2022-11-15T17:43:13-06:00 2021-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2021-01-01 132828349 SUN RIVER HEALTH INC SUNR 9147348600 1037 MAIN STREET PEEKSKILL NY 105662913 LAURA GOMEZ VP OF FINANCIAL OPERATIONS 9147348600 2022-11-15 1 LAURA GOMEZ XXX-XX-XXXX LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2022-11-15 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X ANNE K NOLON 1037 MAIN STREET PEEKSKILL NY 105662913 397335254 0 X WWW.SUNRIVER.ORG X 1975 NY TO INCREASE ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE AND TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY, ESPECIALLY FOR THE UNDERSERVED AND VULNERABLE. 16 16 2181 0 1343208 0 82497120 80829079 269785554 274028738 5448376 -3998667 15291966 13383336 373023016 364242486 0 0 0 0 161065393 156224640 0 0 806481 159220834 182833877 320286227 339058517 52736789 25183969 370290606 414556118 70289747 66800824 300000859 347755294 X TO OPERATE FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, LICENSED UNDER ARTICLE 28, ARTICLE 31 AND ARTICLE 32 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN THE HUDSON VALLEY REGION OF NEW YORK STATE AND LI. THE ORGANIZATION PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 292308883 285923190 CHC 330- SUN RIVER HEALTH, INC. ("SRH") PROVIDES CULTURALLY SENSITIVE, LINGUISTICALLY APPROPRIATE PRIMARY AND PREVENTIVE HEALTHCARE AND ENABLING SERVICES, UTILIZING A TRANSDISCIPLINARY MODEL DESIGNED TO CARE FOR PATIENTS ACROSS DISCIPLINES, DEPARTMENTS AND SETTINGS IN A SEAMLESS AND INTEGRATED CONTINUUM OF COORDINATED CARE, GIVING PATIENTS THE CARE THEY NEED, WHEN AND WHERE THEY NEED IT. THE HEALTH CENTER HAS EXPANDED TO TWENTY-TWO PRIMARY CARE SITES SERVING PATIENTS THROUGHOUT A 10 COUNTY REGION OF NEW YORK STATE'S HUDSON VALLEY AND LONG ISLAND, PLUS 11 SITES ACROSS ALL 5 BOROUGHS OF NEW YORK CITY. 9479095 NYS DEPARTMENT OF HEALTH - SRH HAS NUMEROUS CONTRACTS WITH THE NY STATE DOH TO SUPPORT PREVENTIVE HEALTH PROGRAMS AND ACTIVITIES THROUGHOUT OUR SITES AND SERVICES. THESE INCLUDE GRANTS TO SUPPORT: FAMILY PLANNING AND REPRODUCTIVE HEALTH SERVICES; HIV MEDICAL CASE MANAGEMENT, HIV AND STI TESTING, AND SUPPORTIVE SERVICES; SCHOOL-BASED PREVENTIVE DENTAL SERVICES; COMPREHENSIVE ADOLESCENT PREGNANCY PREVENTION; HEPATITIS C CARE AND TREATMENT, TO INCREASE ACCESS TO HCV TESTING, AND FOR THOSE IDENTIFIED WITH THE VIRUS, LINKAGE TO CARE AND TREATMENT; RURAL HEALTH NETWORK DEVELOPMENT, TO SUPPORT AN EFFECTIVE COALITION OF ORGANIZATIONS SERVING EASTERN DUTCHESS COUNTY'S RURAL POPULATIONS; AND MIGRANT HEALTH PROGRAM SUPPORT TO INCREASE ACCESS TO CULTURALLY SENSITIVE, LINGUISTICALLY APPROPRIATE PRIMARY AND PREVENTIVE HEALTHCARE AND ENABLING SERVICES, OUTREACH, AND HEALTH EDUCATION AND PROMOTION. 1589642 WIC AND AMERICORPS - THROUGH A CONTRACT WITH NEW YORK STATE, SRH SERVES AS A SPONSOR AGENCY FOR THE PROVISION OF WOMEN, INFANTS AND CHILDREN (WIC) NUTRITION SERVICES. THE HEALTH CENTER CURRENTLY PROVIDES THESE SUPPLEMENTAL NUTRITION SERVICES TO WELL OVER 5,000 CLIENTS AT SRH SITES IN PEEKSKILL, POUGHKEEPSIE, BEACON, WALDEN, AMENIA, MIDDLETOWN, LIBERTY, MONTICELLO AND WURTSBORO. THROUGH COMMUNITY HEALTH CARE ASSOCIATION OF NYS, SRH RECEIVES SUPPORT FOR THE ASSIGNMENT OF HEALTHY FUTURES CORPS MEMBERS AT SRH'S PRIMARY CARE SITES THROUGH THE AMERICORPS PROGRAM. THESE DEDICATED AMERICORPS MEMBERS SERVE THROUGHOUT OUR NETWORK OF SITES PROVIDING A BROAD RANGE OF PROGRAM SUPPORT AND DEVELOPMENT ACTIVITIES. 303377620 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 155 0 1 2181 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LAURA GOMEZ 9142931661 1200 BROWN STREET PEEKSKILL NY 10566 ALAN L STEINER CHAIRMAN 1.00 1.00 X X 0 0 0 ANDREW S RICHTER PHD TREASURER 1.00 1.00 X X 0 0 0 ANGELA EARL BOARD MEMBER 1.00 X 0 0 0 AUBREY SAUNDERS BOARD MEMBER 1.00 X 0 0 0 BERTHIDE DUFRENE BOARD MEMBER 1.00 X 0 0 0 CHARLES MILLER BOARD MEMBER 1.00 X 0 0 0 DEEPTHA NEDUNCHEZIAN BOARD MEMBER 1.00 X 0 0 0 JOHN RUSSELL 2ND VICE CHAIR 1.00 X X 0 0 0 KENDRICK HARRIS BOARD MEMBER 1.00 X 0 0 0 LUKE HILPERT SECRETARY 1.00 1.00 X X 0 0 0 MARCIA JACOBOWITZ-PAZ 1ST VICE CHAIR 1.00 1.00 X X 0 0 0 MARIA LOUISA GUITTEREZ BOARD MEMBER 1.00 X 0 0 0 NORMA JOHNSON 3RD VICE CHAIR 1.00 1.00 X X 0 0 0 RAMONA CEBALLOS BOARD MEMBER 1.00 X 0 0 0 ROBERT HEATLEY BOARD MEMBER 1.00 X 0 0 0 SANDRA CUELLAR OXFORD BOARD MEMBER 1.00 X 0 0 0 ANNE K NOLON CEO 35.00 1.00 X 952929 0 27826 JAMES SINKOFF DEO & CFO 35.00 1.00 X 778509 0 32294 ALLISON DUBOIS-ADACH EVP COO 35.00 X 574343 0 46629 EVAN ZUCKERMAN REGIONAL CFO 35.00 X 480651 0 46629 AMANDA ASCHER CMO 35.00 X 360961 0 500 CARL PILLITTERI OB/GYN 35.00 X 436901 0 43879 KEDDIE MARSH-DINHAM OB/GYN 35.00 X 407485 0 31155 KENNETH DESA PHYSICIAN 46.00 X 585457 0 43879 PATRINA PHILLIP OB/GYN 35.00 X 416858 0 23578 SOLOMON OSEI DIRECTOR WOMEN'S HEALTH SERVICES 35.00 X 390500 0 0 5384594 0 296369 296 0 1 0 WHITECAP SEARCH INC 52 VANDERBILT AVENUE 17TH FLOOR NEW YORK NY 10017 CONSULTING 2375648 FOOTHOLD TECHNOLOGY HOLDINGS INC 36 EAST 12TH STREET 5TH FLOOR NEW YORK NY 10003 CONSULTING 1209456 DOUGHERTY CLIFFORD & WASHINGTON CORPORAT 895 MARCONI AVENUE RONKONKOMA NEW YORK NY 10004 CONSULTING 1127831 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 AUDIT AND ACCOUNTING SERVICES 701415 NIXON PEABODY LLP PO BOX 28012 NEW YORK NY 100878012 LEGAL 630040 18 408027 72357755 8063297 5144254 80829079 HEALTH HOME REVENUE 621110 77845575 77845575 MEDICAID MANAGED CARE 621110 62332413 62332413 NEW YORK STATE MEDICAID MANGED CA 621110 38983077 38983077 340B PHARMACY 621110 25177338 25177338 MEDICARE 621110 17156858 17156858 52533477 52533477 274028738 2460381 2460381 145676 0 145676 145676 145676 26633720 21172392 11920376 5461328 -11920376 -6459048 -6459048 CONTRACTED MANAGEMENT SERVICES 900099 13014753 11671545 1343208 MISCELLANEOUS 900099 147579 147579 PUBLIC TRANSPORATION REIMB. 900099 75328 75328 13237660 364242486 285923190 1343208 -3852991 3301271 2777947 511894 11430 121449953 102197615 18831855 420483 6237491 5248567 967329 21595 16076653 13527776 2493218 55659 9159272 7707113 1420449 31710 1215454 1215454 566250 566250 816115 816115 29550429 26960044 2333125 257260 6640139 5439598 1198842 1699 2212665 1991398 221267 12571423 11013700 1557723 360930 282492 78018 420 805308 586277 212806 6225 216910 644 216266 10001103 8700966 1300137 2250282 2082160 168122 HEALTH HOME COSTS 77806345 77806345 340B PHARMACY 18431302 18431302 MEDICAL SUPPLIES 7215449 7215449 DONATED VACCINES 5144254 5144254 7029519 6263973 765546 339058517 303377620 34874416 806481 65017360 73964563 7755323 4280233 19892230 21771140 33054285 27751763 10633600 1506806 2273886 146933494 77533566 74761895 69399928 101287096 154694267 28254487 44947343 28127524 15472995 370290606 414556118 35959893 32111103 6194283 1263957 28135571 33425764 70289747 66800824 X 297743264 345313150 2257595 2442144 300000859 347755294 370290606 414556118 25183969 22570466 0 X X 0 1 X 1 1 1 X 64388229 67450808 80983408 82288022 80829079 375939546 64388229 67450808 80983408 82288022 80829079 375939546 375939546 1341152 2093809 2731336 2025719 2606057 10798073 1188924 888643 739157 13319987 11894452 28031163 414768782 1136265216 0.90640 0.93100 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: LEASED EMPLOYEES - 2017 AMOUNT: $ 389,580. 2018 AMOUNT: $ 361,369. 2019 AMOUNT: $ 412,094. 2020 AMOUNT: $ 12,818,012. 2021 AMOUNT: $ 11,671,545. OTHER - 2017 AMOUNT: $ 111,694. 2018 AMOUNT: $ 187,274. 2019 AMOUNT: $ 63,563. 2020 AMOUNT: $ 329,800. 2021 AMOUNT: $ 147,579. MEANINGFUL USE INCENTIVES - 2017 AMOUNT: $ 687,650. 2018 AMOUNT: $ 340,000. 2019 AMOUNT: $ 263,500. PUBLIC TRANSPORATION REIMBURSEMENT - 2020 AMOUNT: $ 172,175. 2021 AMOUNT: $ 75,328. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3393440 3393440 60320309 19752347 40567962 34338184 24124873 10213311 30196831 24444911 5751920 18684730 9211435 9473295 69399928 INVESTMENT IN SUBSIDIARIES 44947343 C 44947343 CAPITAL LEASE OBLIGATIONS 531779 DEFERRED COMPENSATION LIABILITY 6278748 DEFERRED RENT 794818 HEALTH HOME DEVELOPMENT REFUNDABLE ADVANCES 3783961 HEALTH HOME PAYABLES 10587097 DUE TO AFFLIATES 1865315 DUE TO THIRD PARTY PAYORS 9584046 33425764 X 410610121 22570466 23797169 46367635 364242486 0 364242486 362722806 23664289 23664289 339058517 0 339058517 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CORPORATION 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 REVENUE 64,865,063. INTERCOMPANY ELIMINATIONS -41,067,894. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS EXPENSES 46,726,523. INTERCOMPANY ELIMINATION -23,062,234. X X X X 0 0 0 0 0 0 0 1 0 ANNE K NOLON CEO 784162 0 126444 0 42323 0 20300 0 7526 0 980755 0 0 0 JAMES SINKOFF DEO & CFO 588234 0 92983 0 97292 0 20300 0 11994 0 810803 0 0 0 KENNETH DESA PHYSICIAN 506648 0 77777 0 1032 0 20300 0 23579 0 629336 0 0 0 ALLISON DUBOIS-ADACH EVP COO 487813 0 80306 0 6224 0 20300 0 26329 0 620972 0 0 0 EVAN ZUCKERMAN REGIONAL CFO 431955 0 39488 0 9208 0 20300 0 26329 0 527280 0 0 0 CARL PILLITTERI OB/GYN 409216 0 6265 0 21420 0 20300 0 23579 0 480780 0 0 0 PATRINA PHILLIP OB/GYN 410821 0 5677 0 360 0 20300 0 3278 0 440436 0 0 0 KEDDIE MARSH-DINHAM OB/GYN 384686 0 1091 0 21708 0 20300 0 10855 0 438640 0 0 0 SOLOMON OSEI DIRECTOR WOMEN'S HEALTH SERVICES 390500 0 0 0 0 0 0 0 0 0 390500 0 0 0 AMANDA ASCHER CMO 287692 0 53011 0 20258 0 0 0 500 0 361461 0 0 0 PART I, LINE 7 INDIVIDUALS LISTED ON SCHEDULE J, PART II, RECEIVED BONUSES BASED ON PERFORMANCE WHICH WERE VOTED ON BY THE BOARD OF DIRECTORS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS W-2'S, AND ARE SHOWN ON SCH J, PART II, COLUMN B(II). THE CENTER HAS ESTABLISHED A DISCRETIONARY 162 PERFORMANCE BONUS PLAN (THE "162 BONUS PLAN") FOR CERTAIN ELIGIBLE EMPLOYEES. THE 162 BONUS PLAN IS EXEMPT FROM ERISA AND IS INTENDED TO BE EXEMPT FROM SECTION 409A OF THE CODE UNDER THE SHORT-TERM DEFERRAL EXCEPTION. THE 162 BONUS PLAN INCLUDES A BASE CONTRIBUTION OF 8% OF THE PARTICIPANT'S COMPENSATION FOR THE FIRST PLAN YEAR; BASE CONTRIBUTION FOR SUBSEQUENT PLAN YEARS SHALL BE DETERMINED BY THE BOARD OF DIRECTORS OF THE CENTER. THE CENTER MAY ALSO MAKE DISCRETIONARY CONTRIBUTIONS TO THE 162 BONUS PLAN FOR ANY PLAN YEAR. PARTICIPANTS WILL BE 100% VESTED IN CONTRIBUTIONS MADE TO THE 162 BONUS PLAN. BONUS CONTRIBUTIONS ARE GROSSED UP FOR TAX PURPOSE. X 1 5144254 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENT THE NUMBER OF CONTRIBUTORS. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28, ARTICLE 31 AND ARTICLE 32 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 VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED IT'S ORGANIZATIONAL DOCUMENTS FOR NAME CHANGE TO SUN RIVER HEALTH, INC. AS OF MAY 12, 2021. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. IT IS THEN PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD WHICH PRESENTS IT TO THE FULL BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SUN RIVER HEALTH, INC. HAS A COMPLIANCE COMMITTEE OF THE BOARD, AN ANONYMOUS TIP LINE WITH A RELATION WHISTLE BLOWER POLICY. THE ORGANIZATION HAS CONFLICT OF INTEREST DISCLAIMER FORMS THAT ARE FILLED OUT BY OFFICERS AND BOARD MEMBERS AND ARE REVIEWED ON A REGULAR BASIS BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 BASE-PAY REALIGNMENTS TO THE MARKET ARE DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS PERTAINING TO THE COMPENSATION OF INDIVIDUALS SERVING AS THE PRESIDENT, CEO AND OTHER OFFICERS. THE BOARD OF DIRECTORS USES AN EXTERNAL COMPENSATION CONSULTANT, PROXUS CONSULTING GROUP BASED IN PHILADELPHIA, PA, TO ADVISE THE BOARD OF DIRECTORS IN ITS DECISIONS REGARDING CHANGES TO THE ANNUAL BASE COMPENSATION OF THE PRESIDENT AND CEO AND OTHER OFFICERS. EXTERNAL MARKET DATA IS COLLECTED BY PROXUS, FROM THREE PUBLISHED SURVEY SOURCES: ECONOMIC RESEARCH INSTITUTE, THE HAY HEALTHCARE SURVEY, AND THE WARREN HMO SALARY SURVEY. MARKET DATA IS EXTRAPOLATED BASED ON THE MAIN DUTIES AND RESPONSIBILITES OUTLINED IN THE JOB DESCRIPTION. THE SURVEY DATA IS ABLE TO PROVIDE DATA SPECIFICALLY FOR THE PEEKSKILL, NY MARKET AREA, THE HEADQUARTERS OF SUN RIVER HEALTH, INC. MARKET DATA IS REVIEWED AT THE MEDIAN (50TH PERCENTILE) WHICH FOLLOWS HISTORICAL AND TRADITIONAL COMPENSATION PRACTICES FOR MOST ORGANIZATIONS STRIVING TO BE COMPETITIVE AT THE 50TH PERCENTILE. ONCE THE ANALYSIS IS COMPLETED, A RECOMMENDATION IS MADE REGARDING BASE COMPENSATION. THE COMPENSATION COMMITTEE OF THE BOARD MEETS TO DISCUSS, WITH THE CONSULTANTS, THEIR WORK AND FINDINGS, DELIBERATES, AND DECIDES, WITHOUT THE CONSULTANTS BEING PRESENT, WHAT CHANGES TO ANNUAL BASE COMPENSATION ARE WARRANTED. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. AMENDED RETURN: THIS IS INTENDED TO BE A SUPERSEDING RETURN. HUDSON RIVER VENTURES LLC 1037 MAIN STREET PEEKSKILL NY 10566 473299091 INVESTMENT NY -553285 1545624 SUN RIVER HEALTH INC SUN RIVER TARRYTOWN HOLDINGS LLC 1037 MAIN STREET PEEKSKILL NY 10566 874667273 AFFORDABLE HOUSING NY 0 0 SUN RIVER HEALTH INC HUDSON RIVER HEALTHCARE LOCAL DEVELOPMENT CORPORATION 1200 BROWN STREET PEEKSKILL NY 10566 471482665 DEVELOPMENT NY 501(C)(3) LINE 12A, I SUN RIVER HEALTH INC 1 BRIGHTPOINT CARE 71 WEST 23RD ST 8TH FL NEW YORK NY 10010 133464470 CARE FOR AIDS PATIENTS NY 501(C)(3) LINE 10 SUN RIVER HEALTH INC 1 COMMUNITY HEALTH ACTION OF STATEN ISLAND INC 56 BAY STREET STATEN ISLAND NY 10301 133556132 CARE FOR DISADVANTAGED PATIENTS NY 501(C)(3) LINE 7 SUN RIVER HEALTH INC 1 CBHCARE IPA LLC C/O THE MENTAL HEALTH ASSOC OF WEST TARRYTOWN NY 10591 474056392 BEHAVIORAL HEALTH NY HEALTH INCOME -32751 1987487 0 1 0.90000 BRIGHTPOINT SEARCH LLC 71 WEST 23RD ST 8TH FLOOR NEW YORK NY 10010 474782647 RECRUITMENT COMPANY NY RECRUITMENT COMPANY 568044 -35610 0 1 0.51000 BRIGHTPOINT LABORATORIES LLC 71 W 23RD ST NEW YORK NY 10010 834361820 LABORATORY SERVICES NY LABORATORY SERVICES -1602034 1248282 0 1 0.82000 SRH CHN LEAD HEALTH HOME LLC 1200 BROWN STREET PEEKSKILL NY 10566 872898545 HEALTH HOME PROGRAM NY HEALTH HOME PROGRAM 0 1 0.67000 SOLUTIONS 4 COMMUNITY HEALTH INC 1037 MAIN STREET PEEKSKILL NY 10566 753241273 MEDICAL BILLING NY SUN RIVER HEALTH INC C 14373541 3615854 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 SOLUTIONS 4 COMMUNITY HEALTH INC O 1343208 FMV