2024-10-08T12:51:53-05:00 2023-12-31 991856619 GRANT THORNTON ADVISORS LLC 757 3RD AVENUE 3RD FLOOR NEW YORK NY 10017 990 2023-01-01 383875287 GOTHAM HEALTH FQHC INC C/O NYC HEALTH&HOSPITAL/GOTHAM HEALTH GOTH 6466150017 CENTER 50 WATER STREET 7TH FLOOR NEW YORK NY 10004 RAKSHA TRIPATHI CFO 6466150017 2024-10-08 1 0 YING LI P01343131 2125990100 2023 2024-10-15 13:58:12Z MICHELLE LEWIS CENTER 50 WATER STREET 7TH FLOOR NEW YORK NY 10004 1590513 0 X WWW.GOTHAMHEALTH.ORG X 2012 NY GOTHAM HEALTH FQHC, INC., OPERATING TOGETHER WITH NYC HEALTH + HOSPITALS UNDER A PUBLIC-ENTITY MODEL FQHC, PROVIDES FAMILIES ACCESS TO PRIMARY & PREVENTIVE HEALTHCARE SERVICES TO NEW YORK CITY RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY OR IMMIGRATION STATUS. 13 13 0 0 0 0 1889178 1590513 0 0 0 0 0 0 1889178 1590513 0 0 0 0 2184897 1875812 0 0 0 488990 166243 2673887 2042055 -784709 -451542 3482065 3482065 158328 435958 3323737 3046107 X GOTHAM HEALTH FQHC, INC., OPERATING TOGETHER WITH NEW YORK CITY HEALTH AND HOSPITALS CORPORATION UNDER A PUBLIC ENTITY MODEL FEDERALLY QUALIFIED HEALTH CENTER PROVIDES YOU AND YOUR FAMILY ACCESS TO PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES. CURRENTLY SERVING NEW YORK CITY RESIDENTS IN THE BOUROUGHS OF BROOKLYN, THE BRONX AND MANHATTAN, THERE IS A GOTHAM HEALTH FACILITY IN YOUR NEIGHBORHOOD. OUR HEALTH CENTERS AND SCHOOL BASED SITES ARE YOUR CARE PARTNERS AND MEDICAL HOME. 0 0 1525460 GOTHAM HEALTH FQHC, INC. (GOTHAM HEALTH) WAS FORMED TO REORGANIZE INTO ONE ENTITY 30 EXISTING OUTPATIENT HEALTHCARE SITES DELIVERING SERVICES TO NEW YORK CITY RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY OR IMMIGRATION STATUS. NYC HEALTH + HOSPITALS CONTINUES TO OPERATE THESE SITES AND THE GOTHAM HEALTH BOARD OF DIRECTORS PROVIDES GOVERNANCE, OVERSIGHT AND DIRECTION. 1525460 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X RAKSHA TRIPATHI 2122387699 227 MADISON STREET ROOM 1219 NEW YORK NY 10002 X JACQUELINE NARINE CHAIR, GOTHAM BOARD 1.00 0.00 X X 0 0 0 ANGELO MOULTAIR VICE CHAIR, GOTHAM BOARD 1.00 0.00 X X 0 0 0 ALYSE PORTERA TREASURER, GOTHAM BOARD 1.00 0.00 X X 0 0 0 DOLORES MCCRAY SECRETARY, GOTHAM BOARD 1.00 0.00 X X 0 0 0 LORI E FERGUSON CO-CHAIR, STRATEGIC COMMITTEE 1.00 0.00 X X 0 0 0 HERMAN SMITH CHAIR, STRATEGIC COMMITTEE 1.00 0.00 X X 0 0 0 VIVIAN Y BRIGHT CHAIR, MEMBERSHIP COMMITTEE 1.00 0.00 X 0 0 0 FERNANDO BRINN MEMBER 1.00 0.00 X 0 0 0 ANTOINETTE BROWN MEMBER 1.00 0.00 X 0 0 0 DAROLD BURGESS MEMBER (SEPARATED 01/23) 1.00 0.00 X 0 0 0 WHITAKER MACK MEMBER 1.00 0.00 X 0 0 0 ELISSA MACKLIN MEMBER 1.00 0.00 X 0 0 0 DR HIMANSHU PANDYA MEMBER 1.00 0.00 X 0 0 0 DONALD YOUNG MEMBER 1.00 0.00 X 0 0 0 MICHELLE LEWIS CEO 4.00 0.00 X 0 0 0 LATA SINGH COO 4.00 0.00 X 0 0 0 RAKSHA TRIPATHI CFO 4.00 0.00 X 0 0 0 LAWANDA CURRY CNO 4.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 1590513 1590513 1590513 0 0 0 1309586 982190 327396 74727 56045 18682 485653 364240 121413 5846 4385 1461 8110 8110 34321 25741 8580 FEES FOR SERVICES 123812 92859 30953 2042055 1525460 516595 0 3482065 3482065 3482065 3482065 3416 4625 154912 431333 158328 435958 X 3323737 3046107 3323737 3046107 3482065 3482065 X -451542 173912 X 0 0 0 X 889659 3079924 7430031 1889178 1590513 14879305 889659 3079924 7430031 1889178 1590513 14879305 14879305 14879305 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INTERHOSPITAL RECEIVABLES 3482065 3482065 ACCRUED BENEFITS PAYABLE 124373 INTERHOSPITAL LIABILITY 306960 431333 FORM 990, PART III, LINE 1 GOTHAM HEALTH FQHC, INC., OPERATING TOGETHER WITH NEW YORK CITY HEALTH AND HOSPITALS CORPORATION UNDER A PUBLIC-ENTITY MODEL FEDERALLY QUALIFIED HEALTH CENTER PROVIDES YOU AND YOUR FAMILY ACCESS TO PRIMARY AND PREVENTIVE HEALTHCARE SERVICES. CURRENTLY SERVING NEW YORK CITY RESIDENTS IN THE BOROUGHS OF BROOKLYN, THE BRONX AND MANHATTAN, THERE IS A GOTHAM HEALTH FACILITY IN YOUR NEIGHBORHOOD. OUR HEALTH CENTERS AND SCHOOL-BASED SITES ARE YOUR CARE PARTNERS AND, MEDICAL HOME. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES GOTHAM HEALTH'S CHIEF EXECUTIVE OFFICER MICHELLE LEWIS WAS APPOINTED ON 3/08/2018 REPORTABLE COMPENSATION ATTRIBUTABLE TO GOTHAM HEALTH, FQHC IS $101,502. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE ORGANIZATION'S FINANCE DEPARTMENT. THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS AND APPROVES THE RETURN, AND IT IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY (A) EACH DIRECTOR SHALL HAVE A FIDUCIARY DUTY TO THE CORPORATION AND MUST GIVE IT HIS/HER LOYALTY. (B) THE BOARD OF DIRECTORS SHALL ESTABLISH, ADOPT, AND PERIODICALLY UPDATE A WRITTEN CORPORATE POLICY THAT ESTABLISHES PROCEDURES FOR: (I) DISCLOSING AND ADDRESSING CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST BY DIRECTORS, OFFICERS, EMPLOYEES, CONSULTANTS, AND/OR AGENTS WHO PROVIDE SERVICES OR FURNISH GOODS TO THE CORPORATION; AND (II) MAINTAINING THE CONFIDENTIALITY OF INFORMATION (WHETHER WRITTEN, ORAL, OR ANY ELECTRONIC OR MAGNETIC MEDIA) OBTAINED BY A DIRECTOR, OFFICER, EMPLOYEE, CONSULTANT AND/OR AGENT BY VIRTUE OF HIS OR HER POSITION AS SUCH, DIRECTLY OR INDIRECTLY RELATED TO THE CORPORATION'S ADMINISTRATIVE, MANAGERIAL, AND CLINICAL OPERATIONS, OR THE SUBSTANCE OF ANY DISCUSSIONS, CONTRACTS OR OTHER AFFILIATIONS TO ANY PERSON, INSTITUTION, ENTITY, COMPANY OR OTHER THIRD PARTY. (C) NO DIRECTOR SHALL PARTICIPATE IN THE SELECTION, AWARD OR ADMINISTRATION OF ANY CONTRACT OR OTHER AFFILIATION RELATING TO OPERATIONS CONDUCTED BY THE CORPORATION OR FOR THE FURNISHING OF SERVICES OR SUPPLIES TO THE CORPORATION, IN WHICH HE OR SHE OR HIS/HER IMMEDIATE FAMILY OR PARTNER HAS A REAL OR APPARENT CONFLICT OF INTEREST (FINANCIAL OR OTHERWISE) OR WITH WHOM HE OR SHE IS NEGOTIATING OR HAS ANY ARRANGEMENT CONCERNING EMPLOYMENT, NOR SHALL ANY DIRECTOR DIVULGE THE SUBJECT OR SUBSTANCE OF SUCH DISCUSSIONS, CONTRACTS OR OTHER AFFILIATIONS TO ANY PERSON, INSTITUTION, ENTITY, COMPANY OR OTHER THIRD PARTY. SUCH CONTRACT OR AFFILIATION MAY BE APPROVED OR AUTHORIZED BY A MAJORITY OF THE DISINTERESTED DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM EXISTS IF THE FACTS OF ANY SUCH INTEREST BY A DIRECTOR SHALL HAVE BEEN DISCLOSED TO THE BOARD PRIOR TO OR AT THE MEETING AT WHICH THE CONTRACT OR AFFILIATION WAS APPROVED OR AUTHORIZED, THE INTERESTED DIRECTOR IS NOT COUNTED IN DETERMINING THE QUORUM FOR THE MEETING AND HE OR SHE ABSTAINS FROM VOTING OR USING HIS OR HER INFLUENCE ON THE MATTER. THE MINUTES OF SUCH MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING AND THE EXCLUSION FROM A QUORUM. NOTWITHSTANDING, THE FOREGOING REQUIREMENTS SHALL NOT PREVENT THE INTERESTED DIRECTOR FROM BRIEFLY STATING HIS OR HER POSITION ON THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS REGARDING HIS OR HER KNOWLEDGE OF THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL THE ORGANIZATION'S CHIEF MEDICAL OFFICER IS COMPENSATED BY AN UNRELATED PHYSICIANS AFFILIATE GROUP, AND THE ORGANIZATION'S OTHER OFFICERS ARE COMPENSATED BY AN AFFILIATED BUT UNRELATED ORGANIZATION, NEW YORK CITY HEALTH AND HOSPITALS CORPORATION. NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, TAKES RESPONSIBILITY FOR SETTING REASONABLE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART V LINE 2 & PART VII DISCLOSURE REGARDING PAYROLL ADMINISTRATION GOTHAM HEALTH FQHC, INC. DOES NOT HAVE ITS OWN EMPLOYEES. GOTHAM HEALTH'S PAYROLL IS ADMINISTERED BY NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, A RELATED SECTION 501(C)(3) PUBLIC CHARITY. GOTHAM HEALTH REIMBURSES NEW YORK CITY HEALTH AND HOSPITALS CORPORATION FOR SALARIES AND BENEFITS OF EMPLOYEES WORKING ON BEHALF OF GOTHAM HEALTH. THE ALLOCATED REIMBURSED COMPENSATION FOR OFFICERS IS AS FOLLOWS: MICHELLE LEWIS, CEO - $104,410 LATA SINGH, COO - $29,255 RAKSHA TRIPATHI, CFO - $32,205 LAWANDA CURRY, CNO - $27,966 FORM 990, PART XI, LINE 9: EXPENSES REIMBURSEMENT - TIMING DIFFERENCE 173,912.