2022-11-05T13:02:31-05:00 2021-12-31 ERNST & YOUNG US LLP One Manhattan West NEW YORK NY 10001 990 2021-01-01 452526738 HUDSON VISTA MEDICAL PC % THOMAS J GIBNEY CPA HUDS 8455614400 70 DUBOIS STREET NEWBURGH NY 125504851 Thomas J Gibney CPA Secretary 8455682881 2022-11-04 true Thomas J Gibney CPA XXX-XX-XXXX NICOLE M SOKOLOWSKI P01683199 2127733000 2 2021 2022-09-23 18:48:47Z GINA DEL SAVIO MD 70 DUBOIS STREET NEWBURGH NY 125504851 4078342 false X WWW.MONTEFIORESLC.ORG X 2011 NY TO PROVIDE MULTI-SPECIALTY HEALTHCARE SERVICES TO ST. LUKE'S CORNWALL HOSPITAL PATIENTS. 1 0 30 0 0 0 1130825 1277660 2420439 2795082 0 0 4610 5600 3555874 4078342 0 0 0 0 2840245 3096509 0 0 0 715629 981833 3555874 4078342 0 0 582673 732041 582673 732041 0 0 TO PROVIDE MULTI-SPECIALTY HEALTHCARE SERVICES TO ST. LUKE'S CORNWALL HOSPITAL PATIENTS. false false 3641067 0 2795082 Hudson Vista Medical, P.C. is a supporting organization of Montefiore St. Luke's Cornwall Hospital, a member of the Montefiore Health System. Hudson Vista Medical provides MULTI-SPECIALTY HEALTHCARE SERVICES TO ST. LUKE'S CORNWALL HOSPITAL PATIENTS. The corporation operates in furtherance and support of the charitable, healthcare, educational and scientific mission of Montefiore St. Luke's Cornwall Hospital and the patient populations and communities served by Montefiore St. Luke's Cornwall Hospital. The organization's objective is to enhance and improve the accessibility, quality and cost efficiency of healthcare services in the community, increase access to quality healthcare services for the medically underserved residents within the community and advance, promote and support the medical research activities at St. Luke's hospital for the improvement of the physical, mental and environmental health of the community. 3641067 true true false false false false false false false false true false false true true false false true 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 true true true false false true 10 0 true 30 true false false false false false false false false false false false false X 1 0 false false false false true true true true true false false true true true true true true false false false NY X THOMAS J GIBNEY CPA 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 JOAN CUSACK-MCGUIRK ASS'T SECRETARY (to 12/31/21) 1.0 54.0 X 0 716936 26282 GINA DEL SAVIO MD DIRECTOR/PRESIDENT 12.0 43.0 X X 0 702877 30785 THOMAS J GIBNEY CPA SECRETARY 1.0 54.0 X 0 502486 49344 Yu Wang MD Physician 40.0 0.0 X 347706 0 12822 UTICIA M BELFIELD MD PHYSICIAN 40.0 0.0 X 238965 0 39589 Katherine Pinheiro MD Physician 40.0 0.0 X 218363 0 35090 Nicole Agcanas MD Physician 40.0 0.0 X 196714 0 34993 Manita Sawhney MD Physician 39.0 1.0 X 193345 0 4533 1195093 1922299 233438 10 false true false Change Healthcare LLC PO Box 742526 ATLANTA GA 303742526 billing services 110808 1 1274757 2903 1277660 PATIENT SERVICE REVENUE 621111 2277404 2277404 0 0 OTHER HEALTHCARE RELATED REVENUE 621999 517678 517678 0 0 2795082 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 900099 5600 0 0 5600 5600 4078342 2795082 0 5600 X 0 0 0 0 0 0 2655942 2417145 238797 0 59821 54442 5379 0 201747 183608 18139 0 178999 162905 16094 0 0 0 0 0 0 0 460106 335179 124927 0 0 53129 24660 28469 0 0 0 191210 191210 0 0 0 0 215 215 0 0 0 0 5667 5667 0 0 45329 45329 0 0 SHARED SERVICES 105601 105601 0 0 MEDICAL SUPPLIES 100356 100356 0 0 EDUCATION & TRAINING 7967 7967 0 0 LICENSE FEES 6232 6232 0 0 6021 551 5470 4078342 3641067 437275 0 250 250 55033 21218 0 0 218065 215215 0 0 0 0 0 0 0 0 2200 2200 127536 117048 16155 10488 0 0 0 0 0 0 0 0 290970 482670 582673 732041 339664 387684 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243009 344357 582673 732041 X 0 0 0 0 0 0 582673 732041 0 X false true X true true true X X 1 ST LUKE'S CORNWALL HOSPITAL 141340054 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 127536 117048 10488 10488 DUE FROM AFFILIATES 482670 482670 0 CARES ACT MEDICARE ADVANCES 109222 DUE TO AFFILIATES 235135 344357 false false false false false false false false false THOMAS J GIBNEY CPA SECRETARY 0 453862 0 41100 0 7524 0 13497 0 35847 0 551830 0 0 UTICIA M BELFIELD MD PHYSICIAN 216945 0 21600 0 420 0 4499 0 35090 0 278554 0 0 0 JOAN CUSACK-MCGUIRK ASS'T SECRETARY (to 12/31/21) 0 622162 0 74200 0 20574 0 10696 0 15586 0 743218 0 0 GINA DEL SAVIO MD DIRECTOR/PRESIDENT 0 366440 0 36700 0 299737 0 8827 0 21958 0 733662 0 0 Manita Sawhney MD Physician 128711 0 64374 0 260 0 4533 0 0 0 197878 0 0 0 Yu Wang MD Physician 284934 0 60000 0 2772 0 12822 0 0 0 360528 0 0 0 Katherine Pinheiro MD Physician 217985 0 0 0 378 0 0 0 35090 0 253453 0 0 0 Nicole Agcanas MD Physician 187761 0 8591 0 362 0 0 0 34993 0 231707 0 0 0 Schedule J, Part I, Line 3 Hudson Vista Medical, PC top management official is employed by Montefiore St. Luke's Cornwall Hospital. THE Hospital's COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL FORMS OF compensation AND BENEFITS PROVIDED TO its top level EXECUTIVEs WITH the ASSISTANCE OF A NATIONAL INDEPENDENT COMPENSATION CONSULTING FIRM. The Consulting FIRM ASSISTS THE COMPENSATION COMMITTEE WITH ITS decision-making PROCESS TO ENSURE EXECUTIVE COMPENSATION LEVELS ARE reasonable and APPROPRIATE RELATIVE TO THOSE OF OTHER SIMILAR ORGANIZATIONS. BASE salaries are DETERMINED BASED ON COMPETITIVE MARKET PRACTICES FOR comparable POSITIONS WITH SIMILAR SIZE ORGANIZATIONS AND SCOPE OF responsibilities. BONUS AND INCENTIVE COMPENSATION IS BASED ON THE achievement OF PERFORMANCE GOALS. THE EXECUTIVES' COMPENSATION Program HAS A SIGNIFICANT PAY-AT-RISK COMPONENT TO ENSURE THE ALIGNMENT OF PAY AND ORGANIZATIONAL PERFORMANCE. GOALS ARE SET IN ADVANCE IN AREAS SUCH AS QUALITY OF CARE, PATIENT SATISFACTION, COMMUNITY SERVICES AND financial PERFORMANCE. COMPENSATION IS AT RISK IF THE GOALS ESTABLISHED BY THE COMPENSATION COMMITTEE ARE NOT MET. Schedule J, Part I, Line 7 Certain Physicians reported as the five highest compensated by the organization received fixed PAYMENTS RELATED TO THE SATISFACTION OF certain METRICS ASSOCIATED WITH CLINICAL CODING AND OTHER administrative FACTORS. FORM 990, PART VI, SECTION A, lines 6 & 7 The organization has a sole shareholder appointed by MONTEFIORE St. Luke's Cornwall Hospital who has the authority to elect and remove any director from the organization's Board. The sole shareholder is required to obtain the express written approval of the Hospital before taking any material action relating to the ownership, existence and operation of the organization. Form 990, PART VI, SECTION B, line 11 The Form 990 was prepared by the Montefiore's tax Department working closely with St Luke's Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by the Vice-President-Finance and the Montefiore ST LUKE'S CORNWALL HOSPITAL senior leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the Board of trustees for review and approval prior to filing. FORM 990, PART VI, SECTION B, LINE 12C The organization has adopted the Conflict of Interest policy maintained by Montefiore St. Luke's Cornwall Hospital, the parent organization. All monitoring and enforcement of the Conflict of Interest Policy is performed by the Hospital. All Officers, Directors and Key Employees of the St. Luke's organization are required to complete an annual conflict of interest questionnaire, in their capacity as an employee of the organization or as a Board member. Completed questionnaires are returned and reviewed by the Secretary of the Board of trustees and concerns presented by the responses are disclosed to the system's compliance officer. Any potential conflicts are disclosed and reported to the system's President/CEO and the organization's Finance committee for discussion and alleviation of the conflict. Documentation of the existence and resolution of the conflict, including any meeting minutes, is maintained by the Secretary of the Board. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION IS AN AFFILIATE WITHIN Montefiore Health System, Inc., A tax-exempt INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH includes Montefiore ST. LUKE'S CORNWALL HOSPITAL ("HOSPITAL"). The officers of the organization are employees of Montefiore St. Luke's Cornwall Hospital. The St. Luke's Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for certain officers and key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgement factors, consistent with St. Luke's executive compensation philosophy. The Committee's decisions are made in the best interest of St. Luke's, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not for profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE available upon REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACING TOTAL FEES:198040 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:110256 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:17602 FORM 990 PART IX LINE 11G DESCRIPTION:FINANCIAL CONTRACTED SERVICES TOTAL FEES:124927 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING TOTAL FEES:9281 ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 141340054 Hospital NY 501(C)(3) 3 MHS true ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH NY 12550 223026261 HOLDING COMP NY 501(C)(3) 12A TYPE I MHS true ST LUKE'S CORNWALL HEALTH SYSTEM FDN 70 DUBOIS STREET NEWBURGH NY 12550 223026263 FUNDRAISING NY 501(C)(3) 7 SLCHS true HUDSON VISTA PHYSICIANS SERVICES PC 70 DUBOIS STREET NEWBURGH NY 12550 272020746 HEALTHCARE NY 501(C)(3) 12A TYPE I SLCH true MONTEFIORE HEALTH SYSTEM INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 201615393 SUPPORT SERV NY 501(C)(3) 12B TYPE II MMAHS true MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 10467 131740114 ACD MED CTR NY 501(C)(3) 3 MHS true MMC CORPORATION 111 EAST 210TH STREET BRONX NY 10467 133430322 REAL ESTATE NY 501(C)(3) 12A TYPE I MMC true MMC RESIDENTIAL CORP I INC 3411 WAYNE AVENUE BRONX NY 10467 911943271 STAFF HOUSING NY 501(C)(2) MMC true MONTEFIORE HOSP HOUSING SECTION II INC 3450 WAYNE AVENUE BRONX NY 10467 237160641 STAFF HOUSING NY 501(C)(2) MMC true MOSHOLU PRESERVATION CORPORATION 3400 RESEVOIR OVAL EAST BRONX NY 10467 133109387 COMMUNITY SER NY 501(C)(3) 12A TYPE I MMC true MONTEFIORE NEW ROCHELLE HOSPITAL 16 GUION PLACE NEW ROCHELLE NY 10801 462931956 HOSPITAL NY 501(C)(3) 3 MHS true MONTEFIORE MOUNT VERNON HOSPITAL 12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550 462916938 HOSPITAL NY 501(C)(3) 3 MHS true SCHAFFER EXTENDED CARE CENTER 16 GUION PLACE NEW ROCHELLE NY 10801 462929888 NURSING HOME NY 501(C)(3) 3 MHS true MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX NY 10467 471600439 INACTIVE NY 501(C)(3) 7 MMAHS true MONTEFIORE MEDICINE ACAD HLTH SYST INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 471582973 SYSTEM PARENT NY 501(C)(3) 12B TYPE II NA true MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HOSPITAL NY 501(C)(3) 3 MHS true WHITE PLAINS HOSPITAL MEDICAL CENTER 41 EAST POST ROAD WHITE PLAINS NY 10601 131740130 HOSPITAL NY 501(C)(3) 3 MHS true AECOM STUDENT HOUSING CO INC 1300 MORRIS PARK AVENUE BRONX NY 10461 237075620 STUDENT HOUS NY 501(C)(2) AECOM true MONTEFIORE CERC OPERATION INC 111 EAST 210TH STREET BRONX NY 10467 474853506 REHAB CENTER NY 501(c)(3) 3 MMC true WHITE PLAINS HOSPITAL CTR FOUNDATIONINC 41 EAST POST ROAD DAVIS AVE WHITE PLAINS NY 10601 133281507 FUNDRAISING NY 501(C)(3) 12A TYPE I WPHMC true MONTEFIORE NYACK HOSPITAL FOUNDATION 160 NORTH MIDLAND AVENUE NYACK NY 10960 133245804 FUNDRAISING NY 501(C)(3) 7 NYACK HOSP true THE WINIFRED MASTERSON BURKE REHAB HOSP 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 131739937 REHAB HOSP NY 501(C)(3) 3 MHS true Hudson Vista Corporation 70 Dubois Street Newburgh NY 12550 202286782 Healthcare NY 501(c)(3) 12A Type I NA false MONTEFIORE MED ACAD HLTH SYS SELF INS TR 555 SOUTH BROADWAY TARRYTOWN NY 10591 824019223 INS TRUST NY 501(c)(3) 12A TYPE I MMAHS true ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX NY 10461 830621846 MED COLLEGE NY 501(C)(3) 2 MMAHS true Montefiore Community Services Inc 111 East 210th Street Bronx NY 10467 863368007 Fed Hlth Ctr NY 501(c)(3) 3 MMC true MONTEFIORE EINSTEIN ADVANCED CARE 555 SOUTH BROADWAY TARRYTOWN NY 10591 863090734 HEALTHCARE NY 501(C)(3) 3 MHS true MONTEFIORE ACTION FUND INC 111 EAST 210TH STREET BRONX NY 10467 872215301 INACTIVE NY 501(C)(4) MMC true UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX NY 10467 133877781 MGMT SERVICES NY NA C CORP true THE MONTEFIORE IPA INC 111 EAST 210TH STREET BRONX NY 10467 134114915 INTEG PROVR ASSOC NY NA C CORP true MMC GI HOLDINGS EAST INC 111 EAST 210TH STREET BRONX NY 10467 721610013 HOLDING COMPANY NY NA C CORP true MMC GI HOLDINGS WEST INC 111 EAST 210TH STREET BRONX NY 10467 721610015 HOLDING COMPANY NY NA C CORP true MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC 111 EAST 210TH STREET BRONX NY 10467 133952750 INTEG PROVR ASSOC NY NA C CORP true BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX NY 10467 300689571 INTEG PROVR ASSOC NY NA C CORP true MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX NY 10467 611728539 Holding Company NY NA C CORP true MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX NY 10467 320436594 INACTIVE NY NA C CORP true HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX NY 10467 383978087 INTEG PROVR ASSOC NY NA C CORP true MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX NY 10467 475106910 HOLDING COMPANY NY NA C CORP true HIGHLAND MEDICAL PC 160 NORTH MIDLAND AVENUE NYACK NY 10960 134034481 HEALTHCARE SERV. NY NA C CORP true WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC 41 EAST POST ROAD WHITE PLAINS NY 10601 453164626 HEALTHCARE SERV. NY NA C CORP true CANCER AND BLOOD MEDICAL SERVS OF NY PC 41 EAST POST ROAD WHITE PLAINS NY 10601 462021804 HEALTHCARE SERV. NY NA C CORP true DAVIS AVENUE CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 133331643 Property Holding NY NA C CORP true WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS NY 10601 133331641 Propoerty holding NY NA C CORP true WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS NY 10601 133676932 Property Holding NY NA C CORP true WHITE PLAINS MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815369152 HEALTHCARE SERV. NY NA C CORP true WHITE PLAINS PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815309615 HEALTHCARE SERV. NY NA C CORP true CHARITABLE REMAINDER TRUST (4) CHARIT REMR TRUST NY NA Trust true WHITE PLAINS PHYSICIAN MEDICAL SERV PC DAVIS AVE AT EAST POST ROAD WHITE PLAINS NY 10601 830519787 INACTIVE NY NA C CORP true EAST POST ROAD MEDICAL SERVICES PC DAVIS AVE AT EAST POST ROAD WHITE PLAINS NY 10601 830535258 HEALTHCRE SERRV. NY NA C CORP true EAST POST ROAD PHYSICIAN SERVICES PC DAVIS AVE AT EAST POST ROAD WHITE PLAINS NY 10601 830563325 INACTIVE NY NA C CORP true DAVIS AVENUE MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830579310 INACTIVE NY NA C CORP true WPH HOLDINGS INC DAVIS AVE AT EAST POST ROAD WHITE PLAINS NY 10601 833893119 HOLDING COMPANY NY NA C CORP true CRHT ACQUISITION INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 815220651 HOLDING COMPANY NY NA C CORP true QUANTUM BIOTHERAPEUTICS LLC 111 EAST 210TH STREET BRONX NY 10467 611793667 INACTIVE NY NA C CORP true Innovator Acqusition Corp 111 East 210th Street Bronx NY 104672401 833394059 Holding Company NY NA C Corp true PY DEVELOPMENT CORP 41 EAST POST ROAD DAVIS AVE WHITE PLAINS NY 10601 863880241 REIT NY NA C CORP true SPECIALTY SURGEONS OF CONNECTICUT PC 555 SOUTH BROADWAY TARRYTOWN NY 10591 871352135 HEALTHCARE NY NA C CORP true CMO THE CARE MANAGEMENT COMPANY LLC 111 EAST 210TH STREET BRONX NY 10467 133991307 CARE MANAGEMENT NY NA C CORP true false false true false false false false false false false false false false false false false false false false ST LUKE'S CORNWALL HOSPITAL C 1274757 COST