BETA

HUDSON INFORMATION TECHNOLOGY FOR COMMUNITY HEALTH INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HUDSON INFORMATION TECHNOLOGY FOR COMMUNITY HEALTH INC (EIN 35-2387526)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-14
IRS object ID
202242879349300224
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-14T11:30:32-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114 SYLVAN WAYAddressLine1Txt
CityPARSIPPANYCityNm
State AbbreviationNJStateAbbreviationCd
ZIP070543801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352387526EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUDSON INFORMATION TECHNOLOGY FORBusinessNameLine1Txt
Business Name Line2COMMUNITY HEALTH INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHUDSBusinessNameControlTxt
Phone9145021470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 CHURCH STREET 110AddressLine1Txt
CityOSSININGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10562ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDSAY FARRELLPersonNm
Person TitleCHAIRPERSONPersonTitleTxt
Phone9145021470PhoneNum
Signature2022-10-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLINDSAYPersonFirstNm
Person LastFARRELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI ROTHE YOKOBOSKY CPAPreparerPersonNm
PTINP01273422PTIN
Phone9732283500PhoneNum
Preparation2022-10-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDSAY FARRELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 CHURCH STREET 110AddressLine1Txt
CityOSSININGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10562ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,076,519GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HITCH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionHITCH IS A NON-PROFIT ORGANIZATION DEDICATED TO SUPPORTING THE PROVISION OF HIGH-QUALITY HEALTH CARE TO COMMUNITIES ACROSS NEW YORK'S LOWER HUDSON VALLEY, AS WELL AS PARTS OF NEW YORK CITY AND LONG ISLAND.WE WORK WITH OUR SPONSORS, THREE FEDERALLY-QUALIFIED HEALTH CENTERS, OPEN DOOR FAMILY MEDICAL CENTERS, INC., SUN RIVER HEALTH, INC. AND THE INSTITUTE FOR FAMILY HEALTH, TO IMPLEMENT PROGRAMS THAT ENHANCE THE ACCESS TO AND QUALITY OF HEALTH CARE FOR THE MEDICALLY UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$824,096PYContributionsGrantsAmt
CY Contributions Grants$1,076,519CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$824,096PYTotalRevenueAmt
CY Total Revenue$1,076,519CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$824,095PYOtherExpensesAmt
CY Other Expenses$1,058,683CYOtherExpensesAmt
PY Total Expenses$824,095PYTotalExpensesAmt
CY Total Expenses$1,058,683CYTotalExpensesAmt
PY Revenues Less Expenses$1PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,836CYRevenuesLessExpensesAmt
Total Assets BOY$671,946TotalAssetsBOYAmt
Total Assets EOY$463,192TotalAssetsEOYAmt
Total Liabilities BOY$604,495TotalLiabilitiesBOYAmt
Total Liabilities EOY$377,905TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$67,451NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$85,287NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHITCH IS A NON-PROFIT ORGANIZATION DEDICATED TO SUPPORTING THE PROVISION OF HIGH-QUALITY HEALTH CARE TO COMMUNITIES ACROSS NEW YORK'S LOWER HUDSON VALLEY, AS WELL AS PARTS OF NEW YORK CITY AND LONG ISLAND.WE WORK WITH OUR SPONSORS, THREE FEDERALLY-QUALIFIED HEALTH CENTERS, OPEN DOOR FAMILY MEDICAL CENTERS, INC., SUN RIVER HEALTH, INC., AND THE INSTITUTE FOR FAMILY HEALTH, TO IMPLEMENT PROGRAMS THAT ENHANCE THE ACCESS TO AND QUALITY OF HEALTH CARE FOR THE MEDICALLY UNDERSERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$950,420ExpenseAmt
DescCANCER SERVICE PROGRAMS - TO PROVIDE AND PROMOTE UTILIZATION OF CANCER SCREENING SERVICES THROUGHOUT PROPOSED SERVICE AREA.Desc
Total Program Service Expenses$950,420TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARIA MAZZOTTABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9145021470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 MAIN STAddressLine1Txt
CityOSSININGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10562ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ANNE KAUFFMAN NOLON
DIRECTOR1.00Yes (X)$0$0$0
JAMES SINKOFF
SECRETARY1.00Yes (X)$0$0$0Yes (X)
LINDSAY FARRELL
CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
MARIA MAZZOTTA
DIRECTOR1.00Yes (X)$0$0$0
MAXINE GOLUB
TREASURER1.00Yes (X)$0$0$0Yes (X)
NEIL CALMAN
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BBG & G ADVERTISING INC
3020 ROUTE 207 SUITE 101CAMPBELL HSLLNY10916ADVERTISING$168,287
OPEN DOOR FAMILY MEDICAL CENTER INC
165 MAIN STREETOSSININGNY10562MANAGEMENT SERVICES$157,491
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,076,519AllOtherContributionsAmt
Total Contributions$1,076,519TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,076,519TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$157,491TotalAmt
Program Services$126,643ProgramServicesAmt
Management And General$30,848ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,430TotalAmt
Management And General$23,430ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$601,744TotalAmt
Program Services$568,949ProgramServicesAmt
Management And General$32,795ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$168,287TotalAmt
Program Services$168,287ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,947TotalAmt
Program Services$30,111ProgramServicesAmt
Management And General$2,836ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$42,693TotalAmt
Program Services$37,759ProgramServicesAmt
Management And General$4,934ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,425TotalAmt
Program Services$1,102ProgramServicesAmt
Management And General$323ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$279TotalAmt
Program Services$100ProgramServicesAmt
Management And General$179ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,620TotalAmt
Program Services$2,150ProgramServicesAmt
Management And General$2,470ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,462TotalAmt
Management And General$5,462ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS$16,046$12,937$3,109
EQUIPMENT RENTAL AND MA$4,259$2,382$1,877

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,058,683TotalAmt
Program Services$950,420ProgramServicesAmt
Management And General$108,263ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$130,266BOYAmt
EOY$54,361EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$527,481BOYAmt
EOY$381,002EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$856BOYAmt
EOY$802EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$121,817LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$101,714LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,887BOYAmt
EOY$20,103EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,456BOYAmt
EOY$6,924EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$671,946BOYAmt
EOY$463,192EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,429BOYAmt
EOY$36,199EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$574,066BOYAmt
EOY$341,706EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$604,495BOYAmt
EOY$377,905EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$67,451BOYAmt
EOY$85,287EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,451BOYAmt
EOY$85,287EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$671,946BOYAmt
EOY$463,192EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$17,836ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$675,735CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$678,353CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$744,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$824,096CurrentTaxYearMinus1YearAmt
Current Tax Year$1,076,519CurrentTaxYearAmt
Total$3,999,614TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$675,735CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$678,353CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$744,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$824,096CurrentTaxYearMinus1YearAmt
Current Tax Year$1,076,519CurrentTaxYearAmt
Total$3,999,614TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,999,614PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,250CurrentTaxYearMinus4YearsAmt
Total$2,250TotalAmt
FieldValueIRS element (for citing)
Total Support$4,001,864TotalSupportAmt
Public Support CY1700.99940PublicSupportCY170Pct
Public Support PY1700.99890PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationTAX REFUND - OTHER - 2017 AMOUNT: $ 2,250.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,187OtherCostOrOtherBasisAmt
Depreciation$9,277DepreciationAmt
Book Value$1,910BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,201OtherCostOrOtherBasisAmt
Depreciation$51,153DepreciationAmt
Book Value$9,048BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,429OtherCostOrOtherBasisAmt
Depreciation$41,284DepreciationAmt
Book Value$9,145BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,103TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE ADVANCES$100,071
DUE TO MEMBERS$241,635
FieldValueIRS element (for citing)
Total Liability$341,706TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,076,519TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,076,519RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,076,519TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,058,683TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,058,683ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,058,683TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO CALENDAR YEAR 2018 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE ORGANIZATION WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF OPERATING EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENT OF FINANCIAL POSITION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6SUN RIVER HEALTH, INC., INSTITUTE FOR FAMILY HEALTH, INC., AND OPEN DOOR FAMILY MEDICAL CENTER, INC. ARE ALL MEMBERS OF HUDSON INFORMATION TECHNOLOGY FOR COMMUNITY HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7ASUN RIVER HEALTH, INC., INSTITUTE FOR FAMILY HEALTH, INC., AND OPEN DOOR FAMILY MEDICAL CENTER, INC. ARE ALL MEMBERS OF HUDSON INFORMATION TECHNOLOGY. AS SUCH, THEY APPOINT THE MEMBERS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTAX RETURN IS PREPARED BY COHNREZNICK AND REVIEWED BY MANAGEMENT, A DRAFT OF THE FORM 990 IS REVIEWED WITH THE BOARD BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS, OFFICERS AND KEY EMPLOYEES WILL, AT LEAST ANNUALLY, FILE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE BOARD SECRETARY (THE "DESIGNEE"). THE DESIGNEE WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE CHAIR OF THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPATIENT SUPPORT: PROGRAM SERVICE EXPENSES 525,718. MANAGEMENT AND GENERAL EXPENSES 11,634. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 537,352. ADMIN SUPPORT: PROGRAM SERVICE EXPENSES 24,981. MANAGEMENT AND GENERAL EXPENSES 8,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,231. CONTRACTED MEDICAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,911. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,911. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 18,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,250.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT.

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