URBAN HEALTH PLAN INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- URBAN HEALTH PLAN INC (EIN 23-7360305)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201233199349302248
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-11-14T10:47:24-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221478099 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 6TH AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237360305 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | URBAN HEALTH PLAN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | URBA | NameControl |
| Phone | 7185891687 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 SOUTHERN BLVD | AddressLine1 |
| City | BRONX | City |
| State | NY | State |
| ZIP Code | 10459 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PALOMA HERNANDEZ | Name |
| Title | PRESIDENT | Title |
| Phone | 7185891687 | Phone |
| Date Signed | 2012-11-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LANNING | Name |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PALOMA HERNANDEZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 SOUTHERN BLVD | AddressLine1 |
| City | BRONX | City |
| State | NY | State |
| ZIP Code | 10459 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 60355259 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.URBANHEALTHPLAN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1974 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 602 | TotalNbrEmployees |
| Total Nbr Volunteers | 8 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5124432 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11740707 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 36056223 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 47281432 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11318 | InvestmentIncomePriorYear |
| Investment Income Current Year | 45322 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3319144 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1188561 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 44511117 | TotalRevenuePriorYear |
| Total Revenue Current Year | 60256022 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3121207 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29016177 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34323652 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 771643 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 13866387 | OtherExpensePriorYear |
| Other Expenses Current Year | 18798357 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 42882564 | TotalExpensesPriorYear |
| Total Expenses Current Year | 56243216 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1628553 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4012806 | RevenuesLessExpensesCY |
| Total Assets BOY | 33615456 | TotalAssetsBOY |
| Total Assets EOY | 65590282 | TotalAssetsEOY |
| Total Liabilities BOY | 21778915 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 49740935 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11836541 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15849347 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | URBAN HEALTH PLAN IS A FEDERALLY QUALIFIED HEALTH CENTER LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW WITH SERVICE LOCATIONS IN BRONX AND QUEENS. IN NEW YORK STATE, THE ORGANIZATION HAS FIVE COMPREHENSIVE SERVICE SITES, SIX SCHOOL HEALTH AND FOUR PART TIME CLINIC SITES. UHP PROVIDES A BROAD RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. UHP WAS FOUNDED IN 1974 BY DR. RICHARD IZQUIERDO AND OVER THE PAST 37 YEARS IT HAS UNDERGONE MAJOR QUALITY,TECHNOLOGICAL AND OPERATIONAL IMPROVEMENTS. THE FACILITIES ARE ACCREDITED BY THE JOINT COMMISSION AND IN 2009 THE ORGANIZATION RECEIVED THE ACCREDITED NCQA LEVEL 3 RECOGNITION AS A HEALTH CENTERED MEDICAL HOME AT ALL PRACTICE SITES WITH FULL IMPLEMENTATIONOF ITS ELECTRONIC HEALTH RECORD (EHR) SYSTEMS, THE ORGANIZATION IS A RECENT RECIPIENT OF HIMMS NICOLAS E DAVIES AWARD FOR EXCELLENCE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 39604519 | Expense |
| Revenue | 45393394 | Revenue |
| Description | URBAN HEALTH PLAN PRACTICE SITES PROVIDE A BROAD RANGE OF PRIMARY AND SPECIALTY CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION SERVING ALMOST 47,812 UNIQUE PATIENTS GENERATING MORE THAN 250,558 VISITS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1322168 | Expense |
| Revenue | 1322168 | Revenue |
| Description | WIC IS THE SUPPLEMENTAL NUTRITION EDUCATION PROGRAM WHOSE MISSION IS TO PREVENT CHILDHOOD OBESITY. CORE SERVICES PROVIDED INCLUDE HEALTHY LIFESTYLE 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. IN FY 2011 6,478 PARTICIPANTS WERE ENROLLED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1157751 | Expense |
| Revenue | 1157751 | Revenue |
| Description | THE SCHOOL BASED HEALTH CENTERS (SBHC) SERVICE 6 SCHOOLS IN THE HUNTS POINT AREA OF THE BRONX COMPRISING 4 ELEMENTARY SCHOOLS, 1 MIDDLE SCHOOL AND 1 HIGH SCHOOL. IN 2011, COLLECTIVELY UHP SERVICED 2,911 STUDENTS REPRESENTING 10,692 VISITS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5714694 | Expense |
| Grants | 3121207 | Grants |
| Revenue | 1548876 | Revenue |
| Description | THIS COMPRISES OTHER SMALLER PROGRAMS THAT HAVE PROVIDED BENEFITS TO THE SOUTH BRONX AND QUEENS COMMUNITIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 5714694 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 3121207 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 1548876 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 47799132 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 602 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVA UMUKORO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7185891687 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 SOUTHERN BLVD | AddressLine1 |
| City | BRONX | City |
| State | NY | State |
| ZIP Code | 10459 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| CHARLES GONZALEZ JR | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CLIFFORD CHARLES | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| EDWARD S BUTTS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ELIZABETH BIKOKO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| FRANCIA CASTRO | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |
| FRANK ESTRADA MD | |||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |
| HEROILDA VEGA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOANN RIVERA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH MARRERO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPHINE INFANTE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LINDA BALDWIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MICHELLE CARR | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| NAYDA PADILLA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAUL ACINAPURA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WEINER LEBANC MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PALOMA HERNANDEZ | |||||||
| PRESIDENT & CEO | 40.00 | 393772 | 0 | 48891 | X | ||
| SAMUEL DE LEON | |||||||
| VICE PRESIDENT & CMO | 40.00 | 278664 | 0 | 43794 | X | ||
| SILVA UMUKORO | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 222749 | 0 | 3373 | X | ||
| AKLEMA MOHAMMAD | |||||||
| SECTION HEAD OF PEDIATRICS | 40.00 | 174386 | 0 | 12917 | X | ||
| CLAUDE PAROLA | |||||||
| SECTION HEAD OF ADULT MEDICINE | 40.00 | 162609 | 0 | 24373 | X | ||
| EILEEN LEACH | |||||||
| CHIEF OF STAFF | 40.00 | 196477 | 0 | 13450 | X | ||
| PEDRO SUAREZ | |||||||
| PSYCHIATRIST | 40.00 | 187286 | 0 | 20486 | X | ||
| WILFRIDO CASTILLO | |||||||
| HD/GYN | 40.00 | 250971 | 0 | 22803 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1866914 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 190087 | TotalOtherCompensation |
| Number Individuals GT100 K | 65 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WILLIAM N BREGER ASSOC | |||||
| 130 WEST 42ND ST | NEW YORK | NY | 10036 | ARCHITECT | 604398 |
| MANATT PHELPS & PHILLIPS | |||||
| 7 TIME SQUARE | NEW YORK | NY | 10036 | LEGAL | 564500 |
| MONGE CAPITAL GROUP | |||||
| 100 PARK AVE 1600 | NEW YORK | NY | 10017 | FINANCIAL CONSULTANT | 458634 |
| HEALTH CARE NETWORK ASSOC | |||||
| 113 GREENACRES AVE | WHITEPLAINS | NY | 10605 | LEGAL | 220000 |
| FEDERATED TITLE SERVICES LLC | |||||
| 501 SEVENTH AVE 7TH FLR | NEW YORK | NY | 10018 | TITLE SEARCH COMPANY | 164452 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Fundraising Events | 77039 | FundraisingEvents |
| Government Grants | 6311791 | GovernmentGrants |
| All Other Contributions | 5351877 | AllOtherContributions |
| Noncash Contributions | 1936914 | NoncashContributions |
| Total Contributions | 11740707 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NYS MEDICAID WRAPAROUN | 621400 | 18398227 | 18398227 |
| MANAGED CARE PLANS | 621400 | 13185613 | 13185613 |
| MEDICAID FEE FOR SERVI | 621400 | 9137455 | 9137455 |
| PATIENT CENTERED MEDIC | 621400 | 1773553 | 1773553 |
| MEDICARE | 621400 | 1302069 | 1302069 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3484515 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3484515 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 47281432 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45322 | TotalRevenueColumn |
| Exclusion | $45,322 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30000 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30000 | TotalRevenueColumn |
| Exclusion | $30,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 156476 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 77039 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 99237 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57239 | TotalRevenueColumn |
| Exclusion | $57,239 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MANAGED CARE INCENTIVE | 900099 | 797702 | 797702 |
| OTHER INCOME | 900099 | 267651 | 267651 |
| MEDICAL RECORD | 900099 | 29361 | 29361 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6608 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6608 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1101322 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60256022 | TotalRevenueColumn |
| Related Or Exempt Function Income | 48382754 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $132,561 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3121207 | Total |
| Program Services | 3121207 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 960872 | Total |
| Program Services | 802744 | ProgramServices |
| Management And General | 146509 | ManagementAndGeneral |
| Fundraising | 11619 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27906979 | Total |
| Program Services | 23305838 | ProgramServices |
| Management And General | 4262854 | ManagementAndGeneral |
| Fundraising | 338287 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 541778 | Total |
| Program Services | 454899 | ProgramServices |
| Management And General | 80553 | ManagementAndGeneral |
| Fundraising | 6326 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2688400 | Total |
| Program Services | 2257290 | ProgramServices |
| Management And General | 399722 | ManagementAndGeneral |
| Fundraising | 31388 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2225623 | Total |
| Program Services | 1868724 | ProgramServices |
| Management And General | 330915 | ManagementAndGeneral |
| Fundraising | 25984 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167166 | Total |
| Program Services | 115423 | ProgramServices |
| Management And General | 26747 | ManagementAndGeneral |
| Fundraising | 24996 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65750 | Total |
| Program Services | 45399 | ProgramServices |
| Management And General | 10520 | ManagementAndGeneral |
| Fundraising | 9831 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30000 | Total |
| Program Services | 20714 | ProgramServices |
| Management And General | 4800 | ManagementAndGeneral |
| Fundraising | 4486 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2633245 | Total |
| Program Services | 2276879 | ProgramServices |
| Management And General | 301556 | ManagementAndGeneral |
| Fundraising | 54810 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226733 | Total |
| Program Services | 148253 | ProgramServices |
| Management And General | 28169 | ManagementAndGeneral |
| Fundraising | 50311 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006307 | Total |
| Program Services | 792383 | ProgramServices |
| Management And General | 185990 | ManagementAndGeneral |
| Fundraising | 27934 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2387681 | Total |
| Program Services | 2015145 | ProgramServices |
| Management And General | 340058 | ManagementAndGeneral |
| Fundraising | 32478 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 482754 | Total |
| Program Services | 384499 | ProgramServices |
| Management And General | 62431 | ManagementAndGeneral |
| Fundraising | 35824 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 925711 | Total |
| Program Services | 902615 | ProgramServices |
| Management And General | 23096 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1847870 | Total |
| Program Services | 1101609 | ProgramServices |
| Management And General | 670074 | ManagementAndGeneral |
| Fundraising | 76187 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1538337 | Total |
| Program Services | 1475012 | ProgramServices |
| Management And General | 63325 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206932 | Total |
| Program Services | 165546 | ProgramServices |
| Management And General | 41386 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CONSUMABLE SUPPLIES | 3718486 | 3626244 | 80301 | 11941 |
| OTHER | 1084852 | 699751 | 385101 | |
| EQUIPMENT RENTAL, REPAI | 971819 | 798911 | 151763 | 21145 |
| LABORATORY FEES | 717086 | 717086 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 787628 | Total |
| Program Services | 702961 | ProgramServices |
| Management And General | 76571 | ManagementAndGeneral |
| Fundraising | 8096 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56243216 | Total |
| Program Services | 47799132 | ProgramServices |
| Management And General | 7672441 | ManagementAndGeneral |
| Fundraising | 771643 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 896938 | BOY |
| EOY | 2169040 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1509665 | BOY |
| EOY | 2474031 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1656602 | BOY |
| EOY | 1805660 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4620739 | BOY |
| EOY | 7227420 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2377305 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 700546 | BOY |
| EOY | 498589 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 50716096 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13090817 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22610269 | BOY |
| EOY | 37625279 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 319433 | BOY |
| EOY | 11035502 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1301264 | BOY |
| EOY | 377456 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33615456 | BOY |
| EOY | 65590282 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6443787 | BOY |
| EOY | 8628023 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9550000 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3296872 | BOY |
| EOY | 36957415 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2488256 | BOY |
| EOY | 4155497 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21778915 | BOY |
| EOY | 49740935 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11836541 | BOY |
| EOY | 15849347 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11836541 | BOY |
| EOY | 15849347 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33615456 | BOY |
| EOY | 65590282 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4012806 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $30,000 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 30000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | WORKED WITH NYS ASSEMBLY AND NYC COUNCIL IN EFFORT TO INCREASE FUNDING FOR SERVICES TO THE MEDICALLY UNDERSERVED/UNINSURED. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35000 | OtherCostOrOtherBasis |
| Book Value | 35000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14812715 | OtherCostOrOtherBasis |
| Depreciation | 3501695 | Depreciation |
| Book Value | 11311020 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7010853 | OtherCostOrOtherBasis |
| Depreciation | 1339985 | Depreciation |
| Book Value | 5670868 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9281362 | OtherCostOrOtherBasis |
| Depreciation | 7282657 | Depreciation |
| Book Value | 1998705 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19576166 | OtherCostOrOtherBasis |
| Depreciation | 966480 | Depreciation |
| Book Value | 18609686 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 37625279 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $1,216,567 |
| LINES OF CREDIT | $2,747,377 |
| DEFERRED COMPENSATION | $191,553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4155497 | TotalOfAmounts |
| Total Revenue | 60256022 | TotalRevenue |
| Total Expenses | 56243216 | TotalExpenses |
| Excess Or Deficit For Year | 4012806 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 4012806 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 60574233 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 218974 | OtherRevenues |
| Revenue Not Rptd F990 | 218974 | RevenueNotRptdF990 |
| Revenue Subtotal | 60355259 | RevenueSubtotal |
| Other Revenues Not Included | -99237 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -99237 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 60256022 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 51434154 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -4908299 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -4908299 | ExpensesNotRptdF990 |
| Expenses Subtotal | 56342453 | ExpensesSubtotal |
| Other Expenses Not Included | -99237 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -99237 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 56243216 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | BOTH ENTITIES OF THE ORGANIZATION WERE INCORPORATED AS NOT-FOR-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF NEW YORK AND ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2011. THE ORGANIZATION'S U.S. FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2008 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE FOUNDATION WAS ESTABLISHED IN 2003 AND REMAINED INACTIVE UNTIL 2011 WHEN IT WAS USED FOR THE PURPOSE OF UHP'S NEW MARKET TAX CREDIT TRANSACTION. AS A RESULT OF A 2008 CHANGE IN TAX LAW, THE ORGANIZATION WAS REQUIRED TO FILE A RETURN FOR THIS ENTITY. SINCE NO TAX RETURN WAS FILED IN 2007, 2008 AND 2009, THE ENTITY LOST ITS TAX EXEMPT STATUS. THE FOUNDATION THEN FILED FORM 1023 IN DECEMBER 2011 IN ORDER TO REGAIN ITS TAX EXEMPT STATUS AND IS CURRENTLY AWAITING APPROVAL FROM THE INTERNAL REVENUE SERVICE. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RELATED PARTY REVENUE 7,728,950. INTERCOMPANY ELIMINATION -7,509,976. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRASING EXPENSES -99,237. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RELATED PARTY EXPENSES 12,106. INTERCOMPANY ELIMINATION -4,920,405. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRASING EXPENSES -99,237. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 72775 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 36539 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 36236 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 26815 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 8264 | OtherDirectExpensesEvent1 |
| Name Of Event2 | ANNIVERSARY GALA | NameOfEvent2 |
| Gross Receipts Event2 | 160740 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 40500 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 120240 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 47610 | RentFacilityCostsEvent2 |
| Entertainment Event2 | 3500 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 13048 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 233515 | GrossReceiptsTotal |
| Charitable Contributions Total | 77039 | CharitableContributionsTotal |
| Gross Revenue Total Events | 156476 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 74425 | RentFacilityCostsTotalEvents |
| Entertainment Total Events | 3500 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 21312 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 99237 | DirectExpenseSummaryEvents |
| Net Income Summary | 57239 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FOUNDATION FOR URBAN HEALTH & WELL BEING INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 SOUTHERN BLVD | AddressLine1 |
| City | BRONX | City |
| State | NY | State |
| ZIP Code | 10459 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 200565715 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 3072534 | AmountOfCashGrant |
| Purpose Of Grant | DONATIONS TO SUBSIDIARY | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALOMA HERNANDEZ | |||||||||||||
| 356986 | 0 | 36786 | 0 | 0 | 0 | 26047 | 0 | 22844 | 0 | 442663 | 0 | 0 | 0 |
| SAMUEL DE LEON | |||||||||||||
| 253664 | 0 | 25000 | 0 | 0 | 0 | 23150 | 0 | 20644 | 0 | 322458 | 0 | 0 | 0 |
| SILVA UMUKORO | |||||||||||||
| 202749 | 0 | 20000 | 0 | 0 | 0 | 3313 | 0 | 60 | 0 | 226122 | 0 | 0 | 0 |
| AKLEMA MOHAMMAD | |||||||||||||
| 169907 | 0 | 4479 | 0 | 0 | 0 | 5088 | 0 | 7829 | 0 | 187303 | 0 | 0 | 0 |
| CLAUDE PAROLA | |||||||||||||
| 161626 | 0 | 983 | 0 | 0 | 0 | 7800 | 0 | 16573 | 0 | 186982 | 0 | 0 | 0 |
| EILEEN LEACH | |||||||||||||
| 186949 | 0 | 9528 | 0 | 0 | 0 | 5413 | 0 | 8037 | 0 | 209927 | 0 | 0 | 0 |
| PEDRO SUAREZ | |||||||||||||
| 186743 | 0 | 543 | 0 | 0 | 0 | 11601 | 0 | 8885 | 0 | 207772 | 0 | 0 | 0 |
| WILFRIDO CASTILLO | |||||||||||||
| 211848 | 0 | 39123 | 0 | 0 | 0 | 6289 | 0 | 16514 | 0 | 273774 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DR RICHARD IZQUIERDO | |||
| LANDLORD/TENANT | 769623 | THERE IS A LANDLORD/TENANT RELATIONSHIP BETWEEN URBAN HEALTH PLAN, INC.(UHP) 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 OF AND UHP'S MEDICAL DIRECTOR EMERITUS, AS WELL AS UHP'S CEO'S FATHER AND THE OWNER OF THE SAN JUAN HEALTH CENTER. THE SAN JUAN HEALTH CENTER IS A 22,000 SQUARE FOOT BUILDING OF WHICH UHP LEASES 17,047 SQUARE FEET. THE SAN JUAN HEALTH CENTER LOCATION SERVED AS UHP'S MAIN SITE FROM 1974 THROUGH 2001 WHEN THE UHP HEADQUARTERS WERE RELOCATED TO THEIR CURRENTLY OWNED 40,000 SQUARE FOOT FACILITY. THE SAN JUAN HEALTH CENTER LOCATION CURRENTLY HOUSES VARIOUS GRANT FUNDED PROGRAMS AND ANCILLARY SUPPORT SERVICES OF UHP. IN 2011, UHP PAID $769,623 IN TOTAL RENT AND USAGE CHARGES. THE RENT CHARGED WHICH IS CONSISTENT WITH THE CURRENT MARKET RATE WAS $389,664, REAL ESTATE TAXES WERE $106,947 AND UTILITIES AND COMMON AREA CHARGES WERE $273,012. | 0 |
| DR RICHARD IZQUIERDO | |||
| MEDICAL DIRECTOR EMERITUS | 18018 | DR. IZQUIERDO SERVES AS UHP'S MEDICAL DIRECTOR EMERITUS AND REPRESENTS THE ORGANIZATION IN A PROFESSIONAL AND COMMUNITY RELATIONS CAPACITY. | 0 |
| KRISTINA HERNANDEZ | |||
| CEO'S DAUGHTER | 32114 | EMPLOYED AS A COMMUNITY HEALTH EDUCATOR FROM MAY 2010 THROUGH APRIL 2012. | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1936914 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 EACH BOARD MEMBER. 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 15 | THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND RECOMMENDS THE SALARY LEVEL OF THE CEO AND CFO AFTER REVIEWING COMPETITIVE SALARY LEVELS AT SIMILAR ORGANIZATIONS AND 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
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FOUNDATION FOR URBAN HEALTH & WELL BEING INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 SOUTHERN BLVD | AddressLine1 |
| City | BRONX | City |
| State | NY | State |
| ZIP Code | 10459 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200565715 | EIN |
| Primary Activities | PROMOTING THE HEALTHY WELL BEING OF NYC RESIDENTS | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 7 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | URBAN HEALTH PLAN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |