2023-09-08T10:23:13-05:00 2021-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2021-01-01 061036715 CORNERSTONE FAMILY HEALTHCARE FKA GREATER HUDSON VALLEY HEALTH CENTER CORN 8452203100 2570 ROUTE 9W 10 CORNWALL NY 12518 DAVID JOLLY PRESIDENT & CEO 8452203100 2023-08-28 1 DAVID JOLLY 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2023-08-24 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X DAVID JOLLY 2570 ROUTE 9W 10 CORNWALL NY 12518 82088179 0 X WWW.CORNERSTONEFH.ORG X 1981 NY TO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE. 19 19 832 50 68189 18806 16278041 28360365 34090037 41812468 11411 11416292 225795 388937 50605284 81978062 0 16600348 0 0 34913136 45069897 0 0 0 14186705 17662368 49099841 79332613 1505443 2645449 45954625 59599065 23678166 25689407 22276459 33909658 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 70843749 16600348 42079006 TO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2021, THE HEALTH CENTER HAD 248,771 PATIENT VISITS, WHICH INCLUDES 84,739 COMBINED OASAS METHADONE AND SUBSTANCE ABUSE REHAB VISITS . 70843749 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 173 0 1 832 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 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 2.00 X 0 0 0 ANDREW SHERMAN EVANS JR MPH BOARD MEMBER 1.00 2.00 X 0 0 0 ARETHRA L THOMPSON BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLES WALWYN CHAIR-ELECT 1.00 2.00 X 0 0 0 CHERYL ROSS VICE CHAIR 1.00 2.00 X X 0 0 0 DAISY VALE BOARD MEMBER 1.00 2.00 X 0 0 0 DANIEL LAMB BOARD MEMBER 1.00 2.00 X 0 0 0 DEBRA JOHNSON BOARD MEMBER 1.00 2.00 X 0 0 0 ERIC GATSIK BOARD MEMBER 1.00 2.00 X 0 0 0 MARLENE MEDINA BOARD MEMBER 1.00 2.00 X 0 0 0 MARY DECKER BOARD MEMBER 1.00 2.00 X 0 0 0 MICHELE IANNUZZI-SUCICH BOARD MEMBER 1.00 2.00 X 0 0 0 PATRICIA CLAIBORNE BOARD MEMBER 1.00 2.00 X 0 0 0 PAUL S ERNENWEIN BOARD MEMBER 1.00 2.00 X 0 0 0 REV NELSON MCALLISTER BOARD MEMBER 1.00 2.00 X 0 0 0 RHONDA GREEN SECRETARY 1.00 2.00 X X 0 0 0 ROSA GUTIERREZ BOARD MEMBER 1.00 2.00 X 0 0 0 WAYNE DAY CHAIRMAN 1.00 2.00 X X 0 0 0 AVI SILBER MD CHIEF MEDICAL OFFICER 35.00 2.00 X 376697 0 53394 DAVID JOLLY CHIEF OPERATING OFFICER 35.00 X 304185 0 52233 LINDA MULLER PRESIDENT & CEO 35.00 2.00 X 680515 0 127513 PATRICK MURPHY OUTGOING CHIEF FINANCIAL OFFICER 35.00 2.00 X 354423 0 62049 ANGELA IANNITTI-HULSE MEDICAL DIRECTOR 35.00 2.00 X 294783 0 0 GBOLAGADE O BABALOLA PHYSICIAN 35.00 X 306302 0 12893 NATALIE M JOUVE PHYSICIAN 35.00 X 275240 0 0 RYAN MESHULAM CHIEF OF PSYCHIATRY 35.00 X 306678 0 32945 SHAHANA AYUB PSYCHIATRIST 35.00 X 287256 0 13257 3186079 0 354284 62 0 1 0 BIOREFERENCE LABORATORIES INC 481 EDWARD H ROSS DRIVE ELMWOOD PARK NJ 07407 LAB SERVICES 356189 340B TECHNOLOGIES 900 THIRD AVE 19TH FLOOR NEW YORK NY 10022 ADMINISTRATIVE 342924 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 ACCOUNTING 233550 HUDSON VALLEY PERINATAL CONSULTING PLLC 68 WEST CEDAR ST POUGHKEEPSKIE NY 12601 MEDICAL CONSULTING 175800 4 214905 27316320 829140 1008491 28360365 MEDICAID 621110 28554716 28554716 340B PHARMACY 621110 4721513 4721513 OTHER THIRD PARTY 621110 2544454 2544454 NEW YORK STATE UNCOMPENSATED CARE 621110 2319538 2319538 MEDICARE 621110 2173673 2173673 1498574 1498574 41812468 26292 26292 105577 0 105577 105577 105577 11390000 0 11390000 11390000 11390000 58750 214905 110117 -51367 -51367 CONSULTING SERVICES 900099 68189 68189 MEDICAL RECORDS 900099 18301 18301 248237 248237 334727 81978062 42079006 68189 11470502 15639750 15639750 960598 960598 2011009 1729468 281541 36247180 31172575 5074605 1705 1466 239 3599151 3095269 503882 3210852 2761333 449519 154568 154568 187611 187611 1559710 1341351 218359 659730 567368 92362 1655324 1440132 215192 240411 206753 33658 13881 11938 1943 622310 541410 80900 1809751 1574483 235268 336505 292759 43746 UBIT 3078 3078 CONSUMABLE SUPPLIES 3381326 2925614 455712 LAB/PHARMACY/RADIOLOGY 2730360 2730360 REPAIRS AND MAINTENANCE 1576354 1371428 204926 2731449 2476616 254833 79332613 70843749 8488864 0 807919 1432081 3443242 6870850 4769478 4803495 5829699 5777020 777687 963457 46204770 15123818 27049890 31080952 31259 31259 1688892 1555560 1556559 7084391 45954625 59599065 5459408 4393817 15573878 13896550 2644880 7399040 23678166 25689407 X 20002694 31763253 2273765 2146405 22276459 33909658 45954625 59599065 X 2645449 8987750 X 0 1 X 1 1 1 X 9616188 12017241 13411293 16278041 28360365 79683128 9616188 12017241 13411293 16278041 28360365 79683128 577405 79105723 129218 103399 107486 118020 131869 589992 202708 245717 184202 153315 68189 854131 10346 72095 404138 95767 266538 848884 81976135 179748468 0.96500 0.93990 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: $ 248,237. MEDICAL RECORDS - 2017 AMOUNT: $ 10,346. 2018 AMOUNT: $ 13,295. 2019 AMOUNT: $ 19,426. 2020 AMOUNT: $ 18,409. 2021 AMOUNT: $ 18,301. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2688308 2688308 24862252 5769345 19092907 1508098 342105 1165993 11489578 9012368 2477210 5656534 5656534 31080952 DUE FROM AFFILIATES 506606 SECURITY DEPOSITS 125114 GOODWILL 27442 DEFERRED COMPENSATION 1073727 CASH SURRENDER VALUE 184743 ORGANIZATION COSTS 102207 OPERATING LEASE ASSETS 5064552 7084391 DEFERRED COMPENSATION 1073727 LEASE LIABILITIES 5101904 DEFERR PAYROLL TAX 537854 DUE TO AFFILIATES 685555 7399040 X 90227192 8139013 8139013 82088179 -110117 -110117 81978062 63826936 -15505677 -15505677 79332613 0 79332613 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2021, 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 2018 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: TRANSFER OF NET ASSETS DUE TO MERGER 8,987,750. RELATED ORGANIZATION REVENUE 14,791,013. INTERCOMPANY ELIMINATIONS -15,639,750. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENES -110,117. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 110,117. RELATED ORGANIZATION EXPENSES 23,956. INTERCOMPANY ELIMINATIONS -15,639,750. PILLARS OF THE COMMUNITY AWARDS GA 163740 130590 33150 11940 66495 GOLF OUTING 109915 84315 25600 31682 273655 214905 58750 11940 98177 110117 -51367 1 CORNERSTONE FH CHARITABLE FOUNDATION 2570 US HIGHWAY 9W STE 10 CORNWALL NY 12518 825335397 15639750 0 FMV TO FURTHER EXEMPT PURPOSE 1 CLIENT ASSISTANCE - HOUSING 351 641572 FOOD PANTRY AND VOUCHERS 507 319026 PART I, LINE 2: CONTRIBUTION MADE CORNERSTONE FH CHARITABLE FOUNDATION WAS MADE TO A RELATED PARTY, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. 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 PRESIDENT & CEO 458059 0 129859 0 92597 0 97632 0 29881 0 808028 0 0 0 AVI SILBER MD CHIEF MEDICAL OFFICER 312532 0 63613 0 552 0 13769 0 39625 0 430091 0 0 0 PATRICK MURPHY OUTGOING CHIEF FINANCIAL OFFICER 287127 0 55500 0 11796 0 28154 0 33895 0 416472 0 0 0 DAVID JOLLY CHIEF OPERATING OFFICER 246045 0 46800 0 11340 0 22352 0 29881 0 356418 0 0 0 RYAN MESHULAM CHIEF OF PSYCHIATRY 306462 0 0 0 216 0 0 0 32945 0 339623 0 0 0 GBOLAGADE O BABALOLA PHYSICIAN 303254 0 0 0 3048 0 0 0 12893 0 319195 0 0 0 SHAHANA AYUB PSYCHIATRIST 287016 0 0 0 240 0 0 0 13257 0 300513 0 0 0 ANGELA IANNITTI-HULSE MEDICAL DIRECTOR 294231 0 0 0 552 0 0 0 0 0 294783 0 0 0 NATALIE M JOUVE PHYSICIAN 275000 0 0 0 240 0 0 0 0 0 275240 0 0 0 PART I, LINE 4B CERTAIN MANAGEMENT OFFICIALS LISTED ON SCHEDULE J, PART II, PARTICIPATE IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN THE AMOUNT ACCRUDED TO THE PLAN DURING 2021 ARE AS FOLLOWS: LINDA MULLER: $97,632 PATRICK MURPHY: $28,155 AVI K. SILBER: $13,769 DAVID JOLLY: $22,352 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. PART II, COLUMN B(III): AMOUNTS INCLUDED IN OTHER COMPENSATION IS PTO PAYOUT. X 1 1008491 FMV 0 0 0 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. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS DUE TO MERGER 8,987,750. 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. AMENDED RETURN: FORM 990 WAS AMENDED TO REFLECT CHANGES MADE UPON FINALIZATION OF AUDITED FINANCIAL STATEMENTS. THE FOLLOWING PARTS HAVE BEEN UPDATED TO REFLECT THIS: PART I, III, IV, VIII, IX, X, XI AND XII. ALSO, THE FOLLOWING SCHEDULE HAVE BEEN UPDATED: SCHEDULE A, B, D, M, OAND R. GHV HEALTHCARE SOLUTIONS LLC 2570 ROUTE 9W STE 10 CORNWALL NY 12518 474561307 HEALTHCARE CONSULTING NY 68189 288162 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 CORNERSTONE FH CHARITABLE FOUNDATION B 15639750 FMV