2022-11-15T16:21:17-06:00 2021-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2021-01-01 133652555 REFUAH HEALTH CENTER INC REFU 8453549300 728 NORTH MAIN STREET SPRING VALLEY NY 10977 CHANIE STERNBERG PRESIDENT AND CEO 8453549300 2022-11-15 1 CHANIE STERNBERG 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHANIE STERNBERG 728 NORTH MAIN STREET SPRING VALLEY NY 10977 84561468 0 X WWW.REFUAHHEALTHCENTER.COM X 1992 NY OUR MISSION IS TO PROVIDE HIGH-QUALITY, COMPREHENSIVE MEDICAL, DENTAL AND SUPPORTIVE SERVICES TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. 9 8 637 0 0 0 16827231 16722031 59597584 65850633 79493 29032 807673 1191990 77311981 83793686 978900 2100574 0 0 38925340 40538689 0 0 0 27049064 30518829 66953304 73158092 10358677 10635594 79995137 86079660 18537247 13986176 61457890 72093484 X OUR MISSION IS TO PROVIDE HIGH-QUALITY, COMPREHENSIVE MEDICAL, DENTAL AND SUPPORTIVE SERVICES TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. 1 0 65245358 2100574 66996398 IN 2021, REFUAH PROVIDED MEDICAL CARE TO FAMILIES IN THE FOLLOWING FIELDS: FAMILY MEDICINE, PEDIATRIC PRIMARY CARE; WOMEN'S HEALTH INCLUDING OBSTETRICS, GYNECOLOGY, MIDWIFERY, AND ONSITE BIRTHING CENTER SERVICES, MFM, IMAGING; SPECIALTY MEDICINE, INCLUDING PODIATRY, OTOLARYNGOLOGY, UROLOGY, RHEUMATOLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATEIC GASTROENTEROLOGY, PEDIATRIC CARDIOLOGY, AND PEDIATRIC PULMONOLOGY; INTEGRATED BEHAVIORAL HEALTH PSYCHIATRY AND TELEPSYCHIATRY; PEDIATRIC AND ADULT DENTISTRY, INCLUDING ORTHODONTICS; EXTENDED HOURS & URGENT CARE; OPTOMETRY AND OPTICAL SHOP; PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY; IN-HOUSE LABORATORY; WELLNESS CENTER; RADIOLOGY; TELEHEALTH; AND COMMUNITY PREVENTION AND WELLNESS SERVICES. 739157 DELIVERY SYSTEM REFORM PROGRAM 65984515 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 76 0 1 637 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X CHANIE STERNBERG 8453549300 728 NORTH MAIN STREET SPRING VALLEY NY 10977 DEVORAH SPITZ BOARD MEMBER 2.00 X 0 0 0 JACOB FRIEDER VICE CHAIRPERSON 2.00 X X 0 0 0 JULIO BELBER BOARD MEMBER 2.00 X 0 0 0 LEAH WEISZ BOARD MEMBER 2.00 X 0 0 0 PEARL GOLDKLANG BOARD MEMBER 2.00 X 0 0 0 RENOLD JULIEN BOARD MEMBER 2.00 X 0 0 0 SAMUEL BREUER CHAIRPERSON 2.00 X X 0 0 0 SHLOIME WOSNER SECRETARY 2.00 X X 0 0 0 VICTOR OSTREICHER TREASURER 10.00 X X 0 0 0 CHANIE STERNBERG PRESIDENT & CEO 60.00 X 655812 0 38006 MALKI GINSBURG DIRECTOR OF FINANCE 30.00 X 137126 0 41426 CORINNA MANINI CMO 37.50 X 391000 0 0 TAMIR KATZ VP OF MEDICAL AND DENTAL 40.00 X 434162 0 35256 MARCIA PALACE ENDOCRONOLOGIST 30.00 X 402328 0 35256 MICHAEL D ROSEN PEDIATRICIAN 30.00 X 380080 0 43835 RAMIN ZAGHI PODIATRIST 37.50 X 452312 0 38006 TZVI AARON PEDIATRICIAN 30.00 X 570285 0 11783 MICHAEL KAPLAN NURSE PRACTIONER 40.00 X 412280 0 36256 3835385 0 279824 97 0 1 0 NEW SQUARE WOMEN'S MEDICAL CARE PC 1107 FIFTH AVENUE NEW YORK NY 10128 MEDICAL SERVICES 4005852 ALLIED OFFICE CLEANERS INC 117 SOUTH PEARL STREET PEARL RIVER NY 10965 CLEANING SERVICES 1193109 EPSTEIN BECKER & GREEN PC 1 GATEWAY CENTER 13TH FLOOR NEWARK NJ 07102 LEGAL CONSULTANT 438286 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 AUDIT/TAX SERVICES 415728 NYU SCHOOL OF MEDICINE 462 FIRST AVENUE BUILDING H 9TH F NEW YORK NY 10016 OB CONSULTANT 404826 25 16521185 200846 881458 16722031 MANAGED CARE 621400 26143603 26143603 MEDICAID 621400 20051901 20051901 OTHER THIRD-PARTY PAYORS 621400 7924269 7924269 340B PHARMACY 621400 5130491 5130491 NY STATE UNCOMPENSATED CARE 621400 3864240 3864240 2736129 2736129 65850633 29032 29032 46225 0 46225 46225 46225 1555195 767782 787413 787413 MEANINGFUL USE INCENTIVE 900099 340000 340000 MEDICAL RECORDS 900099 17124 17124 MISCELLANEOUS 900099 1228 1228 358352 83793686 66996398 0 75257 X 2100574 2100574 1732788 1552487 180301 33595944 30106548 3489396 2984792 2666273 318519 2225165 1987708 237457 780686 780686 431472 431472 8496347 7982811 513536 386311 377799 8512 6348507 6210936 137571 1377501 1229155 148346 1684256 1528177 156079 1044098 985794 58304 10120 9555 565 145515 134350 11165 1942786 1806178 136608 313965 264933 49032 340B EXPENSES 3574123 3574123 REPAIRS AND MAINTENANCE 2057036 1919294 137742 DONATED VACCINES 881458 881458 EQUIPMENT RENTAL 457725 439386 18339 586923 226976 359947 73158092 65984515 7173577 0 347223 10443 39469626 49337068 1951541 2235355 11609797 8602084 270533 364230 415742 799155 50070800 25347375 25922775 24723425 7900 7900 79995137 86079660 4758360 6803101 4756386 4348286 2925118 2834789 6097383 0 18537247 13986176 X 61457890 72093484 61457890 72093484 79995137 86079660 10635594 0 X X 0 1 X 1 1 1 X 13924222 19399105 10996209 16827231 16722031 77868798 55020829 56551983 61002189 60631709 67405828 300612538 68945051 75951088 71998398 77458940 84127859 378481336 0 0 0 378481336 24147 21341 95662 105068 75257 321475 24147 21341 95662 105068 75257 321475 392472 226111 94280 292840 358352 1364055 69361670 76198540 72188340 77856848 84561468 380166866 0.99560 0.99600 0.00080 0.00080 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEANINGFUL USE INCENTIVE - 2019 AMOUNT: $ 76,500. 2020 AMOUNT: $ 272,000. 2021 AMOUNT: $ 340,000. MISCELLANEOUS - 2017 AMOUNT: $ 392,472. 2018 AMOUNT: $ 226,111. 2019 AMOUNT: $ 17,780. 2020 AMOUNT: $ 2,685. 2021 AMOUNT: $ 1,228. MEDICAL RECORDS - 2020 AMOUNT: $ 18,155. 2021 AMOUNT: $ 17,124. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2739744 2739744 34659920 14754269 19905651 9958982 8747347 1211635 2712154 1845759 866395 24723425 X 84561468 0 84561468 -767782 -767782 83793686 73925874 767782 767782 73158092 0 73158092 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021. THE CENTER'S FEDERAL, STATE AND CITY INFORMATION TAX RETURNS PRIOR TO 2018 ARE CLOSED. THE BOARD OF DIRECTORS CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE CENTER WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS PART OF OTHER THAN PERSONNEL SERVICES IN THE STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS AND INCLUDE ACCRUED INTEREST AND PENALTIES IN ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. THE CENTER DID NOT RECOGNIZE ANY INTEREST OR PENALTIES ASSOCIATED WITH TAX MATTERS FOR THE YEAR ENDED DECEMBER 31, 2021. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -767,782. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 767,782. 1 SUN RIVER HEALTHCARE INC 1037 MAIN STREET PEEKSKILL NY 10566 132828349 501 (C)(3) 2083094 0 GENERAL SUPPORT KONBIT NEG LAKAY INC 16 CHURCH STREET SPRING VALLEY NY 10977 133529598 501 (C)(3) 15000 0 TO ASSIST KONBIT IN THEIR EFFORTS TO PROIVDE MEDICAL CARE TO THOSE IN NEED IN HAITI 2 PART I, LINE 2: THE CENTER REQUIRES RECIPIENTS OF ITS GRANTS TO SUBMIT BUDGETS FOR APPROVAL AND OTHER DOCUMENTATION TO SUBSTANTIATE EXPENDITURES. X X X X X X 0 0 0 0 0 0 0 1 0 CHANIE STERNBERG PRESIDENT & CEO 575812 0 80000 0 0 0 0 0 38006 0 693818 0 0 0 TZVI AARON PEDIATRICIAN 563535 0 6750 0 0 0 0 0 11783 0 582068 0 0 0 RAMIN ZAGHI PODIATRIST 452312 0 0 0 0 0 0 0 38006 0 490318 0 0 0 TAMIR KATZ VP OF MEDICAL AND DENTAL 433562 0 600 0 0 0 0 0 35256 0 469418 0 0 0 MICHAEL KAPLAN NURSE PRACTIONER 398494 0 13786 0 0 0 0 0 36256 0 448536 0 0 0 MARCIA PALACE ENDOCRONOLOGIST 401078 0 1250 0 0 0 0 0 35256 0 437584 0 0 0 MICHAEL D ROSEN PEDIATRICIAN 380030 0 50 0 0 0 0 0 43835 0 423915 0 0 0 CORINNA MANINI CMO 390000 0 1000 0 0 0 0 0 0 0 391000 0 0 0 MALKI GINSBURG DIRECTOR OF FINANCE 137126 0 0 0 0 0 0 0 41426 0 178552 0 0 0 PART I, LINE 7 INCLUDED IN COLUMN B(II), ARE AMOUNTS REPRESENTING BONUSES PAID. THESE AMOUNTS WERE APPROVED BY THE BOARD, AND REFLECTED IN INDIVIDUALS 2021 W-2'S. OKG TECH FAMILY MEMBER OF VICTOR OSTREICHER 639847 IT PRODUCTS AND SERVICES 0 X 1 881458 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART III, LINE 2 BIRTHING CENTER - THE ORGANIZATION HAS BEEN DOING BIRTHING DELIVERIES IN THE PAST IN HOSPITALS, AND ADDED ON-SITE BIRTHING CENTER IN 2021. FORM 990, PART VI, SECTION A, LINE 2 SAMUEL BREUER AND VICTOR OSTREICHER SHARE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO SUBMISSION, THE DRAFT FORM 990 IS DISTRIBUTED TO THE PRESIDENT AND CEO AND THE BOARD OF DIRECTORS WHO ARE ASKED TO REVIEW AND APPROVE AND RAISE ANY QUESTIONS OR COMMENTS THE CEO AND ACCOUNTING STAFF REVIEW/REVISE AS APPROPRIATE PRIOR TO FILING, EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED WITH THE FINAL VERSION OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C REFUAH REQUIRES ALL EMPLOYEES (AT THE TIME OF HIRE), CONTRACTORS, AGENTS, OFFICERS, AND MEMBERS OF THE BOARD OF DIRECTORS TO DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY) ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST WHEN A CONFLICT OF INTEREST IS DISCLOSED, THE AFFECTED EMPLOYEE MAY NOT TAKE PART IN REFUAH DECISIONS TO WHICH THE CONFLICT RELATES OR INFLUENCE THE DECISION DIRECTLY OR INDIRECTLY. EMPLOYEES WHO VIOLATE THIS POLICY MAY BE SUBJECT TO DISCIPLINARY ACTION UP TO AND INCLUDING POSSIBLE TERMINATION. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS HAS APPROVED A COMPENSATION POLICY AND FORMED A COMPENSATION COMMITTEE THAT REVIEWS THE COMPENSATION OF THE PRESIDENT AND CEO AND USES AN OUTSIDE HR CONSULTANT TO PERFORM SALARY SURVEYS ON A REGULAR BASIS. THIS WAS LAST REVIEWED IN NOVEMBER 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES COPIES OF THESE DOCUMENTS UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS AND CONTRACTORS: PROGRAM SERVICE EXPENSES 1,871,003. MANAGEMENT AND GENERAL EXPENSES 513,536. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,384,539. CLINICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 6,111,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,111,808. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.