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URBAN HEALTH PLAN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
URBAN HEALTH PLAN INC (EIN 23-7360305)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201743189349301619
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-14T07:53:27-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237360305EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1URBAN HEALTH PLAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlURBABusinessNameControlTxt
Phone7185891687PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 SOUTHERN BLVDAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10459ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPaloma HernandezPersonNm
Person TitlePresident and CEOPersonTitleTxt
Phone7185891687PhoneNum
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
Preparation2017-09-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.3.217.20IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-09IPDt
IP Tm14:35:04IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id60BF0225ED9631091DB686CFA622195BA7284DF5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPaloma HernandezPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 SOUTHERN BLVDAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10459ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$101,572,176GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.urbanhealthplan.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionURBAN HEALTH PLAN'S MISSION IS TO CONTINUOUSLY IMPROVE THE HEALTH OF COMMUNITIES AND THE QUALITY OF LIFE OF THE PEOPLE WE SERVE BY PROVIDING AFFORDABLE, COMPREHENSIVE, QUALITY, PRIMARY AND SPECIALTY HEALTH CARE AND BY ASSURING THE PERFORMANCE AND ADVANCEMENT OF INNOVATIVE BEST PRACTICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1017TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,881,395PYContributionsGrantsAmt
CY Contributions Grants$15,241,815CYContributionsGrantsAmt
PY Program Service Revenue$75,891,045PYProgramServiceRevenueAmt
CY Program Service Revenue$82,515,378CYProgramServiceRevenueAmt
PY Investment Income$3,482PYInvestmentIncomeAmt
CY Investment Income$46,543CYInvestmentIncomeAmt
PY Other Revenue$611,462PYOtherRevenueAmt
CY Other Revenue$644,903CYOtherRevenueAmt
PY Total Revenue$90,387,384PYTotalRevenueAmt
CY Total Revenue$98,448,639CYTotalRevenueAmt
PY Grants And Similar Paid$3,237,812PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,627,150CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$58,669,269PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$64,209,697CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,145,461CYTotalFundraisingExpenseAmt
PY Other Expenses$26,105,950PYOtherExpensesAmt
CY Other Expenses$29,266,024CYOtherExpensesAmt
PY Total Expenses$88,013,031PYTotalExpensesAmt
CY Total Expenses$97,102,871CYTotalExpensesAmt
PY Revenues Less Expenses$2,374,353PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,345,768CYRevenuesLessExpensesAmt
Total Assets BOY$86,936,173TotalAssetsBOYAmt
Total Assets EOY$95,842,010TotalAssetsEOYAmt
Total Liabilities BOY$54,694,661TotalLiabilitiesBOYAmt
Total Liabilities EOY$62,067,816TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,241,512NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$33,774,194NetAssetsOrFundBalancesEOYAmt
MissionUrban Health Plan is network of federally qualified community health centers in the Bronx and Queens licensed under Article 28 of the New York State law. Its mission is to improve access to primary and specialty services for underserved communities.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$80,077,391ExpenseAmt
Grant$3,627,150GrantAmt
Revenue$80,850,297RevenueAmt
DescURBAN 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 375,148 VISITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,992,555ExpenseAmt
Revenue$1,992,555RevenueAmt
DescPROVIDED 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$238,079ExpenseAmt
Revenue$238,079RevenueAmt
DescUHP SCHOOL BASED HEALTH PROGRAM INCLUDES 9 CLINICS; 4 ELEMENTARY, 1 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, 2015 THROUGH JUNE 30, 2016, UHP SERVICED 3,432 STUDENTS TOTALING 10,688 VISITS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$82,308,025TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document207IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1017EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRANK E LAPORTA VP OF FINANCECFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7185891687PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11231 Lafayette AveAddressLine1Txt
CitybronxCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10474ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Charles Gonzalez Jr
Board Member1.00Yes (X)$0$0$0
Clifford Charles
Treasurer1.00Yes (X)$0$0$01.00Yes (X)
Edward S Butts
Board Member1.00Yes (X)$0$0$0
Francia Castro
Chairperson1.00Yes (X)$0$0$01.00Yes (X)
Frank Estrada MD
vice Chairperson1.00Yes (X)$0$0$0Yes (X)
Heroilda Vega
Board Member1.00Yes (X)$0$0$0
howard hinestorza
board Member1.00Yes (X)$0$0$0
Joann Rivera
Board Member1.00Yes (X)$0$0$0
Joseph Marrero
Board Member1.00Yes (X)$0$0$0
Linda Baldwin
Board Member1.00Yes (X)$0$0$0
Michelle Carr
Secretary1.00Yes (X)$0$0$0Yes (X)
Nayda Padilla
Board Member1.00Yes (X)$0$0$0
Oswaldo Guzman
Board Member1.00Yes (X)$0$0$0
Wiener Leblanc MD
board Member1.00Yes (X)$0$0$0
yoselin genao
board Member1.00Yes (X)$0$0$0
Berenice Diaz
AVP of Finance35.00$160,956$0$13,7237.00Yes (X)
Frank E LaPorta
VP of Finance/CFO40.00$223,414$0$12,097Yes (X)
Paloma Hernandez
President and CEO35.00$397,374$0$116,7976.00Yes (X)
Samuel De leon
VP and CMO40.00$294,571$0$36,424Yes (X)
Eileen Leach
Chief of Staff40.00$213,160$0$14,887Yes (X)
FRANCO BARASANTI
DIRECTOR OF CBR40.00$206,688$0$31,391Yes (X)
Michael Napoli
Gynecologist40.00$238,678$0$23,668Yes (X)
ROBERT JEAN MEVS
PEDIATRICIAN40.00$224,977$0$30,335Yes (X)
Wilfrido Castillo
Associate Medical Director40.00$498,340$0$33,492Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,458,158TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$312,814TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K125IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
E-CLINICAL WORKS LLC
POBOX 983122BOSTONMA02298ELECTRONIC HEALTH RECORDS$414,279
1070 SOUHTERN DRUGS LLC
1070 SOUTHERN BOULEVARD BRONXNEW YORKNY10034PHARMACY SERVICES$256,727
COHNREZNICK LLP
1301 AVENUE OF THE AMERICASNEW YORKNY10019AUDIT SERVICES$142,292
DAVIS S JASLOW
810 FAIRACRES AVENUE WESTFIELDNEW JERSYNY00709CONSULTING SERVICES$133,205
CWE CONSULTING ARCHITECTS PLLC
193-17 117TH ROADST ALBANSNEW YORKNY11412ARCHITECTURAL SERVICES$130,925
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Fundraising$160,557FundraisingAmt
Government Grants$14,187,838GovernmentGrantsAmt
All Other Contributions$893,420AllOtherContributionsAmt
Noncash Contributions$2,889,725NoncashContributionsAmt
Total Contributions$15,241,815TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
New York State Medicaid manage ca621400$33,476,232$33,476,232
Managed care plans621400$25,289,112$25,289,112
Medicaid621400$6,261,834$6,261,834
New York State uncompensated care621400$4,041,207$4,041,207
Managed care incentives and share621400$3,365,335$3,365,335

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,081,658TotalRevenueColumnAmt
Related Or Exempt Func Income$10,081,658RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$82,515,378TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,146TotalRevenueColumnAmt
Exclusion$73,146ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$60,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$60,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,000TotalRevenueColumnAmt
Exclusion$60,000ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,976,368SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,002,971SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$26,603SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$26,603TotalRevenueColumnAmt
Exclusion-$26,603ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$139,916FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$160,557ContriRptFundraisingEventAmt
Fundraising Direct Expenses$120,566FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,350TotalRevenueColumnAmt
Exclusion$19,350ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
investment in CCMP LLC621110$234,501$234,501
insurance recoveries900099$141,951$141,951
Management Fee900099$123,380$123,380

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,721TotalRevenueColumnAmt
Related Or Exempt Func Income$65,721RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$565,553OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,448,639TotalRevenueColumnAmt
Related Or Exempt Func Income$83,080,931RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$125,893ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$737,425TotalAmt
Program Services$737,425ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,889,725TotalAmt
Program Services$2,889,725ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,291,357TotalAmt
Program Services$1,092,769ProgramServicesAmt
Management And General$187,446ManagementAndGeneralAmt
Fundraising$11,142FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$50,463,654TotalAmt
Program Services$42,781,055ProgramServicesAmt
Management And General$7,245,842ManagementAndGeneralAmt
Fundraising$436,757FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,108,137TotalAmt
Program Services$929,179ProgramServicesAmt
Management And General$169,549ManagementAndGeneralAmt
Fundraising$9,409FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,907,290TotalAmt
Program Services$5,791,799ProgramServicesAmt
Management And General$1,056,843ManagementAndGeneralAmt
Fundraising$58,648FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,439,259TotalAmt
Program Services$3,722,342ProgramServicesAmt
Management And General$679,224ManagementAndGeneralAmt
Fundraising$37,693FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$146,525TotalAmt
Management And General$146,525ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$164,741TotalAmt
Management And General$164,741ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$36,000TotalAmt
Management And General$36,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$30,560TotalAmt
Management And General$30,560ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,089,336TotalAmt
Program Services$3,838,076ProgramServicesAmt
Management And General$72,603ManagementAndGeneralAmt
Fundraising$178,657FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,822TotalAmt
Program Services$75,822ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,295,890TotalAmt
Program Services$2,298,472ProgramServicesAmt
Management And General$949,792ManagementAndGeneralAmt
Fundraising$47,626FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,027TotalAmt
Management And General$44,027ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,698,436TotalAmt
Program Services$4,756,601ProgramServicesAmt
Management And General$893,994ManagementAndGeneralAmt
Fundraising$47,841FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$519,555TotalAmt
Program Services$321,698ProgramServicesAmt
Management And General$170,000ManagementAndGeneralAmt
Fundraising$27,857FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$97,447TotalAmt
Program Services$42,400ProgramServicesAmt
Management And General$47,297ManagementAndGeneralAmt
Fundraising$7,750FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,547,356TotalAmt
Program Services$1,513,794ProgramServicesAmt
Management And General$33,562ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,128,569TotalAmt
Program Services$3,839,744ProgramServicesAmt
Management And General$287,104ManagementAndGeneralAmt
Fundraising$1,721FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$421,380TotalAmt
Program Services$419,297ProgramServicesAmt
Management And General$2,083ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
medical Supplies$3,431,695$3,431,695
Equipment rental, repai$2,341,079$1,571,350$753,974$15,755
Data Processing$1,260,749$774,184$486,565
Laboratory fees$634,742$634,742

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,302,115TotalAmt
Program Services$845,856ProgramServicesAmt
Management And General$191,654ManagementAndGeneralAmt
Fundraising$264,605FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$97,102,871TotalAmt
Program Services$82,308,025ProgramServicesAmt
Management And General$13,649,385ManagementAndGeneralAmt
Fundraising$1,145,461FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,004,784BOYAmt
EOY$3,174,117EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,798,170BOYAmt
EOY$2,048,203EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$773,904BOYAmt
EOY$637,893EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,899,319BOYAmt
EOY$13,783,170EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$200,000BOYAmt
EOY$200,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$152,544BOYAmt
EOY$218,298EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$643,036BOYAmt
EOY$674,728EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$93,068,698LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,698,128LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$64,436,998BOYAmt
EOY$66,370,570EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,251,223BOYAmt
EOY$4,199,836EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$340,461BOYAmt
EOY$518,437EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,435,734BOYAmt
EOY$4,016,758EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$86,936,173BOYAmt
EOY$95,842,010EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,920,498BOYAmt
EOY$13,384,527EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$40,303,874BOYAmt
EOY$41,948,631EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,470,289BOYAmt
EOY$6,734,658EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,694,661BOYAmt
EOY$62,067,816EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,241,512BOYAmt
EOY$33,774,194EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,241,512BOYAmt
EOY$33,774,194EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,936,173BOYAmt
EOY$95,842,010EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,345,768ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$186,914NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$36,000OtherActivitiesAmt
Total Lobbying Expenditures$36,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationWORKED WITH NYS ASSEMBLY AND NYC COUNCIL IN EFFORT TO INCREASE FUNDING FOR SERVICES TO THE MEDICALLY UNDERSERVED/UNINSURED INDIVIDUALS/FAMILIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,968,879OtherCostOrOtherBasisAmt
Book Value$1,968,879BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,900,113OtherCostOrOtherBasisAmt
Depreciation$8,761,257DepreciationAmt
Book Value$46,138,856BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,253,288OtherCostOrOtherBasisAmt
Depreciation$4,522,129DepreciationAmt
Book Value$5,731,159BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,250,687OtherCostOrOtherBasisAmt
Depreciation$11,410,080DepreciationAmt
Book Value$3,840,607BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,695,731OtherCostOrOtherBasisAmt
Depreciation$2,004,662DepreciationAmt
Book Value$8,691,069BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$66,370,570TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
capital lease obligations$3,785,619
DEFERRED COMPENSATION$823,880
refundable advances$445,669
deferred rent$1,679,490
FieldValueIRS element (for citing)
Total Liability$6,734,658TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$99,042,640TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$186,914NetUnrealizedGainsInvstAmt
Other Revenue$317,081OtherRevenueAmt
Revenue Not Reported$503,995RevenueNotReportedAmt
Revenue Subtotal$98,538,645RevenueSubtotalAmt
Investment Expenses Not Incld$30,560InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$120,566OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$90,006RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$98,448,639TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$96,468,347TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$428,964OtherExpensesIncludedAmt
Expenses Not Reported-$428,964ExpensesNotReportedAmt
Expenses Subtotal$96,897,311ExpensesSubtotalAmt
Investment Expenses Not Incld2$30,560InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$175,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$205,560ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$97,102,871TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:The Organization has no unrecognized tax benefits at December 31, 2016. The Organization's Federal and state income tax returns prior to fiscal year 2013 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 627,951. intercompany eliminations -135,870. PROVISION FOR bad debt -175,000.
Part XI, Line 4b - Other Adjustments:Fundrasing expenses -120,566.
Part XII, Line 2d - Other Adjustments:related organizations expenses 343,529. intercompany eliminations -911,228. Fundrasing expenses 120,566. ELIMINATION OF INTERCOMPANY INVESTMENTS 18,169.
Part XII, Line 4b - Other Adjustments:PROVISION FOR bad debt 175,000.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1annual GALAEvent1Nm
Gross Receipts Event1$228,415GrossReceiptsEvent1Amt
Charitable Contri Event1$136,345CharitableContriEvent1Amt
Gross Revenue Event1$92,070GrossRevenueEvent1Amt
Rent Facility Costs Event1$29,040RentFacilityCostsEvent1Amt
Entertainment Event1$41,250EntertainmentEvent1Amt
Other Direct Expenses Event1$3,700OtherDirectExpensesEvent1Amt
Event2golf outingEvent2Nm
Gross Receipts Event2$72,058GrossReceiptsEvent2Amt
Charitable Contri Event2$24,212CharitableContriEvent2Amt
Gross Revenue Event2$47,846GrossRevenueEvent2Amt
Rent Facility Costs Event2$37,999RentFacilityCostsEvent2Amt
Entertainment Event2$8,150EntertainmentEvent2Amt
Other Direct Expenses Event2$427OtherDirectExpensesEvent2Amt
Gross Receipts Total$300,473GrossReceiptsTotalAmt
Charitable Contributions Tot$160,557CharitableContributionsTotAmt
Gross Revenue Total Events$139,916GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$67,039RentFcltyCostsTotalEventsAmt
Entertainment Total Events$49,400EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,127OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$120,566DirectExpenseSummaryEventsAmt
Net Income Summary$19,350NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Foundation for urban health and well being
1065 southern blvdbronxNY10459200565715501(c)(3)$685,256to support the organization's mission.
women in health management inc
152 MADISON AVENUE SUITE 801NEW YORKNY10016133588691501(c)(6)$7,500to support the organization's yearly gala.
(no name)
to support the organizations yearly gala.
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeVaccinesGrantTypeTxt
Recipient19725RecipientCnt
Non Cash Assistance$2,889,725NonCashAssistanceAmt
Valuation Method UsedFair Market ValueValuationMethodUsedDesc
Non Cash AssistanceDonated Vaccines administered to those in need.NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
Explanationcontribution to Foundation for urban health and well being was made to a related party, therefore, the board is able to monitor use of funds. The grant to WOMEN'S HEALTH MANAGEMENT, INC was given to support the Annual Gala. The Vaccines are administered directly to those in need and require them.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Berenice Diaz
AVP of Finance$157,794$0$3,162$0$0$0$4,675$0$9,048$0$174,679$0$0$0
Frank E LaPorta
VP of Finance/CFO$218,994$0$4,420$0$0$0$2,569$0$9,528$0$235,511$0$0$0
Paloma Hernandez
President and CEO$360,430$0$18,944$0$18,000$0$107,950$0$8,847$0$514,171$0$0$0
Samuel De leon
VP and CMO$270,533$0$6,038$0$18,000$0$7,950$0$28,474$0$330,995$0$0$0
Eileen Leach
Chief of Staff$208,976$0$4,184$0$0$0$6,276$0$8,611$0$228,047$0$0$0
FRANCO BARASANTI
DIRECTOR OF CBR$202,684$0$4,004$0$0$0$5,912$0$25,479$0$238,079$0$0$0
Michael Napoli
Gynecologist$205,454$0$33,224$0$0$0$6,000$0$17,668$0$262,346$0$0$0
ROBERT JEAN MEVS
PEDIATRICIAN$187,752$0$37,225$0$0$0$4,855$0$25,480$0$255,312$0$0$0
Wilfrido Castillo
Associate Medical Director$457,340$0$41,000$0$0$0$7,500$0$25,992$0$531,832$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bPaloma Hernandez PARTICIPATES IN A 457(F) RETIREMENT PLAN. DURING FY 2016 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 7included on schedule j, part ii, column b(ii) are amounts representing bonuses. these amounts were included in the individuals 2016 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DR RICHARD IZQUIERDO
landlord/tenant$813,880THERE IS A LANDLORD AND TENANT RELATIONSHIP BETWEEN URBAN HEALTH PLAN, INC. AND SAN JUAN HEALTH CENTER, INC. IN WHICH URBAN HEALTH PLAN, INC. LEASES COMMERCIAL SPACE FROM SAN JUAN HEALTH CENTER, INC. DR. RICHARD IZQUIERDO IS THE FOUNDER AND MEDICAL DIRECTOR EMERITUS OF URBAN HEALTH PLAN AS WELL AS FATHER OF THE CURRENT CEO OF URBAN HEALTH PLAN, INC. THE LEASED BUILDING IS LOCATED DIRECTLY ACROSS THE STREET FROM URBAN HEALTH PLAN, INC'S MAIN SITE AND IS USED FOR PROGRAMS AND ANCILLIARY SUPPORT SERVICES. IN 2016 URBAN HEALTH PLAN, INC. PAID $813,880 IN RENT, REAL ESTATE TAXES, AND OTHER COMMON AREA CHARGES AS FOLLOWS: RENT $451,937; REAL ESTATE TAXES $127,423; OTHER COMMON AREA CHARGES $234,520.0
DR RICHARD IZQUIERDO
medical director emeritus$36,429DR. IZQUIERDO SERVES AS UHP'S MEDICAL DIRECTOR EMERITUS AND REPRESENTS THE ORGANIZATION IN A PROFESSIONAL AND COMMUNITY RELATIONS CAPACITY.0
KRISTINA HERNANDEZ
EMPLOYEE$29,001THE 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

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$2,889,725NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
Explanationcolumn b represents the number of contributors.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bFORM 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 12con 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 15aTHE 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 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
1064 SIMPSON STREET LLC
1065 Southern BlvdbronxNY10459461761445rental real estateNY$0$453,340urban health plan
1095 Southern Blvd LLC
1065 Southern BlvdbronxNY10459471182724holding companyNY$0$2,188,500urban health plan

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HUNT POINT ECONOMIC DEVELOPMENT CORPORATION
355 Food Center DrivebRONXNY10474133475185economic developmentNY501(c)(3)Line 7uRBAN HEALTH PLAN INCYes (1)
THE FOUNDATION FOR URBAN HEALTH & WELL BEING INC
1065 SOUTHERN BLVDBRONXNY10459200565715PROMOTING THE HEALTHY WELL BEING OF NYC RESIDENTSNY501(c)(3)Line 7URBAN HEALTH PLAN INCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd