264 | ELECTRONIC MEDICAL RECORDS | 100656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 4341527 | GovernmentGrants |
| All Other Contributions | 3437052 | AllOtherContributions |
| Total Contributions | 7778579 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 900099 | 21838559 | 21838559 |
| OTHER THIRD PARTY | 900099 | 5871380 | 5871380 |
| MEDICAL HOME | 900099 | 1656379 | 1656379 |
| NYS UNCOMPENSATED CARE | 900099 | 1438335 | 1438335 |
| SELF-PAY | 900099 | 1157593 | 1157593 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1358407 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1358407 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 33320653 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40334 | TotalRevenueColumn |
| Exclusion | $40,334 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| INSURANCE CLAIM PROCEEDS | 900099 | 308031 | $308,031 |
| EXP REIMB-501(C)(3)ORG | 900099 | 217662 | $217,662 |
| MISCELLANEOUS INCOME | 900099 | 64795 | $64,795 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5445 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5445 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 595933 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41735499 | TotalRevenueColumn |
| Related Or Exempt Function Income | 33326098 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $630,822 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1403480 | Total |
| Program Services | 1212071 | ProgramServices |
| Management And General | 191409 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22074617 | Total |
| Program Services | 19064042 | ProgramServices |
| Management And General | 3010575 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 852344 | Total |
| Program Services | 736100 | ProgramServices |
| Management And General | 116244 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3600588 | Total |
| Program Services | 3109533 | ProgramServices |
| Management And General | 491055 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1542505 | Total |
| Program Services | 1332135 | ProgramServices |
| Management And General | 210370 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42016 | Total |
| Management And General | 42016 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125310 | Total |
| Management And General | 125310 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 415419 | Total |
| Program Services | 247930 | ProgramServices |
| Management And General | 167489 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1236488 | Total |
| Program Services | 1015689 | ProgramServices |
| Management And General | 220799 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3360315 | Total |
| Program Services | 2839466 | ProgramServices |
| Management And General | 520849 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38974 | Total |
| Program Services | 33659 | ProgramServices |
| Management And General | 5315 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183792 | Total |
| Program Services | 158726 | ProgramServices |
| Management And General | 25066 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1128917 | Total |
| Program Services | 953935 | ProgramServices |
| Management And General | 174982 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130865 | Total |
| Program Services | 78656 | ProgramServices |
| Management And General | 52209 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| LABORATORY & RADIOLOGY | 962393 | 962393 | |
| PHARMACEUTICALS | 935615 | 935615 | |
| REPAIRS & MAINTENANCE | 751166 | 369839 | 381327 |
| DUES AND SUBSCRIPTIONS | 238592 | 129982 | 108610 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 395248 | Total |
| Program Services | 348391 | ProgramServices |
| Management And General | 35440 | ManagementAndGeneral |
| Fundraising | 11417 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39418644 | Total |
| Program Services | 33528162 | ProgramServices |
| Management And General | 5879065 | ManagementAndGeneral |
| Fundraising | 11417 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000 | BOY |
| EOY | 2000 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11123273 | BOY |
| EOY | 14039333 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2183685 | BOY |
| EOY | 1057321 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2662046 | BOY |
| EOY | 3610587 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 572529 | BOY |
| EOY | 288723 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 23615175 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10724666 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12355994 | BOY |
| EOY | 12890509 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11101 | BOY |
| EOY | 16891 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2284000 | BOY |
| EOY | 2816605 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31194628 | BOY |
| EOY | 34721969 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4766568 | BOY |
| EOY | 5005895 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19123 | BOY |
| EOY | 18602 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1876738 | BOY |
| EOY | 2842628 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6662429 | BOY |
| EOY | 7867125 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23703341 | BOY |
| EOY | 26654511 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 828858 | BOY |
| EOY | 200333 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24532199 | BOY |
| EOY | 26854844 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31194628 | BOY |
| EOY | 34721969 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2316855 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5790 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8795837 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9743897 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11319078 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8241051 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7778579 | CurrentTaxYear |
| Total | 45878442 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 26193965 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27544356 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27743629 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 29869824 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33320653 | CurrentTaxYear |
| Total | 144672427 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34989802 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37288253 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39062707 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 38110875 | CurrentTaxYearMinus1Year |
| Current Tax Year | 41099232 | CurrentTaxYear |
| Total | 190550869 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 190550869 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 326879 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 175287 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 63685 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 33246 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40334 | CurrentTaxYear |
| Total | 639431 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 326879 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 175287 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 63685 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 33246 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40334 | CurrentTaxYear |
| Total | 639431 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 234662 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 278060 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 308837 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 305808 | CurrentTaxYearMinus1Year |
| Current Tax Year | 595933 | CurrentTaxYear |
| Total | 1723300 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 35551343 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37741600 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39435229 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 38449929 | CurrentTaxYearMinus1Year |
| Current Tax Year | 41735499 | CurrentTaxYear |
| Total | 192913600 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98780 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98810 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00330 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00470 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MEDICAL RECORDS MISCELLANEOUS CHC FDTN REVENUE INSURANCE CLAIM PROCEEDS | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16597236 | OtherCostOrOtherBasis |
| Depreciation | 4966117 | Depreciation |
| Book Value | 11631119 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4409097 | OtherCostOrOtherBasis |
| Depreciation | 3546120 | Depreciation |
| Book Value | 862977 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2608842 | OtherCostOrOtherBasis |
| Depreciation | 2212429 | Depreciation |
| Book Value | 396413 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12890509 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SECURITY DEPOSITS | 416657 |
| DEFERRED COMPENSATION ACCOUNT | 2399948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2816605 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION PAYABLE | $2,399,948 |
| DEFERRED RENT | $442,680 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2842628 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 41749089 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 5790 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 7800 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 13590 | RevenueNotRptdF990 |
| Revenue Subtotal | 41735499 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 41735499 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 39426444 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 7800 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 7800 | ExpensesNotRptdF990 |
| Expenses Subtotal | 39418644 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 39418644 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | AT DECEMBER 31, 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANE ENG ESQ | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 287673 | 0 | 0 | 0 | 1584 | 0 | 15000 | 0 | 20582 | 0 | 324839 | 0 | 0 | 0 |
| LYNN SHERMAN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 199767 | 0 | 0 | 0 | 552 | 0 | 12221 | 0 | 21392 | 0 | 233932 | 0 | 0 | 0 |
| BETTY K CHENG | ||||||||||||||
| CHIEF OPERATING OFFICER | 182650 | 0 | 0 | 0 | 1584 | 0 | 10959 | 0 | 1734 | 0 | 196927 | 0 | 0 | 0 |
| REGINA F LEE ESQ | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | 180253 | 0 | 0 | 0 | 1584 | 0 | 10959 | 0 | 9725 | 0 | 202521 | 0 | 0 | 0 |
| PERRY PONG MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | 237058 | 0 | 0 | 0 | 552 | 0 | 13017 | 0 | 21365 | 0 | 271992 | 0 | 0 | 0 |
| SHAO-CHEE SIM | ||||||||||||||
| CHIEF STRATEGY OFFICER | 171075 | 0 | 0 | 0 | 240 | 0 | 10500 | 0 | 20647 | 0 | 202462 | 0 | 0 | 0 |
| KIN CHING KONG MD | ||||||||||||||
| OBSTETRICIAN/GYNECOLOGIST | 408293 | 0 | 0 | 0 | 240 | 0 | 7847 | 0 | 24252 | 0 | 440632 | 0 | 0 | 0 |
| JIEYING SHEN MD | ||||||||||||||
| SENIOR PEDIATRICIAN II | 356952 | 0 | 0 | 0 | 447 | 0 | 6420 | 0 | 21392 | 0 | 385211 | 0 | 0 | 0 |
| JIAN-PING CHEN MD | ||||||||||||||
| PSYCHIATRIST/PROJECT DIRECTOR | 281387 | 0 | 0 | 0 | 552 | 0 | 9098 | 0 | 22567 | 0 | 313604 | 0 | 0 | 0 |
| CHRISTINE J SHEN MD | ||||||||||||||
| SENIOR PEDIATRICIAN | 242858 | 0 | 0 | 0 | 232 | 0 | 5410 | 0 | 19892 | 0 | 268392 | 0 | 0 | 0 |
| LORETTA AU MD | ||||||||||||||
| SECTION CHIEF - PEDIATRICS | 216599 | 0 | 0 | 0 | 552 | 0 | 10864 | 0 | 2757 | 0 | 230772 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRE COURT HOLDINGS LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | IRENE CHU, BOARD MEMBER, HAS A FINANCIAL INTEREST IN THE INTERESTED PERSON | Relationship |
| Amount Of Transaction | 345636 | AmountOfTransaction |
| Description Of Transaction | RENT - IRENE CHU, BOARD MEMBER, HAS A FINANCIAL INTEREST IN CENTRE COURT HOLDINGS, LLC, WHICH RENTS SPACE TO THE HEALTH CENTER. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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, AND PERIODIC REVIEWS ARE CONDUCTED BY THE CEO. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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. |