2022-05-12T06:49:17-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 232480701 ESPERANZA HEALTH CENTER INC ESPE 2158078613 4417 N 6TH ST PHILADELPHIA PA 19140 ROSALIND WILLIFORD CHIEF FINANCIAL OFFICER 2158078613 2022-05-05 1 ROSALIND WILLIFORD XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SUSAN POST 4417 N 6TH ST PHILADELPHIA PA 19140 26854357 0 X WWW.ESPERANZAHEALTH.COM X 1987 PA ESPERANZA HEALTH CENTER OPERATES THREE HEALTHCARE SITES IN NORTH PHILADELPHIA, PA. 12 12 238 140 0 0 5360544 8964045 10850102 12285327 266992 197272 3235070 1974764 19712708 23421408 0 0 0 0 13187235 14641040 0 0 59208 4448486 4066287 17635721 18707327 2076987 4714081 31371112 34350817 3756931 2023509 27614181 32327308 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 15720075 0 14204418 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 2020, EHC DELIVERED PRIMARY CARE SERVICES TO MORE THAN 15,000 PATIENTS. THESE PATIENTS ACCOUNTED FOR 50,816 MEDICAL VISITS IN FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS/GYNECOLOGY, AND ORTHOPEDICS. IN ADDITION, THERE WERE 10,216 BEHAVIORAL HEALTH VISITS, 6,979 DENTAL VISITS, AND 1,032 ENABLING SERVICES 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 NOR 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. 15720075 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 1 0 0 0 0 1 0 0 0 1 18 0 238 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 KEVIN FOY TRUSTEE 1.00 X 0 0 0 ALAN POPOLI TREASURER 1.00 X X 0 0 0 CARMEN SANTIAGO TRUSTEE 1.00 X 0 0 0 TOLULOPE OLABINTAN MD TRUSTEE 1.00 X 0 0 0 REV TAEHOO LEE TRUSTEE 1.00 X 0 0 0 DAVID CROSSCOMBE TRUSTEE 2.00 1.00 X 0 0 0 ANEESH KHUSHMAN MD TRUSTEE 1.00 X 0 0 0 STEPHANIE STANFORD SECRETARY 1.00 X X 0 0 0 ROBERTO VARGAS VICE PRESIDENT 2.00 X X 0 0 0 SHANA KLINE PRESIDENT 1.00 X X 0 0 0 LARA LAHR RN TRUSTEE 1.00 X 0 0 0 JANCITO GOMEZ TRUSTEE 1.00 X 0 0 0 BRYAN HOLLINGER MEDICAL DIRECTOR 40.00 X 153318 0 23652 SUSAN M POST EXECUTIVE DIRECTOR 40.00 X 137057 0 16198 ERIK V DAVIS FIN. DIR/PT. CONSULT (UNTIL 2/21) 28.00 12.00 X 103459 0 21818 JUAN PEREZ OPERATIONS DIRECTOR 39.00 1.00 X 102251 0 16037 ROSALIND WILLIFORD CFO (AS OF 5/21) 0.00 X 0 0 0 FAITH PULLINGER CLINICIAN 32.00 X 123741 0 25652 TIMOTHY LEAMAN CLINICIAN 32.00 X 108674 0 25792 TIMOTHY JOHNSTON CLINICIAN 32.00 X 110965 0 21997 DOMINIC DERENGE CLINICIAN 32.00 X 109190 0 17946 CHRISTOPHER LEANDER CLINICIAN 32.00 X 100599 0 28316 1049254 0 197408 13 0 1 0 COORDINATED CARE NETWORK 300 PENN CENTER BOULEVARD SUITE 50 PITTSBURGH PA 15235 CONTRACTED PHARMACY SERVICES 839085 NORR DESIGN INC 1617 JOHN F KENNEDY BLVD SUITE 160 PHILADELPHIA PA 19103 ENGINEERING & DESIGN SERVICES 223773 VIRENCE HEALTH TECHNOLOGIES PO BOX 840952 DALLAS TX 752840952 IT SERVICES 219715 QUEST DIAGNOSTICS 500 PLAZA DRIVE SEACAUCUS NJ 07094 CLINICAL LABORATORY 147152 GOODLANDS CONTSTRUCTION LLC 4412 NORTH 8TH STREET PHILADELPHIA PA 19140 CONSTRUCTION 117902 10 7898219 1065826 567380 8964045 PRIMARY CARE 621400 10385552 10385552 BEHAVIORAL HEALTH 621400 1200997 1200997 DENTAL SERVICES 621400 698778 698778 12285327 197272 197272 17584 0 17584 17584 17584 5352040 3432949 1919091 1919091 MEDICAL RECORDS 900099 17649 17649 CREDIT CARD REWARDS 900099 10465 10465 REFUNDS 900099 6208 6208 3767 3767 38089 23421408 14204418 0 252945 639661 187275 452386 11199959 10840280 333370 26309 461262 452326 7831 1105 1430803 1374997 52473 3333 909355 851290 56029 2036 6485 3815 2670 125502 1880 123622 419999 198817 221182 14752 14752 496478 159714 327940 8824 607385 607385 523278 523278 20543 17833 2710 21359 18510 2849 20683 20683 352087 288711 63376 78360 78360 MEDICAL SUPPLIES 1205226 1205226 PROFESSIONAL DEVELOP. 67283 67283 DISCRETIONARY SPENDING 32409 32409 DUES & SUBSCRIPTIONS 21764 21764 52694 31435 21259 18707327 15720075 2928044 59208 1367194 1094563 1882422 3430457 430710 574767 1584335 1626327 12391873 20796700 73249 58017 234406 282975 10711804 4625620 6751566 6086184 6500141 307887 155216 92940 31371112 34350817 1531797 1746590 2200912 0 24222 276919 3756931 2023509 X 27361442 32226689 252739 100619 27614181 32327308 31371112 34350817 4714081 -954 0 X 0 1 X 1 1 1 X 4404283 4829168 5230674 5360544 8964045 28788714 4404283 4829168 5230674 5360544 8964045 28788714 28788714 30235 141449 254767 266992 214856 908299 5536 5536 185853 114878 84345 55637 38089 478802 30181351 84858818 0.95390 0.94840 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 54,422. 2017 AMOUNT: $ 62,218. 2018 AMOUNT: $ 4,388. 2019 AMOUNT: $ 4,348. 2020 AMOUNT: $ 3,767. ADMINSTRATION - 2016 AMOUNT: $ 30,311. 2017 AMOUNT: $ 21,386. 2018 AMOUNT: $ 20,497. 2019 AMOUNT: $ 20,071. FITNESS INCOME - 2016 AMOUNT: $ 4,434. 2017 AMOUNT: $ 1,661. 2018 AMOUNT: $ 1,499. 2019 AMOUNT: $ 2,033. CAFE INCOME - 2016 AMOUNT: $ 64,711. 2017 AMOUNT: $ 26,913. 2018 AMOUNT: $ 32,646. 2019 AMOUNT: $ 636. REIMBURSEMENTS - 2016 AMOUNT: $ 6,500. 2017 AMOUNT: $ 2,700. 2018 AMOUNT: $ 25,315. 2019 AMOUNT: $ 12,393. BAD DEBT RECOVERY - 2016 AMOUNT: $ 25,475. 2019 AMOUNT: $ 185. MEDICAL CLAIMS - 2019 AMOUNT: $ 15,971. MEDICAL RECORDS - 2020 AMOUNT: $ 17,649. REFUNDS - 2020 AMOUNT: $ 6,208. CREDIT CARD REWARDS - 2020 AMOUNT: $ 10,465. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 553833 553833 7266190 2757646 4508544 1162185 842112 320073 1500263 1025862 474401 229333 229333 6086184 DEFERRED RENT LIABILITY 276919 276919 26857229 -954 -954 26858183 -3436775 -3436775 23421408 22144102 3436775 3436775 18707327 0 18707327 PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -3,432,949. CAFE EXPENSES -3,826. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 3,432,949. CAFE EXPENSES 3,826. X X 0 0 0 0 0 0 0 0 0 BRYAN HOLLINGER MEDICAL DIRECTOR 153068 0 250 0 0 0 4840 0 18812 0 176970 0 0 0 SUSAN M POST EXECUTIVE DIRECTOR 136807 0 250 0 0 0 9630 0 6568 0 153255 0 0 0 X VACCINES 1 567380 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 WAS PREPARED UNDER THE DIRECT SUPERVISION OF THE HEALTH CENTER'S CHIEF FINANCIAL OFFICER. THIS OFFICIAL REVIEWED IT WITH THE CENTER'S FINANCE COMMITTEE, WHOSE MEMBERS INCLUDED THE BOARD TREASURER, TOP MANAGEMENT OFFICIAL, AND CHIEF ADMINISTRATIVE OFFICER, CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER. FOLLOWING THIS REVIEW, THE PREPARED FORM 990 WAS 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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 ESPERANZA HEALTH CENTER SUPPORT CORPORATION K 198000 COST