2021-05-20T10:51:34-05:00 2020-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-07-01 232480701 ESPERANZA HEALTH CENTER INC ESPE 2158078613 4417 N 6TH ST PHILADELPHIA PA 19140 JAMES A BECKER CHIEF ADMINISTRATIVE OFFICER 2158078613 2021-05-19 1 KERRI N BOGDA CPA P00760402 7177404863 2019 2022-09-23 18:48:47Z SUSAN POST 4417 N 6TH ST PHILADELPHIA PA 19140 22913529 0 X WWW.ESPERANZAHEALTH.COM X 1987 PA ESPERANZA HEALTH CENTER OPERATES THREE HEALTHCARE SITES IN NORTH PHILADELPHIA, PA. 11 11 269 50 0 0 5230674 5360544 11015037 10850102 254755 266992 2860834 3235070 19361300 19712708 0 0 0 0 12029772 13187235 0 0 63411 4496939 4448486 16526711 17635721 2834589 2076987 29070506 31371112 4843061 3756931 24227445 27614181 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 14378313 0 14029535 IN THE 1980S, A GROUP OF CONCERNED HEALTHCARE PROFESSIONALS RECOGNIZED THE GREAT UNMET NEED FOR AFFORDABLE, BILINGUAL PRIMARY HEALTH CARE SERVICES IN THE LOW-INCOME LATINO COMMUNITIES OF NORTH PHILADELPHIA. ESPERANZA HEALTH CENTER (EHC) OPENED ITS DOORS IN JUNE 1989 AS A SMALL, SECOND-STORY WALK-UP CLINIC ON NORTH FIFTH STREET IN THE HEART OF THE CITY'S MAIN LATINO BUSINESS AND RESIDENTIAL DISTRICT WITH SEVERAL PAID STAFF AND VOLUNTEERS. TODAY, EHC IS A FAITH-BASED FEDERALLY-QUALIFIED HEALTH CENTER THAT SERVES THE ECONOMICALLY DISADVANTAGED, PREDOMINANTLY LATINO AND AFRICAN-AMERICAN COMMUNITIES OF EASTERN NORTH PHILADELPHIA, INCLUDING HUNTING PARK, KENSINGTON, FAIRHILL, JUNIATA PARK, HARROWGATE AND FELTONVILLE. MOTIVATED BY THE LOVE OF CHRIST, EHC PROVIDES A BROAD RANGE OF AFFORDABLE, INTEGRATED BILINGUAL PRIMARY HEALTH AND WELLNESS SERVICES TO LOW-INCOME RESIDENTS OF THESE COMMUNITIES FROM THREE SITES (HUNTING PARK, KENSINGTON AND FAIRHILL). DURING CALENDAR YEAR 2019, EHC DELIVERED PRIMARY CARE SERVICES TO MORE THAN 14,800 PATIENTS. THESE PATIENTS ACCOUNTED FOR A TOTAL OF 47,397 MEDICAL VISITS IN FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS/GYNECOLOGY AND ORTHOPEDICS. IN ADDITION, THERE WERE 8,561 BEHAVIORAL HEALTH VISITS, 9,006 DENTAL VISITS AND 3,391 ENABLING SERVICES VISITS. APPROXIMATELY 50% OF PATIENT SERVICES REVENUE WERE REIMBURSED THROUGH MEDICAID INSURANCE COVERAGE, 17% BY MEDICARE, 3% BY PRIVATE/COMMERCIAL INSURANCE AND SELF-PAY FROM PATIENTS WHO HAVE NEITHER PUBLIC NOR PRIVATE INSURANCE COVERAGE, AND 40% 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. 14378313 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 14 0 269 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X KENNETH SMITHASSOCIATE FINANCE DIR 2153023600 4417 N 6TH ST PHILADELPHIA PA 19140 BRYAN HOLLINGER MEDICAL DIRECTOR 40.00 X 153769 0 28264 SUSAN M POST EXECUTIVE DIRECTOR 40.00 X 155992 0 17564 FAITH PULLINGER CLINICIAN 40.00 X 115220 0 21334 TIMOTHY LEAMAN CLINICIAN 40.00 X 111585 0 23476 TIMOTHY JOHNSTON CLINICIAN 40.00 X 107909 0 25456 ERIK V DAVIS FIN. DIR./PT CONSULT. (UNTIL 2/21) 28.00 12.00 X 108007 0 24201 DARIA CHACON CLINICIAN 40.00 X 113233 0 7135 JUAN PEREZ OPERATIONS DIRECTOR 39.00 1.00 X 101191 0 18247 DAVINA PARATHUNDIL DENTIST 40.00 X 107953 0 9780 DAVID CROSSCOMBE PRESIDENT 2.00 1.00 X X 0 0 0 ROBERTO VARGAS VICE PRESIDENT 2.00 X X 0 0 0 STEPHANIE STANFORD SECRETARY 1.00 X X 0 0 0 JACINTO GOMEZ TRUSTEE 1.00 X 0 0 0 NANCY RIVERA TRUSTEE (UNTIL DEC. 2019) 1.00 X 0 0 0 REV TAEHOO LEE TRUSTEE 1.00 X 0 0 0 SHANA LYNN KLINE TREASURER 1.00 X X 0 0 0 LARA LAHR RN TRUSTEE 1.00 X 0 0 0 TOLULOPE OLABINTAN TRUSTEE 1.00 X 0 0 0 CARMEN SANTIAGO TRUSTEE 1.00 X 0 0 0 ALAN POPOLI TRUSTEE 1.00 X 0 0 0 KEVIN FOY TRUSTEE 1.00 X 0 0 0 1074859 0 175457 16 0 1 0 COORDINATED CARE NETWORK 300 PENN CENTER BOULEVARD SUITE 50 PITTSBURGH PA 15235 CONTRACTED PHARMACY SERVICES 828740 WALGREENS 1452 BETHLEHEM PIKE FLOURTOWN PA 19031 CONTRACTED PHARMACY SERVICES 204563 VIRENCE HEALTH TECHNOLOGIES PO BOX 840952 DALLAS TX 752840952 IT SERVICES 183705 QUEST DIAGNOSTICS PO BOX 41652 PHILADELPHIA PA 191011652 CLINICAL LABORATORY 127577 PHILADELPHIA PHARMACY 101 E LEHIGH AVE PHILADELPHIA PA 19125 CONTRACTED PHARMACY SERVICES 126632 9 4443759 916785 465976 5360544 PRIMARY CARE 621400 9776075 9776075 BEHAVIORAL HEALTH 621400 1074027 1074027 10850102 266992 266992 6380254 3200821 3179433 3179433 ADMINISTRATION 900099 20071 20071 MEDICAL CLAIMS 900099 15971 15971 REIMBURSEMENTS 900099 12393 12393 7202 7202 55637 19712708 14029535 0 322629 609608 182751 426857 10008849 9318449 650584 39816 433106 398804 32607 1695 1328111 1226716 96164 5231 807561 725827 78685 3049 6056 6056 89284 198 89086 1149737 864115 285622 3549 190 3359 377446 121641 249766 6039 440643 440643 524561 2004 522557 44196 19306 24214 676 11593 10743 850 4462 4462 507739 356985 150754 UBI TAXES 289 289 MEDICAL SUPPLIES 1043614 1043614 STAFF ENRICHMENT 60468 60468 EMPLOYEE EXPENSES 54241 54241 130608 48168 79744 2696 17635721 14378313 3193997 63411 963580 1367194 3451693 1882422 128740 430710 1340591 1584335 12346500 12391873 76874 73249 217338 234406 11025099 4273533 8235505 6751566 2173541 6500141 136144 155216 29070506 31371112 4828142 1531797 2200912 14919 24222 4843061 3756931 X 23998989 27361442 228456 252739 24227445 27614181 29070506 31371112 X 2076987 -5452 1315201 X 0 1 X 1 1 1 X 4113452 4404283 4829168 5230674 5360544 23938121 4113452 4404283 4829168 5230674 5360544 23938121 23938121 2307 30235 141449 254767 266992 695750 5536 5536 160975 185853 114878 84345 55637 601688 25241095 115583593 0.94840 0.95330 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2015 AMOUNT: $ 160,975. 2016 AMOUNT: $ 54,422. 2017 AMOUNT: $ 62,218. 2018 AMOUNT: $ 4,388. 2019 AMOUNT: $ 4,348. 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 505768 505768 7044855 2805801 4239054 749747 689009 60738 2397269 778723 1618546 327460 327460 6751566 DEFERRED RENT LIABILITY 24222 24222 22966799 -5452 -5452 22972251 -3259543 -3259543 19712708 20895264 3259543 3259543 17635721 0 17635721 PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -3,200,821. CAFE EXPENSES -58,722. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 3,200,821. CAFE EXPENSES 58,722. X X 0 0 0 0 0 0 0 0 0 BRYAN HOLLINGER MEDICAL DIRECTOR 153519 0 250 0 0 0 9226 0 19038 0 182033 0 0 0 SUSAN M POST EXECUTIVE DIRECTOR 155742 0 250 0 0 0 9360 0 8204 0 173556 0 0 0 X VACCINES 1 465976 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 TOP ADMINISTRATIVE OFFICIAL. THIS OFFICIAL REVIEWED IT WITH THE CENTER'S FINANCE COMMITTEE, WHOSE MEMBERS INCLUDED THE BOARD TREASURER, TOP MANAGEMENT OFFICIAL, 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 2008. 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 2008-2009 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). FORM 990, PART XI, LINE 9: EQUITY TRANSFER 1,315,201. 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 1 ESPERANZA HEALTH CENTER SUPPORT CORP K 132000 COST ESPERANZA HEALTH CENTER SUPPORT CORP S 1315201 COST