2016-08-11T15:20:49-05:00 2015-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL SUITE 201 PITTSFORD NY 14534 990 2015-01-01 160977295 ANTHONY L JORDAN HEALTH CORPORATION ANTH 5854235800 82 HOLLAND STREET ROCHESTER NY 14605 JONATHAN CLUNE CFO 5854235800 2016-08-09 1 KAREN HIGNETT P01366951 5853811000 2015 2016-12-15 16:53:06Z JONATHAN CLUNE 82 HOLLAND STREET ROCHESTER NY 14605 36502270 0 X WWW.JORDANHEALTH.ORG X 1968 NY THE CENTER IS DEDICATED TO PROVIDING HIGH-QUALITY PRIMARY AND PREVENTIVE HEALTHCARE, WITH A MAJOR FOCUS ON HEALTH EDUCATION/WELLNESS PROMOTION, AND THE REQUIREMENT TO MEET OR EXCEED PATIENT/CUSTOMER EXPECTATIONS. AS A TRENDSETTER IN THE DELIVERY OF URBAN HEALTH CARE, THE CENTER WILL CONTINUE ITS LEADERSHIP ROLE IN EDUCATING HEALTHCARE PROVIDERS, CONSUMERS, AND THE PUBLIC IN THE AREAS OF CULTURAL AWARENESS AND SENSITIVITY WITH A SPECIAL COMMITMENT TO ASSURING EQUAL ACCESS TO QUALITY HEALTHCARE FOR ALL. 16 16 332 0 0 0 7625421 8769584 24552760 26601975 7259 7034 194053 1123677 32379493 36502270 0 0 0 0 17434737 18942882 0 0 0 12652552 14230227 30087289 33173109 2292204 3329161 17585876 20961781 5298144 5343676 12287732 15618105 X THE CENTER IS DEDICATED TO PROVIDING HIGH-QUALITY PRIMARY AND PREVENTIVE HEALTHCARE, WITH A MAJOR FOCUS ON HEALTH EDUCATION/WELLNESS PROMOTION, AND THE REQUIREMENT TO MEET OR EXCEED PATIENT/CUSTOMER EXPECTATIONS. AS A TRENDSETTER IN THE DELIVERY OF URBAN HEALTH CARE, THE CENTER WILL CONTINUE ITS LEADERSHIP ROLE IN EDUCATING HEALTHCARE PROVIDERS, CONSUMERS, AND THE PUBLIC IN THE AREAS OF CULTURAL AWARENESS AND SENSITIVITY WITH A SPECIAL COMMITMENT TO ASSURING EQUAL ACCESS TO QUALITY HEALTHCARE FOR ALL. 0 0 27967195 27732686 THE CORPORATION PROVIDES GENERAL FAMILY PRACTICE SERVICES INCLUDING PREVENTION, CHRONIC ILLNESS, AND IMMUNIZATIONS. ALSO PROVIDES PEDIATRIC SERVICES AND OB/GYN SERVICES INCLUDING PRE-NATAL CARE AND DELIVERIES AND SOME GYNECOLOGICAL SURGERY. THE CORPORATION ALSO PROVIDES COMPREHENSIVE DENTAL AND HYGIENE SERVICES INCLUDING PEDIATRIC DENTISTRY AND SOME SURGERY (I.E. ROOT CANALS) TO PATIENTS. THE CORPORATION ALSO PROVIDES MENTAL HEALTH SERVICES INCLUDING DIAGNOSTIC CONSULTATIONS, MENTAL HEALTH SCREENINGS AND SHORT TERM COUNSELING. OPTOMETRY SERVICES ARE PROVIDED, WHICH INCLUDE VISUAL EXAMS, PRESCRIPTION LENSES, AND SCREENING AND EVALUATIONS. PODIATRY SERVICES ARE OFFERED FOR GENERAL FOOT CARE AND DIABETIC FOOT CARE. THE CORPORATION PROVIDES CASE MANAGEMENT AND CARE COORDINATION SERVICES TO ELIMINATE BARRIERS TO CARE IN TREATMENT AND ADHERENCE OF MEDICATION; TO HELP PATIENTS HAVE A BETTER AWARENESS OF THEIR HEALTH CARE AND THE PROGRESSION OF INFECTION; AND TO HELP PATIENTS SEE THE NEED TO REDUCE THEIR RISK OF EXPOSING OTHERS OR SECONDARY EXPOSURE TO THEMSELVES. THE CORPORATION HAD APPROXIMATELY 112,000 VISITS DURING 2015. 27967195 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 65 0 332 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X JONATHAN CLUNE 5854235800 82 HOLLAND STREET ROCHESTER NY 14605 BUDDHI SHRESTHA DDS MS PHD DIRECTOR 1.00 X 0 0 0 ALLEN WILLIAMS VICE CHAIR/TREASURER 1.00 X X 0 0 0 HILDA ROSARIO-ESCHER DIRECTOR 1.00 X 0 0 0 CHRISTINE JOHNSON DIRECTOR 1.00 X 0 0 0 S DOLLY MALIK PHD DIRECTOR 1.00 X 0 0 0 RAYMOND MAYOLIZ DIRECTOR 1.00 X 0 0 0 ISSE ABUKAR DIRECTOR 1.00 X 0 0 0 SAMMY NDIVE DIRECTOR 1.00 X 0 0 0 SHAPELLE THOMPSON DIRECTOR 1.00 X 0 0 0 GLENN GRAVINO DIRECTOR 1.00 X 0 0 0 CYNTHIA HERRIOTT DIRECTOR 1.00 X 0 0 0 GAYNELLE WETHERS BOARD CHAIR 1.00 X X 0 0 0 TRACY ARCHIE FDTN VICE CHAIR/SECRETARY 1.00 X X 0 0 0 KATHLEEN PRINGLE FDTN CHAIR 1.00 X X 0 0 0 DAVID BROADBENT MD DIRECTOR 1.00 X 0 0 0 FR LAURENCE TRACY DIRECTOR 1.00 X 0 0 0 CARLOS GARCIA DIRECTOR 1.00 X 0 0 0 DR JANICE HARBIN DDS CEO 40.00 X 197943 0 12163 LAURIE DONOHUE MD CMO 40.00 X 164303 0 14256 JASON DUNN COO 40.00 X 115860 0 11485 MARY MILLER CDO 40.00 X 139117 0 13161 JONATHAN CLUNE CFO 40.00 X 104484 0 7235 KIMBERLEE FRAREY CCO 40.00 X 97842 0 7737 SAKINAH MILLER MD PHYSICIAN 40.00 X 140226 0 13034 NASHAT ATALLA MD PHYSICIAN 40.00 X 147481 0 13332 LIZ MUNOZ PHYSICIAN 36.00 X 131305 0 12652 LORINDA PARKS PHYSICIAN 40.00 X 148377 0 13214 RICHARD KENNEDY MD PHYSICIAN 40.00 X 139391 0 8918 1526329 0 127187 18 0 1 0 RIDGE AUTOMOTIVE 130 LINDEN OAKS DRIVE ROCHESTER NY 14625 LANDLORD 196485 COVERALL SERVICE COMPANY 8860 COLUMBIA 100 PKWY SUITE 401 COLUMBIA MD 21045 CLEANING SERVICES 180167 ECLINICALWORKS PO BOX 847950 BOSTON MA 022847950 INFORMATION TECHNOLOGY PROVIDER 179345 UNIVERSITY OF ROCHESTER 601 ELMWOOD AVENUE PO BOX 888 ROCHESTER NY 14642 CONTRACT PHYSICIAN SERVICES 103458 4 8756745 12839 8769584 MEDICAID & MEDICARE 900099 11202893 11202893 340B REVENUE 900099 10846085 10846085 OTHER THIRD-PARTY PAYOR 900099 4479750 4479750 SELF-PAY 900099 73247 73247 26601975 7034 7034 NYS DSRIP 900099 901928 901928 OTHER 900099 154115 154115 CONTRACTED SERVICES 900099 67634 67634 1123677 36502270 27732686 0 0 X 885585 444695 440890 13782657 11344914 2437743 646533 550429 96104 2365095 2036234 328861 1263012 1075272 187740 215680 171943 43737 79851 63658 16193 3692329 2889656 802673 5783561 5633519 150042 1616180 1299283 316897 272836 157289 115547 921430 829855 91575 154884 111407 43477 BAD DEBT EXPENSE 1263602 1263602 MISCELLANEOUS 196439 62004 134435 CLIENT DISCOUNTS 33435 33435 33173109 27967195 5205914 0 10093168 12140122 871903 1618300 3052554 3691465 13473094 10192373 3443729 3280721 124522 231173 17585876 20961781 1852857 2118122 1961064 1764159 896592 863592 587631 597803 5298144 5343676 X 12275311 15580970 12421 37135 12287732 15618105 17585876 20961781 X 3329161 1212 X 0 1 X 1 1 1 X 5832059 8630557 8443051 7625421 8837218 39368306 5832059 8630557 8443051 7625421 8837218 39368306 39368306 6418 1881 9918 7259 7034 32510 335037 123633 210089 194053 1123677 1986489 41387305 72329570 0.95120 0.96750 X 37450 37450 5624886 4324624 1300262 7810758 5867749 1943009 3280721 ACCRUED PENSION EXPENSE 597803 597803 1 X X X 0 0 0 0 0 0 0 0 0 DR JANICE HARBIN DDS CEO 197943 0 0 0 0 0 11438 0 725 0 210106 0 0 0 LAURIE DONOHUE MD CMO 164303 0 0 0 0 0 10298 0 3958 0 178559 0 0 0 MARY MILLER CDO 139117 0 0 0 0 0 8522 0 4639 0 152278 0 0 0 SAKINAH MILLER MD PHYSICIAN 140226 0 0 0 0 0 9076 0 3958 0 153260 0 0 0 NASHAT ATALLA MD PHYSICIAN 147481 0 0 0 0 0 9151 0 4181 0 160813 0 0 0 LORINDA PARKS PHYSICIAN 148377 0 0 0 0 0 8909 0 4305 0 161591 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CEO, CFO AND THE FINANCE/AUDIT COMMITTEE. IT IS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS TO REVIEW, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS REVIEWED AND UPDATED ANNUALLY BY THE CEO AND THE BOARD CHAIRPERSON. ALL EMPLOYEES REVIEW THE POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT DURING ORIENTATION. BOARD MEMBERS REVIEW THE POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD. THE POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE CEO. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS APPROVES THE AMOUNT OF ALL COMPENSATION FOR THE CEO/PRESIDENT OF THE CORPORATION. IN DOING THIS, THEY CONSIDER TOTAL COMPENSATION INCLUDING SALARY AND BENEFITS. THE BOARD OBTAINS AND CONSIDERS DATA CONCERNING COMPARABLE COMPENSATION PAID TO SIMILAR OFFICERS IN LIKE CIRCUMSTANCES. FORM 990, PART VI, SECTION C, LINE 19 THE CENTER MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT AND PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,889,656. MANAGEMENT AND GENERAL EXPENSES 802,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,692,329. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION PLAN 1,212. ANTHONY L JORDAN FOUNDATION INC 82 HOLLAND STREET ROCHESTER NY 14605 161408256 PROVIDE FUNDING TO SUPPORT OPERATIONS OF ANTHONY L JORDAN HEALTH CORPORATION NY 501(C)3 LINE 11A TYPE I ANTHONY L JORDAN HEALTH CORPORATION 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0