URBAN HEALTH PLAN INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- URBAN HEALTH PLAN INC (EIN 23-7360305)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-10-26
- IRS object ID
- 201623009349300122
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-10-26T11:42:45-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 Avenue of the Americas | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237360305 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | URBAN HEALTH PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | URBA | BusinessNameControlTxt |
| Phone | 7185891687 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 SOUTHERN BLVD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10459 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paloma Hernandez | PersonNm |
| Person Title | President and CEO | PersonTitleTxt |
| Phone | 7185891687 | PhoneNum |
| Signature | 2016-10-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS LANNING | PreparerPersonNm |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paloma Hernandez | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 SOUTHERN BLVD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10459 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $90,510,166 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.urbanhealthplan.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | URBAN 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 Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 928 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,646,938 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,881,395 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $70,433,476 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $75,891,045 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,919 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,482 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,356,632 | PYOtherRevenueAmt |
| CY Other Revenue | $611,462 | CYOtherRevenueAmt |
| PY Total Revenue | $85,463,965 | PYTotalRevenueAmt |
| CY Total Revenue | $90,387,384 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,135,658 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,237,812 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $55,046,469 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $58,669,269 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,092,613 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,339,923 | PYOtherExpensesAmt |
| CY Other Expenses | $26,105,950 | CYOtherExpensesAmt |
| PY Total Expenses | $83,522,050 | PYTotalExpensesAmt |
| CY Total Expenses | $88,013,031 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,941,915 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,374,353 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $88,285,233 | TotalAssetsBOYAmt |
| Total Assets EOY | $86,936,173 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $58,418,074 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $54,694,661 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,867,159 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,241,512 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Urban 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $73,030,809 | ExpenseAmt |
| Grant | $3,237,812 | GrantAmt |
| Revenue | $74,595,960 | RevenueAmt |
| Desc | 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 366,713 VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,596,219 | ExpenseAmt |
| Revenue | $1,596,219 | RevenueAmt |
| Desc | WIC IS THE SUPPLEMENTAL NUTRITION EDUCATION PROGRAM WHOSE MISSION IS TO PREVENT CHILDHOOD OBESITY. CORE SERVICES PROVIDED INCLUDE HEALTHY LIFESTYE PROGRAMS, BREASTFEEDING SUPPORT, ON-SITE HEMATOLOGY, PARTICIPANT-CENTERED FACILITATED GROUP DISCUSSIONS AND INDIVIDUAL COUNSELING AS AN ADJUNCT TO HEALTH CARE. THE WIC PROGRAM PROVIDE REFERRALS TO OTHER SERVICES FOR ITS CLIENTS. WIC PROVIDES FREE NUTRITIONAL COUNSELING AND VOUCHERS FOR HEALTHY FOOD FOR PREGNANT OR BREASTFEEDING WOMEN AND FOR CHILDREN UNDER AGE 5. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $212,099 | ExpenseAmt |
| Revenue | $212,099 | RevenueAmt |
| Desc | UHP 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, 2014 THROUGH JUNE 30, 2015, UHP SERVICED 3,855 STUDENTS TOTALING 12,834 VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $74,839,127 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 151 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 928 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANK E LAPORTA VP OF FINANCECFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7185891687 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 Lafayette Ave | AddressLine1Txt |
| City | bronx | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10474 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Charles Gonzalez Jr | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Clifford Charles | |||||||||
| Treasurer | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Edward S Butts | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Francia Castro | |||||||||
| Chairman | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Frank Estrada MD | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Heroilda Vega | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Joann Rivera | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Joseph Marrero | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Linda Baldwin | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michelle Carr | |||||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Nayda Padilla | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Oswaldo Guzman | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Wiener Leblanc MD | |||||||||
| Vice Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Frank E LaPorta | |||||||||
| VP of Finance/CFO | 40.00 | $98,639 | $0 | $1,778 | Yes (X) | ||||
| Keith Campbell | |||||||||
| Outgoing Chief Financial Officer | 10.00 | 1.00 | $67,944 | $0 | $537 | Yes (X) | |||
| Paloma Hernandez | |||||||||
| President and CEO | 35.00 | 6.00 | $461,783 | $0 | $118,573 | Yes (X) | |||
| Samuel De leon | |||||||||
| VP and CMO | 40.00 | $295,106 | $0 | $42,682 | Yes (X) | ||||
| Silva Umukoro | |||||||||
| Outgoing VP of FIN | 10.00 | $86,085 | $0 | $24,540 | Yes (X) | ||||
| Berenice Diaz | |||||||||
| AVP of Finance | 35.00 | 7.00 | $187,017 | $0 | $14,955 | Yes (X) | |||
| Acklema Mohammad | |||||||||
| Chief of Pediatrics | 40.00 | $198,596 | $0 | $5,504 | Yes (X) | ||||
| Eileen Leach | |||||||||
| Chief of Staff | 40.00 | $216,175 | $0 | $16,737 | Yes (X) | ||||
| Michael Napoli | |||||||||
| Gynecologist | 40.00 | $237,568 | $0 | $27,666 | Yes (X) | ||||
| Valeria Loukanova-Ivanov | |||||||||
| Clinical Director | 40.00 | $203,322 | $0 | $14,944 | Yes (X) | ||||
| Wilfrido Castillo | |||||||||
| Associate Medical Director OB/GYN | 40.00 | $531,205 | $0 | $39,276 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,583,440 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $307,192 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 115 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| E-CLINICAL WORKS LLC | |||||
| POBOX 983122 | BOSTON | MA | 02298 | ELECTRONIC HEALTH RECORDS | $319,860 |
| WILFRIDO CASTILLO | |||||
| 8419 124th Street | KEW GARDENS | NY | 11415 | OB/GYN PROVIDER | $248,107 |
| COHN REZNICK LLP | |||||
| 1212 AVENUE OF THE Americas | NEW YORK | NY | 10036 | AUDIT SERVICES | $143,036 |
| Brightstack Technologies LLC | |||||
| 450 7th Avenue SUITE 802 | NEW YORK | NY | 10123 | IT services | $129,019 |
| THE MIRRAM GROUP LLC | |||||
| 5030 BROADWAY SUITE 807 | NEW YORK | NY | 10034 | Strategic Consulting | $114,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $157,377 | FundraisingAmt |
| Government Grants | $12,612,414 | GovernmentGrantsAmt |
| All Other Contributions | $1,111,604 | AllOtherContributionsAmt |
| Noncash Contributions | $2,499,016 | NoncashContributionsAmt |
| Total Contributions | $13,881,395 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| New York State Medicaid manage ca | 621400 | $34,024,386 | $34,024,386 |
| Managed care plans | 621400 | $23,947,712 | $23,947,712 |
| Medicaid | 621400 | $6,231,856 | $6,231,856 |
| Managed care incentives and share | 621400 | $3,780,150 | $3,780,150 |
| Patient centered medical home pro | 621400 | $2,160,328 | $2,160,328 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,746,613 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,746,613 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $75,891,045 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,482 | TotalRevenueColumnAmt |
| Exclusion | $3,482 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $70,300 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $70,300 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,300 | TotalRevenueColumnAmt |
| Exclusion | $70,300 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $150,711 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $157,377 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $122,782 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,929 | TotalRevenueColumnAmt |
| Exclusion | $27,929 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| managment fee | 541610 | $240,360 | $240,360 |
| investment in CCMP LLC | 621110 | $173,419 | $173,419 |
| medical records | 900099 | $38,960 | $38,960 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,494 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,494 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $513,233 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,387,384 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,404,278 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $101,711 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $738,796 | TotalAmt |
| Program Services | $738,796 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,499,016 | TotalAmt |
| Program Services | $2,499,016 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,399,639 | TotalAmt |
| Program Services | $1,190,184 | ProgramServicesAmt |
| Management And General | $195,305 | ManagementAndGeneralAmt |
| Fundraising | $14,150 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,235 | TotalAmt |
| Program Services | $20,466 | ProgramServicesAmt |
| Management And General | $3,531 | ManagementAndGeneralAmt |
| Fundraising | $238 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,111,240 | TotalAmt |
| Program Services | $39,356,391 | ProgramServicesAmt |
| Management And General | $6,281,988 | ManagementAndGeneralAmt |
| Fundraising | $472,861 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,087,477 | TotalAmt |
| Program Services | $904,491 | ProgramServicesAmt |
| Management And General | $172,919 | ManagementAndGeneralAmt |
| Fundraising | $10,067 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,949,324 | TotalAmt |
| Program Services | $4,948,252 | ProgramServicesAmt |
| Management And General | $945,996 | ManagementAndGeneralAmt |
| Fundraising | $55,076 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,097,354 | TotalAmt |
| Program Services | $3,407,906 | ProgramServicesAmt |
| Management And General | $651,516 | ManagementAndGeneralAmt |
| Fundraising | $37,932 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,058 | TotalAmt |
| Management And General | $117,058 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,036 | TotalAmt |
| Management And General | $130,036 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,000 | TotalAmt |
| Management And General | $32,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,009,968 | TotalAmt |
| Program Services | $3,429,381 | ProgramServicesAmt |
| Management And General | $507,636 | ManagementAndGeneralAmt |
| Fundraising | $72,951 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,991 | TotalAmt |
| Program Services | $48,991 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,310,617 | TotalAmt |
| Program Services | $2,517,181 | ProgramServicesAmt |
| Management And General | $739,887 | ManagementAndGeneralAmt |
| Fundraising | $53,549 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,233 | TotalAmt |
| Management And General | $16,233 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,733,228 | TotalAmt |
| Program Services | $3,668,949 | ProgramServicesAmt |
| Management And General | $1,011,677 | ManagementAndGeneralAmt |
| Fundraising | $52,602 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490,202 | TotalAmt |
| Program Services | $304,229 | ProgramServicesAmt |
| Management And General | $151,192 | ManagementAndGeneralAmt |
| Fundraising | $34,781 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,996 | TotalAmt |
| Program Services | $28,863 | ProgramServicesAmt |
| Management And General | $29,375 | ManagementAndGeneralAmt |
| Fundraising | $6,758 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,715,168 | TotalAmt |
| Program Services | $1,689,205 | ProgramServicesAmt |
| Management And General | $25,963 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,021,333 | TotalAmt |
| Program Services | $3,786,736 | ProgramServicesAmt |
| Management And General | $229,881 | ManagementAndGeneralAmt |
| Fundraising | $4,716 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,565 | TotalAmt |
| Program Services | $390,097 | ProgramServicesAmt |
| Management And General | $16,468 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| medical supplies | $2,563,482 | $2,563,482 | ||
| Equipment rental, repai | $2,425,842 | $1,776,914 | $620,868 | $28,060 |
| Laboratory fees | $703,943 | $703,943 | ||
| Staff training and educ | $317,582 | $74,428 | $162,564 | $80,590 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998,706 | TotalAmt |
| Program Services | $791,226 | ProgramServicesAmt |
| Management And General | $39,198 | ManagementAndGeneralAmt |
| Fundraising | $168,282 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,013,031 | TotalAmt |
| Program Services | $74,839,127 | ProgramServicesAmt |
| Management And General | $12,081,291 | ManagementAndGeneralAmt |
| Fundraising | $1,092,613 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,343,451 | BOYAmt |
| EOY | $3,004,784 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,380 | BOYAmt |
| EOY | $2,798,170 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,160,264 | BOYAmt |
| EOY | $773,904 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,544,426 | BOYAmt |
| EOY | $7,899,319 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,000 | BOYAmt |
| EOY | $200,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,311 | BOYAmt |
| EOY | $152,544 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $735,034 | BOYAmt |
| EOY | $643,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $87,006,556 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,569,558 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,495,241 | BOYAmt |
| EOY | $64,436,998 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,251,223 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,042 | BOYAmt |
| EOY | $340,461 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,000,084 | BOYAmt |
| EOY | $3,435,734 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,285,233 | BOYAmt |
| EOY | $86,936,173 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,329,953 | BOYAmt |
| EOY | $8,920,498 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,295,333 | BOYAmt |
| EOY | $40,303,874 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,792,788 | BOYAmt |
| EOY | $5,470,289 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,418,074 | BOYAmt |
| EOY | $54,694,661 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,867,159 | BOYAmt |
| EOY | $32,241,512 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,867,159 | BOYAmt |
| EOY | $32,241,512 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,285,233 | BOYAmt |
| EOY | $86,936,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,374,353 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $32,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | WORKED 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,968,879 | OtherCostOrOtherBasisAmt |
| Book Value | $1,968,879 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,579,826 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,384,033 | DepreciationAmt |
| Book Value | $52,195,793 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,899,776 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,807,213 | DepreciationAmt |
| Book Value | $1,092,563 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $252,766 | OtherCostOrOtherBasisAmt |
| Depreciation | $214,113 | DepreciationAmt |
| Book Value | $38,653 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,305,309 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,164,199 | DepreciationAmt |
| Book Value | $9,141,110 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $64,436,998 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| capital lease obligations | $3,607,464 |
| DEFERRED COMPENSATION | $638,172 |
| refundable advances | $171,602 |
| deferred rent | $1,053,051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,470,289 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $90,710,168 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $950 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $199,052 | OtherRevenueAmt |
| Revenue Not Reported | $200,002 | RevenueNotReportedAmt |
| Revenue Subtotal | $90,510,166 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$122,782 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$122,782 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $90,387,384 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $87,503,290 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $950 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | -$299,766 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$298,816 | ExpensesNotReportedAmt |
| Expenses Subtotal | $87,802,106 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $210,925 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $210,925 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $88,013,031 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Organization has no unrecognized tax benefits at December 31, 2015. The Organization's Federal and state income tax returns prior to fiscal year 2012 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 Organization Revenue 1,360,662. bad debt -210,925. intercompany elimination -950,685. |
| Part XI, Line 4b - Other Adjustments: | Fundrasing expenses -122,782. |
| Part XII, Line 2d - Other Adjustments: | Related Organization expense 600,070. Fundrasing expenses 122,782. intercompany elimination -1,022,618. |
| Part XII, Line 4b - Other Adjustments: | bad debt 210,925. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | annual GALA | Event1Nm |
| Gross Receipts Event1 | $215,980 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $122,680 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $93,300 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $33,573 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $22,839 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $22,400 | EntertainmentEvent1Amt |
| Event2 | golf outing | Event2Nm |
| Gross Receipts Event2 | $92,108 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $34,697 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $57,411 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $11,470 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $26,575 | RentFacilityCostsEvent2Amt |
| Entertainment Event2 | $5,400 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $525 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $308,088 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $157,377 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $150,711 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $11,470 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $60,148 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $22,839 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $27,800 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $525 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $122,782 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $27,929 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Foundation for urban health and well being | |||||||
| 1065 southern blvd | bronx | NY | 10459 | 200565715 | 501(c)(3) | $685,256 | to support the organization's mission. |
| Bronx Overall Economic Development Corporation | |||||||
| 851 grand concourse | bronx | NY | 10451 | 133079387 | 501(c)(3) | $5,500 | to support the organizations yearly gala. |
| ECUADORIAN CIVIC COMMITTEE OF NEW YORK INC | |||||||
| 41-12 102nd street | corona | NY | 11368 | 113553172 | 501(c)(3) | $6,000 | to support the organizations yearly gala. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Vaccines | GrantTypeTxt |
| Recipient | 51366 | RecipientCnt |
| Non Cash Assistance | $2,499,016 | NonCashAssistanceAmt |
| Valuation Method Used | Fair Market Value | ValuationMethodUsedDesc |
| Non Cash Assistance | Donated Vaccines administered to those in need. | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. The grant to Bronx Overall Economic Development Corporation was given to support the Annual Gala. The Vaccines are administered directly to those in need and require them. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Paloma Hernandez | ||||||||||||||
| President and CEO | $358,965 | $0 | $83,353 | $0 | $19,465 | $0 | $107,950 | $0 | $10,623 | $0 | $580,356 | $0 | $0 | $0 |
| Samuel De leon | ||||||||||||||
| VP and CMO | $259,984 | $0 | $15,025 | $0 | $20,097 | $0 | $7,950 | $0 | $34,732 | $0 | $337,788 | $0 | $0 | $0 |
| Berenice Diaz | ||||||||||||||
| AVP of Finance | $155,787 | $0 | $12,000 | $0 | $19,230 | $0 | $4,613 | $0 | $10,342 | $0 | $201,972 | $0 | $0 | $0 |
| Acklema Mohammad | ||||||||||||||
| Chief of Pediatrics | $188,846 | $0 | $9,750 | $0 | $0 | $0 | $5,504 | $0 | $0 | $0 | $204,100 | $0 | $0 | $0 |
| Eileen Leach | ||||||||||||||
| Chief of Staff | $203,583 | $0 | $12,592 | $0 | $0 | $0 | $6,114 | $0 | $10,623 | $0 | $232,912 | $0 | $0 | $0 |
| Michael Napoli | ||||||||||||||
| Gynecologist | $201,921 | $0 | $35,647 | $0 | $0 | $0 | $5,890 | $0 | $21,776 | $0 | $265,234 | $0 | $0 | $0 |
| Valeria Loukanova-Ivanov | ||||||||||||||
| Clinical Director | $163,002 | $0 | $40,320 | $0 | $0 | $0 | $4,321 | $0 | $10,623 | $0 | $218,266 | $0 | $0 | $0 |
| Wilfrido Castillo | ||||||||||||||
| Associate Medical Director OB/GYN | $482,893 | $0 | $48,312 | $0 | $0 | $0 | $7,061 | $0 | $32,215 | $0 | $570,481 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Lines 4a-b | Paloma Hernandez PARTICIPATES IN A 457(F) RETIREMENT PLAN. DURING FY 2015 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. Keith Campbell RECEIVED A SEVERANCE IN 2015 IN THE AMOUNT OF $53,058 and is reported on Part VII, however his total compensation falls below the threshold for schedule J. |
| Part I, Line 7 | included on schedule j, part ii, column b(ii) are amounts representing bonuses. these amounts were included in the individuals 2015 w-2s and approved by the board. |
| SCHEDULE J, PART II: | A PORTION OF THE 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 DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DR RICHARD IZQUIERDO | |||
| landlord/tenant | $915,395 | THERE 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 2015 URBAN HEALTH PLAN, INC. PAID $915,395 IN RENT, REAL ESTATE TAXES, AND OTHER COMMON AREA CHARGES AS FOLLOWS: RENT $474,615; REAL ESTATE TAXES $136,158; OTHER COMMON AREA CHARGES $304,622. | 0 |
| DR RICHARD IZQUIERDO | |||
| medical director emeritus | $41,711 | DR. IZQUIERDO SERVES AS UHP'S MEDICAL DIRECTOR EMERITUS AND REPRESENTS THE ORGANIZATION IN A PROFESSIONAL AND COMMUNITY RELATIONS CAPACITY. | 0 |
| Kristina Hernandez | |||
| employee | $24,235 | 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 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,499,016 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | column b represents the number of contributors. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | 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 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 1064 SIMPSON STREET LLC | |||||||||
| 1065 Southern Blvd | bronx | NY | 10459 | 461761445 | rental real estate | NY | $0 | $447,210 | urban health plan |
| 1095 Southern Blvd LLC | |||||||||
| 1065 Southern Blvd | bronx | NY | 10459 | 471182724 | holding company | NY | $0 | $2,070,565 | urban health plan |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HUNT POINT ECONOMIC DEVELOPMENT CORPORATION | ||||||||||
| 355 Food Center Drive | bRONX | NY | 10474 | 133475185 | economic development | NY | 501(c)(3) | Line 7 | uRBAN HEALTH PLAN INC | Yes (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 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |