Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MORRIS HEIGHTS HEALTH CENTER
Employer identification number
06-1081232
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
9,698,859
10,461,455
11,215,732
12,075,730
13,264,770
56,716,546
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
9,698,859
10,461,455
11,215,732
12,075,730
13,264,770
56,716,546
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
56,716,546
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
9,698,859
10,461,455
11,215,732
12,075,730
13,264,770
56,716,546
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
490,229
577,123
564,909
139,553
188,695
1,960,509
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
91,391
91,391
11
Total support (Add lines 7 through 10).
58,768,446
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
138,409,975
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
96.510 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
96.050 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MORRIS HEIGHTS HEALTH CENTER
Employer identification number
06-1081232
Identifier
Return Reference
Explanation
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES
OTHER PROGRAM SERVICES 4 - NUTRITION (WIC) - PROVIDES NUTRITIONAL EDUCATION AND FOOD ASSISTANCE TO PREGNANT AND PARENTING WOMEN, INFANTS AND CHILDREN. OTHER PROGRAM SERVICES 5 - SCHOOL HEALTH PROGRAM - PROVIDES PRIMARARY CARE SERVICES INCLUDING COMPREHENSIVE PHYSICALS AND NEEDED IMMUNIZATION TO ADOLESCENTS IN SCHOOL SETTINGS. OTHER PROGRAM SERVICES 6 - FACILITATED ENROLLMENT - PROVIDES EDUCATION AND ENROLLMENT ASSISTANCE TO ELIGIBLE CHILDREN AND THEIR FAMILIES FOR STATE SPONSORED INSURANCE INCULDING MEDICAID AND CHILD HEALTH PLUS. OTHER PROGRAM SERVICES 7 - COMMUNITY HEALTH WORKER - PROVIDES CASE MANAGEMENT SERVICES TO AT RISK PERINATAL WOMEN AND THEIR FAMILIES ALSO ACCESS TO CLINICAL SERVICES AND ASSISTANCE IN OBTAINING BENEFITS. OTHER PROGRAM SERVICES 8 - HEALTHY FAMILIES - PROVIDES INTENSIVE CASE MANAGEMENT TO FAMILIES AT RISK FOR CHILD ABUSE AND DEVELOPMENTAL DELAYS SERVICE INCLUDES PROVIDING HOME VISITS. OTHER PROGRAM SERVICES 9 - YOUTH CHANGING PATHS - PROGRAMS FUNDED THROUGH A SUBCONTRACT WITH PLANNED PARENTHOOD, FUNDING STEMS FROM THE NYS OFFICES OF CHILDREN AND FAMILIES SERVICES. THE PROGRAM OFFERS COMPREHENSIVE AND DEVELOPMENT FOCUSED SERVICES TO PREVENT LOW BIRTH WEIGHT BABIES AND UNPLANNED ADOLESCENT PREGNANCY. THE GOAL OF THE PROGRAMS IS TO ASSIST IN A SAFE AND HEALTHY BIRTH OF A CHILD AND TO PROVIDE SERVICES TO PREGNANT AND PARENTING TEENAGERS. OTHER PROGRAM SERVICES 10 - HEAL 6 GRANT - FUNDED BY NEW YORK STATE DEPARTMENT OF HEALTH, THE HEAL NY PHASE 6 IS DESIGNATED TO PROVIDE FUNDS FOR EQUIPMENT, STAFF TRAINING AND MEDICAL SERVICES TO THE ENROLLED POPOULATION AND FOR AT HARRY S TRUMAN SCHOOL. OTHER PROGRAM SERVICES 11 - HEALTH OPPORTUNITY HIGH SCHOOL - FUNDED BY THE NY CDOHMH THROUGH ITS REPRODUCTIVE HEALTH PROJECT, CONSIDERED POVERTY REDUCTION PROGRAM TO PREVENT DROPOUTS AND PREGANCY OF HIGH SCHOOL STUDENTS. OTHER PROGRAM SERVICES 12 - TRUMAN HIGH SCHOOL - FUND FOR PUBLIC HEALTH IN NEW YORK, INC PROVIDES FUNDING FOR THE PURCHASE OF CONTRACEPTIVES FOR STUDENTS IN HIGH SCHOOLS WHO ARE REGISTERED FOR REPRODUCTIVE HEALTH SERVICES FUNDING IS ALSO PROVIDED FOR OUTREACH ACTIVITIES TO INCREASE ENROLLMENT IN THE CLINICS. OTHER PROGRAM SERVICES 13 - ARRA - INCREASED SERVICES TO HEALTH CENTERS FUNDED BY THE HEALTH RESOURCES AND SERVICES ADMINSTRATION AND MONITORED BY THE BUREAU OF PRIMARY HEALTH CARE, THESE PROGRAM FUNDS PROVIDED UNDER THE AMERICAN REINVESTMENT AND RECOVERY ACT (ARRA) SUPPORT THE INCREASED DEMAND FOR SERVICES EXPECTED NATIONWIDE FUNDED HEALTH CENTERS ARE TO DEMONSTRATE INCEREASED NUMBER OF PATIENTS AND UNINSURED PATIENTS SERVED.
FORM 990, PART VI, SECTION B, LINE 11
THE FINANCE COMMITTEE OF THE BOARD REVIEWS THE 990 RETURN BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C
MONTHLY ORIENTATION OF NEWLY HIRED STAFF AND DISTRIBUTION OF HAND OUTS ANNUAL REVIEW OF ALL STAFF, PERIODIC UPDATE AT PROVIDERS, STAFF AND EXCUTIVE BOARD MEMBERS MEETINGS.
FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATIONS BOARD HAS ADOPED A COMPENSATION POLICY (THE POLICY) FOR COVERED INDIVIDUALS PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPNESATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND ORGANIZATION'S CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITEE IS ADVISED BY AN INDEPEDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND SAFE HARDBOR STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS.
FORM 990, PART VI, SECTION C, LINE 19
INFORMATION RELATING TO THE ORGANIZATION ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED LOSSES ON INVESTMENTS: -103,730. PRIOR PERIOD ADJUSTMENTS: 1,385,726.
REASONABLE CAUSE FOR LATE FILING:
FORM 990
THIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012 AND MARCH 30, 2012, AS DIRECTED BY THE IRS IN NOTICE 2012-4, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE RESPECTFULLY REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FILING OF THIS RETURN.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.