2015-11-12T13:03:11-06:00 2014-12-31 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2014-01-01 237360305 URBAN HEALTH PLAN INC URBA 7185891687 1065 SOUTHERN BLVD BRONX NY 10459 PALOMA HERNANDEZ PRESIDENT AND CEO 7185891687 2015-11-10 1 THOMAS LANNING P00851654 2122970400 2014 2016-02-25 16:41:14Z PALOMA HERNANDEZ 1065 SOUTHERN BLVD BRONX NY 10459 85686718 0 X WWW.URBANHEALTHPLAN.ORG X 1974 NY URBAN HEALTH PLAN'S MISSION IS TO CONTINUOUSLY IMPROVE THE HEALTH STATUS OF UNDERSERVED COMMUNITIES BY PROVIDING AFFORDABLE,COMPREHENSIVE, HIGH QUALITY PRIMARY AND SPECIALTY MEDICAL CARE BY ASSURING THE PERFORMANCE AND ADVANCEMENT OF INNOVATIVE BEST PRACTICES. 13 13 887 8 0 0 16642520 11646938 59201807 70433476 4642 26919 2663100 3356632 78512069 85463965 0 2135658 0 0 50768984 55046469 0 0 918947 22334898 26339923 73103882 83522050 5408187 1941915 82825107 88285233 54720314 58418074 28104793 29867159 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. 0 0 69942351 2135658 72028186 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 346,107 VISITS. 1451069 1451069 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. 233773 233773 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, 2013 THROUGH JUNE 30, 2014, UHP SERVICED 3,208 STUDENTS TOTALING 13,537 VISITS. 71627193 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 1 90 0 1 887 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X FRANK E LAPORTA VP OF FINANCECFO 7185891687 1231 LAFAYETTE AVE BRONX NY 10474 CHARLES GONZALEZ JR BOARD MEMBER 1.00 X 0 0 0 CLIFFORD CHARLES TREASURER 1.00 1.00 X X 0 0 0 EDWARD S BUTTS BOARD MEMBER 1.00 X 0 0 0 FRANCIA CASTRO CHAIRPERSON 1.00 1.00 X X 0 0 0 FRANK ESTRADA MD BOARD MEMBER 1.00 X 0 0 0 HEROILDA VEGA BOARD MEMBER 1.00 X 0 0 0 JOANN BAKER BOARD MEMBER 1.00 X 0 0 0 JOSEPH MARRERO BOARD MEMBER 1.00 X 0 0 0 LINDA BALDWIN BOARD MEMBER 1.00 X 0 0 0 MICHELLE CARR SECRETARY 1.00 X X 0 0 0 NAYDA PADILLA BOARD MEMBER 1.00 X 0 0 0 OSWALDO GUZMAN BOARD MEMBER 1.00 X 0 0 0 WIENER LEBLANC MD BOARD MEMBER 1.00 X 0 0 0 KEITH CAMPBELL CHIEF FINANCIAL OFFICER 35.00 5.00 X 162689 0 1073 PALOMA HERNANDEZ PRESIDENT AND CEO 35.00 5.00 X 376168 0 61292 SAMUEL DELEON VICE PRESIDENT & CMO 35.00 2.00 X 294923 0 55728 SILVA UMUKORO VICE PRESIDENT OF FINANCE 35.00 2.00 X 206296 0 29489 EILEEN LEACH CHIEF OF STAFF 35.00 X 212058 0 16482 FRANCO BARSANTI DIRECTOR OF COMMUNITY BASE 40.00 X 183057 0 37140 MICHAEL NAPOLI OB/GYN 40.00 X 215594 0 32404 VALERIA LOUKANOVA-IVANOV PHYSICIAN FAMILY MEDICINE 40.00 X 191510 0 37617 WILFRIDO CASTILLO SECTION HEAD OB/GYN 40.00 X 445770 0 56890 2288065 0 328115 111 0 1 0 E-CLINICALWORKS LLC 114 TURNPIKE ROAD SUITE 104 BRONX NY 10461 ELECTRONIC HEALTH RECORDS 358356 WILFRIDO CASTILLO 8419 124TH STREET KEW GARDENS NY 11415 OB/GYN PROVIDER 186055 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 AUDIT SERVICES 136657 ABN ASSOICATES LLC 111 EIGHTH AVENUE SUITE 1500 NEW YORK NY 10001 BUSINESS SERVICES 129901 TEANECK RADIOLOGY CENTER LLC 699 TEANECK ROAD TEANECK NJ 07666 RADIOLOGY SERVICES 110288 8 241968 10256094 1148876 2342335 11646938 NYS MEDICAID MANAGED CARE WRAPARO 621400 31169832 31169832 MANAGED CARE PLANS 621400 19351130 19351130 MEDICAID 621400 8309275 8309275 NEW YORK STATE UNCOMPENSATED CARE 621400 3656003 3656003 PATIENT CENTERED MEDICAL HOME PRO 621400 2356348 2356348 5590888 5590888 70433476 26919 26919 95650 20709 74941 74941 74941 204183 241968 202044 2139 2139 MANAGED CARE INCENTIVE PROGRAM 900099 2493858 2493858 MANAGMENT FEE 541610 448997 448997 INVESTMENT IN CCMP LLC 621110 170986 170986 165711 165711 3279552 85463965 73713028 0 103999 2135658 2135658 1187658 1019875 155324 12459 43286885 37258041 5568386 460458 1027921 868244 149953 9724 5669058 4788428 827002 53628 3874947 3273013 565277 36657 162468 76649 85819 129283 129283 30000 30000 4229123 3986609 200075 42439 312502 84334 179157 49011 1909969 1313300 527466 69203 20470 15837 3798 835 4038895 3566007 472888 406926 263096 104261 39569 41740 26987 10694 4059 1716065 1677795 38270 3939941 3758345 179618 1978 368482 349103 19379 MEDICAL SUPPLIES 4457188 4457188 EQUIPMENT RENTAL, REPAI 1977452 1262523 669168 45761 PROCESSING FEES 609386 138358 434836 36192 LABORATORY FEES 574894 574894 1415139 732909 625256 56974 83522050 71627193 10975910 918947 1834402 5343451 949897 533380 1056435 1160264 8136074 11544426 200000 106311 977025 735034 86981592 21486351 64812919 65495241 1925281 189138 167042 2943936 3000084 82825107 88285233 9321045 9329953 39829792 42295333 5569477 6792788 54720314 58418074 X 28104793 29867159 28104793 29867159 82825107 88285233 X 1941915 -179549 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 30000 30000 0 PART II-B, LINE 1: WORKED WITH NYS ASSEMBLY AND NYC COUNCIL IN EFFORT TO INCREASE FUNDING FOR SERVICES TO THE MEDICALLY UNDERSERVED/UNINSURED INDIVIDUALS/FAMILIES. 1968879 1968879 53710828 6280491 47430337 9221890 3292497 5929393 15530537 10930545 4599992 6549458 982818 5566640 65495241 CAPITAL LEASE OBLIGATIONS 5065687 DEFERRED COMPENSATION 409353 REFUNDABLE ADVANCES 386550 DEFERRED RENT 931198 6792788 X 85558624 42892 42892 85515732 -51767 -51767 85463965 81688176 -1568580 -1568580 83256756 265294 265294 83522050 PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2014. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2011 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 818,671. BAD DEBT -265,294. INTERCOMPANY ELIMINATION -510,485. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRASING EXPENSES -202,044. DIRECT RENTAL EXPENSES -20,709. COMMUNITY CARE MANAGEMENT PARTNERS LLC K-1 INCOME 170,986. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 888,208. FUNDRASING EXPENSES 202,044. DIRECT RENTAL EXPENSES 20,709. INTERCOMPANY ELIMINATION -2,688,104. COMMUNITY CARE MANAGEMENT PARTNERS LLC BOOK VALUE 8,563. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 265,294. ANNUAL GALA 375127 214599 160528 130180 7188 30149 GOLF OUTING 71024 27369 43655 30085 4442 446151 241968 204183 160265 7188 34591 202044 2139 1 FOUNDATION FOR URBAN HEALTH WELL BEING INC 1065 SOUTHERN BLVD BRONX NY 10459 200565715 501(C)(3) 2135658 TO SUPPORT THE ORGANIZATION'S MISSION. 1 PART I, LINE 2: ALL CONTRIBUTIONS WERE MADE TO A RELATED PARTY, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. X X X 0 1 0 0 0 0 0 1 0 KEITH CAMPBELL CHIEF FINANCIAL OFFICER 154939 0 7750 0 0 0 1073 0 0 0 163762 0 0 0 PALOMA HERNANDEZ PRESIDENT AND CEO 376168 0 0 0 0 0 24251 0 37041 0 437460 0 0 0 SAMUEL DELEON VICE PRESIDENT & CMO 278055 0 16868 0 0 0 24138 0 31590 0 350651 0 0 0 SILVA UMUKORO VICE PRESIDENT OF FINANCE 206296 0 0 0 0 0 6366 0 23123 0 235785 0 0 0 EILEEN LEACH CHIEF OF STAFF 201950 0 10108 0 0 0 6065 0 10417 0 228540 0 0 0 FRANCO BARSANTI DIRECTOR OF COMMUNITY BASE 173807 0 9250 0 0 0 5550 0 31590 0 220197 0 0 0 MICHAEL NAPOLI OB/GYN 200173 0 15421 0 0 0 5850 0 26554 0 247998 0 0 0 VALERIA LOUKANOVA-IVANOV PHYSICIAN FAMILY MEDICINE 157440 0 34070 0 0 0 4200 0 33417 0 229127 0 0 0 WILFRIDO CASTILLO SECTION HEAD OB/GYN 413709 0 32061 0 0 0 6900 0 49990 0 502660 0 0 0 PART I, LINE 4B EMPLOYER CONTRIBUTIONS TOWARD SUPPLEMENTAL 457(B) PLAN: PALOMA HERNANDEZ 16,451 SAMUEL DELEON 16,451 THESE AMOUNTS ARE INCLUDED IN SCH J PART II LINE C. PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING BONUSES. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS 2014 W-2S AND APPROVED BY THE BOARD. DR RICHARD IZQUIERDO LANDLORD/TENANT 893919 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 2014 URBAN HEALTH PLAN, INC. PAID $893,919 IN RENT, REAL ESTATE TAXES, AND OTHER COMMON AREA CHARGES AS FOLLOWS: RENT $463,039; REAL ESTATE TAXES $114,686; OTHER COMMON AREA CHARGES $316,193. 0 DR RICHARD IZQUIERDO MEDICAL DIRECTOR EMERITUS 25001 DR. IZQUIERDO SERVES AS UHP'S MEDICAL DIRECTOR EMERITUS AND REPRESENTS THE ORGANIZATION IN A PROFESSIONAL AND COMMUNITY RELATIONS CAPACITY. 0 KRISTINA HERNANDEZ EMPLOYEE 35883 THE INSTERESTED PERSON IS AN EMPLOYEE OF THE ORGANIZATION AND IS LISTED ON SCHEDULE L DUE TO A FAMILY RELATIONSHIP WITH THE CEO. 0 X 2 2342335 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. 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 XI, LINE 9: COMMUNITY CARE MANAGEMENT PARTNERS LLC BOOK TO K-1 DIFFERENCE -179,549. 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. 1064 SIMPSON STREET LLC 1065 SOUTHERN BLVD BRONX NY 10459 461761445 RENTAL REAL ESTATE NY 2850 455590 URBAN HEALTH PLAN 1095 SOUTHERN BLVD LLC 1065 SOUTHERN BLVD BRONX NY 10459 471182724 HOLDING COMPANY NY 100 1953921 URBAN HEALTH PLAN 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 0 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 0 URBAN HEALTH FOUNDATION INC 1065 SOUTHERN BLVD BRONX NY 10459 133980228 PRIVATE FOUNDATION NY 501(C)(3) PF N/A 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 1095 SOUTHERN BLVD LLC D 1933879 BOOK VALUE