2021-08-31T08:17:44-05:00 2020-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2020-01-01 223125397 ZUFALL HEALTH CENTER INC % THE ORGANIZATION ZUFA 9733289100 18 WEST BLACKWELL ST DOVER NJ 07801 ROBERT BEBEL PRESIDENT & CEO 9733289100 2021-08-27 true ROBERT BEBEL 000000000 Scott J Mariani P00642486 9738989494 2021-08-27 3 2020 2022-09-23 18:48:47Z ROBERT BEBEL 18 WEST BLACKWELL ST DOVER NJ 07801 37258036 false X WWW.ZUFALLHEALTH.ORG X 1991 NJ TO PROVIDE QUALITY, AFFORDABLE, AND CULTURALLY COMPETENT HEALTH CARE TO PEOPLE AND COMMUNITIES WHO EXPERIENCE BARRIERS TO CARE. 12 12 416 100 0 0 12491951 12958086 15310683 20073022 220315 11085 4056639 4146260 32079588 37188453 0 767 0 0 20735434 20787765 0 0 279317 11394111 12291286 32129545 33079818 -49957 4108635 23161113 31410279 4362336 8422890 18798777 22987389 X WITH THE GUIDANCE OF OUR CONSUMER BOARD AND THE EFFORTS OF OUR DEDICATED STAFF, WE OFFER ACCESS TO A BROAD ARRAY OF MEDICAL AND ENABLING SERVICES. false false 26437651 767 20073022 ZUFALL HEALTH CENTER PROVIDES MEDICAL, DENTAL & BEHAVIORAL HEALTH TO MORE THAN 39,500 UNINSURED AND UNDERINSURED PATIENTS AND MORE THAN 141,000 MEDICAL, DENTAL & BEHAVIORAL HEALTH VISITS TO LOW INCOME COMMUNITY RESIDENTS. ZUFALL HEALTH CENTER PROVIDED SPECIALLY TARGETED HEALTH CARE SERVICES TO THE HOMELESS, RESIDENTS OF PUBLIC HOUSING AND MIGRANT FARM WORKERS IN NORTHWEST NEW JERSEY. 26437651 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false true false false false false true true false false false true X 49 0 true 416 true false false false false false false false false false false false false X 12 12 true false false false false false false true true false false true true true true true true false false false NJ X THE ORGANIZATION 9733289100 18 WEST BLACKWELL STREET DOVER NJ 07801 EVA TURBINER PRESIDENT & CEO 40.0 0.0 X 337935 0 17701 RINA RAMIREZ MD CHIEF MEDICAL OFFICER 40.0 0.0 X 318237 0 9853 SAM WAKIM DDS CHIEF DENTAL OFFICER 40.0 0.0 X 253235 0 18833 DOUGLAS BISHOP MD ASSIST MED DIR./FAM PHYSICIAN 40.0 0.0 X 186514 0 35035 PETER BEBEL CHIEF FINANCIAL OFFICER 40.0 0.0 X 174149 0 31387 BRIAN WHANG CHIEF INFORMATION OFFICER 40.0 0.0 X 176103 0 28444 LILIAN ZORRILLA MD PHYSICIAN CLINICAL LEADER 40.0 0.0 X 169684 0 13757 AMY KOTLER MD PEDIATRICIAN 40.0 0.0 X 165555 0 15635 FRANCES PALM CHIEF OPERATING OFFICER 40.0 0.0 X 162445 0 15524 MARCELLA PEREZ MD FAMILY PRACTICE PHYSICIAN 40.0 0.0 X 156085 0 14209 JACQUELINE BLANK MD OBGYN PHYSICIAN 40.0 0.0 X 159035 0 5308 WILLIAM SHULER CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 DONALD COSTANZO VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 LINDA SEELEY SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 ANDREA RIOS TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 RAUL AGUIRRE TRUSTEE 1.0 0.0 X 0 0 0 AMANDA ANGARITA TRUSTEE 1.0 0.0 X 0 0 0 JOHN KRUEGER TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL MCCLOE TRUSTEE 1.0 0.0 X 0 0 0 IRMA MCKENNA TRUSTEE 1.0 0.0 X 0 0 0 PAUL NUSBAUM TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL O'DONNELL TRUSTEE 1.0 0.0 X 0 0 0 ELIANA TANGARIFE TRUSTEE (TERM 03/2020-09/2020) 1.0 0.0 X 0 0 0 ROBERT ZUFALL MD TRUSTEE 1.0 0.0 X 0 0 0 2258977 0 205686 37 false true false TOTAL MAINTENANCE SERVICES 2040 SIXTH AVENUE SUITE E NEPTUNE CITY NJ 07753 JANITORIAL SERVICES 238352 INSIGHT DIRECT USA INC PO BOX 731069 DALLAS TX 753731069 IT SERVICES 156865 A TEAM BUILDERS 630 WEST HANOVER AVENUE MORRISTOWN NJ 07960 MAINTENANCE 144070 CERIDIAN HCM INC PO BOX 772830 CHICAGO IL 60677 HR SERVICES 136573 HEALTH INFORMATION TECHNOLOGY CARE 1310 REDWOOD WAY SUITE 125 PETALUMA CA 94954 IT SERVICES 121937 5 12290701 667385 1685973 12958086 NET PATIENT SERVICE REVENUE 621400 14896533 14896533 OTHER HEALTHCARE RELATED REVENUE 621400 5176489 5176489 20073022 80668 80668 0 0 0 0 0 69583 -69583 -69583 -69583 0 0 0 0 0 0 0 0 0 PHARMACY REVENUE 621400 4111791 4111791 THRIFT SHOP REVENUE 621400 34469 34469 4146260 37188453 20073022 4157345 767 767 0 0 0 1543847 1218022 309255 16570 0 15895370 12540697 3184070 170603 312417 246482 62582 3353 1554929 1226766 311475 16688 1481202 1168598 296706 15898 0 23889 23889 55413 55413 0 0 0 916909 860784 56125 4140 4140 573314 449222 120524 3568 354020 62595 291425 0 661480 375326 251342 34812 168964 159779 8555 630 0 4934 3434 1500 131953 131953 0 462586 334126 123834 4626 166684 120396 44621 1667 MEDICAL SUPPLIES 6247915 6247915 0 0 PURCHASED SERVICES 1154350 678933 468001 7416 REPAIRS AND MAINTENANCE 325256 226613 95506 3137 OTHER EXPENSES/BAD DEBT 1039479 517196 521934 349 33079818 26437651 6362850 279317 X 5014965 3984 0 12292183 776076 1683695 3588930 3841750 0 0 0 0 0 0 0 0 334406 323028 15097229 4494463 10780740 10602766 2590446 2590521 0 0 0 0 0 0 75550 72352 23161113 31410279 799950 2929871 0 0 0 0 0 0 0 0 0 0 1499699 1287305 0 0 2062687 4205714 4362336 8422890 X 18533047 22485200 265730 502189 18798777 22987389 23161113 31410279 4108635 79977 X X false true X true true true X 10306094 10126854 11562660 12491951 12958086 57445645 0 0 10306094 10126854 11562660 12491951 12958086 57445645 0 57445645 84960 85927 88000 85174 80668 424729 0 1262485 1555144 2187960 4056639 4146260 13208488 71078862 79282292 0.80820 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10477743 2201248 8276495 1930537 240359 1690178 2132631 1784502 348129 556318 268354 287964 10602766 0 OTHER LIABILITIES 449696 LINE OF CREDIT 636658 PAYCHECK PROTECTION PROGRAM LOAN 3119360 4205714 X 37177368 79977 79977 37097391 91062 91062 37188453 32617232 32617232 462586 462586 33079818 PART X, LINE 2 THE CENTER IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS OTHER THAN A PRIVATE FOUNDATION. THE CENTER IS ALSO EXEMPT UNDER TITLE 15 OF THE STATE OF NEW JERSEY CORPORATIONS AND ORGANIZATIONS NOT-FOR-PROFIT ACT. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAX HAS BEEN PRESENTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER FOLLOWS THE PROVISIONS OF FASB ASC INCOME TAXES. THE STANDARD PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION AS THEY RELATE TO THOSE TAX POSITIONS. THE CENTER BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE POSITIONS TAKEN ON ITS TAX RETURNS AND ACCORDINGLY, HAS NOT RECORDED ANY TAX PROVISION FOR THE YEAR ENDED DECEMBER 31, 2020. HOWEVER, THE CENTER IS SUBJECT TO AUDIT BY TAX AUTHORITIES INCLUDING A REVIEW OF ITS NONPROFIT STATUS WHICH MANAGEMENT BELIEVES WOULD BE UPHELD UPON EXAMINATION. AS SUCH, CERTAIN TAX POSITIONS COULD BE CHALLENGED AND THE AMOUNTS ULTIMATELY PAID, IF ANY, UPON RESOLUTION OF THE ISSUES RAISED BY THE TAXING AUTHORITIES, MAY DIFFER MATERIALLY FROM THE AMOUNTS FILED. AS REQUIRED BY LAW, THE CENTER FILES INFORMATIONAL RETURNS WITH BOTH THE UNITED STATES FEDERAL AND STATE OF NEW JERSEY JURISDICTIONS ON AN ANNUAL BASIS - FORM 990 WITH THE INTERNAL REVENUE SERVICES, AND FORM CRI-300R WITH THE STATE. THE CENTER IS SUBJECT TO EXAMINATIONS AT ANY TIME WITHIN CERTAIN STATUTORY PERIOD FROM THE LATEST FILING DATE FOR FEDERAL AND FOR NEW JERSEY. SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 INCLUDE: - NET INVESTMENT INCOME - $91,602. SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 INCLUDE: - DEPRECIATION - $462,586. X true X X false false false false false false false false false EVA TURBINER PRESIDENT & CEO 315891 0 0 0 22044 0 8400 0 9301 0 355636 0 0 0 RINA RAMIREZ MD CHIEF MEDICAL OFFICER 294945 0 0 0 23292 0 8400 0 1453 0 328090 0 0 0 SAM WAKIM DDS CHIEF DENTAL OFFICER 241580 0 0 0 11655 0 7221 0 11612 0 272068 0 0 0 BRIAN WHANG CHIEF INFORMATION OFFICER 175983 0 0 0 120 0 1040 0 27404 0 204547 0 0 0 PETER BEBEL CHIEF FINANCIAL OFFICER 164537 0 0 0 9612 0 5344 0 26043 0 205536 0 0 0 FRANCES PALM CHIEF OPERATING OFFICER 162169 0 0 0 276 0 4571 0 10953 0 177969 0 0 0 DOUGLAS BISHOP MD ASSIST MED DIR./FAM PHYSICIAN 157102 0 0 0 29412 0 5661 0 29374 0 221549 0 0 0 LILIAN ZORRILLA MD PHYSICIAN CLINICAL LEADER 168892 0 0 0 792 0 4895 0 8862 0 183441 0 0 0 AMY KOTLER MD PEDIATRICIAN 165279 0 0 0 276 0 4860 0 10775 0 181190 0 0 0 JACQUELINE BLANK MD OBGYN PHYSICIAN 158009 0 0 0 1026 0 4624 0 684 0 164343 0 0 0 MARCELLA PEREZ MD FAMILY PRACTICE PHYSICIAN 155977 0 0 0 108 0 4385 0 9824 0 170294 0 0 0 SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION MADE A PAYMENT WITH RESPECT TO AN INSURANCE PLAN FOR THE FOLLOWING INDIVIDUALS: RINA RAMIREZ, M.D., SAM WAKIM, D.D.S. AND DOUGLAS BISHOP, M.D. THE ORGANIZATION GROSSED-UP THE PAYMENTS MADE FOR TAX-PURPOSES. ACCORDINGLY, THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RINA RAMIREZ, M.D., $22,500; SAM WAKIM, D.D.S., $11,475 AND DOUGLAS BISHOP, M.D., $9,792. X 2 1685973 FMV false true false CORE FORM PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MISSION ======= TO PROVIDE ACCESS TO QUALITY, AFFORDABLE AND CULTURALLY COMPETENT HEALTHCARE TO PEOPLE AND COMMUNITIES WHO EXPERIENCE BARRIERS TO CARE. VISION ====== TO CREATE EQUAL OPPORTUNITY FOR GOOD HEALTH. HISTORY ======= IN 1990, WITH LITTLE SEED MONEY AND A FEW VOLUNTEERS, DR. ROBERT ZUFALL AND HIS WIFE, KATHRYN, OPENED A SMALL COMMUNITY CLINIC IN DOVER TO PROVIDE MEDICAL CARE TO POOR, MOSTLY IMMIGRANT FAMILIES. THE RETIRED UROLOGIST TREATED PATIENTS WHILE HIS WIFE MANAGED THE CLINIC AND DOGGEDLY PURSUED FUNDING OPPORTUNITIES. THEIR TENACITY FOR ENLISTING VOLUNTEERS GENERATED A CORE TEAM OF PHYSICIANS, DENTISTS, AND SUPPORT STAFF SO THEY COULD PROVIDE A FULL SPECTRUM OF SERVICES. ALMOST INSTANTLY, THE ONCE-A-WEEK CLINIC ATTRACTED A GROWING PATIENT BASE WHICH, OVER THE YEARS, NECESSITATED EXPANSIONS OF SPACE AND HOURS OF OPERATION. HOWEVER, DESPITE PRIVATE AND PUBLIC SUPPORT, FUNDING FOR "LA CLINICA" WAS A CONSTANT STRUGGLE. IN 2004, ITS SURVIVAL WAS ASSURED BY ITS DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER. RENAMED IN 2006 TO HONOR THE ZUFALLS, THE NON-PROFIT HEALTH CENTER NOW PROUDLY CARRIES ON THEIR COMMITMENT IN SIX NEW JERSEY COUNTIES. CORE FORM, PART VI, SECTION A, LINE 2 WILLIAM SHULER & EVA TURBINER - BUSINESS RELATIONSHIP. WILLIAM SHULER & ROBERT ZUFALL - BUSINESS RELATIONSHIP. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FROM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO THE ORGANIZATION'S BOARD OF TRUSTEES AND FILING WITH THE IRS. CORE FORM, PART VI, SECTION B, LINE 12C ZUFALL HEALTH CENTER, INC. CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT REGULARLY MONITORS AND ENFORCES. THE BOARD MANDATES THAT ALL MEMBER OF MANAGEMENT AND THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, GOVERNING BODY AND MANAGEMENT WILL INVESTIGATE THE ISSUE. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, MANAGEMENT AND THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY. THE MEMBER WILL NOT BE ALLOWED TO VOTE OR BE A PART OF ANY DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT HAVE TO DO WITH THE CONFLICT UNTIL SUCH TIME THAT THERE IS NO LONGER A CONFLICT. CORE FORM, PART VI, SECTION B, LINE 15 COMPENSATION AT ZUFALL HEALTH CENTER TAKES INTO CONSIDERATION THE COMPENSATION PAID FOR OTHER SIMILAR POSITIONS IN THE MARKET PLACE AS WELL AS GENERAL PERFORMANCE OF THE EMPLOYEE AND THE CURRENT FINANCIAL CAPACITY OF THE ORGANIZATION. EACH YEAR THE BOARD OF DIRECTORS CONDUCTS A PERFORMANCE REVIEW OF THE CEO AND SETS THE CEO'S SALARY. WHEN ESTABLISHING THE SALARY, THE BOARD REVIEWS COMPENSATION SURVEYS CONDUCTED BY THE NEW JERSEY HEALTH CENTERS TO ENSURE THAT ZUFALL CEO COMPENSATION IS KEEPING WITH STATE AND NATIONAL BENCHMARKS. SIMILARLY, THE CEO TAKES INTO ACCOUNT THOSE SAME COMPENSATION SURVEYS AS THE CEO SETS THE COMPENSATION FOR KEY EMPLOYEES. CORE FORM, PART VI, SECTION B, LINE 19 ZUFALL HEALTH CENTER, INC. MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE UPON WRITTEN REQUEST AT THE ORGANIZATIONS OFFICE AT 18 WEST BLACKWELL STREET, DOVER, NJ, 07801. IN ADDITION, FORM 1023 AS WELL AS THE FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATIONS OFFICE AT 18 WEST BLACKWELL STREET, DOVER, NJ, 07801. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION HAS A FINANCE COMMITTEE THAT IS RESPONSIBLE FOR OVERVIEW OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS REQUIRED TO FOLLOW THE AUDIT REQUIREMENTS OF TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS (UNIFORM GUIDANCE) WHICH SUPERSEDES OMB CIRCULAR A-133. 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