2021-10-27T12:09:03-05:00 2020-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2020-01-01 061181226 JOSEPH P ADDABBO FAMILY HEALTH CENTER INC JOSE 7189457150 6200 BEACH CHANNEL DR ARVERNE NY 11692 DR MIRIAM Y VEGA PHD CEO 7189457150 2021-10-25 1 DR MIRIAM Y VEGA PHD 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2021-10-17 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DR MIRIAM Y VEGA PHD 6200 BEACH CHANNEL DR ARVERNE NY 11692 60556562 0 X WWW.ADDABBO.ORG X 1987 NY 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. 10 10 396 0 0 0 11663068 20052087 46400275 40121850 45193 15064 469420 367561 58577956 60556562 0 1600001 0 0 37497990 27601934 0 0 0 23835973 22756683 61333963 51958618 -2756007 8597944 33404988 35971549 15275045 9243662 18129943 26727887 X 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. 0 0 46856853 1600001 40431170 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. 46856853 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 6 0 1 396 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DR MIRIAM Y VEGA PHD 7189457150 6200 BEACH CHANNEL DR ARVERNE NY 11692 BETTY A LEON CHAIRPERSON 1.00 1.00 X X 0 0 0 CAMILLE EADDY BOARD MEMBER 1.00 X 0 0 0 DIANNE MOORE BOARD MEMBER 1.00 X 0 0 0 GLENN GREENIDGE SECRETARY 1.00 X X 0 0 0 JASON PIERRE BOARD MEMBER 1.00 X 0 0 0 LEONOR REINA TREASURER 1.00 X X 0 0 0 NANCY MARTINEZ 2ND VICE CHAIR 1.00 X X 0 0 0 SYLVESTER OKONKWO 1ST VICE CHAIR 1.00 X X 0 0 0 WALTER SANCHEZ BOARD MEMBER 1.00 X 0 0 0 WENDY LAWRENCE BOARD MEMBER 1.00 X 0 0 0 DR MIRIAM Y VEGA CHIEF EXECUTIVE OFFICER 35.00 1.00 X 313141 0 0 MICHAEL MIKULSKI CONTRACTED CFO 35.00 X 0 0 0 VERONICA NICOLA WILTSHIRE CHIEF MEDICAL OFFICER 35.00 X 246640 0 0 CARLENE MONDESIR-HAREWOOD INTERIM DIRECTOR OF OB/GYN 35.00 X 246708 0 2017 FLORENCE GOLAMCO PEDIATRICIAN 35.00 X 220932 0 17351 JULES MAYARD INTERNIST 35.00 X 213842 0 10347 MALLIKHARJANUDU KALEPU FAMILY PRACTITIONER 35.00 X 216384 0 11120 PRAMEELA ALAPATI GYNECOLOGIST 35.00 X 210519 0 11120 1668166 0 51955 46 0 1 0 THE MEDCOR GROUP 1801 W OLYMPIC BLVD PASADENA CA 91199 BILLING SERVICES 792815 ECLINICAL WORKS LLC PO BOX 847950 BOSTON MA 02284 EMR SERVICES 765487 NATIONAL HEALTHCARE CONSULTING INC 7 ONTARIO AVENUE PLAINVIEW NY 11803 FISCAL SERVICES 490000 SILLS CUMMIS & GROSS THE LEGAL CENTER OINE RIVERFRONT P NEWARK NJ 07102 LEGAL SERVICES 188650 SUMMIT SECURITY PO BOX 392812 PITTSBURGH PA 15251 SECURITY SERVICES 184333 5 19191260 860827 1002571 20052087 340B PHARMACY PROGRAM 621400 18569275 18569275 MEDICAID MANAGED CARE 621400 16347414 16347414 NEW YORK SAFETY NET POOL/UNCOMPEN 621400 2091626 2091626 MEDICAID 621400 815853 815853 PRIVATE INSURANCE 621400 755240 755240 1542442 1542442 40121850 15064 15064 58241 0 58241 58241 58241 RESIDENCY 900099 240000 240000 MEDICAL PATIENT TRANSPORTATION 900099 20000 20000 MEDICAL RECORDS 900099 9321 9321 39999 39999 309320 60556562 40431170 0 73305 1600001 1600001 559781 492768 67013 19809208 17437789 2371419 767069 675241 91828 4948052 4355705 592347 1517824 1336120 181704 237337 237337 102069 102069 3681972 3027909 654063 296953 230199 66754 597342 523163 74179 66325 66039 286 1971 234 1737 215635 182136 33499 853382 747406 105976 205644 187091 18553 PHARMACEUTICALS 13498817 13498817 CONSUMABLE SUPPLIES 1553130 1360962 192168 DONATED VACCINES 925496 925496 DUES AND SUBSCRIPTIONS 200032 53738 146294 320578 156039 164539 51958618 46856853 5101765 0 1115923 3272260 1624047 1950787 4182489 4029754 6027483 6027483 161858 232111 33405270 13371302 19868002 20033968 425186 425186 33404988 35971549 6476207 3596038 651882 7996005 5111528 150951 536096 15275045 9243662 X 18129943 26727887 18129943 26727887 33404988 35971549 8597944 0 X X 0 1 X 1 1 1 X 7663221 8276743 9667871 11663068 20052087 57322990 7663221 8276743 9667871 11663068 20052087 57322990 57322990 87363 87363 139280 132555 73305 519866 357294 409893 416762 382058 309320 1875327 59718183 200393947 0.95990 0.94510 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1023465 1023465 24560609 8171352 16389257 1095609 582897 512712 5317601 4617053 700548 1407986 1407986 20033968 DEFERRED RENT 107349 LEASE LIABILITY 428747 536096 X 60556562 0 60556562 0 60556562 50403015 -1555603 -1555603 51958618 0 51958618 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. 1 ADDABBO CENTER FUTURE HOME INC 6200 BEACH CHANNEL DR AVERNE NY 11692 821499016 501(C)(3) 1600001 CONSTRUCTION OF FEDERALLY QUALIFIED HEALTH CENTER 1 PART I, LINE 2: CONTRIBUTION MADE TO A RELATED PARTY, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. X X X X 0 0 0 0 0 0 0 0 0 DR MIRIAM Y VEGA CHIEF EXECUTIVE OFFICER 313141 0 0 0 0 0 0 0 0 0 313141 0 0 0 CARLENE MONDESIR-HAREWOOD INTERIM DIRECTOR OF OB/GYN 246708 0 0 0 0 0 0 0 2017 0 248725 0 0 0 VERONICA NICOLA WILTSHIRE CHIEF MEDICAL OFFICER 246640 0 0 0 0 0 0 0 0 0 246640 0 0 0 FLORENCE GOLAMCO PEDIATRICIAN 220932 0 0 0 0 0 0 0 17351 0 238283 0 0 0 MALLIKHARJANUDU KALEPU FAMILY PRACTITIONER 216384 0 0 0 0 0 0 0 11120 0 227504 0 0 0 JULES MAYARD INTERNIST 213842 0 0 0 0 0 0 0 10347 0 224189 0 0 0 PRAMEELA ALAPATI GYNECOLOGIST 210519 0 0 0 0 0 0 0 11120 0 221639 0 0 0 X 1 925496 FMV X PP&E 17 77075 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. 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. ADDABBO CENTER FUTURE HOME INC 6200 BEACH CHANNEL DR AVERNE NY 11692 821499016 SUPPORT NY 501(C)(3) LINE 12C, III-FI JOSEPH P ADDABBO FAMILY HEALTH CENTER INC 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0