2020-09-29T09:03:22-05:00 2019-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2019-01-01 237360305 URBAN HEALTH PLAN INC URBA 7185891687 1065 SOUTHERN BLVD BRONX NY 10459 PALOMA HERNANDEZ PRESIDENT AND CEO 7185891687 2020-09-28 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2020-09-15 209.59.243.22 2020-09-28 12:22:10 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F9BA0E82A6D947CC92540FBC56E8B73643681DA5 2019 2021-01-29 14:40:06Z PALOMA HERNANDEZ 1065 SOUTHERN BLVD BRONX NY 10459 143995042 0 X WWW.URBANHEALTHPLAN.ORG X 1974 NY URBAN HEALTH PLAN (THE "CENTER") IS A FEDERALLY QUALIFIED HEALTH CENTER LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN THE BRONX, QUEENS, AND MANHATTAN. THE CENTER PROVIDES A BROAD RANGE OF PRIMARY HEALTHCARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 14 14 1291 4 0 0 22563711 29831000 105316595 110734987 146679 419685 24505677 352216 152532662 141337888 651648 177148 0 0 81764084 88896746 0 0 1628996 49899320 50251026 132315052 139324920 20217610 2012968 111823217 133381892 49136011 67871687 62687206 65510205 X URBAN HEALTH PLAN'S MISSION IS TO CONTINUOUSLY IMPROVE THE HEALTH OF COMMUNITIES AND THE QUALITY OF LIFE OF THE PEOPLE WE SERVICE BY PROVIDING AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY AND SPECIALTY HEALTH CARE AND BY ASSURING THE PERFORMANCE AND ADVANCEMENT OF INNOVATIVE BEST PRACTICES. 0 0 116284628 177148 111142847 URBAN HEALTH PLAN PRACTICE SITES PROVIDE A BROAD RANGE OF PRIMARY AND SPECIALTY CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION SERVICING UNIQUE PATIENTS AND GENERATING MORE THAN 418,230 VISITS. 2085057 PROVIDED INCLUDE HEALTHY LIFESTYLE PROGRAMS, BREASTFEEDING SUPPORT, ON-SITE HEMATOLOGY, PARTICIAPANT-CENTERED FACILITATED GROUP DISCUSSIONS AND INDIVIDUAL COUNSELING AS ADJUNCT TO HEALTHCARE. THE WIC PROGRAM PROVIDE REFERRALS TO OTHER SERVICES FOR ITS CLIENTS. WE PROVIDES FREE NUTRITIONAL COUNSELING AND VOUCHERS FOR HEALTHY FOOD PREGNANT OR BREASTFEEDING WOMEN AND FOR CHILDREN UNDER AGE 5. 826862 UHP SCHOOL BASED HEALTH PROGRAM INCLUDES 12 CLINICS; 5 ELEMENTARY, 3 MIDDLE SCHOOL, AND 4 HIGH SCHOOLS. THE DENTAL CLINICS ARE STAFFED WITH ONE PROVIDER AND TWO DENTAL ASSISTANTS, WHO ROTATE DAILY TO EACH SCHOOL. DURING THE SCHOOL YEAR JULY 1, 2018 THROUGH JUNE 30, 2019, UHP SERVICED 3,337 STUDENTS TOTALING 16,462 VISITS. 119196547 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 0 0 0 1 259 0 1 1291 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X BERENICE DIAZ AVP OF FINANCE 7185891687 1231 LAFAYETTE AVE BRONX NY 10474 CHARLES GONZALEZ JR BOARD MEMBER 1.00 X 0 0 0 CLIFFORD CHARLES TREASURER 1.00 1.00 X X 0 0 0 EDWARD S BUTTS BOARD MEMBER 1.00 X 0 0 0 FRANCIA CASTRO CHAIRMAN 1.00 1.00 X X 0 0 0 FRANK ESTRADA MD VICE CHAIRPERSON 1.00 X X 0 0 0 HEROILDA VEGA BOARD MEMBER 1.00 X 0 0 0 HOWARD HINESTROZA MD BOARD MEMBER 1.00 X 0 0 0 JOANN RIVERA BAKER SECRETARY 1.00 X X 0 0 0 JOSEPH MARRERO BOARD MEMBER 1.00 X 0 0 0 LINDA BALDWIN BOARD MEMBER 1.00 X 0 0 0 MICHELLE CARR OUTGOING SECRETARY 1.00 X X 0 0 0 NAYDA PADILLA BOARD MEMBER 1.00 X 0 0 0 OSWALDO GUZMAN BOARD MEMBER 1.00 X 0 0 0 RHYNNA SANTOS BOARD MEMBER 1.00 X 0 0 0 YOSELIN GENAO BOARD MEMBER 1.00 X 0 0 0 BERENICE DIAZ AVP OF FINANCE 35.00 5.00 X 188985 0 40808 FRANK E LAPORTA VP OF FINANCE/CFO 35.00 X 250881 0 19568 PALOMA HERNANDEZ PRESIDENT AND CEO 35.00 5.00 X 570706 0 120603 SAMUEL DE LEON VP AND CMO 40.00 X 324948 0 49369 MICHAEL NAPOLI PHYSICIAN 40.00 X 295171 0 34430 SONIA SANCHEZ DENTIST 40.00 X 271796 0 51158 STACEY KONTONH RADIOLOGIST 40.00 X 479792 0 19786 VICTORIA VALLEJO PHYSICIAN 35.00 X 268775 0 22720 WILFRIDO CASTILLO ASSOCIATE MEDICAL DIR. 40.00 X 532925 0 48682 3183979 0 407124 195 0 1 0 1070 SOUHTERN DRUGS LLC 1070 SOUTHERN BOULEVARD BRONX NEW YORK NY 10034 PHARMACY SERVICES 868723 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 AUDIT SERVICES 249947 ELDER PHARMACY LLC 1527 WESTCHESTER AVENUE THE BRONX NY 10472 PHARMACY SERVICES 170465 LEVEL 3 COMMUNICATIONS LLC PO BOX 910182 DENVER CO 80291 COMMUNICATION SERVICES 117120 LANDMARK CONSULTANTS LLC 1155 RIPLEY STREET SILVER SPRING MD 20910 CONSULTING SERVICES 112500 8 295471 17585496 11950033 4148104 29831000 MANAGED CARE PLANS 621400 31815362 31815362 NEW YORK STATE MEDICAID MANAGE CA 621400 30475215 30475215 340B PHARMACY 621400 14576975 14576975 MANAGED CARE INCENTIVES AND SHARE 621400 9669750 9669750 MEDICAID 621400 8643591 8643591 15554094 15554094 110734987 315908 315908 76026 0 76026 76026 76026 2515778 2412001 103777 103777 103777 113483 295471 245153 -131670 -131670 INVESTMENT IN CCMP LLC 900099 252916 252916 OTHER INCOME 900099 121551 121551 MEDICAL RECORD 900099 33393 33393 407860 141337888 111142847 0 364041 177148 177148 1565870 1337313 217372 11185 70526541 60654865 9388682 482994 1550057 1269965 266369 13723 9421751 7719261 1619081 83409 5832527 4778602 1002291 51634 135378 135378 129722 129722 36000 36000 49707 49707 8951540 6968656 1701127 281757 1289648 929191 288187 72270 8726537 7809575 879286 37676 513280 285791 177593 49896 150050 83547 51917 14586 1545587 1164747 380840 4371757 3848273 520239 3245 522356 473040 49316 340B PHARMACEUTICALS 5459396 5459396 DONATED VACCINES 4148104 4148104 EQUIPMENT RENTAL, REPAI 3316564 3311567 4997 MEDICAL SUPPLIES 2774358 2700956 73402 8131042 6076550 1532868 521624 139324920 119196547 18499377 1628996 6775306 4298664 842625 495588 1549703 6465154 16698387 18075074 215000 215000 457152 579557 1111296 1759691 112661904 33447674 71602766 79214230 7340727 5654022 909858 11957674 1833467 1715276 2486930 2951962 111823217 133381892 16982637 19723563 24446854 34779063 7706520 13369061 49136011 67871687 X 62687206 65510205 62687206 65510205 111823217 133381892 X 2012968 611929 198102 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 36000 36000 0 PART II-B, LINE 1: WORKED WITH NYS ASSEMBLY AND NYC COUNCIL IN EFFORT TO INCREASE FUNDING FOR SERVICES TO THE MEDICALLY UNDERSERVED/UNINSURED INDIVIDUALS/FAMILIES. 1968879 1968879 63620263 13624246 49996017 12634739 6374768 6259971 14855718 10959333 3896385 19582305 2489327 17092978 79214230 CCMP, LLC 859740 C CCC ACO, LLC 9969 C CHIPA LLC 159612 C 953 SB LLC 10928353 C 11957674 CAPITAL LEASE OBLIGATIONS 4252752 DEFERRED COMPENSATION 1429116 DEFERRED RENT 3287193 LINE OF CREDITS 4400000 13369061 X 142540849 611929 197484 809413 141731436 49707 -443255 -393548 141337888 139639156 363943 363943 139275213 49707 49707 139324920 PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2019. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2016 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 INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS REVENUES 374,632. INTERCOMPANY ELIMINATIONS -177,148. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXCESS OF FAIR VALUE OF N/A ACQUIRED OVER CONSIDERATION PAID IN ACQUISITION -198,102. FUNDRAISING EXPENSES -245,153. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS EXPENSES 190,723. INTERCOMPANY ELIMINATIONS -71,933. FUNDRAISING EXPENSES 245,153. ANNUAL GALA 293642 255942 37700 69066 28003 37119 45698 GOLF OUTING 115312 39529 75783 19473 19016 6450 20328 408954 295471 113483 88539 47019 43569 66026 245153 -131670 1 FOUNDATION FOR URBAN HEALTH AND WELL BEING 1065 SOUTHERN BLVD BRONX NY 10459 200565715 501(C)(3) 177148 TO SUPPORT THE ORGANIZATION'S MISSION 1 PART I, LINE 2: CONTRIBUTION TO FOUNDATION FOR URBAN HEALTH AND WELL BEING WAS MADE TO A RELATED PARTY, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. X X X 0 1 0 0 0 0 0 1 0 BERENICE DIAZ AVP OF FINANCE 178985 0 10000 0 0 0 5429 0 35379 0 229793 0 0 0 FRANK E LAPORTA VP OF FINANCE/CFO 233811 0 17070 0 0 0 6794 0 12774 0 270449 0 0 0 PALOMA HERNANDEZ PRESIDENT AND CEO 451706 0 100000 0 19000 0 108400 0 12203 0 691309 0 0 0 SAMUEL DE LEON VP AND CMO 296204 0 9744 0 19000 0 8400 0 40969 0 374317 0 0 0 MICHAEL NAPOLI PHYSICIAN 261414 0 33757 0 0 0 7200 0 27230 0 329601 0 0 0 SONIA SANCHEZ DENTIST 271292 0 504 0 0 0 5601 0 45557 0 322954 0 0 0 STACEY KONTONH RADIOLOGIST 479792 0 0 0 0 0 8400 0 11386 0 499578 0 0 0 VICTORIA VALLEJO PHYSICIAN 218863 0 28336 0 21576 0 6276 0 16444 0 291495 0 0 0 WILFRIDO CASTILLO ASSOCIATE MEDICAL DIR. 303967 0 36770 0 192188 0 8400 0 40282 0 581607 0 0 0 PART I, LINE 4B PALOMA HERNANDEZ PARTICIPATES IN A 457(F) RETIREMENT PLAN. DURING FY 2019 THE ORGANIZATION CONTRIBUTED $100,000 INTO THE PLAN ON HER BEHALF. THIS AMOUNT IS INCLUDED IN THE AMOUNT REPORT ON SCHEDULE J, PART II, COLUMN C. PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING PERFORMANCE INCENTIVES. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS 2019 W-2S AND APPROVED BY THE BOARD. SCHEDULE J, PART II: AMOUNT PRESENTED IN COLUMN B(III) FOR PALOMA HERNANDEZ AND SAMUEL DE LEON REPRESENT AMOUNTS DEFERRED INTO A QUALIFIED RETIREMENT PLAN. DR RICHARD IZQUIERDO FOUNDER AND MEDICAL DIRECTOR EMERITUS 25001 DR. IZQUIERDO SERVES AS UHP'S MEDICAL DIRECTOR EMERITUS AND REPRESENTS THE ORGANIZATION IN A PROFESSIONAL AND COMMUNITY RELATIONS CAPACITY. 0 KRISTINA HERNANDEZ EMPLOYEE 81018 THE INTERESTED PERSON IS AN EMPLOYEE OF THE ORGANIZATION AND IS LISTED ON SCHEDULE L DUE TO A FAMILY RELATIONSHIP WITH THE CEO. THE AMOUNT LISTED IS THE SALARY OF THE EMPLOYEE. 0 GUSTAVO LONES EMPLOYEE 121349 THE INTERESTED PERSON IS AN EMPLOYEE OF THE ORGANIZATION AND IS LISTED ON SCHEDULE L DUE TO A FAMILY RELATIONSHIP WITH THE CEO. THE AMOUNT LISTED IS THE SALARY OF THE EMPLOYEE. 0 X 1 4148104 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY UHP'S MANAGEMENT. THE RETURN IS THEN REVIEWED BY MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD. ONCE APPROVED BY THE FINANCE COMMITTEE, THE RETURN IS PRESENTED TO THE FULL BOARD AND SUBSEQUENTLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, CONFLICT OF INTEREST FORMS ARE COMPLETED BY OFFICERS AND MEMBERS OF THE BOARD. ANY PERCEIVED CONFLICTS ARE DOCUMENTED AND THE MEMBER IS PRECLUDED FROM VOTING ON TRANSATIONS ASSOCIATED WITH DISCLOSED CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND RECOMMENDS THE SALARY LEVEL OF THE CEO AFTER REVIEWING COMPETITIVE SALARY LEVELS AT SIMILAR ORGANIZATIONS AND COMPENSATION SURVEYS, AS WELL AFTER CONSIDERING THE PERFORMANCE OF THE INDIVIDUAL. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EXCESS OF FAIR VALUE OF NET ASSETS ACQUISITION 198,102. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART IV, LINE 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION. 1064 SIMPSON STREET LLC 1065 SOUTHERN BLVD BRONX NY 10459 461761445 RENTAL REAL ESTATE NY 0 455318 URBAN HEALTH PLAN 1095 SOUTHERN BLVD LLC 1065 SOUTHERN BLVD BRONX NY 10459 471182724 HOLDING COMPANY NY 0 6800282 URBAN HEALTH PLAN 953 SB LLC 1065 SOUTHERN BLVD BRONX NY 10459 834501138 HOLDING COMPANY NY 310129 10928353 URBAN HEALTH PLAN THE GREATER HUNTS POINT ECONOMIC DEVELOPMENT CORPORATION 1231 LAFAYETTE AVE BRONX NY 10474 133475185 ECONOMIC DEVELOPMENT NY 501(C)(3) LINE 7 URBAN HEALTH PLAN INC 1 THE FOUNDATION FOR URBAN HEALTH & WELL BEING INC 1065 SOUTHERN BLVD BRONX NY 10459 200565715 PROMOTING THE HEALTHY WELL BEING OF NYC RESIDENTS NY 501(C)(3) LINE 7 URBAN HEALTH PLAN INC 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0