2023-11-13T14:10:33-06:00 2022-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2022-01-01 061036715 CORNERSTONE FAMILY HEALTHCARE FKA GREATER HUDSON VALLEY HEALTH CENTER CORN 8452203100 2570 ROUTE 9W 10 CORNWALL NY 12518 DAVID JOLLY PRESIDENT & CEO 8452203100 2023-11-15 1 DAVID JOLLY 999009999 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2023-11-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAVID JOLLY 2570 ROUTE 9W 10 CORNWALL NY 12518 65441211 0 X WWW.CORNERSTONEFH.ORG X 1981 NY TO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE. 16 16 849 50 118690 78854 28360365 25335770 41812468 38665246 11416292 1047723 388937 392472 81978062 65441211 16600348 1507666 0 0 45069897 46964251 0 0 0 17662368 20234308 79332613 68706225 2645449 -3265014 59599065 57345045 25689407 26700401 33909658 30644644 CORNERSTONE FAMILY HEALTH CENTER IS A FREESTANDING DIAGNOSTIC AND TREATMENT CORPORATION LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW AND PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY UNDERSERVED POPULATION. 0 0 57609500 1507666 38846343 TO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2022, WE HAD 276,721 PATIENT VISITS, AND 96,194 COMBINED OASAS METHADONE AND SUBSTANCE ABUSE REHAB VISITS. 57609500 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 218 0 1 849 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X AMY BOLOGNESE 8452203100 2570 ROUTE 9W-N CORNWALL NY 12518 AMY ANSEHL DNP FNP-BC BOARD MEMBER 1.00 2.00 X 0 0 0 ANDREW BELL BOARD MEMBER 1.00 1.00 X 0 0 0 ARETHRA L THOMPSON BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLES WALWYN BOARD MEMBER 1.00 1.00 X 0 0 0 CHERYL ROSS CHAIR-ELECT 1.00 2.00 X X 0 0 0 DAISY VALE BOARD MEMBER 1.00 1.00 X 0 0 0 DANIEL LAMB BOARD MEMBER 1.00 1.00 X 0 0 0 DEBRA JOHNSON BOARD MEMBER 1.00 1.00 X 0 0 0 INAUDY ESPOSITO BOARD MEMBER 1.00 1.00 X 0 0 0 JASON GIORDANO TREASURER 1.00 1.00 X X 0 0 0 MARLENE MEDINA BOARD MEMBER 1.00 1.00 X 0 0 0 MICHELLE MCKEON BOARD MEMBER 1.00 1.00 X 0 0 0 PAUL S ERNENWEIN VICE CHAIR 1.00 2.00 X X 0 0 0 REV NELSON MCALLISTER BOARD MEMBER 1.00 2.00 X 0 0 0 RHONDA GREEN SECRETARY 1.00 1.00 X X 0 0 0 WAYNE DAY CHAIRMAN 1.00 2.00 X X 0 0 0 AVI SILBER MD CHIEF MEDICAL OFFICER 35.00 X 323288 0 39626 DAVID JOLLY CHIEF OPERATING OFFICER 35.00 2.00 X 254331 0 29880 LINDA MULLER OUTGOING PRESIDENT & CEO 35.00 2.00 X 485725 0 29880 PATRICK MURPHY CHIEF FINANCIAL OFFICER 35.00 2.00 X 213434 0 22295 AMY BOLOGNESE VP OF FINANCE 35.00 2.00 X 99066 0 0 GBOLAGADE O BABALOLA PHYSICIAN 35.00 X 287841 0 0 JOSEPH LANZA INTERIM CHIEF OF OB/GYN 35.00 X 297407 0 39626 NATALIE M JOUVE PHYSICIAN 35.00 X 291009 0 13255 RYAN MESHULAM CHIEF OF PSYCHIATRY 35.00 X 288815 0 39626 SHAHANA AYUB PSYCHIATRIST 35.00 X 299946 0 12892 2840862 0 227080 69 0 1 0 BIOREFERENCE LABORATORIES INC 481 EDWARD H ROSS DRIVE ELMWOOD PARK NJ 07407 LAB SERVICES 386401 340B TECHNOLOGIES 900 THIRD AVE 19TH FLOOR NEW YORK NY 10022 ADMINISTRATIVE 305358 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 ACCOUNTING 242585 HUDSON VALLEY PERINATAL CONSULTING PLLC 68 WEST CEDAR ST POUGHKEEPSKIE NY 12601 MEDICAL CONSULTING 129750 WILLIAM THOMPSON 25 JACOBY ROAD HIGGANUM CT 06441 CONSULTING WORK 117500 6 25074053 261717 1200115 25335770 MEDICAID 621110 25582101 25582101 340B PHARMACY 621110 4018472 4018472 MEDICARE 621110 3335822 3335822 NEW YORK STATE UNCOMPENSATED CARE 621110 2366673 2366673 OTHER THIRD PARTY 621110 2013367 2013367 1348811 1348811 38665246 1023378 1023378 92685 0 92685 92685 92685 24345 0 24345 24345 24345 CONSULTING SERVICES 900099 118690 118690 MEDICAL RECORDS 900099 4922 4922 176175 176175 299787 65441211 38846343 118690 1140408 1507666 1507666 1497525 1227970 269555 38764623 31786991 6977632 197425 161889 35536 3146082 2579787 566295 3358596 2754049 604547 62848 62848 137836 137836 2264107 1832812 431295 636067 521575 114492 2071927 1781857 290070 318473 261148 57325 62116 50935 11181 524261 450864 73397 2145853 1845434 300419 246298 211816 34482 UBIT 19263 19263 CONSUMABLE SUPPLIES 3252731 2837786 414945 LAB/PHARMACY/RADIOLOGY 2924216 2924216 DATA PROCESSING 1967905 1613682 354223 3600407 3239760 360647 68706225 57609500 11096725 0 1432081 1078326 6870850 1831983 4803495 3506343 5777020 6318843 963457 672340 52768803 17115600 31080952 35653203 31259 31259 6647554 5607786 1992397 2644962 59599065 57345045 4393817 6192107 13896550 14150362 7399040 6357932 25689407 26700401 X 31763253 26660267 2146405 3984377 33909658 30644644 59599065 57345045 -3265014 0 X 0 1 X 1 1 1 X 12017241 13411293 16278041 29260741 25335770 96303086 12017241 13411293 16278041 29260741 25335770 96303086 218655 96084431 103399 107486 118020 194791 1116063 1639759 245717 184202 153315 68189 118690 770113 72095 404138 95767 447587 181097 1200684 99913642 193060244 0.96170 0.95900 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2018 AMOUNT: $ 58,800. 2019 AMOUNT: $ 384,712. 2020 AMOUNT: $ 77,358. 2021 AMOUNT: $ 428,874. 2022 AMOUNT: $ 176,175. MEDICAL RECORDS - 2018 AMOUNT: $ 13,295. 2019 AMOUNT: $ 19,426. 2020 AMOUNT: $ 18,409. 2021 AMOUNT: $ 18,713. 2022 AMOUNT: $ 4,922. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2688308 2688308 30694052 6545314 24148738 2038091 423053 1615038 12803421 10147233 2656188 4544931 4544931 35653203 DEFERRED COMPENSATION 1060442 OPERATING LEASE LIABILITIES 4195607 DUE TO AFFILIATE 563675 DEFERR PAYROLL TAX 538208 6357932 X 65115104 -326107 -326107 65441211 0 65441211 68935753 229528 229528 68706225 0 68706225 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE -326,107. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 229,528. 1 CLIENT ASSISTANCE - HOUSING 68 1092904 FOOD PANTRY AND VOUCHERS 227 414762 PART I, LINE 2: FOR INDIVIDUALS TO RECEIVE EMERGENCY HOUSING ASSISTANCE, A HOUSING SPECIALISTS ON BEHALF OF THE INDIVIDUAL IS REQUIRED TO PROVIDE ALL NECESSARY DOCUMENTATION TO ENSURE THE INDIVIDUAL QUALIFIES FOR THE EMERGENCY, SHORT-TERM ASSISTANCE PROGRAMS PRIOR TO ISSUING PAYMENT BY THE ORGANIZATION. X X X X X 0 1 0 0 0 0 0 1 0 LINDA MULLER OUTGOING PRESIDENT & CEO 480781 0 0 0 4944 0 0 0 29880 0 515605 0 0 0 AVI SILBER MD CHIEF MEDICAL OFFICER 322736 0 0 0 552 0 0 0 39626 0 362914 0 0 0 JOSEPH LANZA INTERIM CHIEF OF OB/GYN 296855 0 0 0 552 0 0 0 39626 0 337033 0 0 0 RYAN MESHULAM CHIEF OF PSYCHIATRY 284990 0 3609 0 216 0 0 0 39626 0 328441 0 0 0 SHAHANA AYUB PSYCHIATRIST 286086 0 13500 0 360 0 0 0 12892 0 312838 0 0 0 NATALIE M JOUVE PHYSICIAN 290769 0 0 0 240 0 0 0 13255 0 304264 0 0 0 GBOLAGADE O BABALOLA PHYSICIAN 284793 0 0 0 3048 0 0 0 0 0 287841 0 0 0 DAVID JOLLY CHIEF OPERATING OFFICER 253779 0 0 0 552 0 0 0 29880 0 284211 0 0 0 PATRICK MURPHY CHIEF FINANCIAL OFFICER 212246 0 0 0 1188 0 0 0 22295 0 235729 0 0 0 PART I, LINE 4B CERTAIN MANAGEMENT OFFICIALS LISTED ON SCHEDULE J, PART II, PARTICIPATE IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN: LINDA MULLER PATRICK MURPHY AVI K. SILBER DAVID JOLLY CHANCEL SINGH MICHAEL LIMPEROPULOS ANGELA IANNITTI-HULSE 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 2022 W-2S AND APPROVED BY THE BOARD. X 1 1200115 FMV 0 1 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRTIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE OF THE BOARD IS PROVIDED WITH THE FORM 990 IN DRAFT FORM, REVIEWS AND APPROVES THE TAX RETURN. THE BOARD RATIFIES THE APPROVED TAX RETURN FILING PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE COMPANY'S CONFLICT OF INTEREST POLICY IS REGULARLY REVIEWED AT THE BOARD LEVEL AND THE POLICY IS INCLUDED IN THE CONTINUAL CORPORATE COMPLIANCE TRAINING. ALL OFFICERS AND STAFF ARE REQUIRED TO ATTEND CORPORATE COMPLIANCE TRAINING AS SCHEDULED ANNUALLY DURING THE YEAR. ALL BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY FILL OUT A CONFLICT OF INTEREST QUESTIONNAIRE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPANY UTILIZES AN ANNUAL REVIEW PROCESS OF COMPENSATION FOR ITS CEO AND TOP MANAGEMENT OFFICIALS. THE PROCESS INCLUDES ANNUAL INDIVIDUAL PERFORMANCE EVALUATIONS FOR EACH OF THE TOP OFFICIALS AND SENIOR STAFF WHICH ARE TIED TO PRE-DETERMINED CORPORATE GOALS. THE PROCESS ALSO INCLUDES AN EVALUATION OF SALARY AND BENEFIT LEVELS THROUGH THE USE OF AN OUTSIDE COMPENSATION CONSULTING FIRM WHICH CONDUCTS AN IN-DEPTH COMPETITIVE MARKET STUDY TO DETERMINE THE COMPANY'S POSITION IN THE MARKETPLACE, AS WELL AS A FOCUS ON INTERNAL PRACTICES USED BY THE BOARD IN THE DETERMINATION OF EXECUTIVE COMPENSATION AND THE RELATED DOCUMENTATION AS REQUIRED BY IRC SECTION 4958 AND THE FORM 990. THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS THE HIRING OF THE FIRM, AND MEETS WITH THE HIRED FIRM DIRECTLY TO REVIEW RESULTS OF THE ENGAGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILBLE UPON REQUEST, AS WELL AS, AS A FQHC, THE COMPANY'S FINANCIAL STATEMENTS ARE FILED WITH CERTAIN GOVERNMENTAL AGENCIES AND REGULATORY AUTHORITIES WHICH MAY BE AVAILABLE UNDER THE FREEDOM OF INFORMATION ACT. 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. GHV HEALTHCARE SOLUTIONS LLC 2570 ROUTE 9W STE 10 CORNWALL NY 12518 474561307 HEALTHCARE CONSULTING NY 118690 380708 CORNERSTONE FAMILY HEALTHCARE CORNERSTONE FH CHARITABLE FOUNDATION 2570 US HIGHWAY 9W STE 10 CORNWALL NY 12518 825335397 FUNDRAISING NY 501(C)(3) LINE 10 CONRNERSTONE FAMILY HEALTHCARE 1 ENCORE INC- CONSIGN FOR A CAUSE 2570 US HIGHWAY 9W STE 10 CORNWALL NY 12518 452391908 FUNDRAISING NY 501(C)(3) LINE 12A, I CONRNERSTONE FAMILY HEALTHCARE 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 CORNERSTONE FH CHARITABLE FOUNDATION O 64855 COST