CORNERSTONE FAMILY HEALTHCARE: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- CORNERSTONE FAMILY HEALTHCARE (EIN 06-1036715)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-14
- IRS object ID
- 202543189349307184
- Schema version
- 2024v5.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-14T11:55:34-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 432 NORTH FRANKLIN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061036715 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNERSTONE FAMILY HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CORN | BusinessNameControlTxt |
| Phone | 8452203100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2570 ROUTE 9W 10 | AddressLine1Txt |
| City | CORNWALL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12518 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID JOLLY | PersonNm |
| Person Title | PRESIDENT & CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8452203100 | PhoneNum |
| Signature | 2025-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY HAMMOND | PreparerPersonNm |
| PTIN | P01224809 | PTIN |
| Phone | 3154227109 | PhoneNum |
| Preparation | 2025-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID JOLLY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2570 ROUTE 9W 10 | AddressLine1Txt |
| City | CORNWALL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12518 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $76,099,023 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://CORNERSTONEFAMILYHEALTHCARE.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 722 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $26,989 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24,317,628 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,489,347 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,655,308 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,975,030 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,254 | PYInvestmentIncomeAmt |
| CY Investment Income | $52,568 | CYInvestmentIncomeAmt |
| PY Other Revenue | $421,212 | PYOtherRevenueAmt |
| CY Other Revenue | $582,078 | CYOtherRevenueAmt |
| PY Total Revenue | $73,424,402 | PYTotalRevenueAmt |
| CY Total Revenue | $76,099,023 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,650,444 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,241,467 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $46,737,821 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,822,429 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,489,040 | PYOtherExpensesAmt |
| CY Other Expenses | $20,350,427 | CYOtherExpensesAmt |
| PY Total Expenses | $68,877,305 | PYTotalExpensesAmt |
| CY Total Expenses | $70,414,323 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,547,097 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,684,700 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $62,688,017 | TotalAssetsBOYAmt |
| Total Assets EOY | $61,959,230 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,496,276 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,387,008 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,191,741 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,572,222 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CORNERSTONE FAMILY HEALTHCARE IS A FREESTANDING DIAGNOSTIC AND TREATMENT CENTER LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW AND PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY UNDERSERVED POPULATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $57,140,850 | ExpenseAmt |
| Grant | $1,241,467 | GrantAmt |
| Revenue | $52,323,247 | RevenueAmt |
| Desc | TO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2024, WE HAD 194,637 PATIENT VISITS, AND 32,285 COMBINED OASAS METHADONE AND SUBSTANCE ABUSE REHAB VISITS. | Desc |
| Total Program Service Expenses | $57,140,850 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 196 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 722 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY BOLOGNESE | PersonNm |
| Phone | 8452203100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2570 ROUTE 9W 10 | AddressLine1Txt |
| City | CORNWALL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12518 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WAYNE DAY | ||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHERYL ROSS | ||||||||
| CHAIR - ELECT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL S ERNENWEIN | ||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JASON GIORDANO | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RHONDA GREEN | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AMY ANSEHL DNP FNP-BC | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW BELL | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ARETHA L THOMPSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES WALWYN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAISY VALE | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL LAMB | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBRA JOHNSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GOPAL BHALLA | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| INAUDY ESPOSITO | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARLENE MEDINA | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE MCKEON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDALL V COFFILL ESQ | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REV NELSON MCALLISTER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DARESHANIE D'ARPINO | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH MILLER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID JOLLY | ||||||||
| CHIEF EXECUTIVE OFFICER | 34.00 | 1.00 | Yes (X) | $408,101 | $0 | $114,222 | ||
| AVI K SILBER | ||||||||
| CHIEF MEDICAL OFFICER | 35.00 | Yes (X) | $359,439 | $0 | $103,235 | |||
| AMY BOLOGNESE | ||||||||
| CHIEF FINANCIAL OFFICER | 34.00 | 1.00 | Yes (X) | $209,220 | $0 | $40,110 | ||
| RYAN D MESHULAM | ||||||||
| CHIEF OF PSYCHIATRY | 35.00 | $325,794 | $0 | $42,923 | Yes (X) | |||
| NATALIE M JOUVE | ||||||||
| PHYSICIAN | 35.00 | $383,260 | $0 | $5,682 | Yes (X) | |||
| GBOLAGADE O BABALOLA | ||||||||
| PHYSICIAN | 35.00 | $341,469 | $0 | $21,415 | Yes (X) | |||
| JOSEPH J LANZA | ||||||||
| INTERIM CHIEF OF OB/GYN | 35.00 | $334,309 | $0 | $36,785 | Yes (X) | |||
| MARIE D JAMES | ||||||||
| PHYSICIAN | 35.00 | $338,970 | $0 | $21,276 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,700,562 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $385,648 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 81 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VISUALUTIONS INC | |||||
| 7440 MINTWOOD LANE | SPRING | TX | 77379 | REVENUE CYCLE SERVICES | $833,212 |
| COHNREZNICK LLP | |||||
| 1301 AVENUE OF THE AMERICAS 10TH F | NEW YORK | NY | 10019 | ACCOUNTING AND CONSULTING SERVICES | $383,395 |
| 340B TECHNOLOGIES INC | |||||
| 161 GAITHER DRIVE SUITE 201 | MOUNT LAUREL | NJ | 08054 | PHARMACEUTICAL ASSISTANCE | $238,784 |
| RSM US LLP | |||||
| 151 WEST 42ND STREET 19TH FLOOR | NEW YORK | NY | 10036 | CONSULTING SERVICES | $148,575 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $846 | FederatedCampaignsAmt |
| Related Organizations | $798,425 | RelatedOrganizationsAmt |
| Government Grants | $15,942,909 | GovernmentGrantsAmt |
| All Other Contributions | $6,747,167 | AllOtherContributionsAmt |
| Noncash Contributions | $1,432,710 | NoncashContributionsAmt |
| Total Contributions | $23,489,347 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES REVENUE | 621110 | $44,072,525 | $44,072,525 |
| 340B PHARMACY | 621110 | $7,902,505 | $7,902,505 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,975,030 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,568 | TotalRevenueColumnAmt |
| Exclusion | $52,568 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $206,872 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $206,872 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $206,872 | TotalRevenueColumnAmt |
| Exclusion | $206,872 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER REVENUE | 621110 | $329,686 | $329,686 | |
| CONSULTING SERVICES | 541610 | $26,989 | $26,989 | |
| MEDICAL RECORDS | 621110 | $18,531 | $18,531 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $375,206 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,099,023 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,323,247 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $26,989 | UnrelatedBusinessRevenueAmt |
| Exclusion | $259,440 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,241,467 | TotalAmt |
| Program Services | $1,241,467 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,234,326 | TotalAmt |
| Program Services | $462,674 | ProgramServicesAmt |
| Management And General | $771,652 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,516,881 | TotalAmt |
| Program Services | $31,949,056 | ProgramServicesAmt |
| Management And General | $7,567,825 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,865 | TotalAmt |
| Program Services | $529,729 | ProgramServicesAmt |
| Management And General | $40,136 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,062,773 | TotalAmt |
| Program Services | $3,268,764 | ProgramServicesAmt |
| Management And General | $794,009 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,438,584 | TotalAmt |
| Program Services | $2,743,529 | ProgramServicesAmt |
| Management And General | $695,055 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,607 | TotalAmt |
| Management And General | $182,607 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,414 | TotalAmt |
| Management And General | $338,414 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,993,073 | TotalAmt |
| Program Services | $3,553,072 | ProgramServicesAmt |
| Management And General | $440,001 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,751 | TotalAmt |
| Program Services | $728,105 | ProgramServicesAmt |
| Management And General | $167,646 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,969,450 | TotalAmt |
| Program Services | $1,571,357 | ProgramServicesAmt |
| Management And General | $398,093 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,025,841 | TotalAmt |
| Program Services | $3,447,643 | ProgramServicesAmt |
| Management And General | $578,198 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $455,384 | TotalAmt |
| Program Services | $363,335 | ProgramServicesAmt |
| Management And General | $92,049 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,300 | TotalAmt |
| Program Services | $47,313 | ProgramServicesAmt |
| Management And General | $11,987 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,998 | TotalAmt |
| Program Services | $507,830 | ProgramServicesAmt |
| Management And General | $85,168 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,238,953 | TotalAmt |
| Program Services | $1,917,391 | ProgramServicesAmt |
| Management And General | $321,562 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,722 | TotalAmt |
| Program Services | $393,940 | ProgramServicesAmt |
| Management And General | $66,782 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONSUMABLE SUPPLIES | $4,479,317 | $4,047,057 | $432,260 |
| OTHER EXPENSES | $364,495 | $133,918 | $230,577 |
| RECRUITMENT | $156,569 | $124,921 | $31,648 |
| DUES AND SUBSCRIPTIONS | $137,553 | $109,749 | $27,804 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,414,323 | TotalAmt |
| Program Services | $57,140,850 | ProgramServicesAmt |
| Management And General | $13,273,473 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,306,298 | BOYAmt |
| EOY | $6,913,970 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $254,028 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,742,601 | BOYAmt |
| EOY | $3,142,752 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,004,470 | BOYAmt |
| EOY | $5,098,938 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $697,666 | BOYAmt |
| EOY | $355,138 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,074,861 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,339,376 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,661,654 | BOYAmt |
| EOY | $40,735,485 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,121,271 | BOYAmt |
| EOY | $1,371,413 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,316,045 | BOYAmt |
| EOY | $1,182,567 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,838,012 | BOYAmt |
| EOY | $2,904,939 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,688,017 | BOYAmt |
| EOY | $61,959,230 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,023,955 | BOYAmt |
| EOY | $4,872,480 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,302,187 | BOYAmt |
| EOY | $1,390,147 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,857,536 | BOYAmt |
| EOY | $11,116,564 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,312,598 | BOYAmt |
| EOY | $3,007,817 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,496,276 | BOYAmt |
| EOY | $20,387,008 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,826,804 | BOYAmt |
| EOY | $40,841,859 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,364,937 | BOYAmt |
| EOY | $730,363 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,191,741 | BOYAmt |
| EOY | $41,572,222 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,688,017 | BOYAmt |
| EOY | $61,959,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,684,700 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $967,786 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$272,005 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,278,041 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,360,365 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,335,770 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,317,628 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,489,347 | CurrentTaxYearAmt |
| Total | $117,781,151 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,278,041 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,360,365 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,335,770 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,317,628 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,489,347 | CurrentTaxYearAmt |
| Total | $117,781,151 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $117,781,151 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $118,020 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $131,869 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,116,063 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $100,015 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $259,440 | CurrentTaxYearAmt |
| Total | $1,725,407 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,316 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,806 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $71,572 | CurrentTaxYearMinus1YearAmt |
| Total | $212,310 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $119,718,868 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $216,341,109 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98380 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96760 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,688,307 | OtherCostOrOtherBasisAmt |
| Book Value | $2,688,307 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,033,314 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,359,010 | DepreciationAmt |
| Book Value | $33,674,304 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,175,249 | OtherCostOrOtherBasisAmt |
| Depreciation | $673,314 | DepreciationAmt |
| Book Value | $1,501,935 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,626,584 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,585,848 | DepreciationAmt |
| Book Value | $2,040,736 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,551,407 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,721,204 | DepreciationAmt |
| Book Value | $830,203 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $40,735,485 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITIES | $2,900,776 |
| DUE TO AFFILIATES | $107,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,007,817 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| CLIENT ASSISTANCE - HOUSING | 332 | $769,384 |
| FOOD PANTRY AND VOUCHERS | 174 | $334,489 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID JOLLY | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $352,549 | $0 | $55,000 | $0 | $552 | $0 | $90,350 | $0 | $23,872 | $0 | $522,323 | $0 | $0 | $0 |
| AVI K SILBER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $348,372 | $0 | $10,515 | $0 | $552 | $0 | $70,350 | $0 | $32,885 | $0 | $462,674 | $0 | $0 | $0 |
| NATALIE M JOUVE | ||||||||||||||
| PHYSICIAN | $380,520 | $0 | $2,500 | $0 | $240 | $0 | $1,894 | $0 | $3,788 | $0 | $388,942 | $0 | $0 | $0 |
| JOSEPH J LANZA | ||||||||||||||
| INTERIM CHIEF OF OB/GYN | $315,107 | $0 | $18,650 | $0 | $552 | $0 | $3,900 | $0 | $32,885 | $0 | $371,094 | $0 | $0 | $0 |
| RYAN D MESHULAM | ||||||||||||||
| CHIEF OF PSYCHIATRY | $311,154 | $0 | $14,400 | $0 | $240 | $0 | $10,038 | $0 | $32,885 | $0 | $368,717 | $0 | $0 | $0 |
| GBOLAGADE O BABALOLA | ||||||||||||||
| PHYSICIAN | $323,742 | $0 | $16,800 | $0 | $927 | $0 | $10,269 | $0 | $11,146 | $0 | $362,884 | $0 | $0 | $0 |
| MARIE D JAMES | ||||||||||||||
| PHYSICIAN | $323,742 | $0 | $12,180 | $0 | $3,048 | $0 | $10,130 | $0 | $11,146 | $0 | $360,246 | $0 | $0 | $0 |
| AMY BOLOGNESE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $198,649 | $0 | $10,300 | $0 | $271 | $0 | $21,540 | $0 | $18,570 | $0 | $249,330 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: DAVID JOLLY - $80,000 AMY BOLOGNESE - $15,450 AVI K. SILBER - $60,000 |
| PART I, LINE 7 | INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING PERFORMANCE INCENTIVES. THESE AMOUNTS WERE APPROVED BY THE BOARD OF DIRECTORS. |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 10571 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,432,710 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED IN COLUMN B. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS PROVIDED WITH THE FORM 990 IN DRAFT FORM, WHICH IT REVIEWS AND APPROVES. THE BOARD OF DIRECTORS THEN RATIFIES THE DRAFT FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REGULARLY REVIEWED BY THE BOARD OF DIRECTORS AND IS INCLUDED IN CONTINUAL CORPORATE COMPLIANCE TRAINING WHICH IS REQUIRED TO BE ATTENDED BY ALL OFFICERS AND STAFF. ALL DIRECTORS AND OFFICERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION UTILIZES AN ANNUAL REVIEW PROCESS OF COMPENSATION FOR ITS PRESIDENT & CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS AND KEY EMPLOYEES. THE PROCESS INCLUDES ANNUAL INDIVIDUAL PERFORMANCE EVALUATIONS FOR EACH OF THESE EMPLOYEES 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, WHO CONDUCTS AN IN-DEPTH COMPETITIVE MARKET STUDY TO DETERMINE THE ORGANIZATION'S POSITION IN THE MARKETPLACE, AS WELL AS A FOCUS ON INTERNAL PRACTICES USED BY THE BOARD OF DIRECTORS IN THE DETERMINATION OF EXECUTIVE COMPENSATION AND RELATED DOCUMENTATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS THE HIRING OF THE OUTSIDE COMPENSATION CONSULTING FIRM, AND MEETS WITH THE HIRED FIRM DIRECTLY TO REVIEW RESULTS OF THE ENGAGEMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILBLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER TO ENCORE INC.-CONSIGN FOR A CAUSE -272,005. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GHV HEALTHCARE SOLUTIONS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2570 ROUTE 9W SUITE 10 | AddressLine1Txt |
| City | CORNWALL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12518 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474561307 | EIN |
| Primary Activities | HEALTHCARE CONSULTING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $26,989 | TotalIncomeAmt |
| End Of Year Assets | $414,098 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNERSTONE FAMILY HEALTHCARE | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CORNERSTONE FH CHARITABLE FOUNDATION | ||||||||||
| 2570 ROUTE 9W SUITE 10 | CORNWALL | NY | 12518 | 825335397 | FUNDRAISING | NY | 501(C)(3) | LINE 10 | CORNERSTONE FAMILY HEALTHCARE | Yes (1) |
| ENCORE INC-CONSIGN FOR A CAUSE | ||||||||||
| 2570 ROUTE 9W SUITE 10 | CORNWALL | NY | 12518 | 452391908 | FUNDRAISING | NY | 501(C)(3) | LINE 12A, I | CORNERSTONE FAMILY HEALTHCARE | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CORNERSTONE FH CHARITABLE FOUNDATION | ||
| D | $107,041 | BOOK VALUE |
| CORNERSTONE FH CHARITABLE FOUNDATION | ||
| C | $798,425 | CASH TRANSFERRED |
| ENCORE INC-CONSIGN FOR A CAUSE | ||
| R | $272,005 | BOOK VALUE |