2022-11-15T16:20:06-06:00 2021-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2021-01-01 061036715 CORNERSTONE FAMILY HEALTHCARE FKA GREATER HUDSON VALLEY HEALTH CENTER CORN 8452203100 2570 ROUTE 9W 10 CORNWALL NY 12518 LINDA S MULLER PRESIDENT & CEO 8452203100 2022-11-15 1 LINDA MULLER 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LINDA S MULLER 2570 ROUTE 9W 10 CORNWALL NY 12518 83704457 0 X WWW.CORNERSTONEFH.ORG X 1981 NY TO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE. 19 19 832 50 68189 17535 16278041 29260741 34090037 42284399 11411 11479214 225795 569986 50605284 83594340 0 14996337 0 0 34913136 45597480 0 0 0 14186705 18954675 49099841 79548492 1505443 4045848 45954625 58362925 23678166 23881328 22276459 34481597 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 56749543 14996337 42731986 TO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2021, WE HAD 257,105 PATIENT VISITS, WHICH INCLUDES 60,842 OASAS METHADONE VISITS, AND OASAS SUBSTANCE ABUSE REHAB VISITS OF 5,742. 56749543 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 173 0 1 832 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X AMY BOLOGNESE 8452203100 2570 ROUTE 9W-N CORNWALL NY 12518 AMY ANSEHL DNP FNP-BC BOARD MEMBER 1.00 2.00 X 0 0 0 ANDREW BELL BOARD MEMBER 1.00 2.00 X 0 0 0 ANDREW SHERMAN EVANS JR MPH BOARD MEMBER 1.00 2.00 X 0 0 0 ARETHRA L THOMPSON BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLES WALWYN CHAIR-ELECT 1.00 2.00 X 0 0 0 CHERYL ROSS VICE CHAIR 1.00 2.00 X X 0 0 0 DAISY VALE BOARD MEMBER 1.00 2.00 X 0 0 0 DANIEL LAMB BOARD MEMBER 1.00 2.00 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 MARLENE MEDINA BOARD MEMBER 1.00 2.00 X 0 0 0 MARY DECKER BOARD MEMBER 1.00 2.00 X 0 0 0 MICHELE IANNUZZI-SUCICH BOARD MEMBER 1.00 2.00 X 0 0 0 PATRICIA CLAIBORNE BOARD MEMBER 1.00 2.00 X 0 0 0 PAUL S ERNENWEIN BOARD MEMBER 1.00 2.00 X 0 0 0 REV NELSON MCALLISTER BOARD MEMBER 1.00 2.00 X 0 0 0 RHONDA GREEN SECRETARY 1.00 2.00 X X 0 0 0 ROSA GUTIERREZ BOARD MEMBER 1.00 2.00 X 0 0 0 WAYNE DAY CHAIRMAN 1.00 2.00 X X 0 0 0 AVI SILBER MD CHIEF MEDICAL OFFICER 35.00 2.00 X 376697 0 53394 DAVID JOLLY CHIEF OPERATING OFFICER 35.00 X 304185 0 52233 LINDA MULLER PRESIDENT & CEO 35.00 2.00 X 680515 0 127513 PATRICK MURPHY OUTGOING CHIEF FINANCIAL OFFICER 35.00 2.00 X 354423 0 62049 ANGELA IANNITTI-HULSE MEDICAL DIRECTOR 35.00 2.00 X 294783 0 0 GBOLAGADE O BABALOLA PHYSICIAN 35.00 X 306302 0 12893 NATALIE M JOUVE PHYSICIAN 35.00 X 275240 0 0 RYAN MESHULAM CHIEF OF PSYCHIATRY 35.00 X 306678 0 32945 SHAHANA AYUB PSYCHIATRIST 35.00 X 287256 0 13257 3186079 0 354284 62 0 1 0 BIOREFERENCE LABORATORIES INC 481 EDWARD H ROSS DRIVE ELMWOOD PARK NJ 07407 LAB SERVICES 356189 340B TECHNOLOGIES 900 THIRD AVE 19TH FLOOR NEW YORK NY 10022 ADMINISTRATIVE 342924 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 ACCOUNTING 233550 HUDSON VALLEY PERINATAL CONSULTING PLLC 68 WEST CEDAR ST POUGHKEEPSKIE NY 12601 MEDICAL CONSULTING 175800 4 214905 21171090 7874746 1069435 29260741 MEDICAID 621110 29022322 29022322 340B PHARMACY 621110 4759717 4759717 OTHER THIRD PARTY 621110 3089605 3089605 MEDICARE 621110 2448957 2448957 NEW YORK STATE UNCOMPENSATED CARE 621110 2363448 2363448 600350 600350 42284399 89214 89214 105577 0 105577 105577 105577 11390000 0 11390000 11390000 11390000 58750 214905 110117 -51367 -51367 MISCELLANEOUS REVENUE 900099 428874 428874 CONSULTING SERVICES 900099 68189 68189 MEDICAL RECORDS 900099 18713 18713 515776 83594340 42731986 68189 11533424 14315011 14315011 681326 681326 2011009 1411174 599835 36323049 25880458 10442591 998086 637820 360266 3269803 2089548 1180255 2995533 1912061 1083472 154568 154568 187611 187611 1667711 541013 1126698 236158 7874 228284 355775 179240 176535 1617749 888684 729065 237294 212116 25178 13881 12437 1444 466426 71521 394905 1809754 434376 1375378 336506 17895 318611 CONSUMABLE SUPPLIES 2779857 2254442 525415 LAB/PHARMACY/RADIOLOGY 2730474 2714809 15665 DONATED VACCINES 2048512 1932327 116185 REPAIRS AND MAINTENANCE 1762453 315937 1446516 2549946 239474 2310472 79548492 56749543 22798949 0 807919 3444178 3443242 4858754 4769478 7027905 5829699 6575178 777687 1088622 46204763 15123811 27049890 31080952 31259 31259 1688892 1556901 1556559 2699176 45954625 58362925 5459408 5024404 2536938 15573878 14460729 2644880 1859257 23678166 23881328 X 20002694 32207832 2273765 2273765 22276459 34481597 45954625 58362925 X 4045848 171601 7987689 X 0 0 0 X 9616188 12017241 13411293 16278041 29260741 80583504 9616188 12017241 13411293 16278041 29260741 80583504 547862 80035642 129218 103399 107486 118020 194791 652914 202708 245717 184202 153315 68189 854131 104246 153920 491588 106642 506337 1362733 83453282 180220398 0.95900 0.93990 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2018 AMOUNT: $ 58,800. 2019 AMOUNT: $ 384,712. 2020 AMOUNT: $ 77,358. 2021 AMOUNT: $ 428,874. MEDCAL RECORDS - 2017 AMOUNT: $ 10,346. 2018 AMOUNT: $ 13,295. 2019 AMOUNT: $ 19,426. 2020 AMOUNT: $ 18,409. 2021 AMOUNT: $ 18,713. FUNDRAISING - 2017 AMOUNT: $ 93,900. 2018 AMOUNT: $ 81,825. 2019 AMOUNT: $ 87,450. 2020 AMOUNT: $ 10,875. 2021 AMOUNT: $ 58,750. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2688308 2688308 24862252 5769345 19092907 1508098 342105 1165993 11489571 9012361 2477210 5656534 5656534 31080952 DEFERRED COMPENSATION 1073727 LEASE LIABILITIES 691140 DUE TO THIRD PARTY PAYORS 94390 1859257 PILLARS OF THE COMMUNITY AWARDS GA 163740 130590 33150 11940 66495 GOLF OUTING 109915 84315 25600 31682 273655 214905 58750 11940 98177 110117 -51367 1 CORNERSTONE FH CHARITABLE FOUNDATION 2570 US HIGHWAY 9W STE 10 CORNWALL NY 12518 825335397 11390000 2925011 FMV TO FURTHER EXEMPT PURPOSE 1 CLIENT ASSISTANCE - HOUSING 681326 PART I, LINE 2: CONTRIBUTION MADE CORNERSTONE FH CHARITABLE FOUNDATION WAS MADE TO A RELATED PARTY, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. 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. X X X X X 0 1 0 0 0 0 0 1 0 LINDA MULLER PRESIDENT & CEO 458059 0 129859 0 92597 0 97632 0 29881 0 808028 0 0 0 AVI SILBER MD CHIEF MEDICAL OFFICER 312532 0 63613 0 552 0 13769 0 39625 0 430091 0 0 0 PATRICK MURPHY OUTGOING CHIEF FINANCIAL OFFICER 287127 0 55500 0 11796 0 28154 0 33895 0 416472 0 0 0 DAVID JOLLY CHIEF OPERATING OFFICER 246045 0 46800 0 11340 0 22352 0 29881 0 356418 0 0 0 RYAN MESHULAM CHIEF OF PSYCHIATRY 306462 0 0 0 216 0 0 0 32945 0 339623 0 0 0 GBOLAGADE O BABALOLA PHYSICIAN 303254 0 0 0 3048 0 0 0 12893 0 319195 0 0 0 SHAHANA AYUB PSYCHIATRIST 287016 0 0 0 240 0 0 0 13257 0 300513 0 0 0 ANGELA IANNITTI-HULSE MEDICAL DIRECTOR 294231 0 0 0 552 0 0 0 0 0 294783 0 0 0 NATALIE M JOUVE PHYSICIAN 275000 0 0 0 240 0 0 0 0 0 275240 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 AMOUNT ACCRUDED TO THE PLAN DURING 2021 ARE AS FOLLOWS: LINDA MULLER: $97,632 PATRICK MURPHY: $28,155 AVI K. SILBER: $13,769 DAVID JOLLY: $22,352 PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING PERFORMANCE INCENTIVES. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS 2021 W-2S AND APPROVED BY THE BOARD. PART II, COLUMN B(III): AMOUNTS INCLUDED IN OTHER COMPENSATION IS PTO PAYOUT. X 1 1069435 FMV 0 0 0 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: TRANSFER OF NET ASSETS DUE TO MERGER 7,987,689. 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. FORM 990, PART IV, LINE 12B: AS OF THE DATE OF FILING THE AUDIT HAS NOT YET BEEN COMPLETED. FORM 990 HAS BEEN PREPARED BASED ON THE BEST INFORMATION AVAILABLE. SHOULD INFORMATION SUBSTANTIALLY CHANGE UPON COMPLETION OF THE AUDIT APPROPRIATE ACTION WILL BE TAKEN. GHV HEALTHCARE SOLUTIONS LLC 2570 ROUTE 9W STE 10 CORNWALL NY 12518 474561307 HEALTHCARE CONSULTING NY 68189 286891 CORNERSTONE FAMILY HEALTHCARE CORNERSTONE FH CHARITABLE FOUNDATION 2570 US HIGHWAY 9W STE 10 CORNWALL NY 12518 825335397 FUNDRAISING NY 501(C)(3) LINE 10 CONRNERSTONE FAMILY HEALTHCARE 1 ENCORE INC- CONSIGN FOR A CAUSE 2570 US HIGHWAY 9W STE 10 CORNWALL NY 12518 452391908 FUNDRAISING NY 501(C)(3) LINE 12A, I CONRNERSTONE FAMILY HEALTHCARE 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 CORNERSTONE FH CHARITABLE FOUNDATION B 14315011 FMV