2018-10-04T10:20:49-05:00 2017-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2017-01-01 061036715 CORNERSTONE FAMILY HEALTHCARE FKA GREATER HUDSON VALLEY HEALTH CENTER CORN 8452203100 2570 ROUTE 9W NO 10 CORNWALL NY 12518 LINDA S MULLER PRESIDENT & CEO 8452203100 2018-09-05 1 THOMAS LANNING P00851654 2122970400 2018-09-04 2017 2022-09-23 18:48:47Z LINDA S MULLER 2570 ROUTE 9W NO 10 CORNWALL NY 12518 35877760 0 X WWW.CORNERSTONEFH.ORG X 1981 NY TO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE. 15 15 501 92 205215 -7228 7059304 9616188 26995832 25825400 1702 1892 321324 173833 34378162 35617313 0 0 0 0 23066338 24887220 0 0 0 9889905 9600008 32956243 34487228 1421919 1130085 29994462 37996962 15981470 20174993 14012992 17821969 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 28678785 25825400 TO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2017 WE HAD 195,229 PATIENT VISITS WHICH INCLUDES HIV SERVICES OF 335 VISITS, 64,678 OASAS METHADONE VISITS, AND OASAS SUBSTANCE ABUSE REHAB VISITS OF 8,145. 28678785 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 78 0 1 501 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JACQUELINE FOWLER 8452203100 2570 ROUTE 9W-N CORNWALL NY 12518 CHARLES WALWYN BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLIE MILICH BOARD IMMEDIATE PAST CHAIR 1.00 2.00 X X 0 0 0 COLIN JARVIS BOARD MEMBER 1.00 2.00 X 0 0 0 DAISY VALE BOARD MEMBER 1.00 2.00 X 0 0 0 DAN LAMB BOARD MEMBER 1.00 2.00 X 0 0 0 DAVID DENDY BOARD MEMBER 1.00 2.00 X 0 0 0 DAVID TANENHAUS OUTGOING BOARD MEMBER 1.00 1.00 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 MARCEL MARTINO BOARD CHAIR 1.00 2.00 X X 0 0 0 MARLENE MEDINA BOARD MEMBER 1.00 2.00 X 0 0 0 MICHELLE IANNUZZI-SUCICH BOARD MEMBER 1.00 2.00 X 0 0 0 PAUL ERNENWEIN BOARD MEMBER 1.00 2.00 X 0 0 0 REV NELSON MCALLISTER BOARD SECRETARY 1.00 2.00 X X 0 0 0 RHONDA GREEN OUTGOING BOARD MEMBER 1.00 1.00 X 0 0 0 TIM SCANNELL BOARD TREASURER 1.00 2.00 X X 0 0 0 WAYNE DAY BOARD VICE CHAIR 1.00 2.00 X X 0 0 0 AVI SILBER MD CHIEF MEDICAL DIRECTOR 35.00 X 272483 0 58532 DAVID JOLLY CHIEF OPERATING OFFICER 35.00 X 217768 0 46885 LINDA S MULLER PRESIDENT & CEO 35.00 2.00 X 442036 0 95135 PATRICK R MURPHY CHIEF FINANCIAL OFFICER 35.00 X 274244 0 69385 ALLAN FERNANDEZ PHYSICIAN 35.00 X 229886 0 19061 CHANCHAL SINGH PHYSICIAN 35.00 X 205000 0 31662 RAPHAEL OSEI PHYSICIAN 35.00 X 211289 0 24385 ROCCO RUSSO PHYSICIAN 35.00 X 203280 0 23211 STANLEY SWABY PHYSICIAN 35.00 X 283252 0 33039 2339238 0 401295 33 0 1 0 HEARTHSTONE CONTRACTING INC 259 MAIN STREET CORNWALL NY 12518 CONSTRUCTION 257597 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 ACCOUNTING 177972 340B TECHNOLOGIES 900 THIRD AVE 19TH FLOOR NEW YORK NY 10022 ADMINISTRATIVE 148842 WEST HUDSON IMAGING 185 RYKOWSKI LANESUITE 101 MIDDLETOWN NY 10941 MEDICAL 121267 4 6961 216219 8144658 1248350 454726 9616188 MEDICAID 621110 17416111 17416111 PHARMACY REVENUE 621110 2412788 2412788 MEDICARE 621110 1924259 1924259 OTHER THIRD PARTY 621110 1833940 1833940 NEW YORK STATE UNCOMPENSATED CARE 621110 1562679 1562679 675623 675623 25825400 1892 1892 127326 124819 2507 2507 2507 93900 216219 135628 -41728 -41728 CONSULTING SERVICES 900099 202708 202708 MEDICAL RECORDS 900099 10346 10346 213054 35617313 25825400 205215 -29490 1476469 1225470 250999 19794201 16429187 3365014 89406 74207 15199 1603714 1331082 272632 1923430 1596447 326983 129737 129737 189567 189567 663408 550629 112779 517929 429881 88048 311459 255396 56063 150005 124504 25501 70045 58138 11907 523512 429280 94232 1186136 972632 213504 193040 158025 35015 CONSUMABLE SUPPLIES 1559863 1294686 265177 LAB/PHARMACY/RADIOLOGY 960947 960947 BAD DEBTS 796627 796627 REPAIRS AND MAINTENANCE 747620 613048 134572 1600113 1378599 221514 34487228 28678785 5808443 0 666071 741460 1497062 2552879 731261 1608086 7515216 3481774 30160 33206 398162 568448 34391675 8495437 18262282 25896238 31259 31259 2088889 862989 994723 29994462 37996962 3230641 4492648 10014932 10699653 2735897 4982692 15981470 20174993 X 13691195 17695796 321797 126173 14012992 17821969 29994462 37996962 X 1130085 227172 2451720 X X 0 1 X 1 1 1 X 4550610 4894591 5588589 7059304 9616188 31709282 4550610 4894591 5588589 7059304 9616188 31709282 31709282 88621 173946 191257 160455 129218 743497 166 166 233751 421420 460788 412081 306954 1834994 34287939 117757344 0.92480 0.90680 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2013 AMOUNT: $ 9,774. 2014 AMOUNT: $ 67,738. 2015 AMOUNT: $ 34,679. MEDCAL RECORDS - 2013 AMOUNT: $ 9,751. 2015 AMOUNT: $ 10,972. 2016 AMOUNT: $ 14,890. 2017 AMOUNT: $ 10,346. FUNDRAISING - 2013 AMOUNT: $ 42,235. 2014 AMOUNT: $ 51,930. 2015 AMOUNT: $ 65,960. 2016 AMOUNT: $ 67,900. 2017 AMOUNT: $ 93,900. PHARMACY - 2014 AMOUNT: $ 118,805. MEANINGFUL INCENTIVE - 2013 AMOUNT: $ 143,700. 2014 AMOUNT: $ 155,447. 2015 AMOUNT: $ 314,750. 2016 AMOUNT: $ 296,750. CANCER SERVICES - 2013 AMOUNT: $ 28,291. CHANYS STIPANDS - 2014 AMOUNT: $ 27,500. DATA EXCHANGE - 2015 AMOUNT: $ 29,000. CONSULTING - 2015 AMOUNT: $ 5,427. 2016 AMOUNT: $ 32,541. 2017 AMOUNT: $ 202,708. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1843551 1843551 17770443 4548744 13221699 865454 325487 539967 8097550 3621206 4476344 5814677 5814677 25896238 INTEREST RATE SWAP PAYABLE 273301 REFUNDABLE ADVANCES 4287055 CAPITAL LEASE OBLIGATIONS 61020 DEFERRED COMPENSATION 356541 DUE TO AFFILIATES 4775 4982692 X 37878075 227172 1773143 2000315 35877760 -260447 -260447 35617313 34091176 275756 275756 33815420 671808 671808 34487228 PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2017. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2014 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 2D - OTHER ADJUSTMENTS: RELATED PARTY REVENUES 118,050. PROVISION FOR BAD DEBT EXPENSE -796,627. EXCESS OF FAIR VALUE OF NET ASSETS IN AQUISITION 2,451,720. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENES -135,628. RENTAL EXPENSES -124,819. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY EXPENSES 140,128. FUNDRAISING EXPENSES 135,628. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT EXPENSE 796,627. RENTAL EXPENSES -124,819. PILLARS GALA 232909 160809 72100 4890 72634 670 4000 24882 GOLF OUTING 77210 55410 21800 4679 17903 51 5919 310119 216219 93900 9569 90537 721 4000 30801 135628 -41728 X X X X 0 1 0 0 0 0 0 1 0 AVI SILBER MD CHIEF MEDICAL DIRECTOR 246774 0 25349 0 360 0 31241 0 27292 0 331016 0 0 0 DAVID JOLLY CHIEF OPERATING OFFICER 192996 0 24500 0 272 0 26447 0 20438 0 264653 0 0 0 LINDA S MULLER PRESIDENT & CEO 376538 0 62450 0 3048 0 76316 0 18819 0 537171 0 0 0 PATRICK R MURPHY CHIEF FINANCIAL OFFICER 239748 0 33500 0 996 0 45110 0 24275 0 343629 0 0 0 ALLAN FERNANDEZ PHYSICIAN 224670 0 5000 0 216 0 6988 0 12073 0 248947 0 0 0 CHANCHAL SINGH PHYSICIAN 203667 0 1140 0 193 0 6918 0 24745 0 236663 0 0 0 RAPHAEL OSEI PHYSICIAN 211108 0 0 0 181 0 0 0 24385 0 235674 0 0 0 ROCCO RUSSO PHYSICIAN 195913 0 6169 0 1198 0 4392 0 18819 0 226491 0 0 0 STANLEY SWABY PHYSICIAN 282700 0 0 0 552 0 8655 0 24385 0 316292 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 PAYMENTS MADE TO THE PLAN DURING 2017 ARE AS FOLLOWS: DAVID JOLLY: $19,685 LINDA MULLER: $68,216 PATRICK MURPHY: $37,010 ROCCO RUSSO: $567 AVI K. SILBER: $23,141 STANLEY SWABY: $555 CHANCHAL SINGH: $555 PART I, LINE 7 THE AMOUNTS INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) REPRESENT BONUSES APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUAL'S W-2. X 1 454726 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. 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: EXCESS OF FAIR VALUE OF NET ASSETS IN AQUISTION 2,451,720. 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. GHV HEALTHCARE SOLUTIONS LLC 2570 ROUTE 9W STE 10 CORNWALL NY 12518 474561307 HEALTHCARE CONSULTING NY 202708 51209 CORNERSTONE FAMILY HEALTHCARE ENCORE INC- CONSIGN FOR A CAUSE 2570 US HIGHWAY 9W STE 10 CORNWALL NY 12518 452391908 THRIFT SHOP NY 501(C)(3) LINE 12A, I CONRNERSTONE FAMILY HEALTHCARE 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0