STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CORNERSTONE FAMILY HEALTHCARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CORNERSTONE FAMILY HEALTHCARE (EIN 06-1036715)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-12
IRS object ID
202132859349301993
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-10-12T16:51:33-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN061036715EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORNERSTONE FAMILY HEALTHCAREBusinessNameLine1Txt
Business Name Line2FKA GREATER HUDSON VALLEY HEALTH CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCORNBusinessNameControlTxt
Phone8452203100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9W NO 10AddressLine1Txt
CityCORNWALLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12518ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA S MULLERPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone8452203100PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLINDAPersonFirstNm
Person LastMULLERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI ROTHE YOKOBOSKY CPAPreparerPersonNm
PTINP01273422PTIN
Phone2122970400PhoneNum
Preparation2021-10-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDA S MULLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9W NO 10AddressLine1Txt
CityCORNWALLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12518ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$50,746,055GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CORNERSTONEFH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee628TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$153,315TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$31,316NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,411,293PYContributionsGrantsAmt
CY Contributions Grants$16,278,041CYContributionsGrantsAmt
PY Program Service Revenue$40,746,609PYProgramServiceRevenueAmt
CY Program Service Revenue$34,090,037CYProgramServiceRevenueAmt
PY Investment Income-$17,277PYInvestmentIncomeAmt
CY Investment Income$11,411CYInvestmentIncomeAmt
PY Other Revenue$539,294PYOtherRevenueAmt
CY Other Revenue$225,795CYOtherRevenueAmt
PY Total Revenue$54,679,919PYTotalRevenueAmt
CY Total Revenue$50,605,284CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,406,409PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,913,136CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,984,815PYOtherExpensesAmt
CY Other Expenses$14,186,705CYOtherExpensesAmt
PY Total Expenses$52,391,224PYTotalExpensesAmt
CY Total Expenses$49,099,841CYTotalExpensesAmt
PY Revenues Less Expenses$2,288,695PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,505,443CYRevenuesLessExpensesAmt
Total Assets BOY$41,620,663TotalAssetsBOYAmt
Total Assets EOY$45,954,625TotalAssetsEOYAmt
Total Liabilities BOY$20,849,647TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,678,166TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,771,016NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,276,459NetAssetsOrFundBalancesEOYAmt
MissionCORNERSTONE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$42,246,794ExpenseAmt
Revenue$34,185,804RevenueAmt
DescTO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2020, WE HAD 257,105 PATIENT VISITS, WHICH INCLUDES 60,842 OASAS METHADONE VISITS, AND OASAS SUBSTANCE ABUSE REHAB VISITS OF 5,742.Desc
Total Program Service Expenses$42,246,794TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee628EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLIA KEMPTONPersonNm
Phone8452203100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9W-NAddressLine1Txt
CityCORNWALLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12518ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES WALWYN
BOARD CHAIR-ELECT1.002.00Yes (X)Yes (X)$0$0$0
CHERYL ROSS
BOARD VICE CHAIR1.002.00Yes (X)$0$0$0
CHRISTA HOOVLER
BOARD MEMBER1.002.00Yes (X)$0$0$0
COLIN JARVIS
BOARD MEMBER1.002.00Yes (X)$0$0$0
DAN LAMB
BOARD MEMBER1.002.00Yes (X)$0$0$0
ERIC GATSIK
BOARD MEMBER1.002.00Yes (X)$0$0$0
JAMES GRIGG
OUTGOING BOARD TREASURER1.002.00Yes (X)Yes (X)$0$0$0
MARCEL MARTINO
OUTGOING BOARD IMMEDIATE PAST CHAIR1.002.00Yes (X)Yes (X)$0$0$0
MARLENE MEDINA
BOARD MEMBER1.002.00Yes (X)$0$0$0
MICHELLE IANNUZZI-SUCICH
BOARD MEMBER1.002.00Yes (X)$0$0$0
PATRICIA CLAIBORNE
BOARD MEMBER1.002.00Yes (X)$0$0$0
PAUL ERNENWEIN
BOARD MEMBER1.002.00Yes (X)$0$0$0
REV NELSON MCALLISTER
BOARD MEMBER1.002.00Yes (X)$0$0$0
RHONDA GREEN
BOARD SECRETARY1.002.00Yes (X)Yes (X)$0$0$0
ROSA GUTIERREZ
BOARD MEMBER1.002.00Yes (X)$0$0$0
WAYNE DAY
BOARD CHAIR1.002.00Yes (X)Yes (X)$0$0$0
AVI SILBER MD
CHIEF MEDICAL OFFICER35.00Yes (X)$303,167$0$43,728
DAVID JOLLY
CHIEF OPERATING OFFICER35.00Yes (X)$242,785$0$36,991
LINDA S MULLER
PRESIDENT & CEO35.002.00Yes (X)$479,425$0$121,517
PATRICK R MURPHY
CHIEF FINANCIAL OFFICER35.00Yes (X)$296,339$0$46,118
GBOLAGADE BABALOLA
PHYSICIAN35.00$298,812$0$12,282Yes (X)
JOSEPH J LANZA
PHYSICIAN35.00$284,945$0$37,893Yes (X)
NATALIE M JOUVE
PHYSICIAN35.00$288,437$0$0Yes (X)
SHAHANA AYUB
PHYSICIAN35.00$281,138$0$15,585Yes (X)
STANLEY SWABY
PHYSICIAN35.00$286,416$0$38,277Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,761,464TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$352,391TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K58IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
340B TECHNOLOGIES
900 THIRD AVE 19TH FLOORNEW YORKNY10022ADMINISTRATIVE$366,176
COHNREZNICK LLP
1301 AVENUE OF THE AMERICASNEW YORKNY10019ACCOUNTING$246,498
BIOREFERENCE LABORATORIES INC
481 EDWARD H ROSS DRIVEELMWOOD PARKNJ07407LAB SERVICES$214,534
HUDSON VALLEY PERINATAL CONSULTING PLLC
68 WEST CEDAR STPOUGHKEEPSKIENY12601MEDICAL CONSULTING$214,035
JAWONIO INC
260 NORTH LITTLE TOR RDNEW CITYNY10956MEDICAL CONSULTING$209,859
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$131,329FundraisingAmt
Government Grants$15,334,041GovernmentGrantsAmt
All Other Contributions$812,671AllOtherContributionsAmt
Noncash Contributions$1,024,065NoncashContributionsAmt
Total Contributions$16,278,041TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID621110$22,210,904$22,210,904
340B PHARMACY621110$4,806,248$4,806,248
NEW YORK STATE UNCOMPENSATED CARE621110$2,849,936$2,849,936
OTHER THIRD PARTY621110$2,148,084$2,148,084
MEDICARE621110$1,559,591$1,559,591

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$515,274TotalRevenueColumnAmt
Related Or Exempt Func Income$515,274RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$34,090,037TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,411TotalRevenueColumnAmt
Exclusion$11,411ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$106,609RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$106,609RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$10,875FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$131,329ContriRptFundraisingEventAmt
Fundraising Direct Expenses$34,162FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,287TotalRevenueColumnAmt
Exclusion-$23,287ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONSULTING SERVICES900099$153,315$153,315
MISCELLANEOUS REVENUE900099$77,358$77,358
MEDICAL RECORDS900099$18,409$18,409
FieldValueIRS element (for citing)
Other Revenue Total$249,082OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,605,284TotalRevenueColumnAmt
Related Or Exempt Func Income$34,185,804RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$153,315UnrelatedBusinessRevenueAmt
Exclusion-$11,876ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,568,714TotalAmt
Program Services$1,364,782ProgramServicesAmt
Management And General$203,932ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,588,064TotalAmt
Program Services$24,001,616ProgramServicesAmt
Management And General$3,586,448ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,445,553TotalAmt
Program Services$2,997,631ProgramServicesAmt
Management And General$447,922ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,310,805TotalAmt
Program Services$2,010,400ProgramServicesAmt
Management And General$300,405ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$93,020TotalAmt
Management And General$93,020ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$209,638TotalAmt
Management And General$209,638ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$906,991TotalAmt
Program Services$789,082ProgramServicesAmt
Management And General$117,909ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$464,618TotalAmt
Program Services$404,217ProgramServicesAmt
Management And General$60,401ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$657,565TotalAmt
Program Services$573,506ProgramServicesAmt
Management And General$84,059ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$40,930TotalAmt
Program Services$35,609ProgramServicesAmt
Management And General$5,321ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,570TotalAmt
Program Services$3,976ProgramServicesAmt
Management And General$594ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$699,318TotalAmt
Program Services$622,393ProgramServicesAmt
Management And General$76,925ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,781,627TotalAmt
Program Services$1,585,648ProgramServicesAmt
Management And General$195,979ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$288,956TotalAmt
Program Services$255,957ProgramServicesAmt
Management And General$32,999ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSUMABLE SUPPLIES$2,843,800$1,778,507$1,065,293
LAB/PHARMACY/RADIOLOGY$2,090,416$2,090,416
REPAIRS AND MAINTENANCE$1,408,565$1,253,623$154,942
DONATED VACCINES$1,024,065$1,024,065

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,672,626TotalAmt
Program Services$1,455,366ProgramServicesAmt
Management And General$217,260ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,099,841TotalAmt
Program Services$42,246,794ProgramServicesAmt
Management And General$6,853,047ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$807,558BOYAmt
EOY$807,919EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,372,255BOYAmt
EOY$3,443,242EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,438,386BOYAmt
EOY$4,769,478EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,192,213BOYAmt
EOY$5,829,699EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$924,634BOYAmt
EOY$777,687EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,497,289LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,447,399LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,570,932BOYAmt
EOY$27,049,890EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$31,259BOYAmt
EOY$31,259EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,822,224BOYAmt
EOY$1,688,892EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,461,202BOYAmt
EOY$1,556,559EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$41,620,663BOYAmt
EOY$45,954,625EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,014,044BOYAmt
EOY$5,459,408EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,412,128BOYAmt
EOY$15,573,878EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,423,475BOYAmt
EOY$2,644,880EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,849,647BOYAmt
EOY$23,678,166EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,519,605BOYAmt
EOY$20,002,694EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,251,411BOYAmt
EOY$2,273,765EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,771,016BOYAmt
EOY$22,276,459EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,620,663BOYAmt
EOY$45,954,625EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,505,443ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,059,304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,616,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,017,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,411,293CurrentTaxYearMinus1YearAmt
Current Tax Year$16,278,041CurrentTaxYearAmt
Total$58,382,067TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,059,304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,616,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,017,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,411,293CurrentTaxYearMinus1YearAmt
Current Tax Year$16,278,041CurrentTaxYearAmt
Total$58,382,067TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$995,827SubstantialContributorsTotAmt
Public Support Total170$57,386,240PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$129,218CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,399CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$107,486CurrentTaxYearMinus1YearAmt
Current Tax Year$118,020CurrentTaxYearAmt
Total$618,578TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$412,081CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$306,954CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$399,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$675,790CurrentTaxYearMinus1YearAmt
Current Tax Year$259,957CurrentTaxYearAmt
Total$2,054,419TotalAmt
FieldValueIRS element (for citing)
Total Support$61,055,064TotalSupportAmt
Gross Receipts Rltd Activities$164,931,832GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93990PublicSupportCY170Pct
Public Support PY1700.91800PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER REVENUE - 2018 AMOUNT: $ 58,800. 2019 AMOUNT: $ 384,712. 2020 AMOUNT: $ 77,358. MEDCAL RECORDS - 2016 AMOUNT: $ 14,890. 2017 AMOUNT: $ 10,346. 2018 AMOUNT: $ 13,295. 2019 AMOUNT: $ 19,426. 2020 AMOUNT: $ 18,409. FUNDRAISING - 2016 AMOUNT: $ 67,900. 2017 AMOUNT: $ 93,900. 2018 AMOUNT: $ 81,825. 2019 AMOUNT: $ 87,450. 2020 AMOUNT: $ 10,875. MEANINGFUL INCENTIVE - 2016 AMOUNT: $ 296,750. CONSULTING - 2016 AMOUNT: $ 32,541. 2017 AMOUNT: $ 202,708. 2018 AMOUNT: $ 245,717. 2019 AMOUNT: $ 184,202. 2020 AMOUNT: $ 153,315.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,688,308OtherCostOrOtherBasisAmt
Book Value$2,688,308BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,061,755OtherCostOrOtherBasisAmt
Depreciation$5,063,944DepreciationAmt
Book Value$19,997,811BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,204,821OtherCostOrOtherBasisAmt
Depreciation$273,965DepreciationAmt
Book Value$930,856BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,382,772OtherCostOrOtherBasisAmt
Depreciation$8,109,490DepreciationAmt
Book Value$1,273,282BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,159,633OtherCostOrOtherBasisAmt
Book Value$2,159,633BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,049,890TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$703,037
LEASE LIABILITIES$875,311
DEFERR PAYROLL TAX$1,066,532
FieldValueIRS element (for citing)
Total Liability$2,644,880TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$50,746,055TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$50,746,055RevenueSubtotalAmt
Other Revenues Not Included-$140,771OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$140,771RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$50,605,284TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$49,240,717TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$140,876OtherExpensesIncludedAmt
Expenses Not Reported$140,876ExpensesNotReportedAmt
Expenses Subtotal$49,099,841ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$49,099,841TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2020. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2017 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -106,609. FUNDRAISING EXPENES -34,162.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 106,609. FUNDRAISING EXPENSES 34,162. RELATED PARTY EXPENSES 105.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1VIRTUAL GALAEvent1Nm
Gross Receipts Event1$142,204GrossReceiptsEvent1Amt
Charitable Contri Event1$131,329CharitableContriEvent1Amt
Gross Revenue Event1$10,875GrossRevenueEvent1Amt
Non Cash Prizes Event1$9,623NonCashPrizesEvent1Amt
Other Direct Expenses Event1$24,539OtherDirectExpensesEvent1Amt
Gross Receipts Total$142,204GrossReceiptsTotalAmt
Charitable Contributions Tot$131,329CharitableContributionsTotAmt
Gross Revenue Total Events$10,875GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$9,623NonCashPrizesTotalEventsAmt
Oth Direct Expnss Total Events$24,539OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$34,162DirectExpenseSummaryEventsAmt
Net Income Summary-$23,287NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LINDA S MULLER
PRESIDENT & CEO$476,377$0$0$0$3,048$0$91,641$0$29,876$0$600,942$0$0$0
AVI SILBER MD
CHIEF MEDICAL OFFICER$302,807$0$0$0$360$0$3,499$0$40,229$0$346,895$0$0$0
PATRICK R MURPHY
CHIEF FINANCIAL OFFICER$294,755$0$0$0$1,584$0$7,245$0$38,873$0$342,457$0$0$0
STANLEY SWABY
PHYSICIAN$285,384$0$0$0$1,032$0$384$0$37,893$0$324,693$0$0$0
JOSEPH J LANZA
PHYSICIAN$284,393$0$0$0$552$0$0$0$37,893$0$322,838$0$0$0
GBOLAGADE BABALOLA
PHYSICIAN$295,764$0$0$0$3,048$0$0$0$12,282$0$311,094$0$0$0
SHAHANA AYUB
PHYSICIAN$280,898$0$0$0$240$0$0$0$15,585$0$296,723$0$0$0
NATALIE M JOUVE
PHYSICIAN$288,221$0$0$0$216$0$0$0$0$0$288,437$0$0$0
DAVID JOLLY
CHIEF OPERATING OFFICER$242,332$0$0$0$453$0$5,680$0$31,311$0$279,776$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationCERTAIN MANAGEMENT OFFICIALS LISTED ON SCHEDULE J, PART II, PARTICIPATE IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN THE AMOUNT ACCRUDED TO THE PLAN DURING 2020 ARE AS FOLLOWS: LINDA MULLER: $91,641 PATRICK MURPHY: $7,245 AVI K. SILBER: $3,499 DAVID JOLLY: $5,680 STANLEY SWABY: $385ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,024,065NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15THE 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 19THE 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 XII, LINE 2C:THE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GHV HEALTHCARE SOLUTIONS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9W STE 10AddressLine1Txt
CityCORNWALLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12518ZIPCd
FieldValueIRS element (for citing)
EIN474561307EIN
Primary ActivitiesHEALTHCARE CONSULTINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$153,315TotalIncomeAmt
End Of Year Assets$267,606EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CORNERSTONE FAMILY HEALTHCAREBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CORNERSTONE FH CHARITABLE FOUNDATION
2570 US HIGHWAY 9W STE 10CORNWALLNY12518825335397FUNDRAISINGNY501(C)(3)LINE 10CONRNERSTONE FAMILY HEALTHCAREYes (1)
ENCORE INC- CONSIGN FOR A CAUSE
2570 US HIGHWAY 9W STE 10CORNWALLNY12518452391908FUNDRAISINGNY501(C)(3)LINE 12A, ICONRNERSTONE FAMILY HEALTHCAREYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd