JOSEPH P ADDABBO FAMILY HEALTH CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- JOSEPH P ADDABBO FAMILY HEALTH CENTER INC (EIN 06-1181226)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-27
- IRS object ID
- 202143009349300049
- Schema version
- 2020v4.1
- 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 D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-27T12:09:03-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 SYLVAN WAY | AddressLine1Txt |
| City | PARSIPPANY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 070543801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | 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 | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| 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 DR | AddressLine1Txt |
| City | ARVERNE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11692 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR MIRIAM Y VEGA PHD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7189457150 | PhoneNum |
| Signature | 2021-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DR | PersonFirstNm |
| Person Last | MIRIAM Y VEGA PHD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9732283500 | PhoneNum |
| Preparation | 2021-10-17 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR MIRIAM Y VEGA PHD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 BEACH CHANNEL DR | AddressLine1Txt |
| City | ARVERNE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11692 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,556,562 | 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 FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, LICENSED UNDER ARTICLE 28 OF THE NYS HEALTH LAW, LOCATED IN THE BOROUGHS OF QUEENS, BROOKLYN, AND NEW YORK. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 396 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,663,068 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,052,087 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,400,275 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,121,850 | CYProgramServiceRevenueAmt |
| PY Investment Income | $45,193 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,064 | CYInvestmentIncomeAmt |
| PY Other Revenue | $469,420 | PYOtherRevenueAmt |
| CY Other Revenue | $367,561 | CYOtherRevenueAmt |
| PY Total Revenue | $58,577,956 | PYTotalRevenueAmt |
| CY Total Revenue | $60,556,562 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,600,001 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,497,990 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,601,934 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,835,973 | PYOtherExpensesAmt |
| CY Other Expenses | $22,756,683 | CYOtherExpensesAmt |
| PY Total Expenses | $61,333,963 | PYTotalExpensesAmt |
| CY Total Expenses | $51,958,618 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,756,007 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,597,944 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,404,988 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,971,549 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,275,045 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,243,662 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,129,943 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,727,887 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION OPERATES FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, LICENSED UNDER ARTICLE 28 OF THE NYS HEALTH LAW, LOCATED IN THE BOROUGHS OF QUEENS, BROOKLYN, AND NEW YORK. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $46,856,853 | ExpenseAmt |
| Grant | $1,600,001 | GrantAmt |
| Revenue | $40,431,170 | RevenueAmt |
| Desc | THE ORGANIZATION'S PROGRAM IS THAT OF PROVIDING PRIMARY HEALTH CARE SERVICES INCLUDING THE GRANT REVENUE FROM THE RYAN WHITE PROGRAM. THIS IS DONE UNDER THE DIRECT SUPERVISION OF THE FEDERAL GOVERNMENT, DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS),AND HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). A SIGNIFICANT NUMBER OF OUR VISITS ARE PROVIDED AT A DEEP DISCOUNT AND IN MANY INSTANCES FREE. BECAUSE OF OUR FQHC STATUS WE ARE NOT ALLOWED TO TURN AWAY PATIENTS, THEREFORE, WE ARE REIMBURSED FOR THESE LOSSES BY A GRANT FROM THE FEDERAL GOVERNMENT AND CHARITY CARE GRANT FROM THE NEW YORK STATE DEPARTMENT OF HEALTH. | Desc |
| Total Program Service Expenses | $46,856,853 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | 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 | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 396 | 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DR MIRIAM Y VEGA PHD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7189457150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 BEACH CHANNEL DR | AddressLine1Txt |
| City | ARVERNE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11692 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BETTY A LEON | |||||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CAMILLE EADDY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DIANNE MOORE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GLENN GREENIDGE | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JASON PIERRE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEONOR REINA | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| NANCY MARTINEZ | |||||||||
| 2ND VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SYLVESTER OKONKWO | |||||||||
| 1ST VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| WALTER SANCHEZ | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WENDY LAWRENCE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR MIRIAM Y VEGA | |||||||||
| CHIEF EXECUTIVE OFFICER | 35.00 | 1.00 | Yes (X) | $313,141 | $0 | $0 | |||
| MICHAEL MIKULSKI | |||||||||
| CONTRACTED CFO | 35.00 | Yes (X) | $0 | $0 | $0 | ||||
| VERONICA NICOLA WILTSHIRE | |||||||||
| CHIEF MEDICAL OFFICER | 35.00 | $246,640 | $0 | $0 | Yes (X) | ||||
| CARLENE MONDESIR-HAREWOOD | |||||||||
| INTERIM DIRECTOR OF OB/GYN | 35.00 | $246,708 | $0 | $2,017 | Yes (X) | ||||
| FLORENCE GOLAMCO | |||||||||
| PEDIATRICIAN | 35.00 | $220,932 | $0 | $17,351 | Yes (X) | ||||
| JULES MAYARD | |||||||||
| INTERNIST | 35.00 | $213,842 | $0 | $10,347 | Yes (X) | ||||
| MALLIKHARJANUDU KALEPU | |||||||||
| FAMILY PRACTITIONER | 35.00 | $216,384 | $0 | $11,120 | Yes (X) | ||||
| PRAMEELA ALAPATI | |||||||||
| GYNECOLOGIST | 35.00 | $210,519 | $0 | $11,120 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,668,166 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $51,955 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE MEDCOR GROUP | |||||
| 1801 W OLYMPIC BLVD | PASADENA | CA | 91199 | BILLING SERVICES | $792,815 |
| ECLINICAL WORKS LLC | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | EMR SERVICES | $765,487 |
| NATIONAL HEALTHCARE CONSULTING INC | |||||
| 7 ONTARIO AVENUE | PLAINVIEW | NY | 11803 | FISCAL SERVICES | $490,000 |
| SILLS CUMMIS & GROSS | |||||
| THE LEGAL CENTER OINE RIVERFRONT P | NEWARK | NJ | 07102 | LEGAL SERVICES | $188,650 |
| SUMMIT SECURITY | |||||
| PO BOX 392812 | PITTSBURGH | PA | 15251 | SECURITY SERVICES | $184,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $19,191,260 | GovernmentGrantsAmt |
| All Other Contributions | $860,827 | AllOtherContributionsAmt |
| Noncash Contributions | $1,002,571 | NoncashContributionsAmt |
| Total Contributions | $20,052,087 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340B PHARMACY PROGRAM | 621400 | $18,569,275 | $18,569,275 |
| MEDICAID MANAGED CARE | 621400 | $16,347,414 | $16,347,414 |
| NEW YORK SAFETY NET POOL/UNCOMPEN | 621400 | $2,091,626 | $2,091,626 |
| MEDICAID | 621400 | $815,853 | $815,853 |
| PRIVATE INSURANCE | 621400 | $755,240 | $755,240 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,542,442 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,542,442 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,121,850 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,064 | TotalRevenueColumnAmt |
| Exclusion | $15,064 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $58,241 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $58,241 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,241 | TotalRevenueColumnAmt |
| Exclusion | $58,241 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENCY | 900099 | $240,000 | $240,000 |
| MEDICAL PATIENT TRANSPORTATION | 900099 | $20,000 | $20,000 |
| MEDICAL RECORDS | 900099 | $9,321 | $9,321 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,999 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,999 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $309,320 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,556,562 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,431,170 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $73,305 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600,001 | TotalAmt |
| Program Services | $1,600,001 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $559,781 | TotalAmt |
| Program Services | $492,768 | ProgramServicesAmt |
| Management And General | $67,013 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,809,208 | TotalAmt |
| Program Services | $17,437,789 | ProgramServicesAmt |
| Management And General | $2,371,419 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $767,069 | TotalAmt |
| Program Services | $675,241 | ProgramServicesAmt |
| Management And General | $91,828 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,948,052 | TotalAmt |
| Program Services | $4,355,705 | ProgramServicesAmt |
| Management And General | $592,347 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,517,824 | TotalAmt |
| Program Services | $1,336,120 | ProgramServicesAmt |
| Management And General | $181,704 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,337 | TotalAmt |
| Management And General | $237,337 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,069 | TotalAmt |
| Management And General | $102,069 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,681,972 | TotalAmt |
| Program Services | $3,027,909 | ProgramServicesAmt |
| Management And General | $654,063 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,953 | TotalAmt |
| Program Services | $230,199 | ProgramServicesAmt |
| Management And General | $66,754 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,342 | TotalAmt |
| Program Services | $523,163 | ProgramServicesAmt |
| Management And General | $74,179 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,325 | TotalAmt |
| Program Services | $66,039 | ProgramServicesAmt |
| Management And General | $286 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,971 | TotalAmt |
| Program Services | $234 | ProgramServicesAmt |
| Management And General | $1,737 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,635 | TotalAmt |
| Program Services | $182,136 | ProgramServicesAmt |
| Management And General | $33,499 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,382 | TotalAmt |
| Program Services | $747,406 | ProgramServicesAmt |
| Management And General | $105,976 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,644 | TotalAmt |
| Program Services | $187,091 | ProgramServicesAmt |
| Management And General | $18,553 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $13,498,817 | $13,498,817 | |
| CONSUMABLE SUPPLIES | $1,553,130 | $1,360,962 | $192,168 |
| DONATED VACCINES | $925,496 | $925,496 | |
| DUES AND SUBSCRIPTIONS | $200,032 | $53,738 | $146,294 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,578 | TotalAmt |
| Program Services | $156,039 | ProgramServicesAmt |
| Management And General | $164,539 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,958,618 | TotalAmt |
| Program Services | $46,856,853 | ProgramServicesAmt |
| Management And General | $5,101,765 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,115,923 | BOYAmt |
| EOY | $3,272,260 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,624,047 | BOYAmt |
| EOY | $1,950,787 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,182,489 | BOYAmt |
| EOY | $4,029,754 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,027,483 | BOYAmt |
| EOY | $6,027,483 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,858 | BOYAmt |
| EOY | $232,111 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,405,270 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,371,302 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,868,002 | BOYAmt |
| EOY | $20,033,968 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,186 | BOYAmt |
| EOY | $425,186 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,404,988 | BOYAmt |
| EOY | $35,971,549 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,476,207 | BOYAmt |
| EOY | $3,596,038 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,882 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,996,005 | BOYAmt |
| EOY | $5,111,528 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,951 | BOYAmt |
| EOY | $536,096 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,275,045 | BOYAmt |
| EOY | $9,243,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,129,943 | BOYAmt |
| EOY | $26,727,887 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,129,943 | BOYAmt |
| EOY | $26,727,887 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,404,988 | BOYAmt |
| EOY | $35,971,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,597,944 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $7,663,221 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,276,743 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,667,871 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,663,068 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,052,087 | CurrentTaxYearAmt |
| Total | $57,322,990 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,663,221 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,276,743 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,667,871 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,663,068 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,052,087 | CurrentTaxYearAmt |
| Total | $57,322,990 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $57,322,990 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,363 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $87,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,280 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $132,555 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,305 | CurrentTaxYearAmt |
| Total | $519,866 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $357,294 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $409,893 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $416,762 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $382,058 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $309,320 | CurrentTaxYearAmt |
| Total | $1,875,327 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $59,718,183 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $200,393,947 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95990 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94510 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | RESIDENCY - 2016 AMOUNT: $ 330,000. 2017 AMOUNT: $ 336,180. 2018 AMOUNT: $ 285,000. 2019 AMOUNT: $ 240,000. 2020 AMOUNT: $ 240,000. MISC REVENUE - 2016 AMOUNT: $ 18,489. 2017 AMOUNT: $ 7,017. 2018 AMOUNT: $ 10,471. 2019 AMOUNT: $ 13,817. 2020 AMOUNT: $ 39,999. MEDICAL RECORDS - 2016 AMOUNT: $ 8,805. 2017 AMOUNT: $ 66,696. 2018 AMOUNT: $ 14,460. 2019 AMOUNT: $ 21,262. 2020 AMOUNT: $ 9,321. MEDICAL PATIENT TRANSPORTATION REIMBURSEMENT - 2018 AMOUNT: $ 106,831. 2019 AMOUNT: $ 106,979. 2020 AMOUNT: $ 20,000. | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,023,465 | OtherCostOrOtherBasisAmt |
| Book Value | $1,023,465 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,560,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,171,352 | DepreciationAmt |
| Book Value | $16,389,257 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,095,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $582,897 | DepreciationAmt |
| Book Value | $512,712 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,317,601 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,617,053 | DepreciationAmt |
| Book Value | $700,548 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,407,986 | OtherCostOrOtherBasisAmt |
| Book Value | $1,407,986 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,033,968 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED RENT | $107,349 |
| LEASE LIABILITY | $428,747 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $536,096 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $60,556,562 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $60,556,562 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $60,556,562 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $50,403,015 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$1,555,603 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$1,555,603 | ExpensesNotReportedAmt |
| Expenses Subtotal | $51,958,618 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $51,958,618 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER AND AFFILIATE WERE INCORPORATED AS NOT-FOR-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF NEW YORK AND ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2020 AND 2019. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2017 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES, AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RELATED ORGANIZATIONS EXPENSES 1,600,001. ELIMINATION -1,600,001. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATIONS EXPENSES 44,398. ELIMINATION -1,600,001. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADDABBO CENTER FUTURE HOME INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 BEACH CHANNEL DR | AddressLine1Txt |
| City | AVERNE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11692 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 821499016 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $1,600,001 | CashGrantAmt |
| Purpose Of Grant | CONSTRUCTION OF FEDERALLY QUALIFIED HEALTH CENTER | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CONTRIBUTION MADE TO A RELATED PARTY, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR MIRIAM Y VEGA | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $313,141 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $313,141 | $0 | $0 | $0 |
| CARLENE MONDESIR-HAREWOOD | ||||||||||||||
| INTERIM DIRECTOR OF OB/GYN | $246,708 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,017 | $0 | $248,725 | $0 | $0 | $0 |
| VERONICA NICOLA WILTSHIRE | ||||||||||||||
| CHIEF MEDICAL OFFICER | $246,640 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $246,640 | $0 | $0 | $0 |
| FLORENCE GOLAMCO | ||||||||||||||
| PEDIATRICIAN | $220,932 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,351 | $0 | $238,283 | $0 | $0 | $0 |
| MALLIKHARJANUDU KALEPU | ||||||||||||||
| FAMILY PRACTITIONER | $216,384 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,120 | $0 | $227,504 | $0 | $0 | $0 |
| JULES MAYARD | ||||||||||||||
| INTERNIST | $213,842 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,347 | $0 | $224,189 | $0 | $0 | $0 |
| PRAMEELA ALAPATI | ||||||||||||||
| GYNECOLOGIST | $210,519 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,120 | $0 | $221,639 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $925,496 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | PP&E | Desc |
| Contribution | 17 | ContributionCnt |
| Noncash Contributions Rpt F990 | $77,075 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION OUTSOURCED THE ROLE OF ITS' CFO AND OTHER FISCAL DUTIES TO NATIONAL HEALTHCARE CONSULTING (NHC). NHC WAS COMPENSATED $490,000. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 AND SUPPORTING SCHEDULES ARE PROVIDED TO EACH MEMBER 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 UNDERSTANDS THE POLICY AND AGREES TO COMPLY. THE POLICY NOT ONLY COVERS THE INDIVIDUAL BUT ALSO ASKS FOR DISCLOSURES 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. |
| 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 CENTER (NACHC), HEALTH CENTER COMPENSATION AND BENEFITS REPORT AND ALSO COMPARATIVE COMPENSATION DATA OBTAINED FROM NEIGHBORING HEALTH CENTERS NOT FOR PROFIT FORM 9905. COMPENSATION FOR OTHER STAFF MEMBERS IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER USING THE SAME DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADDABBO CENTER FUTURE HOME INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 BEACH CHANNEL DR | AddressLine1Txt |
| City | AVERNE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11692 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821499016 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH P ADDABBO FAMILY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |