2022-08-09T05:24:53-07:00 2021-12-31 141815961 ROBERT J PALMERINO CPA 79 NORTH PEARL ST ALBANY NY 12207 990 2021-01-01 453448794 KOINONIA PRIMARY CARE INC KOIN 5186890282 553 CLINTON AVE ALBANY NY 12206 DR ROBERT PAEGLOW President 2022-08-09 true DR ROBERT PAEGLOW 999009999 ROBERT J PALMERINO CPA P01214589 5184324930 X 2 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z HERBERT L SHULTZ JR 553 CLINTON AVE ALBANY NY 12206 1714476 false X koinoniapc.org X 2012 NY Koinonia Primary Care, Inc. (Koinonia) is a NYS Diagnostic and Treatment Center whose mission is to provide compassionate, high quality, patient-centered healthcare, in a faith-based environment, to the underserved in the capital region of New York State 12 11 20 60 0 326912 486841 939201 1212331 0 163638 15304 1429751 1714476 0 0 787747 924478 0 3984 403173 462056 1190920 1386534 238831 327942 1026778 1373920 45622 64822 981156 1309098 Koinonia Primary Care, Inc. (Koinonia) is a NYS Diagnostic and Treatment Center that provides quality patient centered healthcare to the underserved in the capital region of New York State false false 1092062 Koinonia provides holistic care body, mind and spirit - to patients in New Yorks Capital Region. Annually, it serves around 1,800 patients at more than 8000 visits. Its particular focus is the West Hill and Arbor Hill neighborhoods of Albany, which are among the most underserved areas in the region. To further support this community and address the social determinants of health needs that occur there Koinonia holds outreach activities, including holding a summer camp, community barbeques and holiday parties. Koinonia also provides space to other community-serving organizations, including local churches, other local non-profits and Narcotics Anonymous. 1092062 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 8 0 true 20 true false false false false false false false 0 false false false false false false false X 12 11 true false false false false false false true true false false true true true true true true true true false NY X CORRIE PAEGLOW 5186890282 553 CLINTON AVE ALBANY NY 12206 DR ROBERT PAEGLOW President 60.00 0.00 X X 158270 0 0 CORRIE PAEGLOW Executive Dir. 60.00 0.00 X 88993 0 6114 SHARON LOBEL Director 1.00 0.00 X 0 0 0 DR FREDERICK EAMES Director 1.00 0.00 X 0 0 0 DR JAMES CRUCETTI Director 1.00 0.00 X 0 0 0 DAVID POLLITZER Secretary 1.00 0.00 X X 0 0 0 THOMAS PUTNAM Treasurer 1.00 0.00 X X 0 0 0 DEAN RUECKERT VICE CHAIR 1.00 0.00 X X 0 0 0 HERBERT L SHULTZ JR Chairman 1.00 0.00 X X 0 0 0 ROBERT BAKER CPA Director 1.00 0.00 X 0 0 0 DR JACK BRAATEN Director 1.00 0.00 X 0 0 0 TYRONE ALEXANDER Director 1.00 0.00 X 0 0 0 PHOEBE WILKIE Director 1.00 0.00 X 0 0 0 247263 6114 1 false true false 0 486841 486841 MEDICAL SERVICES 1212331 1212331 1212331 0 0 0 15304 15304 15304 15304 0 0 0 0 0 1714476 1227635 0 0 0 0 158271 150357 6331 1583 0 680261 540105 138342 1814 0 19299 15891 3330 78 66647 54878 11499 270 0 0 7375 7375 0 0 0 1000 1000 419 419 17012 14010 2934 68 0 0 0 0 0 0 0 0 35969 10071 25898 26195 12460 13691 44 MEDICAL SUPPLIES 79695 79695 BILLING SERVICE 76486 76486 BUILDING REP AND MAINT 59128 16556 42572 UTILITIES 31284 8760 22524 127493 111793 15573 127 1386534 1092062 290488 3984 358695 671682 0 0 131148 100969 0 0 0 0 15974 38680 802652 240063 520961 562589 0 0 0 0 0 1026778 1373920 45622 64821 1 45622 64822 X 913561 1279098 67595 30000 981156 1309098 1026778 1373920 327942 X false true X true false X 288568 579226 309401 259317 456841 1893353 0 838247 1043676 978298 939201 1212331 5011753 0 0 1126815 1622902 1287699 1198518 1669172 6905106 80001 100000 85000 60000 160000 485001 124758 57941 19246 21030 11616 234591 204759 157941 104246 81030 171616 719592 6185514 0 0 0 0 1126815 1622902 1287699 1198518 1669172 6905106 0.89580 0.90010 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31700 31700 616711 134490 482221 154241 105573 48668 562589 Rounding 1 1 X 1853969 101898 67595 169493 1684476 30000 30000 1714476 1488432 101898 101898 1386534 1386534 Part X : FIN48 Footnote Koinonia adopted the authoritative guidance on accounting for and disclosure of uncertainty in tax positions as required by generally accepted accounting principles with no cumulative adjustment required.Income tax benefits are recognized for income tax positions taken or expected to be taken on a tax return, only when it is deemed that the income tax position will be more likely than not sustained upon examination by taxing authorities. Koinonia believes that its income tax positions would be sustained under examination by taxing authorities. Generally, tax years prior to 2018 are no longer subject to examination. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 NET ASSETS RELEASED FROM RESTRICTIONS $67595 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S WITH RESTRICTIONS DONATIONS $30000 false false false false false false false false false DR ROBERT PAEGLOW President 158270 158270 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et THE EXECUTIVE DIRECTOR IS THE DAUGHTER OF THE PRESIDENT. THE PRESIDENT RECUSES HIMSELF FROM BOARD VOTES RELATED TO HIS DAUGHTER. Form 990, Part VI, Line 11b: Form 990 Review Process THE FINANCE COMMITTEE REVIEWS THE 990 AND PRESENTS IT TO THE BOARD BEFORE FILING Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUALLY, BOARD MEMBERS ARE PROVIDED WITH THE CONFLICT OF INTEREST POLICY AND CONFIRM THAT NO CONFLICTS EXIST OR PROVIDE DETAILS IF A CONFLICT OR POTENTIAL CONFLICT EXISTS Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management All compensation and review procedures are established by the finance committee based on the review of similar non-profit's compensation structure, current market rate and standard human resource guidelines. Compensation is reviewed during the annual budgeting process and submitted to the Board for final approval. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees All compensation and review procedures are established by the finance committee based on the review of similar non-profit's compensation structure, current market rate and standard human resource guidelines. Compensation is reviewed during the annual budgeting process and submitted to the Board for final approval. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available PROVIDED UPON REQUEST