2019-11-05T09:46:06-06:00 2018-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2018-01-01 061181226 JOSEPH P ADDABBO FAMILY HEALTH CENTER INC JOSE 7189457150 6200 BEACH CHANNEL DR ARVERNE NY 11692 MARJORIE J HILL PHD CEO 7189457150 2019-11-04 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2019-10-31 209.59.242.22 2019-11-04 09:55:51 ES P FA99D1B89736A51FCFA2ADCD82AC7C62A806A740 F9BA0E82A6D947CC92540FBC56E8B73643681DA5 2018 2020-03-31 21:24:44Z MARJORIE J HILL PHD 6200 BEACH CHANNEL DR ARVERNE NY 11692 54576967 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 10 448 0 0 10590 8276743 9667871 33153044 44353054 0 43918 497256 512124 41927043 54576967 0 3178595 0 0 32352718 35237130 0 0 0 9264480 22641463 41617198 61057188 309845 -6480221 35046310 35726024 7680139 14840074 27366171 20885950 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 54569128 3178595 45009031 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. 54569128 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 8 0 1 448 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MARJORIE J HILL PHD 7189457150 6200 BEACH CHANNEL DR ARVERNE NY 11692 BEATRICE BYRD OUTGOING BOARD MEMBER 1.00 X 0 0 0 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 ELIZABETH BLANEY OUTGOING 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 RUBIN MITCHELL OUTGOING BOARD MEMBER 1.00 X 0 0 0 SANDRA VONACKBERSINGH OUTGOING BOARD MEMBER 1.00 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 MARJORIE J HILL MD CHIEF EXECUTIVE OFFICER 35.00 1.00 X 260543 0 19570 MORRIS BREISTEIN CHIEF FINANCIAL OFFICER 35.00 X 84342 0 6867 ANDRE L GRAY CHIEF MEDICAL DIRECTOR 35.00 X 176538 0 12358 SANDRA FOGG CHIEF OPERATING OFFICER 35.00 X 151784 0 31506 CHIN-SONG CHEN FAMILY PRACTITIONER 35.00 X 301717 0 31671 EDWIN C TAN UROLOGIST 35.00 X 254919 0 0 FLORENCE P GOLAMCO PEDIATRICIAN 35.00 X 233937 0 41100 IZUKA UDOM-RICE GYNECOLOGIST 35.00 X 281275 0 70913 SUNITHA B JACOB ASSISTANT MEDICAL DIRECTOR 35.00 X 256607 0 51079 2001662 0 265064 55 0 1 0 US SECURITY ASSOCIATES INC 26 COURT STREET BROOKLYN NY 11242 SECURITY SERVICES 293724 NATIONAL HEALTHCARE CONSULTING INC 7 ONTARIO AVENUE PLAINVIEW NY 11803 FISCAL SERVICES 285000 IJR CONSULTING CORP 6901 JERICHO TURNPIKE SUITE 210 SYOSSET NY 11791 FISCAL SERVICES 137330 WINSTON SUPPORT SERVICES INC 122 EAST 42ND STREET SUITE 320 NEW YORK NY 10168 STAFFING SERVICES 123350 SILLS CUMMIS & GROSS THE LEGAL CENTER NEWARK NJ 07102 LEGAL SERVICES 119205 5 253109 7612709 1802053 967736 9667871 MEDICAID MANAGED CARE 621400 20095664 20095664 340B PHARMACY PROGRAM 621400 15476197 15476197 NEW YORK SAFETY NET POOL / UNCOMP 621400 3385928 3385928 MEDICARE 621400 2126611 2126611 MEDICAID 621400 1429106 1429106 1839548 1839548 44353054 43918 43918 95362 0 95362 95362 95362 RESIDENCY 900099 285000 285000 MEDICAL PATIENT TRANSPORTATION 900099 106831 106831 MEDICAL RECORDS 900099 14460 14460 10471 10471 416762 54576967 44769816 0 139280 3178595 3178595 743508 648327 95181 26239144 22880125 3359019 912036 795281 116755 5494068 4790743 703325 1848374 1611753 236621 182812 182812 96000 96000 3299258 2640097 659161 258153 196533 61620 598503 520698 77805 24300 3047 21253 144652 18141 126511 169385 147365 22020 894039 777814 116225 261637 227624 34013 PHARMACEUTICALS 11102257 11102257 CONSUMABLE SUPPLIES 1896019 1708914 187105 BAD DEBTS 1814987 1814987 DONATED VACCINES 967736 967736 931725 539091 392634 61057188 54569128 6488060 0 3789245 1960778 931848 899939 5686582 5959905 6027483 185108 207052 31868247 11622566 23933957 20245681 519570 425186 35046310 35726024 3074482 4878676 4490344 9810447 115313 150951 7680139 14840074 X 27366171 20885950 27366171 20885950 35046310 35726024 -6480221 0 X X 0 1 X 1 1 1 X 6063009 6448638 7663221 8276743 9667871 38119482 6063009 6448638 7663221 8276743 9667871 38119482 38119482 75924 86747 87363 87363 139280 476677 379743 441855 357294 409893 416762 2005547 40601706 179930092 0.93890 0.93760 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: RESIDENCY - 2014 AMOUNT: $ 266,883. 2015 AMOUNT: $ 300,000. 2016 AMOUNT: $ 330,000. 2017 AMOUNT: $ 336,180. 2018 AMOUNT: $ 285,000. MISC REVENUE - 2016 AMOUNT: $ 18,489. 2017 AMOUNT: $ 7,017. 2018 AMOUNT: $ 10,471. MEDICAL RECORDS - 2014 AMOUNT: $ 7,372. 2015 AMOUNT: $ 8,166. 2016 AMOUNT: $ 8,805. 2017 AMOUNT: $ 66,696. 2018 AMOUNT: $ 14,460. MEDICAL PATIENT TRANSPORTATION REIMBURSEMENT - 2014 AMOUNT: $ 105,488. 2015 AMOUNT: $ 133,689. 2018 AMOUNT: $ 106,831. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1023465 1023465 24518338 6932599 17585739 1083809 438860 644949 4941897 4251107 690790 300738 300738 20245681 DEFERRED RENT 150951 150951 X 52511498 -2065469 -2065469 54576967 0 54576967 56438569 -2803632 -2803632 59242201 1814987 1814987 61057188 PART X, LINE 2: THE CENTER IS 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, 2018 AND 2017. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2015 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 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -1,814,987. OTHER INTERCOMPANY ELIMINATIONS -3,431,703. RELATED ORGANIZATIONS' REVENUE 3,181,221. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS EXPENSES 628,071. INTERCOMPANY ELIMINATION -3,431,703. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,814,987. 1 ADDABBO CENTER FUTURE HOME INC 6200 BEACH CHANNEL DR AVERNE NY 11692 821499016 501(C)(3) 3178594 FOR DEVELOPMENT AND CONSTRUCTION OF FACILITY FOR JOSEPH P. ADDABBO FAMILY HEALTH CENTER HEALTHCARE FACILITY. 2 PART I, LINE 2: CONTRIBUTION IS MADE TO RELATED ORGANIZATION, THEREFORE, THE BOARD IS ABLE TO MONITOR THE FUNDS. X X X X 0 0 0 0 0 0 0 0 0 MARJORIE J HILL MD CHIEF EXECUTIVE OFFICER 255543 0 5000 0 0 0 17998 0 1572 0 280113 0 0 0 ANDRE L GRAY CHIEF MEDICAL DIRECTOR 176538 0 0 0 0 0 12358 0 0 0 188896 0 0 0 SANDRA FOGG CHIEF OPERATING OFFICER 151784 0 0 0 0 0 10780 0 20726 0 183290 0 0 0 CHIN-SONG CHEN FAMILY PRACTITIONER 301717 0 0 0 0 0 21204 0 10467 0 333388 0 0 0 EDWIN C TAN UROLOGIST 254919 0 0 0 0 0 0 0 0 0 254919 0 0 0 FLORENCE P GOLAMCO PEDIATRICIAN 233937 0 0 0 0 0 16544 0 24556 0 275037 0 0 0 IZUKA UDOM-RICE GYNECOLOGIST 251057 0 0 0 30218 0 18151 0 52762 0 352188 0 0 0 SUNITHA B JACOB ASSISTANT MEDICAL DIRECTOR 256607 0 0 0 0 0 18298 0 32781 0 307686 0 0 0 X 1 967736 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. 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 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0