JOSEPH P ADDABBO FAMILY HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- JOSEPH P ADDABBO FAMILY HEALTH CENTER INC (EIN 06-1181226)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201443189349301654
- Schema version
- 2013v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-13T08:43:39-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061181226 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH P ADDABBO FAMILY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOSE | BusinessNameControlTxt |
| Phone | 7189457150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 BEACH CHANNEL DRIVE | AddressLine1 |
| City | ARVERNE | City |
| State | NY | State |
| ZIP Code | 11692 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIA IMELDA MAMBA | PersonNm |
| Person Title | ACTING CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7189457150 | PhoneNum |
| Signature | 2014-11-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALFONSO YU CHAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 BEACH CHANNEL DRIVE | AddressLine1 |
| City | ARVERNE | City |
| State | NY | State |
| ZIP Code | 11692 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,118,460 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADDABBO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION OPERATES A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC), UNDER HRSA/BPHC, WITH 6 SITES IN QUEENS & BROOKLYN, NEW YORK CITY. IT PROVIDES A BROAD RANGE OF PRIMARY HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. DURING 2013, 37,308 PATIENTS WERE SERVED WITH 192,554 PATIENT VISITS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 417 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,171,190 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,109,284 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,148,327 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,681,164 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,865 | PYInvestmentIncomeAmt |
| CY Investment Income | $323 | CYInvestmentIncomeAmt |
| PY Other Revenue | $193,917 | PYOtherRevenueAmt |
| CY Other Revenue | $327,689 | CYOtherRevenueAmt |
| PY Total Revenue | $35,515,299 | PYTotalRevenueAmt |
| CY Total Revenue | $38,118,460 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,223,317 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,886,568 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,721,874 | PYOtherExpensesAmt |
| CY Other Expenses | $10,630,543 | CYOtherExpensesAmt |
| PY Total Expenses | $33,945,191 | PYTotalExpensesAmt |
| CY Total Expenses | $37,517,111 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,570,108 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $601,349 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,871,968 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,459,038 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,574,168 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,559,889 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,297,800 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,899,149 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION OPERATES A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC), UNDER HRSA BPHC, WITH 6 SITES IN QUEENS & BROOKLYN, NEW YORK CITY. IT PROVIDES A BROAD RANGE OF PRIMARY HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. DURING 2013, 37,308 PATIENTS WERE SERVED WITH 192,554 PATIENT VISITS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $32,238,185 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $31,681,164 | RevenueAmt |
| Desc | THE ORGANIZATIONS ONLY PROGRAM IS THAT OF PROVIDING PRIMARY HEALTH CARE SERVICES AND THIS IS DONE UNDER THE DIRECT SUPERVISION OF THE FEDERAL GOVERNMENT, DEPARTMENT OF HEALTH AND HUMAN SERVICES(HHS), HEALTH RESOURCES SERVICES ADMINISTRATION(HRSA). FOR 2013, OUR ORGANIZATION PROVIDED 167,222 MEDICAL, 20,713 DENTAL AND 4,619 MENTAL HEALTH VISITS. THE PAYOR SOURCE WERE 6% MEDICAID(STATE), 13% COMMERCIAL, 11% SELF PAY/UNINSURED, 5% MEDICARE(FEDERAL) AND 65% MANAGED CARE. THE 20,401 SELF PAY AND UNINSURED VISITS ARE PROVIDED AT A DEEPLY DISCOUNTED AND IN MANY INSTANCES, A FREE BASIS AS WE ARE NOT ALLOWED TO TURN AWAY PATIENTS BECAUSE OF OUR FQHC STATUS, WE ARE REIMBURSED FOR THESE LOSSES BY A GRANT FROM THE FEDERAL GOVERNMENT AND A CHARITY CARE GRANT FROM THE NEW YORK STATE DEPARTMENT OF HEALTH. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $32,238,185 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 417 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Alfonso Yu Chan Acting CEO | PersonNm |
| Phone | 7189457150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 BEACH CHANNEL DRIVE | AddressLine1 |
| City | ARVERNE | City |
| State | NY | State |
| ZIP Code | 11692 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SYLVESTER OKONKWO | ||||||||
| BOARD CHAIRPERSON | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BETTY LEON | ||||||||
| BOARD 1ST VICE CHAIRPERSON | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CALDINE REY | ||||||||
| BOARD 2ND VICE CHAIRPERSON | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HARVEY GORDON | ||||||||
| BOARD TREASURER | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SAYWALAH KESSELLY | ||||||||
| BOARD SECRETARY | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BEATRICE BYRD | ||||||||
| BOARD MEMBER | 1 | Yes (X) | $0 | $0 | $0 | |||
| GLENN DRESTO | ||||||||
| BOARD MEMBER | 1 | Yes (X) | $0 | $0 | $0 | |||
| CAMILLE EADDY | ||||||||
| BOARD MEMBER | 0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA GILLESPIE | ||||||||
| BOARD MEMBER | 1 | Yes (X) | $0 | $0 | $0 | |||
| GLENN GREENIDGE | ||||||||
| BOARD MEMBER | 1 | Yes (X) | $0 | $0 | $0 | |||
| DIANNE MOORE | ||||||||
| BOARD MEMBER | 1 | Yes (X) | $0 | $0 | $0 | |||
| MERRIL WRIGHT | ||||||||
| BOARD MEMBER | 1 | Yes (X) | $0 | $0 | $0 | |||
| SANFORD BERNSTEIN | ||||||||
| BOARD MEMBER | 1 | Yes (X) | $0 | $0 | $0 | |||
| JR PETER NELSON PHD | ||||||||
| CHIEF EXECUTIVE OFFICER | 35 | Yes (X) | $20,256 | $0 | $1,418 | |||
| ROBERT FLIEGEL CPA | ||||||||
| ACTING CHIEF EXECUTIVE OFFICER | 35 | Yes (X) | $227,585 | $0 | $15,931 | |||
| ALFONSO YU CHAN MD | ||||||||
| CHIEF MEDICAL OFFICER | 35 | Yes (X) | $273,175 | $0 | $19,122 | |||
| JINPIN YING PHD | ||||||||
| CHIEF INFORMATION OFFICER | 35 | Yes (X) | $214,732 | $0 | $15,031 | |||
| SANDRA FOGG | ||||||||
| CHIEF OPERATING OFFICER | 35 | Yes (X) | $133,208 | $0 | $9,325 | |||
| CHARITY NELSON ABDI JD | ||||||||
| CORPORATE COMPLIANCE OFFICER | 35 | Yes (X) | $136,651 | $0 | $9,566 | |||
| MARIA IMELDA MAMBA | ||||||||
| ACTING CHIEF FINANCIAL OFFICER | 35 | Yes (X) | $112,704 | $0 | $7,889 | |||
| NATHALIE RIGAUD MD | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 35 | $208,454 | $0 | $14,592 | Yes (X) | |||
| CHIN SONG CHEN MD | ||||||||
| MD FAMILY PRACTICE | 35 | $246,245 | $0 | $17,237 | Yes (X) | |||
| ABDUL AKHAND MD | ||||||||
| MD FAMILY PRACTICE | 35 | $223,683 | $0 | $15,658 | Yes (X) | |||
| ROBERTA HELLMAN MD | ||||||||
| MD PSYCHIATRIST | 35 | $194,747 | $0 | $13,632 | Yes (X) | |||
| EDDIE GO MD | ||||||||
| MD INFECTIOUS DISEASE | 35 | $189,698 | $0 | $13,279 | Yes (X) | |||
| MALLIKHARJANUDU KALEPU MD | ||||||||
| MD FAMILY PRACTICE | 35 | $186,403 | $0 | $13,048 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,367,541 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $165,728 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 46 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GALCON ENTERPRISE INC | |||||
| 145 West 25th Suite 1002 | New York | NY | 10001 | CONSTRUCTION SERVICES | $822,652 |
| BAKER TILLY VIRCHOW KRAUSE LLP | |||||
| 125 Baylis Road | Melville | NY | 11747 | AUDITING SERVICES | $135,000 |
| ALMS HEALTHCARE MANAGEMENT INC | |||||
| PO Box 44 | Bronxville | NY | 10708 | CONSULTANT | $117,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $6,109,284 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $6,109,284 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Revenue | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $31,681,164 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,681,164 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,681,164 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $323 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $323 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $96,905 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $96,905 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,905 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,905 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| RESIDENCY PROGRAM | 900099 | $176,000 | $176,000 | $0 | $0 |
| PATIENT TRANSPORTATION REIMBURSEMENT | 900099 | $47,662 | $47,662 | $0 | $0 |
| MEDICAL RECORDS FEE | 900099 | $7,122 | $7,122 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $230,784 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,118,460 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,008,853 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $323 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,402,560 | TotalAmt |
| Program Services | $1,192,176 | ProgramServicesAmt |
| Management And General | $210,384 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,923,411 | TotalAmt |
| Program Services | $16,379,381 | ProgramServicesAmt |
| Management And General | $2,544,030 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,405,781 | TotalAmt |
| Program Services | $1,215,281 | ProgramServicesAmt |
| Management And General | $190,500 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,486,431 | TotalAmt |
| Program Services | $3,013,977 | ProgramServicesAmt |
| Management And General | $472,454 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,668,385 | TotalAmt |
| Program Services | $1,442,299 | ProgramServicesAmt |
| Management And General | $226,086 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,770 | TotalAmt |
| Program Services | $163,268 | ProgramServicesAmt |
| Management And General | $308,502 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,291 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $105,291 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,000 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $85,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,967 | TotalAmt |
| Program Services | $209,967 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $484,810 | TotalAmt |
| Program Services | $204,774 | ProgramServicesAmt |
| Management And General | $280,036 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,562 | TotalAmt |
| Program Services | $489,786 | ProgramServicesAmt |
| Management And General | $76,776 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,261 | TotalAmt |
| Program Services | $29,801 | ProgramServicesAmt |
| Management And General | $65,460 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,545 | TotalAmt |
| Program Services | $412,832 | ProgramServicesAmt |
| Management And General | $64,713 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $890,422 | TotalAmt |
| Program Services | $769,756 | ProgramServicesAmt |
| Management And General | $120,666 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,180 | TotalAmt |
| Program Services | $201,581 | ProgramServicesAmt |
| Management And General | $31,599 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACEUTICALS | $2,764,014 | $2,764,014 | $0 | $0 |
| SUPPLIES-CLINICAL, OFFICE, FACILITY | $1,143,818 | $890,808 | $253,010 | $0 |
| PROVISION FOR BAD DEBTS | $2,619,404 | $2,619,404 | $0 | $0 |
| EQUIPMENT RENTAL AND REPAIRS | $273,153 | $93,525 | $179,628 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,346 | TotalAmt |
| Program Services | $145,555 | ProgramServicesAmt |
| Management And General | $64,791 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,517,111 | TotalAmt |
| Program Services | $32,238,185 | ProgramServicesAmt |
| Management And General | $5,278,926 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,147,410 | BOYAmt |
| EOY | $5,229,821 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,974,868 | BOYAmt |
| EOY | $4,527,039 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,666 | BOYAmt |
| EOY | $57,696 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,280 | BOYAmt |
| EOY | $118,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,239,383 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,870,291 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,659,828 | BOYAmt |
| EOY | $23,369,092 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,982,916 | BOYAmt |
| EOY | $1,157,118 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,871,968 | BOYAmt |
| EOY | $34,459,038 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,492,874 | BOYAmt |
| EOY | $2,801,223 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,548 | BOYAmt |
| EOY | $320,099 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,218,570 | BOYAmt |
| EOY | $10,997,547 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,176 | BOYAmt |
| EOY | $441,020 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,574,168 | BOYAmt |
| EOY | $14,559,889 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,297,800 | BOYAmt |
| EOY | $19,899,149 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,297,800 | BOYAmt |
| EOY | $19,899,149 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,871,968 | BOYAmt |
| EOY | $34,459,038 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $601,349 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,019,119 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,962,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,383,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,171,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,109,284 | CurrentTaxYearAmt |
| Total | $30,646,427 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,019,119 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,962,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,383,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,171,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,109,284 | CurrentTaxYearAmt |
| Total | $30,646,427 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $30,646,427 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,347 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $96,389 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $98,762 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $97,228 | CurrentTaxYearAmt |
| Total | $475,368 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $504,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $70,668 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,140 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $230,784 | CurrentTaxYearAmt |
| Total | $970,639 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $32,092,434 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $125,479,555 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95494 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95528 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 | FormAndLineReferenceDesc |
| Explanation | GENERAL EXPLANATION-THE ORGANIZATION OPERATES AS FEDERALLY QUALIFIED HEALTH CENTER. OTHER INCOME OF $230,784 WHICH HAS BEEN PREVIOUSLY DISCLOSED ON FORM 990, PART VIII, LINES 11A-11C CONSIST OF RESIDENCY PROGRAM INCOME OF $176,000, PATIENT TRANSPORTATION REIMBURSEMENT OF $47,662 AND MEDICAL RECORDS FESS OF $7,122. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $125 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $125 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | TWO THIRDS OF THE JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC. ARE MEMBERS OF THE 1199/SEIU, CERTAIN CONTRIBUTION AMOUNTS THAT WOULD BE OTHERWISE BE PAYABLE TO THE EMPLOYEE'S PENSION FUND ARE INSTEAD ALLOCATED BY THIS UNION TO THE LABOR MANAGEMENT INITIATIVE (LMI). THE UNION LABOR MANAGEMENT INITIATIVE (LMI) ALLOCATES A PORTION OF ITS FUND FOR LOBBYING PURPOSES IN CONNECTION WITH THE NEW YORK STATE AND FEDERAL POLICY ISSUES. THE UNION ALLOCATED THESE LOBBYING EXPENSES BASED ON EACH EMPLOYER'S TOTAL PENSION FUND CONTRIBUTION FOR THE YEAR. THE AMOUNT OF $125.00 REPRESENTS THE JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC. ALLOCATION FOR 2013. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,023,465 | OtherCostOrOtherBasisAmt |
| Book Value | $1,023,465 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $21,775,149 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,726,918 | DepreciationAmt |
| Book Value | $18,048,231 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $213,608 | OtherCostOrOtherBasisAmt |
| Depreciation | $111,770 | DepreciationAmt |
| Book Value | $101,838 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,548,933 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,663,874 | DepreciationAmt |
| Book Value | $885,059 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,678,228 | OtherCostOrOtherBasisAmt |
| Depreciation | $367,729 | DepreciationAmt |
| Book Value | $3,310,499 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,369,092 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PRIMARY CARE AND DEVELOPMENT CORP-DEBT RESERVE | $968,111 |
| SECURITY DEPOSITS | $40,566 |
| A/R-OTHERS | $148,441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,157,118 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $38,118,460 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $38,118,460 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $38,118,460 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $37,517,111 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $37,517,111 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $37,517,111 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THE CENTERS TAX POSITION AND CONCLUDED THAT THE CENTER HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS OR DISCLOSURE TO THE FINANCIAL STATEMENTS. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY UNITED STATES FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2010, WHICH IS THE STATDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,035,209 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,385,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,649,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,649,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,163,690 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,485,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $32,684,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,549,454 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,134,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $32,684,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,549,454 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,134,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,619,404 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,619,404 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $901,325 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $901,325 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $0 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | OtherOtherDesc |
|---|---|---|---|---|---|
| JOSEPH P ADDABBO FAMILY HC SITE 1 | |||||
| 1 | 6200 BEACH CHANNEL DRIVE | ARVERNE | NY | 11692 | COMMUNITY HEALTH CENTER (FEDERAL FQHC AND NY STATE ARTICLE 28 CLINIC) |
| JOSEPH P ADDABBO FAMILY HC SITE 2 | |||||
| 2 | 1288 CENTRAL AVENUE | FAR ROCKAWAY | NY | 11691 | COMMUNITY HEALTH CENTER (FEDERAL FQHC AND NY STATE ARTICLE 28 CLINIC). |
| JOSEPH P ADDABBO FAMILY HC SITE 3 | |||||
| 3 | 114-39/49 SUTPHIN BOULEVARD | JAMAICA | NY | 11434 | COMMUNITY HEALTH CENTER (FEDERAL FQHC AND NY STATE ARTICLE 28 CLINIC). |
| JOSEPH P ADDABBO FAMILY HC SITE 5 | |||||
| 4 | 118-11 GUY BREWER BOULEVARD | JAMAICA | NY | 11434 | COMMUNITY HEALTH CENTER (FEDERAL FQHC AND NY STATE ARTICLE 28 CLINIC). |
| JOSEPH P ADDABBO FAMILY HC SITE 6 | |||||
| 5 | 120 RICHARDS STREET | BROOKLYN | NY | 11321 | COMMUNITY HEALTH CENTER (FEDERAL FQHC AND NY STATE ARTICLE 28 CLINIC). |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Medicaid MedicareMedicaidMedicareInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Provided On AdmissionProvidedOnAdmissionInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH P ADDABBO FAMILY HC SITE 1 | |||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | 11 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 100 | Yes (1) | 200 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) |
| JOSEPH P ADDABBO FAMILY HC SITE 3 | |||||||||||||||||||||||||||||||||||
| 3 | Yes (1) | Yes (X) | 11 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 100 | Yes (1) | 200 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) |
| JOSEPH P ADDABBO FAMILY HC SITE 5 | |||||||||||||||||||||||||||||||||||
| 4 | Yes (1) | Yes (X) | 11 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 100 | Yes (1) | 200 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) |
| JOSEPH P ADDABBO FAMILY HC SITE 6 | |||||||||||||||||||||||||||||||||||
| 5 | Yes (1) | Yes (X) | 11 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 100 | Yes (1) | 200 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) |
| JOSEPH P ADDABBO FAMILY HC SITE 2 | |||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | 11 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 100 | Yes (1) | 200 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) |
Supplemental Information SupplementalInformationGrp (25 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 1-JOSEPH P ADDABBO FAMILY HC SITE 1 | COMMUNITY NEEDS AND SITE LOCATIONS ARE DETERMINED AND APPROVED BY THE FEDERAL GOVERNMENT. ALL HEALTH CENTER LOCATIONS MUST BE LOCATED IN COMMUNITIES DESIGNATED AS EITHER BEING A MEDICALLY UNDER SERVED AREA (MUSA) OR A HEALTH PROVIDER SHORTAGE AREA (HPSA). |
| Schedule H, Part V, Section B, Line 1-JOSEPH P ADDABBO FAMILY HC SITE 2 | COMMUNITY NEEDS AND SITE LOCATIONS ARE DETERMINED AND APPROVED BY THE FEDERAL GOVERNMENT. ALL HEALTH CENTER LOCATIONS MUST BE LOCATED IN COMMUNITIES DESIGNATED EITHER BEING A MEDICALLY UNDER SERVED AREA (MUSA) OF A HEALTH PROVIDER SHORTAGE AREA (HPSA). |
| Schedule H, Part V, Section B, Line 1-JOSEPH P ADDABBO FAMILY HC SITE 3 | COMMUNITY NEEDS AND SITE LOCATIONS ARE DETERMINED AND APPROVED BY THE FEDERAL GOVERNMENT. ALL HEALTH CENTER LOCATIONS MUST BE LOCATED IN COMMUNITIES DESIGNATED AS EITHER BEING A MEDICALLY UNDER SERVED AREA (MUSA) OF A HEALTH PROVIDER SHORTAGE AREA (HPSA). |
| Schedule H, Part V, Section B, Line 1-JOSEPH P ADDABBO FAMILY HC SITE 5 | COMMUNITY NEEDS AND SITE LOCATIONS ARE DETERMINED AND APPROVED BY THE FEDERAL GOVERNMENT. ALL HEALTH CENTER LOCATIONS MUST BE LOCATED IN COMMUNITIES DESIGNATED AS EITHER BEING A MEDICALLY UNDER SERVED AREA (MUSA) OF A HEALTH PROVIDER SHORTAGE AREA (HPSA). |
| Schedule H, Part V, Section B, Line 1-JOSEPH P ADDABBO FAMILY HC SITE 6 | COMMUNITY NEEDS AND SITE LOCATIONS ARE DETERMINED AND APPROVED BY THE FEDERAL GOVERNMENT. ALL HEALTH CENTER LOCATIONS MUST BE LOCATED IN COMMUNITIES DESIGNATED AS EITHER BEING A MEDICALLY UNDER SERVED AREA (MUSA) OF A HEALTH PROVIDER SHORTAGE AREA (HPSA). |
| Schedule H, Part V, Section B, Line 3-JOSEPH P ADDABBO FAMILY HC SITE 1 | AS A FEDERALLY QUALIFIED HEALTH CENTER, FIFTY ONE PERCENT (51%) OF OUR BOARD MEMBERS ARE REQUIRED TO BE MEMBERS OF THE COMMUNITY WE SERVE AND PATIENTS OF OUR HEALTH CENTER. AS SUCH, THESE COMMUNITY MEMBERS BRING COMMUNITY NEEDS TO OUR MONTHLY BOARD MEETINGS AND SUBSEQUENTLY, THE MANAGEMENT TEAM IS INSTRUCTED TO ACT UPON THIS NEEDS. |
| Schedule H, Part V, Section B, Line 3-JOSEPH P ADDABBO FAMILY HC SITE 2 | AS A FEDERALLY QUALIFIED HEALTH CENTER, FIFTY ONE PERCENT (51%) OF OUR BOARD MEMBERS ARE REQUIRED TO BE MEMBERS OF THE COMMUNITY WE SERVE AND PATIENTS OF OUR HEALTH CENTER. AS SUCH, THESE COMMUNITY MEMBERS BRING COMMUNITY NEEDS TO OUR MONTHLY BOARD MEETINGS AND SUBSEQUENTLY, THE MANAGEMENT TEAM IS INSTRUCTED TO ACT UPON THIS NEEDS. |
| Schedule H, Part V, Section B, Line 3-JOSEPH P ADDABBO FAMILY HC SITE 3 | AS A FEDERALLY QUALIFIED HEALTH CENTER, FIFTY ONE PERCENT (51%) OF OUR BOARD MEMBERS ARE REQUIRED TO BE MEMBERS OF THE COMMUNITY WE SERVE AND PATIENTS OF OUR HEALTH CENTER. AS SUCH, THESE COMMUNITY MEMBERS BRING COMMUNITY NEEDS TO OUR MONTHLY BOARD MEETINGS AND SUBSEQUENTLY, THE MANAGEMENT TEAM IS INSTRUCTED TO ACT UPON THIS NEEDS. |
| Schedule H, Part V, Section B, Line 3-JOSEPH P ADDABBO FAMILY HC SITE 5 | AS A FEDERALLY QUALIFIED HEALTH CENTER, FIFTY ONE PERCENT (51%) OF OUR BOARD MEMBERS ARE REQUIRED TO BE MEMBERS OF THE COMMUNITY WE SERVE AND PATIENTS OF OUR HEALTH CENTER. AS SUCH, THESE COMMUNITY MEMBERS BRING COMMUNITY NEEDS TO OUR MONTHLY BOARD MEETINGS AND SUBSEQUENTLY, THE MANAGEMENT TEAM IS INSTRUCTED TO ACT UPON THIS NEEDS. |
| Schedule H, Part V, Section B, Line 3-JOSEPH P ADDABBO FAMILY HC SITE 6 | AS A FEDERALLY QUALIFIED HEALTH CENTER, FIFTY ONE PERCENT (51%) OF OUR BOARD MEMBERS ARE REQUIRED TO BE MEMBERS OF THE COMMUNITY WE SERVE AND PATIENTS OF OUR HEALTH CENTER. AS SUCH, THESE COMMUNITY MEMBERS BRING COMMUNITY NEEDS TO OUR MONTHLY BOARD MEETINGS AND SUBSEQUENTLY, THE MANAGEMENT TEAM IS INSTRUCTED TO ACT UPON THIS NEEDS. |
| Schedule H, Part V, Section B, Line 4-JOSEPH P ADDABBO FAMILY HC SITE 1 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING FACILITIES. |
| Schedule H, Part V, Section B, Line 4-JOSEPH P ADDABBO FAMILY HC SITE 2 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING CERTIFICATE. |
| Schedule H, Part V, Section B, Line 4-JOSEPH P ADDABBO FAMILY HC SITE 3 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING FACILITES. |
| Schedule H, Part V, Section B, Line 4-JOSEPH P ADDABBO FAMILY HC SITE 5 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING FACILITIES |
| Schedule H, Part V, Section B, Line 4-JOSEPH P ADDABBO FAMILY HC SITE 6 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING FACILITIES. |
| Schedule H, Part V, Section B, Line 14-JOSEPH P ADDABBO FAMILY HC SITE 1 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTERS OPERATING FACILITIES |
| Schedule H, Part V, Section B, Line 14-JOSEPH P ADDABBO FAMILY HC SITE 2 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING FACILITIES |
| Schedule H, Part V, Section B, Line 14-JOSEPH P ADDABBO FAMILY HC SITE 3 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING FACILITIES. |
| Schedule H, Part V, Section B, Line 14-JOSEPH P ADDABBO FAMILY HC SITE 5 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTER'S OPERATING FACILITIES |
| Schedule H, Part V, Section B, Line 14-JOSEPH P ADDABBO FAMILY HC SITE 6 | NEEDS ASSESSMENT WAS CONDUCTED WITH ALL FIVE OF THE CENTERS OPERATING FACILITIES |
| Schedule H, Part V, Section B, Line 22-JOSEPH P ADDABBO FAMILY HC SITE 1 | THE STANDARD GROSS CHARGE OF $195.00 IS CHARGED TO ALL PATIENTS. CONTRACTUAL ALLOWANCES AS REQUIRED BY CERTAIN THIRD PARTY PAYORS ( SUCH AS MEDICARE AND MEDICAID), IS APPLIED AND IN THE CASE OF UNINSURED PATIENTS, THE SLIDING FEE SCALE ALLOWANCE, BASED ON THE POVERTY GUIDELINE IS APPLIED. |
| Schedule H, Part V, Section B, Line 22-JOSEPH P ADDABBO FAMILY HC SITE 2 | THE STANDARD GROSS CHARGE OF $195.00 IS CHARGED TO ALL PATIENTS. CONTRACTUAL ALLOWANCES AS REQUIRED BY CERTAIN THIRD PARTY PAYORS (SUCH AS MEDICARE AND MEDICAID) ARE APPLIED AND IN THE CASE OF UNINSURED PATIENTS, THE SLIDING FEE SCALE ALLOWANCE, BASED ON THE POVERTY GUIDELINE IS APPLIED. |
| Schedule H, Part V, Section B, Line 22-JOSEPH P ADDABBO FAMILY HC SITE 3 | THE STANDARD GROSS CHARGE OF $195.00 IS CHARGED TO ALL PATIENTS. CONTRACTUAL ALLOWANCES, AS REQUIRED BY SOME THIRD PARTY PAYORS (SUCH AS MEDICARE AND MEDICAID) ARE APPLIED AND IN THE CASE OF UNINSURED PATIENTS, THE SLIDING FEE SCALE ALLOWANCE, BASED ON THE POVERTY GUIDELINE IS APPLIED. |
| Schedule H, Part V, Section B, Line 22-JOSEPH P ADDABBO FAMILY HC SITE 5 | THE STANDARD GROSS CHARGE OF $195.00 IS CHARGED TO ALL PATIENT. CONTRACTUAL ALLOWANCES AS REQUIRED BY CERTAIN THIRD PARTY PAYORS (SUCH AS MEDICARE AND MEDICAID) ARE APPLIED AND IN THE CASE OF UNINSURED PATIENTS, THE SLIDING FEE SCALE ALLOWANCE, BASED ON POVERTY GUIDELINE IS APPLIED. |
| Schedule H, Part V, Section B, Line 22-JOSEPH P ADDABBO FAMILY HC SITE 6 | THE STANDARD GROSS CHARGE OF $195.00 IS CHARGED TO ALL PATIENTS. CONTRACTUAL ALLOWANCES AS REQUIRED BY CERTAIN THIRD PARTY PAYORS (SUCH AS MEDICARE AND MEDICAID) ARE APPLIED AND IN THE CASE OF UNINSURED PATIENTS, THE SLIDING FEE SCALE ALLOWANCE, BASED ON POVERTY GUIDELINE IS APPLIED. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | THIS INFORMATION HAS BEEN EXTRACTED FROM FOOTNOTE #9 OF THE ORGANIZATIONS 2013 AUDITED FINANCIAL STATEMENTS. |
| Schedule H, Part I, Line 7, Column f | THE AMOUNT OF BAD DEBT EXPENSE FOR 2013 IS $2,619,404 INCLUDED IN FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES, LINE 25 HAS NOT BEEN SUBTRACTED OR REFLECTED ON SCHEDULE H, PART I LINE 7. |
| Schedule H, Part I, Line 7g | ALL BENEFIT COST ARE REPORTED ON LINES 7A AND 7B |
| Schedule H, Part III, Section A, Line 4 | ALLOWANCE FOR DOUBTFUL ACCOUNTS-PATIENT SERVICES RECEIVABLE IS REPORTED AT ITS OUTSTANDING BALANCE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIVITY OF THE PATIENT SERVICES RECEIVABLE, THE CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBT. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WITH THIRD-PARTY COVERAGE, MEDICAID, MEDICARE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS TO DETERMINE THE ADEQUATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, THE CENTER RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY A PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE CONTRACTUAL RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE EFFORTS ARE EXHAUSTED ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Schedule H, Part III, Section B, Line 8 | MEDICARE COST OF $901,325.00 WAS OBTAINED FROM THE 2013 MEDICARE COST REPORT SUBMITTED TO CMS. FOR 2013, OUR ORGANIZATION PROVIDED SERVICES TO 8,802 MEDICARE PATIENTS AT A STANDARD CHARGE OF $195.00 PER VISIT. MEDICARE WAS BILLED $2,182,922.00 OF WHICH WE COLLECTED $569,234.00 FROM MEDICARE (80%) AND THE MEDICARE PATIENT (20% CO-PAY). THE NET LOSS OF $815,065 WAS REPORTED AS A COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A. |
| Schedule H, Part III, Section C, Line 9b | THE HEALTH CENTER SUPPORTS A PROGRAM TO ENROLL THESE INDIVIDUALS INTO PUBLIC INSURANCE PROGRAMS. |
| Schedule H, Part VI, Line 2 | AS A FEDERALLY QUALIFIED HEALTH CENTER, FIFTY ONE PERCENT (51%) OF OUR BOARD MEMBERS ARE REQUIRED TO BE MEMBERS OF THE COMMUNITY WE SERVE AND PATIENTS OF OUR HEALTH CENTER. AS SUCH, THESE COMMUNITY MEMBERS BRING COMMUNITY NEEDS TO OUR MONTHLY BOARD MEETINGS AND SUBSEQUENTLY, THE MANAGEMENT TEAM IS INSTRUCTED TO ACT UPON THIS NEEDS. |
| Schedule H, Part VI, Line 3 | THE CENTER SUPPORTS A PROGRAM CALLED "CONSUMER ASSISTANCE FOR THE NY HEALTH BENEFIT EXCHANGE: IN PERSON ASSISTORS AND NAVIGATORS. THIS PROGRAM ASSIST PATIENTS IN ENROLLING IN AVAILABLE PUBLIC INSURANCE PROGRAMS. |
| Schedule H, Part VI, Line 4 | AS A FEDERALLY QUALIFIED HEALTH CENTER, THE COMMUNITIES SERVED BY THE HEALTH CENTER IS DETERMINED BY THE FEDERAL GOVERNMENT, DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS). ALL HEALTH CENTER LOCATIONS MUST BE LOCATED IN COMMUNITIES DESIGNATED AS EITHER BEING A MEDICALLY UNDERSERVED AREA (MUSA) OR A HEALTH PROVIDER SHORTAGE AREA (HPSA). |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT FLIEGEL CPA | ||||||||||||||
| ACTING CHIEF EXECUTIVE OFFICER | $217,585 | $0 | $20,000 | $0 | $0 | $0 | $14,531 | $0 | $4,064 | $0 | $256,180 | $0 | $228,154 | $0 |
| ALFONSO YU CHAN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $273,175 | $0 | $0 | $0 | $0 | $0 | $19,122 | $0 | $4,064 | $0 | $296,361 | $0 | $288,724 | $0 |
| JINPIN YING PHD | ||||||||||||||
| CHIEF INFORMATION OFFICER | $214,732 | $0 | $0 | $0 | $0 | $0 | $15,031 | $0 | $4,064 | $0 | $233,827 | $0 | $227,407 | $0 |
| CHARITY NELSON ABDI JD | ||||||||||||||
| CORPORATE COMPLIANCE OFFICER | $136,651 | $0 | $0 | $0 | $0 | $0 | $9,566 | $0 | $4,064 | $0 | $150,281 | $0 | $136,779 | $0 |
| NATHALIE RIGAUD MD | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $208,454 | $0 | $0 | $0 | $0 | $0 | $14,592 | $0 | $2,316 | $0 | $225,362 | $0 | $212,479 | $0 |
| CHIN SONG CHEN MD | ||||||||||||||
| MD FAMILY PRACTICE | $221,731 | $0 | $24,514 | $0 | $0 | $0 | $17,237 | $0 | $2,316 | $0 | $265,798 | $0 | $250,485 | $0 |
| ABDUL AKHAND MD | ||||||||||||||
| MD FAMILY PRACTICE | $223,683 | $0 | $0 | $0 | $0 | $0 | $15,658 | $0 | $0 | $0 | $239,341 | $0 | $243,048 | $0 |
| ROBERTA HELLMAN MD | ||||||||||||||
| MD PSYCHIATRIST | $194,747 | $0 | $0 | $0 | $0 | $0 | $13,632 | $0 | $2,316 | $0 | $210,695 | $0 | $212,712 | $0 |
| EDDIE GO MD | ||||||||||||||
| MD INFECTIOUS DISEASE | $189,698 | $0 | $0 | $0 | $0 | $0 | $13,279 | $0 | $900 | $0 | $203,877 | $0 | $197,120 | $0 |
| MALLIKHARJANUDU KALEPU MD | ||||||||||||||
| MD FAMILY PRACTICE | $186,403 | $0 | $0 | $0 | $0 | $0 | $13,048 | $0 | $4,064 | $0 | $203,515 | $0 | $198,608 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARITY NELSON-ABDI JD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DAUGHTER OF FORMER CEO | RelationshipDescriptionTxt |
| Transaction | $136,651 | TransactionAmt |
| Transaction | SALARY & FRINGE FOR CORPORATE COMPLIANCE OFFICER | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | AS DISCLOSED ON SCHEDULE L, PART VI, CHARITY NELSON-ABDI JD, CORPORATE COMPLIANCE OFFICER, IS THE DAUGHTER OF FORMER CHIEF EXECUTIVE OFFICER, JR PETER NELSON, PHD. |
| Form 990, Part VI, Section B, Line 11b | PRIOR TO THE SUBMISSION TO THE INTERNAL REVENUE SERVICE, A COPY OF THE FORM 990 AND SUPPORTING SCHEDULES WERE PROVIDED TO EACH MEMBERS OF THE GOVERNING BODY FOR THEIR REVIEW AND COMMENTS. THE DOCUMENT IS ALSO PROVIDED TO OUR EXTERNAL AUDITORS FOR THEIR REVIEW. AFTER FILING, COPIES ARE PROVIDED TO OUR FEDERAL AND STATE REGULATORS. |
| Form 990, Part VI, Section B, Line 12c | THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY THAT IS PERIODICALLY DISTRIBUTED TO THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES. SUCH POLICY ASKS THAT THE INDIVIDUAL CERTIFY THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTAND THE POLICY AND AGREES TO COMPLY, POLICY NOT ONLY COVERS THE INDIVIDUAL BUT ALSO ASKS FOR DISCLOSURE AS TO ANY IMMEDIATE FAMILY MEMBERS AND POSSIBLE FINANCIAL RELATIONSHIP OR TRANSACTIONAL CONFLICTS. THESE CERTIFICATIONS ARE KEPT IN THE FILE WITH EITHER HUMAN RESOURCES OR THE EXECUTIVE SECRETARY (FOR BOARD MEMBERS ONLY). |
| Form 990, Part VI, Section B, Line 15 | COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS DETERMINED BY THE BOARD OF DIRECTORS USING DATA PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), HEALTH CENTER COMPENSATION AND BENEFITS REPORT AND ALSO COMPARATIVE COMPENSATION DATA OBTAINED FROM NEIGHBORING HEALTH CENTERS NOT-FOR-PROFIT FORM 990'S. COMPENSATION FOR OTHER STAFF MEMBERS IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER USING THE SAME DATA. |
| Form 990, Part VI, Section C, Line 19 | THE INFORMATION IS AVAILABLE TO ANYONE ON REQUEST. ADDITIONALLY, THE FORM 990 IS FILED WITH THE NEW YORK STATE DEPARTMENT OF LAW WHICH POST THE INFORMATION ON THEIR WEBSITE FOR THE CHARITIES REGISTRATION BUREAU. FURTHERMORE, THIS INFORMATION IS PROVIDED TO OUR BOARD OF DIRECTORS, FIFTY ONE PERCENT OF WHICH ARE REQUIRED BY FEDERAL LAW TO BE MEMBERS OF THE COMMUNITY WE SERVE AND USERS OF THE HEALTH CENTER. |
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