2019-11-14T12:42:14-06:00 2018-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2018-01-01 160977295 ANTHONY L JORDAN HEALTH CORPORATION ANTH 5854235800 82 HOLLAND STREET ROCHESTER NY 14605 JONATHAN CLUNE CFO 5854235800 2019-11-14 1 KAREN HIGNETT P01366951 5853811000 74.69.124.139 2019-11-14 08:59:45 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FA25293D1A255690FF65AFDD9306B182C790BED3 2018 2020-03-31 21:24:44Z JONATHAN CLUNE 214C LAKE AVENUE ROCHESTER NY 14608 40016994 0 X WWW.JORDANHEALTH.ORG X 1968 NY THE CENTER IS DEDICATED TO PROVIDING HIGH-QUALITY PRIMARY AND PREVENTIVE HEALTHCARE, WITH A MAJOR FOCUS ON HEALTH EDUCATION/WELLNESS PROMOTION, AND THE REQUIREMENT TO MEET OR EXCEED PATIENT/CUSTOMER EXPECTATIONS. AS A TRENDSETTER IN THE DELIVERY OF URBAN HEALTH CARE, THE CENTER WILL CONTINUE ITS LEADERSHIP ROLE IN EDUCATING HEALTHCARE PROVIDERS, CONSUMERS, AND THE PUBLIC IN THE AREAS OF CULTURAL AWARENESS AND SENSITIVITY WITH A SPECIAL COMMITMENT TO ASSURING EQUAL ACCESS TO QUALITY HEALTHCARE FOR ALL. 17 17 422 15 0 41109 11386487 9349657 31965819 29519889 291607 291382 385722 856066 44029635 40016994 0 0 0 0 22057620 22472091 0 0 0 19187017 19468654 41244637 41940745 2784998 -1923751 25652739 23883210 4697675 5485787 20955064 18397423 X THE CENTER IS DEDICATED TO PROVIDING HIGH-QUALITY PRIMARY AND PREVENTIVE HEALTHCARE, WITH A MAJOR FOCUS ON HEALTH EDUCATION/WELLNESS PROMOTION, AND THE REQUIREMENT TO MEET OR EXCEED PATIENT/CUSTOMER EXPECTATIONS. AS A TRENDSETTER IN THE DELIVERY OF URBAN HEALTH CARE, THE CENTER WILL CONTINUE ITS LEADERSHIP ROLE IN EDUCATING HEALTHCARE PROVIDERS, CONSUMERS, AND THE PUBLIC IN THE AREAS OF CULTURAL AWARENESS AND SENSITIVITY WITH A SPECIAL COMMITMENT TO ASSURING EQUAL ACCESS TO QUALITY HEALTHCARE FOR ALL. 0 0 35068472 30375955 THE CORPORATION PROVIDES GENERAL FAMILY PRACTICE SERVICES INCLUDING PREVENTION, CHRONIC ILLNESS, AND IMMUNIZATIONS. ALSO PROVIDES PEDIATRIC SERVICES AND OB/GYN SERVICES INCLUDING PRE-NATAL CARE AND DELIVERIES AND SOME GYNECOLOGICAL SURGERY. THE CORPORATION ALSO PROVIDES COMPREHENSIVE DENTAL AND HYGIENE SERVICES INCLUDING PEDIATRIC DENTISTRY AND SOME SURGERY (I.E. ROOT CANALS) TO PATIENTS. THE CORPORATION ALSO PROVIDES MENTAL HEALTH SERVICES INCLUDING DIAGNOSTIC CONSULTATIONS, MENTAL HEALTH SCREENINGS AND SHORT TERM COUNSELING. OPTOMETRY SERVICES ARE PROVIDED, WHICH INCLUDE VISUAL EXAMS, PRESCRIPTION LENSES, AND SCREENING AND EVALUATIONS. PODIATRY SERVICES ARE OFFERED FOR GENERAL FOOT CARE AND DIABETIC FOOT CARE. THE CORPORATION PROVIDES CASE MANAGEMENT AND CARE COORDINATION SERVICES TO ELIMINATE BARRIERS TO CARE IN TREATMENT AND ADHERENCE OF MEDICATION; TO HELP PATIENTS HAVE A BETTER AWARENESS OF THEIR HEALTH CARE AND THE PROGRESSION OF INFECTION; AND TO HELP PATIENTS SEE THE NEED TO REDUCE THEIR RISK OF EXPOSING OTHERS OR SECONDARY EXPOSURE TO THEMSELVES. THE CORPORATION HAD APPROXIMATELY 101,000 VISITS DURING 2018. 35068472 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 52 0 422 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X JONATHAN CLUNE 5854235800 214C LAKE AVENUE ROCHESTER NY 14608 BUDDHI SHRESTHA DDS MS PHD DIRECTOR 1.00 X 0 0 0 ALLEN WILLIAMS CHAIR/TREASURER 1.00 X X 0 0 0 S DOLLY MALIK PHD DIRECTOR 1.00 X 0 0 0 RAYMOND MAYOLIZ DIRECTOR 1.00 X 0 0 0 ISSE ABUKAR DIRECTOR 1.00 X 0 0 0 SAMMY NDIVE DIRECTOR 1.00 X 0 0 0 SHAPELLE THOMPSON SECRETARY 1.00 X X 0 0 0 LINDA COVINGTON DIRECTOR 1.00 X 0 0 0 DR ANDREW DONIGER DIRECTOR 1.00 X 0 0 0 CLINTON BELL VICE CHAIR 1.00 X X 0 0 0 DR BRADLEY TURNER DIRECTOR 1.00 X 0 0 0 CHERYL MCKEIVER FDTN CHAIR 1.00 X X 0 0 0 MICHELLE BOYD DIRECTOR 1.00 X 0 0 0 JOHN WYCHE DIRECTOR 1.00 X 0 0 0 MOHAMED GAZALI DIRECTOR 1.00 X 0 0 0 LINDA FRANCIS DIRECTOR 1.00 X 0 0 0 ZENA CHAMBERS DIRECTOR 1.00 X 0 0 0 DR JANICE HARBIN DDS CEO 40.00 X 212005 0 37950 LAURIE DONOHUE MD CHIEF MEDICAL OFFICER 40.00 X 202483 0 28806 JASON DUNN CHIEF OPERATING OFFICER 40.00 X 128142 0 15405 MARY MILLER CHIEF DATA OFFICER 40.00 X 163979 0 15513 JONATHAN CLUNE CFO 40.00 X 118641 0 17214 NASHAT ATALLA MD PHYSICIAN 40.00 X 185460 0 25908 LORINDA PARKS PHYSICIAN 40.00 X 169999 0 23405 JUSTIN CHERUBIM PHYSICIAN 40.00 X 250232 0 15335 DANIELLE FLEISSIG PHYSICIAN 40.00 X 165870 0 8238 NADEJA STEFANOVA-STEPHENS DENTIST 40.00 X 164256 0 13024 1761067 0 200798 25 0 1 0 UDN INC 350 EAST AVE ST 204 ROCHESTER NY 14604 CONSTRUCTION 2014119 INDEMAND INTERPRETING 555 ANDOVER PARK W SUITE 201 TUKWILA WA 98188 INTERTREPTING SERVICE 332540 ALMAC BUILDING MAINT 920 PORTLAND AVE 1 ROCHESTER NY 14621 CLEANING SERVICE 289137 US SECURITY ASSOCIATES 25 GENESEE STREET BUFFALO NY 14203 SECURITY 280042 BPAS ACTUARIAL 6 RHOADS DR 7 UTICA NY 13502 ACTURIAL& PENSION SERVICE 251111 19 9316148 33509 9349657 340B REVENUE 900099 14420492 14420492 MEDICAID & MEDICARE 900099 9201969 9201969 OTHER THIRD-PARTY PAYOR 900099 5840543 5840543 SELF-PAY 900099 56885 56885 29519889 291382 291382 OTHER 900099 643832 643832 CONTRACTED SERVICES 900099 212234 212234 856066 40016994 30375955 0 291382 940138 391386 548752 16208138 13054108 3154030 807560 635967 171593 2895769 2336869 558900 1620486 1276160 344326 151230 102828 48402 67306 45764 21542 3401897 2313104 1088793 1408579 1219084 189495 2126863 1913931 212932 175862 111056 64806 931138 670289 260849 117222 67902 49320 340B PHARMACEUTICALS 6073840 6073840 PHARMACY ADMINISTRATION 2885813 2885813 BAD DEBT EXPENSE 1940835 1940835 DUES AND LICENSES 149021 4808 144213 39048 24728 14320 41940745 35068472 6872273 0 4281164 1936618 760501 593823 4689709 3975805 18961064 12943493 3888056 6017571 11672851 11043101 360458 316292 25652739 23883210 2329214 2663080 640366 1391840 791592 755592 936503 675275 4697675 5485787 X 20855257 18282430 99807 114993 20955064 18397423 25652739 23883210 X -1923751 -896108 262218 X 0 1 X 1 1 1 X 7625421 8837218 9823235 11732723 11386487 49405084 7625421 8837218 9823235 11732723 11386487 49405084 49405084 7259 7034 17188 225032 291382 547895 194053 1123677 229094 385722 856339 2788885 52741864 142096242 0.93670 0.95070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37450 37450 5626887 5016217 610670 13296727 7927276 5369451 6017571 ACCRUED PENSION EXPENSE 675275 675275 1 X X X 0 0 0 0 0 0 0 0 0 DR JANICE HARBIN DDS CEO 212005 0 0 0 0 0 24754 0 13196 0 249955 0 0 0 LAURIE DONOHUE MD CHIEF MEDICAL OFFICER 202483 0 0 0 0 0 16384 0 12422 0 231289 0 0 0 MARY MILLER CHIEF DATA OFFICER 163979 0 0 0 0 0 5550 0 9963 0 179492 0 0 0 NASHAT ATALLA MD PHYSICIAN 185460 0 0 0 0 0 14553 0 11355 0 211368 0 0 0 LORINDA PARKS PHYSICIAN 169999 0 0 0 0 0 12859 0 10546 0 193404 0 0 0 JUSTIN CHERUBIM PHYSICIAN 250232 0 0 0 0 0 5550 0 9785 0 265567 0 0 0 DANIELLE FLEISSIG PHYSICIAN 165870 0 0 0 0 0 5550 0 2688 0 174108 0 0 0 NADEJA STEFANOVA-STEPHENS DENTIST 164256 0 0 0 0 0 2880 0 10144 0 177280 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO, CFO AND THE FINANCE/AUDIT COMMITTEE. IT IS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS TO REVIEW, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS REVIEWED AND UPDATED ANNUALLY BY THE CEO AND THE BOARD CHAIRPERSON. ALL EMPLOYEES REVIEW THE POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT DURING ORIENTATION. BOARD MEMBERS REVIEW THE POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD. THE POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE CEO. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS APPROVES THE AMOUNT OF ALL COMPENSATION FOR THE CEO/PRESIDENT OF THE CORPORATION. IN DOING THIS, THEY CONSIDER TOTAL COMPENSATION INCLUDING SALARY AND BENEFITS. THE BOARD OBTAINS AND CONSIDERS DATA CONCERNING COMPARABLE COMPENSATION PAID TO SIMILAR OFFICERS IN LIKE CIRCUMSTANCES. FORM 990, PART VI, SECTION C, LINE 19 THE CENTER MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION PLAN 262,218. ANTHONY L JORDAN FOUNDATION INC 82 HOLLAND STREET ROCHESTER NY 14605 161408256 PROVIDE FUNDING TO SUPPORT OPERATIONS OF ANTHONY L JORDAN HEALTH CORPORATION NY 501(C)3 LINE 11A TYPE I ANTHONY L JORDAN HEALTH CORPORATION 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0