2019-08-21T10:50:46-05:00 2018-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2018-01-01 112329960 ODA PRIMARY HEALTH CARE NETWORK INC ODAP 7182604600 14-16 HEYWARD STREET BROOKLYN NY 112497823 ROSE ROSENFELD CFO 7182604600 2019-08-19 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2019-08-15 209.59.242.22 2019-08-19 13:09:50 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F9BA0E82A6D947CC92540FBC56E8B73643681DA5 2018 2019-02-21 02:37:17Z JOSEPH DEUTSCH 14-16 HEYWARD STREET BROOKLYN NY 112497823 62713406 0 X WWW.ODAHEALTH.ORG X 1974 NY TO PROVIDE QUALITY PRIMARY AND SPECIALTY CARE TO A LARGE MEDICALLY UNDERSERVED POPULATION IN THE WILLIAMSBURG SECTION OF BROOKLYN 13 13 464 0 0 85382 4756198 9704960 49526668 50674084 -20449 2202 1258968 2332160 55521385 62713406 0 0 0 0 36903704 41076681 0 0 0 14681115 23840133 51584819 64916814 3936566 -2203408 44634389 48582785 22684080 28835884 21950309 19746901 X IMPROVE THE HEALTH STATUS, IN ALL LIFE CYCLES, OF THE MEDICALLY UNDER-SERVED INDIVIDUALS OF THE SOUTH WILLIAMSBURG COMMUNITY BY PROVIDING AFFORDABLE, COMPREHENSIVE AND HIGH QUALITY PRIMARY AND SPECIALTY MEDICAL CARE SERVICES, WITH ASSURANCES THAT NO UNINSURED INDIVIDUAL IS TO BE DENIED CARE IF THEY ARE UNABLE TO PAY. 0 0 55718693 53006244 THE CENTER PROVIDES A BROAD RANGE OF SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. DURING 2018, THE CENTER HAD 279,173 PATIENT VISITS. 55718693 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 64 0 1 464 0 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X ROSE ROSENFELD 7182604600 14-16 HEYWARD ST BROOKLYN NY 11249 AARON ENGEL BOARD MEMBER 1.00 X 0 0 0 ABRAHAM FRIEDLANDER BOARD MEMBER 1.00 X 0 0 0 AKIVA KOBRE VICE PRESIDENT 1.00 X X 0 0 0 BELA GLUCK BOARD MEMBER 1.00 X 0 0 0 CHAVIE LEIBERMAN BOARD MEMBER 1.00 X 0 0 0 DAVID HURWITZ SECRETARY/TREASURER 1.00 X X 0 0 0 DAWN JIMENEZ BOARD MEMBER 1.00 X 0 0 0 HERSCHEL BERKOWITZ BOARD MEMBER 1.00 X 0 0 0 ISSAC KATZ BOARD MEMBER 1.00 X 0 0 0 LOUIS KESTENBAUM PRESIDENT 1.00 X X 0 0 0 MOSHE FRIEDMAN BOARD MEMBER 1.00 X 0 0 0 NAFTALI AUSCH BOARD MEMBER 1.00 X 0 0 0 NAFTALI HOROWITZ BOARD MEMBER 1.00 X 0 0 0 JOEL KESTENBAUM COO 35.00 X 332976 0 29855 JOSEPH DEUTSCH CEO 35.00 X 611153 0 30678 ROSE ROSENFELD CFO 35.00 X 358154 0 28677 AFSHIN SHAHKOOHI FAMILY PRACTITIONER 40.00 X 956798 0 35972 CHANDRAKANT M PATEL PEDIATRICIAN 35.00 X 687681 0 305 JIMMY SITT PEDIATRICIAN 35.00 X 559473 0 29145 JOEL HOWARD WARSHOWSKY DIRECTOR OF VISION THERAPY 35.00 X 564522 0 0 KYI WIN YU PHYSICIAN FAMILY PRACTICE 35.00 X 678607 0 22167 4749364 0 176799 99 0 1 0 ELITE MEDICAL SOLUTIONS 12 HEYWARD STREET 315 BROOKLYN NY 11249 BILLING SERVICES 1680000 PRESTIGE BUILDING SOLUTIONS 4403 15TH AVE BROOKLYN NY 11219 MAINTENANCE SERVICE 888398 BIG IDEA TECHNOLOGY LLC 450SEVENTH AVE SUITE 1003 NEW YORK NY 10123 IT SERVICES 488466 OPTIMUS ARCHITECTURE 187 EAST MARKET STREET RHINBECK NY 12572 ARCHITECTURE AND INTERIOR DESIGN SERVICE 325025 COHN REZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 AUDIT AND TAX SERVICES 283097 13 7564571 2140389 1017562 9704960 MEDICAID MANAGED CARE 621400 21087564 21087564 MEDICAID MANAGED CARE WRAP AROUND 621400 16111696 16111696 MEDICAID 621400 4281271 4281271 NYS UNCOMPENSATED CARE 621400 3922237 3922237 OTHER THIRD PARTY 621400 2810839 2810839 2460477 2460477 50674084 2202 2202 PHARMACY REVENUE 900099 2315175 2315175 MISCELLANEOUS INCOME 900099 16985 16985 2332160 62713406 53006244 0 2202 1391493 1216556 174937 34077675 29793466 4284209 3316782 3041994 274788 2290731 1860548 430183 382475 382475 309224 309224 60000 60000 4563974 2295111 2268863 1283735 1112085 171650 1607786 1468666 139120 643956 629193 14763 9089 8881 208 1601184 1462635 138549 1745816 1594753 151063 188898 172553 16345 MEDICAID RECOUPMENT 5212874 5212874 PHARMACEUTICAL SUPPLIES 2182135 1942569 239566 MEDICAL SUPPLIES 1539193 1539193 REPAIR AND MAINTENANCE 1225448 1174954 50494 1284346 1192662 91684 64916814 55718693 9198121 0 40691 254931 14760629 10720513 170349 5978481 8283403 171678 212513 37532769 11829499 20243250 25703270 2857083 2990500 412228 417655 44634389 48582785 4735851 5824556 16893265 16759444 1054964 6251884 22684080 28835884 X 21950309 19746901 21950309 19746901 44634389 48582785 -2203408 0 X X 0 1 X 1 1 1 X 2524214 3053992 4204815 4756198 9704960 24244179 2524214 3053992 4204815 4756198 9704960 24244179 24244179 580 838 1140 610 2202 5370 292607 16902 49747 1258968 2332160 3950384 28199933 210168641 0.85970 0.91130 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2014 AMOUNT: $ 33,357. 2016 AMOUNT: $ 23,619. 2018 AMOUNT: $ 16,985. MEANINGFUL USE INCENTIVE - 2014 AMOUNT: $ 259,250. PHARMACY REVENUE - 2015 AMOUNT: $ 16,902. 2016 AMOUNT: $ 26,128. 2017 AMOUNT: $ 1,258,968. 2018 AMOUNT: $ 2,315,175. 0 0 0 0 0 0 0 0 1 60000 60000 0 PART II-B, LINE 1: ODA ENGAGED A PROFESSIONAL LOBBYIST TO MAINTAIN AND ENHANCE ITS FACILITY LOCATED IN THE WILLIAMSBURG SECTION OF BROOKLYN. 100000 100000 16266917 4448016 11818901 8043898 4361378 3682520 4369086 2313924 2055162 8752868 706181 8046687 25703270 DEFERRED RENT 1039010 DUE TO THIRD PARTY 5212874 6251884 X 57368988 -5344418 -5344418 62713406 0 62713406 59572396 0 59572396 5344418 5344418 64916814 PART X, LINE 2: THE NETWORK HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2018. THE NETWORK'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2014 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE NETWORK 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 XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -131,544. MEDICAID RECOUPMENT -5,212,874. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 131,544. MEDICAID RECOUPMENT 5,212,874. X X X X X 0 0 0 0 0 0 0 1 0 JOEL KESTENBAUM COO 252976 0 80000 0 0 0 0 0 29855 0 362831 0 0 0 JOSEPH DEUTSCH CEO 611153 0 0 0 0 0 0 0 30678 0 641831 0 0 0 ROSE ROSENFELD CFO 321154 0 37000 0 0 0 0 0 28677 0 386831 0 0 0 AFSHIN SHAHKOOHI FAMILY PRACTITIONER 884864 0 71934 0 0 0 0 0 35972 0 992770 0 0 0 CHANDRAKANT M PATEL PEDIATRICIAN 580896 0 106785 0 0 0 0 0 305 0 687986 0 0 0 JIMMY SITT PEDIATRICIAN 377788 0 181685 0 0 0 0 0 29145 0 588618 0 0 0 JOEL HOWARD WARSHOWSKY DIRECTOR OF VISION THERAPY 561969 0 2553 0 0 0 0 0 0 0 564522 0 0 0 KYI WIN YU PHYSICIAN FAMILY PRACTICE 678607 0 0 0 0 0 0 0 22167 0 700774 0 0 0 PART I, LINE 7 INCLUDED IN COLUMN B(II) OF PART II ARE BONUS AND INCENTIVE AMOUNTS. THESE AMOUNTS WERE APPROVED BY THE BOARD, AND INCLUDED ON THE INDIVIDUALS 2018 W-2. X 1 1017562 FMV 0 0 0 PART I, COLUMN (B): AMOUNTS IN PART I, COLUMN B REPRESENT THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 2 LOUIS KESTENBAUM, ROSE ROSENFELD AND JOEL KESTENBAUM HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE CFO/CEO AND BOARD REVIEW THE 990 BEFORE IT IS FILED. IN ADDITION THE RETURN IS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH BOARD MEMBER ARE REQUIRED TO SIGN CONFLICT OF INTEREST FORM DISLOSURE. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS ITS CONFLICTS OF INTEREST POLICY. BOARD MEMBERS WITH A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATION AND DECISIONS IN A CONFLICTED TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION WAS DETERMINED BY THE BOARD OF DIRECTORS BY LOOKING AT THE COMPENSATION OF CEOS AT OTHER SIMILAR NOT-FOR-PROFIT HEALTHCARE ENTITIES IN THE NEW YORK REGION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT AUDITORS.