APICHA COMMUNITY HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
APICHA COMMUNITY HEALTH CENTER (EIN 13-3706365)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-12
IRS object ID
202001339349302760
Schema version
2018v3.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-12T09:14:58-00:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JACKSON FRIDAY CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line132 BROADWAY STE 1408AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133706365EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1APICHA COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAPICBusinessNameControlTxt
Phone2123347940PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 BROADWAYAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERESITA R RODRIGUEZPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone2123347940PhoneNum
Signature2020-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFRIDAY OVIAWE CPAPreparerPersonNm
Phone2125130103PhoneNum
Preparation2020-05-12PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.77.254.61IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-13IPDt
IP Tm00:50:34IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id05BC6D69A61017A93DAE43D2DBD616FEBA6E94EEAtSubmissionCreationDeviceId
At Submission Filing Device Id3CB372899CBEFAD5E61A13FAC44BABBC27DE5464AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERESITA RODRIGUEZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 BROADWAY 2ND FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,781,951GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.apicha.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF OUR COMMUNITY AND TO INCREASE ACCESS TO COMPREHENSIVE PRIMARY CARE, PREVENTIVE HEALTH SERVICES, MENTAL HEALTH AND SUPPORTIVE SERVICESActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee184TotalEmployeeCnt
Total Volunteers162TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$8,062,809PYContributionsGrantsAmt
CY Contributions Grants$6,709,072CYContributionsGrantsAmt
PY Program Service Revenue$8,968,547PYProgramServiceRevenueAmt
CY Program Service Revenue$11,424,908CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$492,160PYOtherRevenueAmt
CY Other Revenue$581,561CYOtherRevenueAmt
PY Total Revenue$17,523,516PYTotalRevenueAmt
CY Total Revenue$18,715,541CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,999,687PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,433,468CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$348,348CYTotalFundraisingExpenseAmt
PY Other Expenses$5,561,480PYOtherExpensesAmt
CY Other Expenses$7,025,516CYOtherExpensesAmt
PY Total Expenses$14,561,167PYTotalExpensesAmt
CY Total Expenses$16,458,984CYTotalExpensesAmt
PY Revenues Less Expenses$2,962,349PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,256,557CYRevenuesLessExpensesAmt
Total Assets BOY$16,187,769TotalAssetsBOYAmt
Total Assets EOY$18,267,085TotalAssetsEOYAmt
Total Liabilities BOY$4,118,641TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,941,400TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,069,128NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,325,685NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF OUR COMMUNITY AND TO INCREASE ACCESS TO COMPREHENSIVE PRIMARY CARE, PREVENTIVE HEALTH SERVICES, MENTAL HEALTH AND SUPPORTIVE SERVICESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,378,225ExpenseAmt
DescClinical/Medical Services Clinical/Medical Services Apicha Community Health Center CHC is a level 3 Physician Practice Connections Patient Centered Medical Home, as recognized by the National Committee on Quality Assurance. A designated Federally Qualified Health Center, Apicha CHC provided comprehensive primary medical care, specialty HIV primary care, specialty transgender health care, PrEP and PEP Services, and Family Planning. Common services include chronic disease management, including screening and treatment of HIV, diabetes, asthma, cholesterol abnormalities, cancer, tuberculosis, and Hepatitis initiation and maintenance of cross-gender hormone therapy and access to PrEP/PEP. Support Services include short term mental health multilingual care management services for individuals with chronic diseases including HIV/AIDS, diabetes, substance abuse, and psychiatric illnesses including Health Home Care Management Services, care management for patients on PrEP/PEP, and care management for transgender patients care management for patients with Hepatitis B and CDesc
Total Program Service Expenses$13,378,225TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee184EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAPICHA COMMUNITY HEALTH CENTERPersonNm
Phone2123347940PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 BROADWAYAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERESITA RODRIGUEZ
CEO EX-OFFICIO040.00Yes (X)Yes (X)Yes (X)$244,940$0$13,492
CHARLES KING
DIRECTOR002.00Yes (X)$0$0$0
FLORA FERNG
CHAIRMAN002.00Yes (X)$0$0$0
NEROU CHENG
DIRECTOR002.00Yes (X)$0$0$0
ONA WINET
DIRECTOR002.00Yes (X)$0$0$0
DAVID BOYD
CHAIRMAN002.00Yes (X)$0$0$0
LI HUNG LIN
DIRECTOR002.00Yes (X)$0$0$0
ANTHONY FELICIANO
DIRECTOR002.00Yes (X)$0$0$0
MICHAEL YUSINGBO
DIRECTOR002.00Yes (X)$0$0$0
MICHAEL SIN
VICE CHAIRTREASURER002.00Yes (X)$0$0$0
LOU MADIGAN
DIRECTOR002.00Yes (X)$0$0$0
RICHARD LOU
DIRECTOR002.00Yes (X)$0$0$0
PAJARON GERTRUDES
CHIEF DEVELOPMENT OFFICER040.00Yes (X)$140,035$0$14,211
SANO YUMIKO
CHIEF OPERATING OFFICER040.00Yes (X)$121,471$0$13,426
MARTHA FEBUZ
CHIEF CLINICAL OPERATIONS OFFICER040.00Yes (X)$185,868$0$10,834
SUSANNE N RENDEIRO-DOBLE
NP040.00Yes (X)$123,056$0$38,434
YVETTE WALKER
CHIEF MEDICAL OFFICER040.00Yes (X)$200,154$0$0
MICHELLE A WITTER
DIRCTOR OF DENTAL SERVICES040.00Yes (X)$123,444$0$24,357
LARA ALBERTS
PHYSICIAN040.00Yes (X)$156,595$0$23,650
KARALYN DENNIS
NP040.00Yes (X)$115,790$0$28,413
HAFIZ A MAJE
PHYSICIAN040.00Yes (X)$182,819$0$12,110
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,594,172TotalReportableCompFromOrgAmt
Total Other Compensation$178,927TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NATIONAL HEALTHCARE CONSULTING INC
7 ONTARIO AVENUEPLAINVIEWNY11803OPERATION OF FISCAL DEPT$598,604
COMPUTER INTEGRATED SERVICES
561 SEVENTH AVENUENEW YORKNY10018OPERATION OF IT DEPT$128,633
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$6,645,923GovernmentGrantsAmt
All Other Contributions$63,149AllOtherContributionsAmt
Total Contributions$6,709,072TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES REVENUE621400$3,175,440$3,175,440
HEALTH HOME SERVICES REVENUE621400$1,026,028$1,026,028
PHARMACY REVENUE621400$7,223,440$7,223,440
FieldValueIRS element (for citing)
Total Program Service Revenue$11,424,908TotalProgramServiceRevenueAmt
Fundraising Gross Income$120,151FundraisingGrossIncomeAmt
Fundraising Direct Expenses$66,410FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,741TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$527,820TotalRevenueColumnAmt
Related Or Exempt Func Income$527,820RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$527,820OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,715,541TotalRevenueColumnAmt
Related Or Exempt Func Income$11,952,728RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$255,028TotalAmt
Program Services$234,779ProgramServicesAmt
Management And General$18,869ManagementAndGeneralAmt
Fundraising$1,380FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,067,823TotalAmt
Program Services$6,506,648ProgramServicesAmt
Management And General$522,931ManagementAndGeneralAmt
Fundraising$38,244FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,550,419TotalAmt
Program Services$1,427,317ProgramServicesAmt
Management And General$114,712ManagementAndGeneralAmt
Fundraising$8,390FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$560,198TotalAmt
Program Services$515,719ProgramServicesAmt
Management And General$41,448ManagementAndGeneralAmt
Fundraising$3,031FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$88,719TotalAmt
Program Services$37,158ProgramServicesAmt
Management And General$51,561ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$654,604TotalAmt
Program Services$147,455ProgramServicesAmt
Management And General$507,149ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$702,715TotalAmt
Program Services$343,222ProgramServicesAmt
Management And General$187,906ManagementAndGeneralAmt
Fundraising$171,587FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$174,128TotalAmt
Program Services$100,108ProgramServicesAmt
Management And General$34,866ManagementAndGeneralAmt
Fundraising$39,154FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,457,892TotalAmt
Program Services$1,165,186ProgramServicesAmt
Management And General$255,543ManagementAndGeneralAmt
Fundraising$37,163FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,177,696TotalAmt
Program Services$1,785,309ProgramServicesAmt
Management And General$368,549ManagementAndGeneralAmt
Fundraising$23,838FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$77,389TotalAmt
Program Services$62,434ProgramServicesAmt
Management And General$13,636ManagementAndGeneralAmt
Fundraising$1,319FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$119,202TotalAmt
Program Services$32,222ProgramServicesAmt
Management And General$86,850ManagementAndGeneralAmt
Fundraising$130FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$85,685TotalAmt
Program Services$79,131ProgramServicesAmt
Management And General$6,554ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$616,628TotalAmt
Program Services$443,972ProgramServicesAmt
Management And General$160,323ManagementAndGeneralAmt
Fundraising$12,333FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,676TotalAmt
Program Services$22,055ProgramServicesAmt
Management And General$67,621ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Cleaning, Maintenance Service$246,149$66,200$175,026$4,923
Food Pantry Bag/Voucher$47,838$47,838
Membership, Health Home Others$102,617$46,093$56,419$105

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$384,578TotalAmt
Program Services$315,379ProgramServicesAmt
Management And General$62,448ManagementAndGeneralAmt
Fundraising$6,751FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,458,984TotalAmt
Program Services$13,378,225ProgramServicesAmt
Management And General$2,732,411ManagementAndGeneralAmt
Fundraising$348,348FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,954,135BOYAmt
EOY$4,799,197EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,285,792BOYAmt
EOY$4,061,270EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$252,766BOYAmt
EOY$297,513EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$108,815BOYAmt
EOY$90,363EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,797,850LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,281,503LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,093,349BOYAmt
EOY$8,516,347EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$492,912BOYAmt
EOY$502,395EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,187,769BOYAmt
EOY$18,267,085EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,968,283BOYAmt
EOY$1,872,079EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$239,494BOYAmt
EOY$646,809EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,910,864BOYAmt
EOY$1,422,512EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,118,641BOYAmt
EOY$3,941,400EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,069,128BOYAmt
EOY$14,325,685EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,069,128BOYAmt
EOY$14,325,685EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,187,769BOYAmt
EOY$18,267,085EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,256,557ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,819,556CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,879,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,730,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,127,006CurrentTaxYearMinus1YearAmt
Current Tax Year$6,762,813CurrentTaxYearAmt
Total$35,319,160TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,819,556CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,879,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,730,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,127,006CurrentTaxYearMinus1YearAmt
Current Tax Year$6,762,813CurrentTaxYearAmt
Total$35,319,160TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$35,319,160PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,123,060CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,571,526CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,343,378CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,396,510CurrentTaxYearMinus1YearAmt
Current Tax Year$11,952,728CurrentTaxYearAmt
Total$39,387,202TotalAmt
FieldValueIRS element (for citing)
Total Support$74,706,362TotalSupportAmt
Public Support CY1700.47280PublicSupportCY170Pct
Public Support PY1700.51420PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$129,645FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$129,645FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$13,248,580FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$13,378,225FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$818,911FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$204,728FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$566,060CurrentYearMinus3Amt
Current Year Minus2$643,309CurrentYearMinus2Amt
Current Year Minus1$731,709CurrentYearMinus1Amt
Current Year$818,911CurrentYearAmt
Total$2,759,989TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$4,139,984LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$30,000CurrentYearMinus3Amt
Current Year Minus2$30,000CurrentYearMinus2Amt
Current Year Minus1$30,000CurrentYearMinus1Amt
Current Year$129,645CurrentYearAmt
Total$219,645TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$141,515CurrentYearMinus3Amt
Current Year Minus2$160,827CurrentYearMinus2Amt
Current Year Minus1$182,927CurrentYearMinus1Amt
Current Year$204,728CurrentYearAmt
Total$689,997TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,034,996GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,249,108OtherCostOrOtherBasisAmt
Depreciation$3,315,411DepreciationAmt
Book Value$7,933,697BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,026,797OtherCostOrOtherBasisAmt
Depreciation$788,734DepreciationAmt
Book Value$238,063BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$521,945OtherCostOrOtherBasisAmt
Depreciation$177,358DepreciationAmt
Book Value$344,587BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,516,347TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc
Federal income taxes
LEASE LIABILITIES
SECURITY DEPOSITS PAYABLE
FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$18,715,541TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$18,715,541RevenueSubtotalAmt
Total Revenue Per Form990$18,715,541TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,458,984TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$16,458,984ExpensesSubtotalAmt
Total Expenses Per Form990$16,458,984TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd
Licensed StatesNJLicensedStatesCd
Licensed StatesNYLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALA EVENTEvent1Nm
Gross Receipts Event1$120,151GrossReceiptsEvent1Amt
Gross Revenue Event1$120,151GrossRevenueEvent1Amt
Rent Facility Costs Event1$66,410RentFacilityCostsEvent1Amt
Gross Receipts Total$120,151GrossReceiptsTotalAmt
Gross Revenue Total Events$120,151GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$66,410RentFcltyCostsTotalEventsAmt
Direct Expense Summary Events$66,410DirectExpenseSummaryEventsAmt
Net Income Summary$53,741NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
TERESITA RODRIGUEZ
CEO EX-OFFICIO$244,940$13,492$258,432
PAJARON GERTRUDES
CHIEF DEVELOPMENT OFFICER$134,035$14,211$151,246$3,000
MARTHA FEBUZ
CHIEF CLINICAL OPERATIONS OFFICER$184,268$10,834$195,902$800
SUSANNE N RENDEIRO-DOBLE
NP$119,056$38,434$159,490$2,000
YVETTE WALKER
CHIEF MEDICAL OFFICER$199,954$200,104$150
LARA ALBERTS
PHYSICIAN$155,595$23,650$179,745$500
HAFIZ A MAJE
PHYSICIAN$182,519$12,110$194,779$150

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11A 11BTHE FORM 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE THE FULL BOARD FOR REVIEW.
Form 990, Part VI, Section B, Line 15ATHE FULL BOARD WENT INTO EXECUTIVE SESSION TO REVIEW AND EVALUATE THE CEO COMPENSATION, AND THE FULL BOARD VOTED AND APPROVED THAT COMPENSATION.
Form 990, Part VI, Section B, Line 15BTHE CEO REVIEWS AND EVALUATES OTHER KEY EMPLOYEES COMPENSATION AND PRESENTS HER RECOMMENDATIONS TO THE BOARD FOR APPROVAL.
Form 990, Part VI, Section C, Line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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