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JOSEPH P ADDABBO FAMILY HEALTH CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
JOSEPH P ADDABBO FAMILY HEALTH CENTER INC (EIN 06-1181226)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-19
IRS object ID
201722929349300837
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)
Return2017-10-19T13:06:21-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN113156566PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deans Archer and CoBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1265 East Merrick RoadAddressLine1Txt
CityValley StreamCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11580ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN061181226EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOSEPH P ADDABBO FAMILY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOSEBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16200 BEACH CHANNEL DRAddressLine1Txt
CityARVERNECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11692ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARJORIE HILLPersonNm
Person TitleCEOPersonTitleTxt
Phone7189457150PhoneNum
Signature2017-04-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGlenn DeansPreparerPersonNm
PTINP01593948PTIN
Phone5168726922PhoneNum
Preparation2017-10-19PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.89.150.15IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-19IPDt
IP Tm13:09:00IPTm
Federal Original Submission Id1113312017292gg4dyojFederalOriginalSubmissionId
Federal Original Submission Id2017-10-19FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB73F2A97740156A123B100F7296AA7675BCC00D2AtSubmissionCreationDeviceId
At Submission Filing Device IdB73F2A97740156A123B100F7296AA7675BCC00D2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$44,473,602GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADDABBO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee438TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,448,638PYContributionsGrantsAmt
CY Contributions Grants$7,663,221CYContributionsGrantsAmt
PY Program Service Revenue$32,170,853PYProgramServiceRevenueAmt
CY Program Service Revenue$36,365,724CYProgramServiceRevenueAmt
PY Investment Income$2PYInvestmentIncomeAmt
CY Investment Income$1CYInvestmentIncomeAmt
PY Other Revenue$410,000PYOtherRevenueAmt
CY Other Revenue$444,656CYOtherRevenueAmt
PY Total Revenue$39,029,493PYTotalRevenueAmt
CY Total Revenue$44,473,602CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,895,173PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,194,298CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,978,200PYOtherExpensesAmt
CY Other Expenses$8,488,105CYOtherExpensesAmt
PY Total Expenses$37,873,373PYTotalExpensesAmt
CY Total Expenses$39,682,403CYTotalExpensesAmt
PY Revenues Less Expenses$1,156,120PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,791,199CYRevenuesLessExpensesAmt
Total Assets BOY$32,967,274TotalAssetsBOYAmt
Total Assets EOY$37,120,756TotalAssetsEOYAmt
Total Liabilities BOY$10,702,147TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,064,430TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,265,127NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,056,326NetAssetsOrFundBalancesEOYAmt
MissionTHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,884,424ExpenseAmt
Grant$7,663,221GrantAmt
Revenue$36,723,018RevenueAmt
DescTHE ORGANIZATIONS 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$33,884,424TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee438EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARJORIE J HILL PHDPersonNm
Phone7189457150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16200 BEACH CHANNEL DRAddressLine1Txt
CityARVERNECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11692ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BETTY LEON
BOARD CHAIRPERSON1.000.00Yes (X)Yes (X)$0$0$0
SYLVESTER OKONKWO
1ST VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
PATRICIA GILLESPIE
2ND VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
SAYWALAH KESSELLY
BOARD TREASURER1.000.00Yes (X)Yes (X)$0$0$0
GLENN GREENIDGE
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
ELIZABETH BLANEY
BOARD MEMBER1.000.00Yes (X)$0$0$0
BEATRICE BYRD
BOARD MEMBER1.000.00Yes (X)$0$0$0
CAMILLE EADDY
BOARD MEMBER1.000.00Yes (X)$0$0$0
NANCY MARTINEZ
BOARD MEMBER1.000.00Yes (X)$0$0$0
RUBIN MITCHELL
BOARD MEMBER1.000.00Yes (X)$0$0$0
DIANNE MOORE
BOARD MEMBER1.000.00Yes (X)$0$0$0
LEONOR REINA
BOARD MEMBER1.000.00Yes (X)$0$0$0
SANDRIA VONACKBERSINGH
BOARD MEMEBER1.000.00Yes (X)$0$0$0
NATHALIE RIGAUD
ASSOCIATE MEDICAL DIRECTOR35.000.00Yes (X)$218,931$0$29,776
SUNITHA B JACOB
ASSISTANT MEDICAL DIRECTOR35.000.00Yes (X)$218,730$0$46,193
MARJORIE J HILL
CHIEF EXECUTIVE OFFICER35.000.00Yes (X)$249,520$0$17,521
ALFONSO YU CHAN
CHIEF MEDICAL OFFICER35.000.00Yes (X)$297,571$0$46,024
JINPIN YING
CHIEF INFORMATION OFFICER35.000.00Yes (X)$136,764$0$25,751
SANDRA FOGG
CHIEF OPERATING OFFICER35.000.00Yes (X)$143,688$0$35,252
LENNIE TRAINER
CHIEF FINANCIAL OFFICER35.000.00Yes (X)$167,862$0$31,170
CHIN SONG CHEN
FAMILY PRACTITIONER35.000.00$304,094$0$35,276Yes (X)
WALLY KOPELOWITZ
MD OPTHALMOLOGIST35.000.00$204,064$0$0Yes (X)
EDDIE GO
MD INFECTIOUS DISEASE35.000.00$206,044$0$14,423Yes (X)
EDWIN TAN
MD UROLOGIST35.000.00$206,370$0$0Yes (X)
JEONGWON KIM
MD INFECTIOUS DISEASE35.000.00$200,519$0$28,512Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,554,157TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$309,898TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K61IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
340BASICS
309 FELLOWSHIP RDMOUNT LAURELNJ08054CONSULTANT 340B$285,738
DENHAM WOLF REAL ESTATE SERVICES
520 EIGHT AVENUE 25TH FLOORNEW YORKNY10001REAL ESTATE CONSUL$120,107
GERTLER WENTE ARCHITECTS LLP
145 WEST 30TH STREETNEW YORKNY10001ARCHITECT$248,300
US SECURITY ASSOCIATES INC
26 COURT STREETBROOKLYNNY11242SECURITY SERVICE$131,479
PROMED STAFFING SERVICES
16 W 36TH STREETNEW YORKNY10018CONTRACT LABOR$196,906
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$7,663,221GovernmentGrantsAmt
Total Contributions$7,663,221TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621400$33,627,773$33,627,773
PROVISION FOR BAD DEBTS900099-$515,000-$515,000
PHARMACY REVENUE NET446110$3,252,951$3,252,951
FieldValueIRS element (for citing)
Total Program Service Revenue$36,365,724TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1TotalRevenueColumnAmt
Related Or Exempt Func Income$1RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$87,362RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$87,362RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,362TotalRevenueColumnAmt
Related Or Exempt Func Income$87,362RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENCY900099$330,000$330,000
MISC REVENUE - SITE 1900099$18,489$18,489
MEDICAL RECORDS900099$8,805$8,805
FieldValueIRS element (for citing)
Other Revenue Total$357,294OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,473,602TotalRevenueColumnAmt
Related Or Exempt Func Income$36,810,381RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,864,055TotalAmt
Program Services$1,199,302ProgramServicesAmt
Management And General$1,664,753ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,304,363TotalAmt
Program Services$19,666,244ProgramServicesAmt
Management And General$1,638,119ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,594,427TotalAmt
Program Services$1,376,561ProgramServicesAmt
Management And General$217,866ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,679,311TotalAmt
Program Services$3,176,441ProgramServicesAmt
Management And General$502,870ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,752,142TotalAmt
Program Services$1,512,717ProgramServicesAmt
Management And General$239,425ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$189,040TotalAmt
Management And General$189,040ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$83,389TotalAmt
Management And General$83,389ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,769TotalAmt
Program Services$11,891ProgramServicesAmt
Management And General$29,878ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$565,995TotalAmt
Program Services$488,643ProgramServicesAmt
Management And General$77,352ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$130,627TotalAmt
Program Services$50,044ProgramServicesAmt
Management And General$80,583ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$349,353TotalAmt
Program Services$301,610ProgramServicesAmt
Management And General$47,743ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$991,216TotalAmt
Program Services$855,756ProgramServicesAmt
Management And General$135,460ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$197,255TotalAmt
Program Services$170,298ProgramServicesAmt
Management And General$26,957ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSUMABLE SUPPLIES$1,169,459$1,036,515$132,944
EQUIPMENT RENTAL AND REPAIRS$209,255$181,294$27,961
PHARMACEUTICALS$2,474,511$2,474,511
DUES AND SUBSCRIPTIONS$189,675$8,068$181,607

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,896,561TotalAmt
Program Services$1,374,529ProgramServicesAmt
Management And General$522,032ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$39,682,403TotalAmt
Program Services$33,884,424ProgramServicesAmt
Management And General$5,797,979ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,545,426BOYAmt
EOY$5,917,513EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,324,736BOYAmt
EOY$7,102,601EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$166,458BOYAmt
EOY$111,957EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,255,729LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,786,614LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,921,977BOYAmt
EOY$23,469,115EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,008,677BOYAmt
EOY$519,570EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,967,274BOYAmt
EOY$37,120,756EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,843,793BOYAmt
EOY$2,741,297EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$147,643BOYAmt
EOY$117,949EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,710,711BOYAmt
EOY$7,205,184EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,702,147BOYAmt
EOY$10,064,430EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,265,127BOYAmt
EOY$27,056,326EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,265,127BOYAmt
EOY$27,056,326EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,967,274BOYAmt
EOY$37,120,756EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,791,199ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,171,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,109,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,063,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,448,638CurrentTaxYearMinus1YearAmt
Current Tax Year$7,663,221CurrentTaxYearAmt
Total$32,455,342TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,171,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,109,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,063,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,448,638CurrentTaxYearMinus1YearAmt
Current Tax Year$7,663,221CurrentTaxYearAmt
Total$32,455,342TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$32,455,342PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$98,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$121,642CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,228CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,747CurrentTaxYearMinus1YearAmt
Current Tax Year$87,363CurrentTaxYearAmt
Total$491,742TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$230,784CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$379,743CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$441,855CurrentTaxYearMinus1YearAmt
Current Tax Year$357,294CurrentTaxYearAmt
Total$1,483,816TotalAmt
FieldValueIRS element (for citing)
Total Support$34,430,900TotalSupportAmt
Public Support CY1700.94260PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceOther income Part II line 10 or Part III line 12FormAndLineReferenceDesc
ExplanationOTHER INCOME OF 357,294 WHICH HAS BEEN PREVIOUSLY DISCLOSED ON FORM 990, PART VIII LINES 11A-C CONSIST OF RESIDENCY PROGRAM INCOME OF 330,000 AND MISC REVENUE AT SITE 1 OF 18,489 AND MEDICAL RECORDS FEE OF 8,805.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,605,071InvestmentCostOrOtherBasisAmt
Book Value$1,605,071BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$24,936,187InvestmentCostOrOtherBasisAmt
Depreciation$5,718,832DepreciationAmt
Book Value$19,217,355BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,083,809InvestmentCostOrOtherBasisAmt
Depreciation$293,000DepreciationAmt
Book Value$790,809BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,792,820InvestmentCostOrOtherBasisAmt
Depreciation$3,774,782DepreciationAmt
Book Value$1,018,038BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$837,842InvestmentCostOrOtherBasisAmt
Book Value$837,842BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,469,115TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
PRIMARY CARE AND DEVELOPMENT RESERV$479,004
SECURITY DEPOSITS$40,566
FieldValueIRS element (for citing)
Total Book Value Other Assets$519,570TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$44,473,602TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$44,473,602RevenueSubtotalAmt
Total Revenue Per Form990$44,473,602TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$39,682,403TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$39,682,403ExpensesSubtotalAmt
Total Expenses Per Form990$39,682,403TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFootnote for uncertain tax position under FIN 48 (Part X)FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION PRIOR TO 2013.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
NATHALIE RIGAUD MD
ASSOCIATE MEDICAL DIRECTOR$218,931$15,388$14,388$248,707
SUNITHA B JACOB MD
ASSISTANT MEDICAL DIRECTOR$218,730$15,465$30,728$264,923
MARJORIE J HILL PHD
CHIEF EXECUTIVE OFFICER$239,520$17,521$267,041$10,000
ALFONSO YU CHAN MD
CHIEF MEDICAL OFFICER$297,571$20,872$25,152$343,595
JINPIN YING PHD
CHIEF INFORMATION OFFICER$136,764$9,573$16,178$162,515
SANDRA FOGG
CHIEF OPERATING OFFICER$143,688$10,100$25,152$178,940
LENNIE TRAINER
CHIEF FINANCIAL OFFICER$167,862$7,890$23,280$199,032
CHIN SONG CHEN
FAMILY PRACTITIONER$275,628$21,308$13,968$339,370$28,466
WALLY KOPELOWITZ MD
MD OPTHALMOLOGIST$204,064$204,064
EDDIE GO
MD INFECTIOUS DISEASE$206,044$14,423$220,467
EDWIN TAN
MD UROLOGIST$206,370$206,370
JEONGWON KIM
MD INFECTIOUS DISEASE$200,519$14,544$13,968$229,031

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11A 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.
Conflict of interest policy compliance Part VI line 12cTHE 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.
CEO executive director top management comp Part VI line 15aCOMPENSATION 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 990S. COMPENSATION FOR OTHER STAFF MEMBERS IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER USING THE SAME DATA.
Other officer or key employee compensation Part VI line 15bPROCESS IS THE SAME AS IN ITEM 3 ABOVE.
Governing documents etc available to public Part VI line 19THE INFORMATION IS AVAILABLE TO ANYONE ON REQUEST. ADDITIONALLY, THE FORM 990 IS FILED WITH THE NEW YORK STATE DEPARTMENT OF LAW WHICH POST THE INFORMATION ON THE WEB SITE FOR THE NEW YORK STATE CHARITIES REGISTRATION BUREAU. FURTHERMORE, THE INFORMATION IS PROVIDED TO OUR BOARD OF DIRECTORS. FIFTY ONE PERCENT OF WHICH ARE REQUIRED BY FEDERAL LAW TO BE MEMBERS OF THE COMMUNITY WE SERVE AND USERS OF THE HEALTH CENTER.