2024-05-14T08:10:34-05:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-07-01 232480701 ESPERANZA HEALTH CENTER INC ESPE 2158078613 4417 N 6TH ST PHILADELPHIA PA 19140 ROSALIND WILLIFORD CHIEF FINANCIAL OFFICER 2158078613 2024-05-13 1 ROSALIND WILLIFORD XXX-XX-XXXX 1 KERRI N BOGDA CPA P00760402 7177404863 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SUSAN POST 4417 N 6TH ST PHILADELPHIA PA 19140 27562521 0 X WWW.ESPERANZAHEALTH.COM X 1987 PA ESPERANZA HEALTH CENTER OPERATES THREE HEALTHCARE SITES IN NORTH PHILADELPHIA, PA. 10 10 270 115 0 0 9983354 7225664 12209568 13629884 303589 294493 2134850 2141173 24631361 23291214 0 0 0 0 14258041 13756381 0 0 55526 4187052 4502317 18445093 18258698 6186268 5032516 40761717 46747527 2247127 2908433 38514590 43839094 X COMPELLED BY THE LOVE OF GOD IN CHRIST JESUS, IN COOPERATION WITH THE CHURCH AND OTHERS, ESPERANZA HEALTH CENTER IS A MULTI-CULTURAL MINISTRY PROVIDING HOLISTIC HEALTHCARE TO THE LATINO AND UNDERSERVED COMMUNITIES OF PHILADELPHIA. 0 0 15122712 13629884 SINCE OUR FOUNDING IN 1989, ESPERANZA HAS BEEN COMMITTED TO PROVIDING ACCESS TO AFFORDABLE, HIGH-QUALITY BILINGUAL HEALTH CARE AND WELLNESS SERVICES AS WE PURSUE HEALTH WITH OUR PATIENTS AND OUR COMMUNITY. OUR THREE HEALTH CENTER SITES IN NORTH PHILADELPHIA (FIFTH STREET, HUNTING PARK, AND KENSINGTON) ARE CONVENIENTLY LOCATED FOR EASY ACCESS. SERVICES INCLUDE PRIMARY MEDICAL CARE FOR ADULTS AND CHILDREN, DENTAL CARE, PRENATAL CARE, BEHAVIORAL HEALTH SERVICES, ON-SITE MEDICATION DISPENSARIES, SOCIAL SERVICES ASSISTANCE, AND OTHER SERVICES. COMMUNITY HEALTH AND WELLNESS PROGRAMS ARE OPEN TO ALL RESIDENTS. ESPERANZA HEALTH CENTER IS RECOGNIZED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION, BUREAU OF PRIMARY HEALTH CARE. DURING THE CALENDAR YEAR 2023, EHC DELIVERED PRIMARY CARE SERVICES TO MORE THAN 13,501 PATIENTS. THESE PATIENTS ACCOUNTED FOR 47,426 MEDICAL VISITS IN FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS/GYNECOLOGY, AND ORTHOPEDICS. IN ADDITION, THERE WERE 5,643 BEHAVIORAL HEALTH VISITS, AND 6,757 DENTAL VISITS. APPROXIMATELY 55% OF PATIENT SERVICES REVENUE WAS REIMBURSED THROUGH MEDICAID INSURANCE COVERAGE, 9% BY MEDICARE, 5% BY PRIVATE/COMMERCIAL INSURANCE AND SELF-PAY FROM PATIENTS WHO HAVE NEITHER PUBLIC OR PRIVATE INSURANCE COVERAGE, AND 30% FROM 340B MEDICATION DISPENSARY. ALL OF EHC'S PATIENTS WITHOUT INSURANCE COVERAGE ARE ELIGIBLE FOR A DISCOUNT FOR THE PATIENT'S SHARE OF FINANCIAL RESPONSIBILITY, AS DEFINED BY EHC'S SLIDING FEE DISCOUNT SCALE. THIS SCALE, WHICH IS BASED ON THE PATIENT'S FAMILY SIZE/DEMONSTRATED HOUSEHOLD INCOME, IS ADJUSTED ANNUALLY TO REFLECT THE MOST CURRENT FEDERAL POVERTY GUIDELINES. 15122712 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 30 0 270 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ROSALIND WILLIFORD CHIEF FINANCIAL 2153023600 4417 N 6TH ST PHILADELPHIA PA 19140 SHANA KLINE PRESIDENT 1.00 1.00 X X 0 0 0 STEPHANIE STANFORD VICE PRESIDENT 2.00 1.00 X X 0 0 0 RUTH ELLIOTT SECRETARY 1.00 0.00 X X 0 0 0 ALAN POPOLI TREASURER 1.00 0.00 X X 0 0 0 KEVIN FOY TRUSTEE 1.00 0.00 X 0 0 0 LARA LAHR RN TRUSTEE 1.00 0.00 X 0 0 0 REV TAEHOO LEE TRUSTEE 1.00 0.00 X 0 0 0 TOLULOPE OLABINTAN MD TRUSTEE 1.00 0.00 X 0 0 0 DAVID CROSSCOMBE TRUSTEE 2.00 0.00 X 0 0 0 ANEESH KHUSHMAN MD TRUSTEE 1.00 0.00 X 0 0 0 SUSAN M POST CHIEF EXECUTIVE DIRECTOR 40.00 0.00 X 170013 0 6224 ROSALIND WILLIFORD CFO 39.00 1.00 X 124430 0 22314 JUAN PEREZ CHIEF OPERATIONS OFFICER 39.00 1.00 X 112618 0 11501 JAMES BECKER CHIEF ADMINISTRATIVE OFFICER 39.00 1.00 X 115628 0 12648 TIMOTHY LEAMAN MEDICAL DIRECTOR 40.00 0.00 X 141018 0 25425 BRYAN HOLLINGER MEDICAL DIRECTOR UNTIL 12/31/22 10.00 0.00 X 42521 0 2622 FAITH PULLINGER CLINICIAN 32.00 0.00 X 145753 0 16466 TIMOTHY JOHNSTON CLINICIAN 32.00 0.00 X 121892 0 6265 MARYANN SALIB CLINICIAN 32.00 0.00 X 126779 0 8370 DARIA CHACON CLINICIAN 32.00 0.00 X 122484 0 19106 MONROE MADISON IT DIRECTOR 40.00 0.00 X 101106 0 12648 1324242 0 143589 16 0 1 0 VIRENCE HEALTH TECHNOLOGIES PO BOX 840952 DALLAS TX 752840952 IT SERVICES 267819 LAB CORPORATION PO BOX 12140 BURLINGTON NC 272162140 CLINICAL LABORATORY SERVICES 131258 ROBERT HALF 12400 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACTED ACCOUNTING SERVICES 114296 3 6173333 1052331 514061 7225664 PRIMARY CARE 621400 11376970 11376970 BEHAVIORAL HEALTH 621400 1334343 1334343 DENTAL SERVICES 621400 918571 918571 13629884 294493 294493 75710 0 75710 75710 75710 6219846 4271307 1948539 1948539 INSURANCE CLAIM 900099 48802 48802 MEDICAL RECORDS 900099 32941 32941 VENDOR REFUND 900099 21069 21069 14112 14112 116924 23291214 15578423 0 487127 721380 172605 548775 10566922 10340195 204204 22523 463570 443297 19315 958 1133310 1065778 65243 2289 871199 812829 56628 1742 4935 2315 2620 189097 1000 188097 535969 262672 273297 13399 13399 312955 99635 204130 9190 689573 689573 564258 564258 60735 34518 26217 39855 34430 5425 389981 319798 70183 112009 112009 MEDICAL SUPPLIES 1385529 1385529 PROFESSIONAL DEVELOP. 45480 45480 DUES & SUBSCRIPTIONS 44000 35000 9000 SPECIAL EVENTS 24476 24476 90066 67631 22435 18258698 15122712 3080460 55526 2219273 1118384 5748853 5149833 107184 8696 1313649 1976079 20796700 20796700 74287 88508 269516 122526 11494656 5428863 6093117 6065793 4126798 11421008 12340 0 40761717 46747527 1866320 1814825 380807 1093608 2247127 2908433 X 38207368 43531872 307222 307222 38514590 43839094 40761717 46747527 5032516 291988 0 X 0 0 1 1 X 5230674 5360544 8964045 9983354 7225664 36764281 5230674 5360544 8964045 9983354 7225664 36764281 36764281 254767 266992 214856 322771 370203 1429589 84345 55637 38089 45550 116924 340545 38534415 89130042 0.95410 0.95700 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 4,388. 2019 AMOUNT: $ 4,348. 2020 AMOUNT: $ 3,767. 2021 AMOUNT: $ 8,502. 2022 AMOUNT: $ 11,112. ADMINSTRATION - 2018 AMOUNT: $ 20,497. 2019 AMOUNT: $ 20,071. FITNESS INCOME - 2018 AMOUNT: $ 1,499. 2019 AMOUNT: $ 2,033. CAFE INCOME - 2018 AMOUNT: $ 32,646. 2019 AMOUNT: $ 636. 2021 AMOUNT: $ -362. REIMBURSEMENTS - 2018 AMOUNT: $ 25,315. 2019 AMOUNT: $ 12,393. 2021 AMOUNT: $ 404. BAD DEBT RECOVERY - 2019 AMOUNT: $ 185. 2021 AMOUNT: $ 1,230. MEDICAL CLAIMS - 2019 AMOUNT: $ 15,971. MEDICAL RECORDS - 2020 AMOUNT: $ 17,649. 2021 AMOUNT: $ 23,135. 2022 AMOUNT: $ 32,941. REFUNDS - 2020 AMOUNT: $ 6,208. 2021 AMOUNT: $ 3,175. 2022 AMOUNT: $ 21,069. CREDIT CARD REWARDS - 2020 AMOUNT: $ 10,465. 2021 AMOUNT: $ 9,466. 2022 AMOUNT: $ 3,000. INSURANCE CLAIM - 2022 AMOUNT: $ 48,802. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 598644 598644 7377700 3208812 4168888 1250645 909617 341028 1780505 1310434 470071 487162 487162 6065793 X X 0 0 0 0 0 0 0 0 0 SUSAN M POST CHIEF EXECUTIVE DIRECTOR 170013 0 0 0 0 0 4823 0 1401 0 176237 0 0 0 TIMOTHY LEAMAN MEDICAL DIRECTOR 141018 0 0 0 0 0 5868 0 19557 0 166443 0 0 0 FAITH PULLINGER CLINICIAN 145753 0 0 0 0 0 4314 0 12152 0 162219 0 0 0 X VACCINES 1 514061 COST 0 0 0 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS IS REPORTED FOR THE NON-CASH CONTRIBUTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED UNDER THE DIRECT SUPERVISION OF THE HEALTH CENTER'S CHIEF FINANCIAL OFFICER. THIS OFFICIAL REVIEWS THE RETURN WITH THE CENTER'S FINANCE COMMITTEE, WHOSE MEMBERS INCLUDE THE BOARD TREASURER, TOP MANAGEMENT OFFICIAL, AND CHIEF ADMINISTRATIVE OFFICER, CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER. FOLLOWING THIS REVIEW, THE PREPARED FORM 990 IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THE HEALTH CENTER'S BOARD OF DIRECTORS CONSIDERS POSSIBLE CONFLICTS OF INTEREST OF EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IN EACH MEETING DEPENDING UPON THE SUBJECT AT HAND. WHEN DEEMED NECESSARY, BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSIONS AND/OR ABSTAIN FROM VOTING REGARDING ANY MATTER INVOLVING POSSIBLE CONFLICTS OF INTEREST. FAMILY AND BUSINESS RELATIONSHIPS AS SOURCES OF POTENTIAL CONFLICTS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE HEATH CENTER'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES WAS LED BY THE HEALTH CENTER'S BOARD OF DIRECTORS OVER A YEAR-LONG PROCESS IN 2019. THIS PROCESS INCLUDED SEVERAL REVIEWS BY THE FULL BOARD, COMPARABILITY DATA, AND DETAILED, POSITION-BY-POSITION REVIEW. THE PROCESS RESULTED IN AN ORGANIZATION WIDE SALARY GUIDE FOR FISCAL YEAR 2019-2020 WHICH HAS BEEN IMPLEMENTED GOING FORWARD. THIS GUIDE INCLUDES A SALARY RANGE BY POSITION WHICH ACCOUNTS FOR EXPERIENCE AND QUALIFICATIONS. THESE DISCUSSIONS ARE DOCUMENTED IN MEETING MINUTES. SUBSEQUENT CHANGES IN SALARY HAVE BEEN BASED ON ORGANIZATION-WIDE ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE HEATH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). ESPERANZA HEALTH SUPPORT CORP 4417 N 6TH ST PHILADELPHIA PA 19140 825433613 SUPPORTING ORGANIZATION PA 501(C)(3) LINE 12A, I ESPERANZA HEALTH CENTER INC 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 ESPERANZA HEALTH CENTER SUPPORT CORP K 198000 COST