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UNION HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNION HEALTH CENTER INC (EIN 13-5563408)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349303703
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T10:22:35-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN135563408EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNION HEALTH CENTER INCBusinessNameLine1
Business Name Line2F/K/A UNITE HERE HEALTH CENTER INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUNIONameControl
Phone2129242510Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1275 7TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLENE VISCONTIName
TitleEXECUTIVE DIRECTORTitle
Phone2129242510Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLENE VISCONTINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1275 7TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15773082GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UNIONHEALTHCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1917YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionUNION HEALTH CENTER, INC. (THE "CENTER") IS A FREESTANDING DIAGNOSTIC AND TREATMENT CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees168TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12500ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10206857ProgramServiceRevenuePriorYear
Program Service Revenue CY11387011ProgramServiceRevenueCY
Investment Income Prior Year507296InvestmentIncomePriorYear
Investment Income Current Year515983InvestmentIncomeCurrentYear
Other Revenue Prior Year52565OtherRevenuePriorYear
Other Revenue Current Year101235OtherRevenueCurrentYear
Total Revenue Prior Year10779218TotalRevenuePriorYear
Total Revenue Current Year12004229TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8448383SalariesEtcPriorYear
Salaries Etc Current Year8809430SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6162217OtherExpensePriorYear
Other Expenses Current Year5521945OtherExpensesCurrentYear
Total Expenses Prior Year14610600TotalExpensesPriorYear
Total Expenses Current Year14331375TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3831382RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2327146RevenuesLessExpensesCY
Total Assets BOY15080207TotalAssetsBOY
Total Assets EOY13538647TotalAssetsEOY
Total Liabilities BOY13870264TotalLiabilitiesBOY
Total Liabilities EOY14901298TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1209943NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1362651NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUNION HEALTH CENTER, INC. (THE "CENTER") IS A FREESTANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN THE CITY OF NEW YORK. THE CENTER WAS INCORPORATED UNDER THE NAME UNION SANATORIUM ASSOCIATION.THE CENTER WAS INCORPORATED IN 1917 AS THE FIRST FACILITY OF ITS TYPE FOR UNION MEMBERS IN THE UNITED STATES. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES, MAINLY TO UNION MEMBERS, THEIR DEPENDENTS, AND RETIREES IN THE NEW YORK CITY CITY METROPOLITAN AREA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11324122Expense
Revenue11387011Revenue
DescriptionOUTPATIENT CLINIC WHOSE PRINCIPAL PURPOSE AND FUNCTION IS PROVIDING MEDICAL SERVICES TO ITS MEMBERS.Description
Total Program Service Expense11324122TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees168NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN QUIST BTQ FINANCIALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2129012500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line180 BROAD STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10004ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
BRUCE RAYNOR
BOARD MEMBER1.00XX000
CHRISTINE KERBER
BOARD MEMBER1.00X000
DAVID WALSH
SECRETARY1.00XX000
EDGAR ROMNEY
BOARD PRESIDENT AND CHAIR1.00XX000
FREDDA VLADECK
BOARD MEMBER1.00X000
JULIE KELLY
BOARD MEMBER1.00X000
KAREN NELSON MD
FORMER CEO/BOARD MEMBER28.00XX101250020662
KEITH MESTRICH
TREASURER1.00XX000
MAY CHEN
BOARD MEMBER1.00X000
NEREIDA CORREA
BOARD MEMBER1.00X000
PAMELA BRIER
BOARD MEMBER1.00X000
WILFREDO LARANCUENT
BOARD MEMBER1.00X000
AUDREY LUM
CHIEF OF CLINICAL SERVICE35.00X172701058497
CHARLENE VISCONTI
EXECUTIVE DIRECTOR35.00X123463026008
WANDA MARZAN
FORMER CHIEF OPERATING OFFICER35.00X101375028134
DOMINIC BINEY-AMISSAH
PRIMARY CARE PROVIDER35.00142054041314X
HUANLIN AN MD
FAMILY PRACTIONER35.00180103042592X
MARIA TERRESA PITAROMD
ASSOCIATE MEDICAL DIRECTOR28.00194676046231X
MOLLY ANNE COLLINSMD
ASSOCIATE MEDICAL DIRECTOR35.00179998069224X
VESNA GIZDAVCIC MD
DOCTOR35.00151848050651X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1347468TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation383313TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BURCHMAN TERRIO GEBHARDT LLC
80 BRAOD STREET 15TH FLOORNEW YORKNY10004MSO/ACCOUNTING SERVICES554092
PRINCIPAL BUILDING SERVIES LLC
1501 BROADWAY 24TH FLOORNEW YORKNY10004FACILITY CLEANING270962
ROPES & GRAY LLP
PO BOX 414265BOSTONMA022414265LEGAL SERVICES191573
SAGE GROWTH PARTNERS
SUITE 435 3500 BOSTON STREETBALTIMOREMD21224IT SERVICES158809
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
AFFILIATED HEALTH AND WELFARE FUN62140062119456211945
OTHER THIRD-PART PAYORS AND SELF62140036459033645903
32BJ CAPITATION621400859212859212
PHARMACY446110345874345874
MEDICARE621400299906299906

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column24171TotalRevenueColumn
Related Or Exempt Function Income24171RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11387011TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column92060TotalRevenueColumn
Exclusion$92,060ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real150909Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real150909Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4041867Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3617944Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities423923Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column423923TotalRevenueColumn
Exclusion$423,923ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
32BJ SPECIAL SERVICES9000995196051960
FREELANCERS9000993720037200
SALE OF MEDICAL RECORDS9000991207512075
FieldValueIRS element (for citing)
Total Other Revenue101235TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12004229TotalRevenueColumn
Related Or Exempt Function Income11488246RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$515,983ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total632090Total
Program Services505124ProgramServices
Management And General126966ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6049777Total
Program Services4839822ProgramServices
Management And General1209955ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total592658Total
Program Services471688ProgramServices
Management And General120970ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1040483Total
Program Services828106ProgramServices
Management And General212377ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total494422Total
Program Services393505ProgramServices
Management And General100917ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total604464Total
Program Services284098ProgramServices
Management And General320366ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total252857Total
Management And General252857ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58285Total
Management And General58285ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total12000Total
Management And General12000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total515634Total
Program Services426872ProgramServices
Management And General88762ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total415Total
Program Services254ProgramServices
Management And General161ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total259296Total
Program Services110200ProgramServices
Management And General149096ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16905Total
Program Services16905ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1727529Total
Program Services1601275ProgramServices
Management And General126254ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4018Total
Program Services329ProgramServices
Management And General3689ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15840Total
Program Services9709ProgramServices
Management And General6131ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3861Total
Management And General3861ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total362339Total
Program Services339220ProgramServices
Management And General23119ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total386973Total
Program Services379512ProgramServices
Management And General7461ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIR AND MAINTENANCE49736940784389526
PHARMACEUTICALS251238251238
MEDICAL SUPPLIES248756248756
LICENSE AND PERMITS1328268141851408

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total171340Total
Program Services128248ProgramServices
Management And General43092ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14331375Total
Program Services11324122ProgramServices
Management And General3007253ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY550555BOY
EOY770797EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY841BOY
EOY742191EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY920474BOY
EOY653689EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3094191BOY
EOY180860EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12682983LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5892097LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7075702BOY
EOY6790886EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2729334BOY
EOY3552452EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY709110BOY
EOY847772EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15080207BOY
EOY13538647EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY576147BOY
EOY891540EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13294117BOY
EOY14009758EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13870264BOY
EOY14901298EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1209943BOY
EOY-1362651EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1209943BOY
EOY-1362651EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15080207BOY
EOY13538647EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2327146ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-245448ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years543006CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12500CurrentTaxYearMinus1Year
Total726760Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years543006CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12500CurrentTaxYearMinus1Year
Total726760Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total185110AmountsSubstContributorsTotal
Public Support Total170541650PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years210401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years159301CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66463CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113840CurrentTaxYearMinus1Year
Current Tax Year242969CurrentTaxYear
Total792974Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18054CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8416CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52555CurrentTaxYearMinus1Year
Current Tax Year101235CurrentTaxYear
Total240127Total
FieldValueIRS element (for citing)
Total Support1759861TotalSupport
Gross Receipts From Admissions Etc56558145GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.30780PublicSupportPertcentage170
Public Support Pertcent Prior Year0.28050PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Facts And Circumstances TestTHE ORGANIZATION IS CLASSIFIED AS 509(A)(1) AND 170(B)(1)(A)(VI) BY THE IRS. SINCE THE ORGANIZATION DERIVES MOST OF ITS REVENUES FROM PROGRAM SERVICES, IT WILL APPLY TO HAVE ITS TAX EXEMPT STATUS CHANGED AND TO BE CLASSIFIED AS 509(A)(2).FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5052255BeginningOfYearBalance
Investment Earnings Or Losses91671InvestmentEarningsOrLosses
Other Expenditures5143926OtherExpenditures

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5132631BeginningOfYearBalance
Investment Earnings Or Losses463143InvestmentEarningsOrLosses
Other Expenditures543519OtherExpenditures
End Of Year Balance5052255EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4946787BeginningOfYearBalance
Investment Earnings Or Losses760403InvestmentEarningsOrLosses
Other Expenditures574559OtherExpenditures
End Of Year Balance5132631EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6955440BeginningOfYearBalance
Other Expenditures2008653OtherExpenditures
End Of Year Balance4946787EndOfYearBalance

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9732015OtherCostOrOtherBasis
Depreciation3224685Depreciation
Book Value6507330BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1043409OtherCostOrOtherBasis
Depreciation890328Depreciation
Book Value153081BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1907559OtherCostOrOtherBasis
Depreciation1777084Depreciation
Book Value130475BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6790886TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Book Value847772BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets847772TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
CURRENT WORK LETTER LIABILITY$693,689
DEFERRED RENT$11,816,329
DEFERRED COMPENSATION LIABILITY$847,772
CAPITAL LEASE OBILIGATION$56,670
PREPAID CAPITATION$595,298
FieldValueIRS element (for citing)
Total Of Amounts14009758TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11849690TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-245448NetUnrealizedGainsInvestments
Revenue Not Rptd F990-245448RevenueNotRptdF990
Revenue Subtotal12095138RevenueSubtotal
Other Revenues Not Included-90909OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-90909RevenueNotRptdOnFinStmt
Total Revenue Per Form99012004229TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14422284TotExpensesEtcAuditedFinclStmt
Other Expenses Included90909OtherExpensesIncluded
Expenses Not Rptd F99090909ExpensesNotRptdF990
Expenses Subtotal14331375ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014331375TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THERE WAS NO ENDOWMENT FUND AS OF THE END OF 2011 SINCE TEMPORARILY RESTRICTED FUNDS GARMENT WORKERS ASSISTANCE PROGRAM (GWAP) WERE RELEASED DURING 2011.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2012 AND 2011. THE CENTER'S U.S. FEDERAL, STATE AND CITY INCOME TAX RETURNS PRIOR TO 2009 ARE CLOSED. THE BOARD OF DIRECTORS CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE CENTER WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS PART OF GENERAL AND ADMINISTRATIVE EXPENSES IN THE STATEMENTS OF FUNCTIONAL EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES IN ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. THE CENTER DID NOT RECOGNIZE ANY INTEREST OR PENALTIES ASSOCIATED WITH TAX MATTERS FOR THE YEAR ENDED DECEMBER 31, 2012 AND 2011.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -150,909. BAD DEBT 60,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 150,909. BAD DEBT -60,000.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
AUDREY LUM
CHIEF OF CLINICAL SERVICE17270100000334230250740231198000
DOMINIC BINEY-AMISSAH
PRIMARY CARE PROVIDER14205400000280660132480183368000
HUANLIN AN MD
FAMILY PRACTIONER1801030000034275083170222695000
MARIA TERRESA PITAROMD
ASSOCIATE MEDICAL DIRECTOR1946760000037151090800240907000
MOLLY ANNE COLLINSMD
ASSOCIATE MEDICAL DIRECTOR17999800000367130325110249222000
VESNA GIZDAVCIC MD
DOCTOR15184800000293360213150202499000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINES 4A-BReturnReference
ExplanationWANDA MARZAN RECEIVED SEVERANCE IN THE AMOUNT OF $42,102.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
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.
FORM 990, PART VI, SECTION B, LINE 11THE EXECUTIVE DIRECTOR AND FINANCIAL MANAGER REVIEWS THE 990 AND A COMPLETE FINAL COPY OF THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD APPOINTS THE COMPENSATION COMMITTEE. WITH RESPECT TO THE EXECUTIVE DIRECTOR, THE COMMITTEE ANNUALLY REVIEWS AND APPROVES COMPENSATION, EVALUATES PERFORMANCE, AND DETERMINES AND APPROVES COMPENSATION LEVELS BASED ON THIS EVALUATION.
FORM 990, PART VI, SECTION C, LINE 19UNITE HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE SELECTION AND OVERSIGHT PROCESS HAS BEEN CONSISTENT WITH PRIOR YEARS.