2016-11-07T07:47:25-06:00 2015-12-31 221478099 COHNREZNICK LLP 1212 Avenue of the Americas New York NY 10036 990 2015-01-01 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 2016-10-13 1 THOMAS LANNING P00851654 2122970400 2015 2017-02-10 21:41:12Z LINDA S MULLER 2570 Route 9W No 10 Cornwall NY 12518 28358827 0 X WWW.CORNERSTONEFH.ORG X 1981 NY To provide healthcare services to the medically underserved And those without access to care. 13 13 419 12 56777 166 4894591 5588589 21746034 22118193 1187 1408 369810 405756 27011622 28113946 0 0 0 0 18949984 19898070 0 0 0 7458062 7721393 26408046 27619463 603576 494483 24366982 25704320 12846602 13259704 11520380 12444616 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 22854310 22496622 TO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2015 WE HAD 190,381 PATIENT VISITS WHICH INCLUDES HIV SERVICES OF 698 VISITS, 62,516 OASAS METHADONE VISITS, AND OASAS SUBSTANCE ABUSE DAY REHAB visits of 7,485 & NIGHT CLINIC visits of 3,364. 22854310 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 0 1 1 0 0 0 1 46 0 1 419 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 13 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 Milich Board Immediate Past Chair 1.00 1.00 X X 0 0 0 Colin Jarvis Board Member 1.00 1.00 X 0 0 0 Daisy Vale BOARD MEMBER 1.00 1.00 X 0 0 0 David Dendy Board secretary/Board Member 1.00 1.00 X X 0 0 0 Debra Johnson BOARD MEMBER 1.00 1.00 X 0 0 0 Eric Gatsik Board Member 1.00 1.00 X 0 0 0 Floyd Johnson outgoing BOARD MEMBER 1.00 1.00 X 0 0 0 Marcel Martino Board Chair 1.00 1.00 X X 0 0 0 Marlene Medina BOARD MEMBER 1.00 1.00 X 0 0 0 Paul Broadie outgoing BOARD IMMEDIATE PAST CHAIR 1.00 1.00 X X 0 0 0 Paul Ernenwein BOARD MEMBER 1.00 1.00 X 0 0 0 Rev Nelson McAllister Board Secretary 1.00 1.00 X X 0 0 0 RHONDA GREEN BOARD MEMBER 1.00 1.00 X 0 0 0 Tim Scannell Board Treasurer 1.00 1.00 X X 0 0 0 Wayne Day Board Vice Chair 1.00 1.00 X X 0 0 0 david jolly chief operating officer 35.00 X 182584 0 35868 LINDA S MULLER PRESIDENT & CEO 35.00 1.00 X 368200 0 69383 Patrick R Murphy CHIEF FINANCIAL OFFICER 35.00 1.00 X 237627 0 73493 Avi Silber MD CHIEF MEDICAL DIRECTOR 35.00 X 208090 0 52959 CHANCHAL SINGH PHYSICIAN 35.00 X 185602 0 34398 DANIEL PAGNANI outgoing PHYSICIAN 35.00 X 190392 0 19781 Judith Branche Physician 35.00 X 195961 0 1955 Roco Russo PHYSICIAN 35.00 X 183204 0 24192 STANLEY SWABY PHYSICIAN 35.00 X 250810 0 36343 2002470 0 348372 33 0 1 0 EAM Construction LLC 120 Lippa Road Harpursville NY 13787 construction 150780 CohnReznick LLP 1212 Avenue of the Americas new york NY 10036 accounting 143070 David Wieboldt Architect 41 Dolson Avenue middletown NY 10940 Architectural 118828 3 17500 212574 4844433 514082 472629 5588589 medicaid 621110 16422191 16422191 other third party 621110 1600217 1600217 Pharmacy Revenue 624100 1331777 1331777 medicare 621110 1099586 1099586 SELF PAY 621110 1084260 1084260 580162 580162 22118193 1408 1408 189849 138499 51350 51350 51350 65960 212574 106382 -40422 -40422 MEANINGFUL use INCENTIVE 624100 314750 314750 data exchange 900099 29000 29000 medical records 900099 10972 10972 40106 34679 5427 394828 28113946 22496622 56777 -28042 1228205 1007128 221077 15715954 12887081 2828873 120103 98484 21619 1143329 937530 205799 1690479 1386193 304286 12690 12690 232233 232233 462879 379561 83318 763070 477633 285437 102207 83810 18397 179745 152784 26961 101426 83169 18257 93617 76766 16851 543697 462142 81555 1066300 906355 159945 147200 125120 22080 BAD DEBT 951124 951124 Medical Supplies 822698 822698 REPAIRS AND MAINTENANCE 521094 442930 78164 LAB/PHARMACY/RADIOLOGY 482489 482489 1238924 1091313 147611 27619463 22854310 4765153 0 685315 616705 855560 1531425 899464 1775579 5302150 3756947 3633 29207 297071 397545 23352216 6375384 15804042 16976832 27530 30039 492217 590041 24366982 25704320 2017198 2190328 9792050 8942867 1037354 2126509 12846602 13259704 X 10808366 11926117 712014 518499 11520380 12444616 24366982 25704320 X 494483 82427 347326 X X 0 1 X 1 1 1 X 5363669 4578262 4550610 4894591 5588589 24975721 5363669 4578262 4550610 4894591 5588589 24975721 24975721 86155 85719 88621 173946 191257 625698 166 166 455573 512595 233751 421420 460788 2084127 27685712 96562486 0.90210 0.91250 X Schedule A, Part II, Line 10, Explanation of Other Income: oTHER REVENUE - 2012 Amount: $ 1,275. 2013 Amount: $ 9,774. 2014 Amount: $ 67,738. 2015 Amount: $ 34,679. MEDCAL RECORDS - 2011 Amount: $ 3,002. 2012 Amount: $ 6,200. 2013 Amount: $ 9,751. 2015 Amount: $ 10,972. fundraising - 2011 Amount: $ 35,610. 2012 Amount: $ 42,775. 2013 Amount: $ 42,235. 2014 Amount: $ 51,930. 2015 Amount: $ 65,960. pharmacy - 2011 Amount: $ 44,296. 2014 Amount: $ 118,805. Meaningful incentive - 2011 Amount: $ 372,665. 2012 Amount: $ 441,070. 2013 Amount: $ 143,700. 2014 Amount: $ 155,447. 2015 Amount: $ 314,750. Cancer Services - 2013 Amount: $ 28,291. Forgiveness of debt - 2012 Amount: $ 21,275. Chanys Stipands - 2014 Amount: $ 27,500. data exchange - 2015 Amount: $ 29,000. consulting - 2015 Amount: $ 5,427. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1422550 1422550 15217587 2174822 13042765 610465 65682 544783 5170119 4134880 1035239 931495 931495 16976832 INTEREST RATE SWAP PAYABLE 647676 refundable advances 887055 Capital lease obligations 437080 deferred compensation 132282 Due to affiliates 22416 2126509 X 27820452 82427 220206 -821314 -518681 28339133 -225187 -225187 28113946 27274962 220206 386417 606623 26668339 951124 951124 27619463 Part X, Line 2: The Organization has no unrecognized tax benefits at December 31, 2015. The Organization's federal and state information returns prior to fiscal year 2012 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 129,810. BAD DEBT EXPENSE -951,124. Part XI, Line 4b - Other Adjustments: DIRECT FUNDRAISING EXPENSEs -86,688. RENTAL EXPENSEs -138,499. Part XII, Line 2d - Other Adjustments: related party expenses 161,230. rental expenses 138,499. DIRECT FUNDRAISING EXPENSEs 86,688. Part XII, Line 4b - Other Adjustments: BAD DEBT EXPENSE 951,124. Pillars GALA 223084 170024 53060 2025 17964 58154 4525 3781 GOLF OUTING 55450 42550 12900 1795 15323 2815 278534 212574 65960 2025 19759 73477 4525 6596 106382 -40422 X X X X 1 1 0 0 0 0 0 1 0 david jolly chief operating officer 166825 0 15000 0 759 0 17640 0 18228 0 218452 0 0 0 LINDA S MULLER PRESIDENT & CEO 332301 0 32445 0 3454 0 68721 0 662 0 437583 0 0 0 Patrick R Murphy CHIEF FINANCIAL OFFICER 214425 0 21000 0 2202 0 49969 0 23524 0 311120 0 0 0 Avi Silber MD CHIEF MEDICAL DIRECTOR 193655 0 13895 0 540 0 29550 0 23409 0 261049 0 0 0 CHANCHAL SINGH PHYSICIAN 183258 0 2176 0 168 0 10765 0 23633 0 220000 0 0 0 DANIEL PAGNANI outgoing PHYSICIAN 168814 0 0 0 21578 0 0 0 19781 0 210173 0 0 0 Judith Branche Physician 195525 0 0 0 436 0 1955 0 0 0 197916 0 0 0 Roco Russo PHYSICIAN 178990 0 3145 0 1069 0 6125 0 18067 0 207396 0 0 0 STANLEY SWABY PHYSICIAN 250258 0 0 0 552 0 12710 0 23633 0 287153 0 0 0 Part I, Lines 4a-b DANIEL PAGNANI RECIEVED A SEVERANCE PAYMENT OF $5,280 IN 2015. THIS AMOUNT IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). CERTAIN MANAGEMENT OFFICIALS LISTED ON SCHEDULE J, PART II, PARTICIPATE IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN THE PAYMENTS MADE TO THE PLAN DURING 2015 ARE AS FOLLOWS: DAVID JOLLY: $12,000 LINDA MULLER: $60,771 PATRICK MURPHY: $48,169 AVI SILBERG: $24,000 CHANCHAL SINGH: $5,000 ROCCO RUSSO: $5,000 STANLEY SWABY: $5,000 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 452935 FMV 0 0 0 Part I, Column (b): amounts in column b represent the number of contributors. Form 990, Part VI, Section B, line 11 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 COI questionnaire. Form 990, Part VI, Section B, line 15 The Company utilizes an annual review process of compensation for its CEO and top management officials. The process includes annual individual performance evaluations for each of the top officials and senior staff which are tied to pre-determined corporate goals. The process also includes an evaluation of salary and benefit levels through the use of an outside compensation consulting firm which conducts an in-depth competitive market study to determine the Company's position in the marketplace, as well as a focus on internal practices used by the Board in the determination of executive compensation and the related documentation as required by IRC Section 4958 and the Form 990. The Executive Committee of the Board conducts the hiring of the firm, and meets with the hired firm directly to review results of the engagement. Form 990, Part VI, Section C, line 19 The documents are availble upon request, as well as, as a FQHC, the Company's financial statements are filed with certain governmental agencies and regulatory authorities which may be available under the Freedom of Information Act. Form 990, Part XI, line 9: Transfer of net assets from FHC Properties, Inc. 347,326. 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 3335 25751 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 11a, I conrnerstone family healthcare 1 FHC PROPERTIES INC 2570 US HIGHWAY 9W STE 10 cornwall NY 12518 141781164 hold title property NY 501(c)(2) conrnerstone family healthcare 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 fhc properties S 347326 FMV