2022-10-10T01:58:47-05:00 2021-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2021-01-01 237360305 URBAN HEALTH PLAN INC URBA 7185891687 1065 SOUTHERN BLVD BRONX NY 10459 PALOMA HERNANDEZ PRESIDENT AND CEO 7185891687 2022-10-08 1 PALOMA HERNANDEZ 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2022-09-25 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z PALOMA HERNANDEZ 1065 SOUTHERN BLVD BRONX NY 10459 176839928 0 X WWW.URBANHEALTHPLAN.ORG X 1974 NY URBAN HEALTH PLAN (THE "CENTER") IS A FEDERALLY QUALIFIED HEALTH CENTER LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN THE BRONX, QUEENS, AND MANHATTAN. THE CENTER PROVIDES A BROAD RANGE OF PRIMARY HEALTHCARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 13 13 1192 0 0 0 29657035 37519969 96567395 96625683 486380 40541743 622251 530242 127333061 175217637 187095 40317598 0 0 81178347 85177622 0 0 1081663 46749353 46595494 128114795 172090714 -781734 3126923 131484303 151043884 66583685 82883134 64900618 68160750 X URBAN HEALTH PLAN'S MISSION IS TO CONTINUOUSLY IMPROVE THE HEALTH OF COMMUNITIES AND THE QUALITY OF LIFE OF THE PEOPLE WE SERVICE BY PROVIDING AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY AND SPECIALTY HEALTH CARE AND BY ASSURING THE PERFORMANCE AND ADVANCEMENT OF INNOVATIVE BEST PRACTICES. 0 0 149818733 40317598 97080143 URBAN HEALTH PLAN PRACTICE SITES PROVIDE A BROAD RANGE OF PRIMARY AND SPECIALTY CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION SERVICING UNIQUE PATIENTS AND GENERATING MORE THAN 389,225 VISITS. 2163646 PROVIDED INCLUDE HEALTHY LIFESTYLE PROGRAMS, BREASTFEEDING SUPPORT, ON-SITE HEMATOLOGY, PARTICIAPANT-CENTERED FACILITATED GROUP DISCUSSIONS AND INDIVIDUAL COUNSELING AS ADJUNCT TO HEALTHCARE. THE WIC PROGRAM PROVIDE REFERRALS TO OTHER SERVICES FOR ITS CLIENTS. WE PROVIDES FREE NUTRITIONAL COUNSELING AND VOUCHERS FOR HEALTHY FOOD PREGNANT OR BREASTFEEDING WOMEN AND FOR CHILDREN UNDER AGE 5. 573871 UHP SCHOOL BASED HEALTH PROGRAM INCLUDES 12 CLINICS; 5 ELEMENTARY, 3 MIDDLE SCHOOL, AND 4 HIGH SCHOOLS. THE DENTAL CLINICS ARE STAFFED WITH ONE PROVIDER AND TWO DENTAL ASSISTANTS, WHO ROTATE DAILY TO EACH SCHOOL. DURING THE SCHOOL YEAR JULY 1, 2020 THROUGH JUNE 30, 2021, UHP SERVICED 1,357 STUDENTS TOTALING 3,205 VISITS. 152556250 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 0 0 0 1 150 0 1 1192 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X BERENICE DIAZ VP OF FINANCE & CFO 7185891687 1231 LAFAYETTE AVE BRONX NY 10474 CHARLES GONZALEZ JR BOARD MEMBER 1.00 X 0 0 0 CLIFFORD CHARLES TREASURER 1.00 1.00 X X 0 0 0 EDWARD S BUTTS BOARD MEMBER 1.00 X 0 0 0 FRANCIA CASTRO CHAIRMAN 1.00 1.00 X X 0 0 0 FRANK ESTRADA MD VICE CHAIRPERSON 1.00 X X 0 0 0 HEROILDA VEGA BOARD MEMBER 1.00 X 0 0 0 HOWARD HINESTROZA MD BOARD MEMBER 1.00 X 0 0 0 JOANN RIVERA BAKER SECRETARY 1.00 X X 0 0 0 LINDA BALDWIN BOARD MEMBER 1.00 X 0 0 0 NAYDA PADILLA BOARD MEMBER 1.00 X 0 0 0 OSWALDO GUZMAN BOARD MEMBER 1.00 X 0 0 0 RHYNNA SANTOS BOARD MEMBER 1.00 X 0 0 0 YOSELIN GENAO BOARD MEMBER 1.00 X 0 0 0 BERENICE DIAZ CHIEF FINANCIAL OFFICER 35.00 5.00 X 359800 0 81355 PALOMA HERNANDEZ PRESIDENT AND CEO 35.00 5.00 X 572090 0 43548 SAMUEL DE LEON VP AND CMO 40.00 X 348209 0 81504 JOE BAEZ PSYCHIATRIST 40.00 X 306525 0 22818 MICHAEL NAPOLI PHYSICIAN 40.00 X 296199 0 54451 PAUL GARRIN CIO 40.00 X 276720 0 54748 STACEY KONTONH RADIOLOGIST 40.00 X 474859 0 22709 WILFRIDO CASTILLO ASSOCIATE MEDICAL DIR. 40.00 X 545176 0 87767 3179578 0 448900 194 0 1 0 CARDINAL HEALTH LLC 6012 E MOLLOY ROAD SYRACUSE NY 13211 PHARMACUETICAL SERVICES 5575286 1070 SOUTHERN DRUG LLC 1070 SOUTHERN BLVD BRONX NEW YORK NY 10459 340B SERVICES 900848 E-CLINICAL WORKS LLC 2 TECHNOLOGY DRIVE WESTBOUROUGH NY 01581 ELECTRONIC HEALTH RECORDS 575999 COHNREZNICK LLP 1212 AVE OF THE AMERICAS NEW YORK NY 10036 AUDIT SERVICES 348099 THE EXECU SEARCH GROUP LLC 675 THIRD AVE NEW YORK NY 10017 STAFFING SERVICES 184596 11 32307835 5212134 3754654 37519969 MANAGED CARE PLANS 621400 31460921 31460921 NEW YORK STATE MEDICAID MANAGE CA 621400 30892888 30892888 340B PHARMACY 621400 13567117 13567117 MANAGED CARE INCENTIVES AND SHARE 621400 6587425 6587425 NEW YORK STATE UNCOMPENSATED CARE 621400 5207623 5207623 8909709 8909709 96625683 233733 233733 75782 0 75782 75782 75782 1810301 40120000 1622291 0 188010 40120000 40308010 40308010 OTHER INCOME 900001 347230 347230 INVESTMENT IN CCMP LLC 900001 85242 85242 MEDICAL RECORD 900001 21988 21988 454460 175217637 97080143 0 40617525 40317598 40317598 1486504 1262632 211685 12187 66619629 56976513 9128811 514305 1521652 1237233 267423 16996 9775801 7948562 1718046 109193 5774036 4694785 1014757 64494 101200 19650 81550 198630 7500 191130 33000 6000 27000 49296 49296 7600552 6239149 1225414 135989 1636737 1043695 549026 44016 9522493 8847579 630218 44696 63365 15373 43356 4636 55275 13411 37820 4044 1244092 668404 575688 4483517 3830485 649124 3908 585730 392286 193444 340B PHARMACEUTICALS 5556782 5556782 DONATED VACCINES/PPE 3754654 3754654 EQUIPMENT RENTAL, REPAI 2885910 1818545 1062801 4564 MEDICAL SUPPLIES 2274758 2274758 6549503 5630656 796212 122635 172090714 152556250 18452801 1081663 2081901 5383603 5495430 2755781 3948830 4706028 14486624 12967894 215000 215000 1057680 1050244 1644000 1719780 126374195 41970049 79216017 84404146 6177417 20476921 12118040 12078809 1597085 1478894 3446279 3806784 131484303 151043884 22034488 20864965 20110000 33644252 32196554 10904945 9711615 66583685 82883134 X 64900618 68160750 64900618 68160750 131484303 151043884 3126923 133209 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 33000 33000 0 PART II-B, LINE 1: WORKED WITH NYS ASSEMBLY AND NYC COUNCIL IN EFFORT TO INCREASE FUNDING FOR SERVICES TO THE MEDICALLY UNDERSERVED/UNINSURED INDIVIDUALS/FAMILIES. 1968879 1968879 68059945 16949374 51110571 14361197 7841648 6519549 20885867 17179027 3706840 21098307 21098307 84404146 CHIPA LLC 157376 C CCMP, LLC 868055 C 953 SB LLC 11053378 C 12078809 CAPITAL LEASE OBLIGATIONS 2318634 DEFERRED COMPENSATION 2029427 DEFERRED RENT 3346943 LINE OF CREDITS 2016611 9711615 X 175412865 133209 111315 244524 175168341 49296 49296 175217637 131934407 -40107011 -40107011 172041418 49296 49296 172090714 PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS REVENUES 40,231,315. INTERCOMPANY ELIMINATIONS -40,120,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS EXPENSES 84,921. INTERCOMPANY ELIMINATIONS -40,191,932. 1 FOUNDATION FOR URBAN HEALTH AND WELL BEING 1065 SOUTHERN BLVD BRONX NY 10459 200565715 501(C)(3) 40317598 0 TO SUPPORT THE ORGANIZATION'S MISSION 1 PART I, LINE 2: CONTRIBUTION TO FOUNDATION FOR URBAN HEALTH AND WELL BEING WAS MADE TO A RELATED PARTY, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. X X X 0 1 0 0 0 0 0 1 0 WILFRIDO CASTILLO ASSOCIATE MEDICAL DIR. 299137 0 22272 0 223767 0 8400 0 79367 0 632943 0 0 0 PALOMA HERNANDEZ PRESIDENT AND CEO 471490 0 100600 0 0 0 27900 0 15648 0 615638 0 0 0 STACEY KONTONH RADIOLOGIST 473156 0 1703 0 0 0 8400 0 14309 0 497568 0 0 0 BERENICE DIAZ CHIEF FINANCIAL OFFICER 309200 0 50600 0 0 0 27462 0 53893 0 441155 0 0 0 SAMUEL DE LEON VP AND CMO 322609 0 25600 0 0 0 27900 0 53604 0 429713 0 0 0 MICHAEL NAPOLI PHYSICIAN 278802 0 17397 0 0 0 7886 0 46565 0 350650 0 0 0 PAUL GARRIN CIO 246120 0 30600 0 0 0 7647 0 47101 0 331468 0 0 0 JOE BAEZ PSYCHIATRIST 305925 0 600 0 0 0 8400 0 14418 0 329343 0 0 0 PART I, LINE 4B PALOMA HERNANDEZ, PRESIDENT & CEO PARTICIPATES IN A 457(F) RETIREMENT PLAN. PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING PERFORMANCE INCENTIVES. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS 2021 W-2S AND APPROVED BY THE BOARD. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 65000BJY5 2021-12-23 20110000 CONSTRUCTION OF HEALTHCARE FACITILY 0 0 0 A 19508350 601650 19508350 0 0 0 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, BOND ISSUED AMOUNT: ON DECEMBER 23, 2021, THE CENTER CLOSED WITH DORMITORY AUTHORITY OF THE STATE OF NEW YORK ISSUING TAX EXEMPT REVENUE BONDS, SERIES 2021 OF UP TO $60,925,000. AS OF DECEMBER 31, 2021 AMOUNT ISSUED WAS $20,110,000. KRISTINA HERNANDEZ EMPLOYEE 81181 THE INTERESTED PERSON IS AN EMPLOYEE OF THE ORGANIZATION AND IS LISTED ON SCHEDULE L DUE TO A FAMILY RELATIONSHIP WITH THE CEO. THE AMOUNT LISTED IS THE SALARY OF THE EMPLOYEE. 0 GUSTAVO LONES EMPLOYEE 145546 THE INTERESTED PERSON IS AN EMPLOYEE OF THE ORGANIZATION AND IS LISTED ON SCHEDULE L DUE TO A FAMILY RELATIONSHIP WITH THE CEO. THE AMOUNT LISTED IS THE SALARY OF THE EMPLOYEE. 0 X 1 3625415 FMV X PERSONAL PROTECTION EQUIPMENT 1 129239 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY UHP'S MANAGEMENT. THE RETURN IS THEN REVIEWED BY MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD. ONCE APPROVED BY THE FINANCE COMMITTEE, THE RETURN IS PRESENTED TO THE FULL BOARD AND SUBSEQUENTLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, CONFLICT OF INTEREST FORMS ARE COMPLETED BY OFFICERS AND MEMBERS OF THE BOARD. ANY PERCEIVED CONFLICTS ARE DOCUMENTED AND THE MEMBER IS PRECLUDED FROM VOTING ON TRANSATIONS ASSOCIATED WITH DISCLOSED CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND RECOMMENDS THE SALARY LEVEL OF THE CEO AFTER REVIEWING COMPETITIVE SALARY LEVELS AT SIMILAR ORGANIZATIONS AND COMPENSATION SURVEYS, AS WELL AS 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. FORM 990, PART VIII, LINE 7A: THE CENTER HAD BEEN AN ORGANIZATIONAL MEMBER OF AFFINITY HEALTH PLAN (THE "PLAN"). IN OCTOBER 2021, THE PLAN ENTERED INTO AN ASSET PURCHASE AGREEMENT WITH A NATIONAL MEDICAID MANAGED CARE ORGANIZATION. THE PLAN DISTRIBUTED ITS PROCEEDS FROM THE SAID ASSET PURCHASE AGREEMENT TO THE ORGANIZATIONAL MEMBERS THROUGH A METHODOLOGY THAT RECOGNIZED YEARS OF SERVICE. THIS AMOUNTED TO $40,120,000. IT WAS DIRECTLY RECEIVED FROM THE PLAN BY THE FOUNDATION AND IT IS INCLUDED IN THE CONSOLIDATED STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS AS NON-OPERATING REVENUE. 1064 SIMPSON STREET LLC 1065 SOUTHERN BLVD BRONX NY 10459 461761445 RENTAL REAL ESTATE NY 0 448686 URBAN HEALTH PLAN 1095 SOUTHERN BLVD LLC 1065 SOUTHERN BLVD BRONX NY 10459 471182724 HOLDING COMPANY NY 0 7845450 URBAN HEALTH PLAN 953 SB LLC 1065 SOUTHERN BLVD BRONX NY 10459 834501138 HOLDING COMPANY NY 535138 11053378 URBAN HEALTH PLAN THE GREATER HUNTS POINT ECONOMIC DEVELOPMENT CORPORATION 1231 LAFAYETTE AVE BRONX NY 10474 133475185 ECONOMIC DEVELOPMENT NY 501(C)(3) LINE 7 URBAN HEALTH PLAN INC 1 THE FOUNDATION FOR URBAN HEALTH & WELL BEING INC 1065 SOUTHERN BLVD BRONX NY 10459 200565715 PROMOTING THE HEALTHY WELL BEING OF NYC RESIDENTS NY 501(C)(3) LINE 7 URBAN HEALTH PLAN INC 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 FOUNDATION FOR URBAN HEALTH AND WELL BEING B 40317598 FMV