2015-11-02T09:30:03-06:00 2014-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2014-01-01 133652555 REFUAH HEALTH CENTER INC REFU 8453549300 728 NORTH MAIN STREET SPRING VALLEY NY 10977 CHANIE STERNBERG PRESIDENT & CEO 8453549300 2015-10-29 1 AARON SHAPIRO P01333816 2128674000 2014 2016-03-07 17:11:31Z CHANIE STERNBERG 728 NORTH MAIN STREET SPRING VALLEY NY 10977 48014165 0 X WWW.REFUAHHEALTHCENTER.COM X 1992 NY REFUAH HEALTH CENTER, INC. IS A FREESTANDING DIAGNOSTIC AND TREATMENT CENTER LICENSED UNDER ARTICLE 28 OF THE NEW YORK PUBLIC HEALTH LAW. THE CENTER IS LOCATED IN SPRING VALLEY, NEW YORK AND PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 10 10 510 9 0 0 2774325 4024376 39811534 43903647 2528 4758 70147 67469 42658534 48000250 250000 255912 0 0 25963598 30520373 0 0 0 14688363 17115898 40901961 47892183 1756573 108067 37695434 38782693 8727613 9706805 28967821 29075888 TO SERVE THE DISADVANTAGED BY PROVIDING AFFORDABLE, COMPREHENSIVE, AND CULTURALLY APPROPRIATE HEALTH CARE, EDUCATION, AND SUPPORTIVE SERVICES. 0 0 39427197 255912 43903647 REFUAH PROVIDED MEDICAL CARE TO FAMILIES IN THE FOLLOWING DISCIPLINES IN 2014; ADULT MEDICINE; FAMILY PRACTICE; PEDIATRICS; DENTISTRY; WOMEN'S HEALTH; OBSTETRICS; GYNECOLOGY; BEHAVIORAL HEALTH; PEDIATRIC AND ADULT DENTISTRY; DERMATOLOGY; PODIATRY; NUTRITION; GASTROENTEROLOGY; GERIATRICS; OTOLARYNGOLOGY; OPTOMETRY, OPHTHALMOLOGY, URGENT CARE, WELLNESS CENTER, RADIOLOGY, NUTRITIONIST AND PHYSICAL THERAPY. IN 2014, THERE WAS A TOTAL OF 244,878 ENCOUNTERS AT THE THREE SITES AND AT OUR MOBILES. 1099883 DELIVERY SYSTEM REFORM PROGRAM 40527080 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 68 0 510 1 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X CHANIE STERNBERG 8453549300 728 NORTH MAIN STREET SPRING VALLEY NY 10977 SAMUEL BREUER CHAIRPERSON 2.00 X X 0 0 0 JACOB FRIEDER VICE CHAIRPERSON 2.00 X X 0 0 0 SHLOIME WOSNER BOARD MEMBER 2.00 X X 0 0 0 JOSEPH RAWICKI SECRETARY 2.00 X X 0 0 0 VICTOR OSTREICHER TREASURER 10.00 X X 0 0 0 JACOB FRIEDER BOARD MEMBER 2.00 X 0 0 0 ELENA HAY BOARD MEMBER 2.00 X 0 0 0 ESTHER DEUTSCH BOARD MEMBER 2.00 X 0 0 0 DEVORAH SPITZ BOARD MEMBER 2.00 X 0 0 0 LEAH WEISZ BOARD MEMBER 2.00 X 0 0 0 CHANIE STERNBERG PRESIDENT & CEO 37.50 X 333935 0 26831 CARLOS MUNIZ CFO 32.00 X 125000 0 0 JOSHUA LAMM PSYCHIATRIST 37.50 X 406462 0 0 RAMIN ZAGHI PODIATRIST 37.50 X 355855 0 29331 MICHAEL ROSEN PEDIATRICIAN 37.50 X 343638 0 29331 JERALD KORMAN OB/GYN 37.50 X 341668 0 22359 TAMIR KATZ DEPARTMENT HEAD 37.50 X 312502 0 19701 2219060 0 127553 74 0 1 0 NEW SQUARE WOMAN'S MEDICAL CARE 1107 FIFTH AVENUE NEW YORK NY 10128 MEDICAL SERVICES 2689208 ALLIED OFFICE CLEANERS 1 DEVON COURT MONSEY NY 10952 CLEANING SERVICES 646950 MOUNT SINAI MEDICAL CENTER 1176 FIFTH AVE NEW YORK NY 10029 MEDICAL SERVICES 573516 HEALTH MANAGEMENT ASSOCIATES 120 N WASHINGTON SQUARE SUITE 705 LANSING MI 48933 BUSINESS MANAGEMENT CONSULTING 535156 GLOBAL SECURITY 367 WINDSOR HIGHWAY NEW WINDSOR NY 12553 SECURITY SERVICES 444727 12 3274379 749997 4024376 MEDICAID 621990 42465519 42465519 SELF PAY 621990 856502 856502 MEDICARE 621990 581626 581626 43903647 4758 4758 12001 13915 -1914 -1914 -1914 69383 69383 69383 48000250 43903647 0 72227 X 255912 255912 485766 291460 194306 26892065 23407943 3484122 1083435 943439 139996 2059107 1776499 282608 540669 231467 309202 368839 122780 246059 6315489 5617257 698232 151787 147985 3802 4491135 4098102 393033 569517 38988 530529 1736743 1415546 321197 328284 252549 75735 185684 149410 36274 10113 8798 1315 1671122 1336898 334224 212957 181161 31796 PERSONNEL RECRUITMENT 110842 91160 19682 422717 159726 262991 47892183 40527080 7365103 0 5818022 3873696 2309497 2611007 601330 2156486 4806482 6158849 196436 169701 36181319 12635270 23831914 23546049 131753 266905 37695434 38782693 2522199 3361501 6041983 6345304 163431 8727613 9706805 X 28784809 28528329 183012 547559 28967821 29075888 37695434 38782693 108067 0 X X 0 1 X 1 1 1 X 3472060 1556452 2698697 2774325 4024376 14525910 22159198 27699657 34294753 39811534 43903647 167868789 25631258 29256109 36993450 42585859 47928023 182394699 0 0 0 182394699 22638 12621 13063 14529 16759 79610 22638 12621 13063 14529 16759 79610 109943 172766 159165 80953 69383 592210 25763839 29441496 37165678 42681341 48014165 183066519 0.99630 0.99600 0.00040 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME REIMBURSEMENT INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2120740 2120740 23326852 6937307 16389545 10733727 5697963 5035764 23546049 X 48014165 13915 13915 48000250 0 48000250 47906098 13915 13915 47892183 0 47892183 PART X, LINE 2: THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2011 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 13,915. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 13,915. 1 HUDSON RIVER HEALTHCARE CENTER 1200 BROWN STREET PEEKSKILL NY 10566 132828349 501(C)(3) 255912 GENERAL SUPPORT 1 PART I, LINE 2: THE CENTER REQUIRES RECIPIENTS OF ITS GRANTS TO SUBMIT BUDGETS FOR APPROVAL AND OTHER DOCUMENTATION TO SUBSTANTIATE EXPENDITURES. X X X 0 0 0 0 0 0 0 0 0 CHANIE STERNBERG PRESIDENT & CEO 333935 0 0 0 0 0 0 0 26831 0 360766 0 0 0 JOSHUA LAMM PSYCHIATRIST 406462 0 0 0 0 0 0 0 0 0 406462 0 0 0 RAMIN ZAGHI PODIATRIST 355855 0 0 0 0 0 0 0 29331 0 385186 0 0 0 MICHAEL ROSEN PEDIATRICIAN 343638 0 0 0 0 0 0 0 29331 0 372969 0 0 0 JERALD KORMAN OB/GYN 341668 0 0 0 0 0 0 0 22359 0 364027 0 0 0 TAMIR KATZ DEPARTMENT HEAD 312502 0 0 0 0 0 0 0 19701 0 332203 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 SAMUEL BREUER & VICTOR OSTREICHER - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11 THIS FORM 990, IN ITS ENTIRETY, IS REVIEWED BY THE PRESIDENT & CEO, CFO AND THE BOARD OF DIRECTORS PRIOR TO IRS SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C REFUAH REQUIRES ALL EMPLOYEES (AT THE TIME OF HIRE), CONTRACTORS, AGENTS, OFFICERS, AND MEMBERS OF THE BOARD OF DIRECTORS TO DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY) ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS DISCLOSED, THE AFFECTED EMPLOYEE MAY NOT TAKE PART IN REFUAH DECISIONS TO WHICH THE CONFLICT RELATES OR INFLUENCE THE DECISION DIRECTLY OR INDIRECTLY. EMPLOYEES WHO VIOLATE THIS POLICY MAY BE SUBJECT TO DISCIPLINARY ACTION UP TO AND INCLUDING POSSIBLE TERMINATION. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS HAS APPROVED A COMPENSATION POLICY AND FORMED A COMPENSATION COMMITTEE THAT REVIEWS THE COMPENSATION OF THE PRESIDENT & CEO AND USES AN OUTSIDE HR CONSULTANT TO PERFORM SALARY SURVEYS ON A REGULAR BASIS. THIS WAS LAST REVIEWED IN 2014. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES COPIES OF THESE DOCUMENTS UPON REQUEST. FORM 990, PART IX, LINE 11G UROLOGIST: PROGRAM SERVICE EXPENSES 70,288. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,288. PEDIATRICIAN: PROGRAM SERVICE EXPENSES 418,795. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 418,795. ADULT MEDIC: PROGRAM SERVICE EXPENSES 199,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 199,728. OPHTHALMOLOGY: PROGRAM SERVICE EXPENSES 177,479. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,479. ENT: PROGRAM SERVICE EXPENSES 313,875. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 313,875. OB: PROGRAM SERVICE EXPENSES 2,689,208. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,689,208. OPTOMETRIST: PROGRAM SERVICE EXPENSES 249,691. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,691. CARDIOLOGY: PROGRAM SERVICE EXPENSES 156,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,750. DENTISTS: PROGRAM SERVICE EXPENSES 12,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,018. BARIATRIC SURGERY: PROGRAM SERVICE EXPENSES 60,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,125. DENTAL ASSISTANT: PROGRAM SERVICE EXPENSES 63,370. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,370. OTHER HEALTH: PROGRAM SERVICE EXPENSES 105,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,750. DERMATOLOGY: PROGRAM SERVICE EXPENSES 241,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 241,500. PHARMACIST: PROGRAM SERVICE EXPENSES 78,669. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,669. PSYCHIATRIST: PROGRAM SERVICE EXPENSES 5,100. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,100. RHEUMATOLOGIST: PROGRAM SERVICE EXPENSES 6,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,250. GASTRONOLOGIST: PROGRAM SERVICE EXPENSES 31,872. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,872. CENTER FOR INFECTIOUS DISEASE: PROGRAM SERVICE EXPENSES 15,936. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,936. MAMMOGRAPHY TECHNICIAN: PROGRAM SERVICE EXPENSES 14,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,350. NURSE PRACTITIONER: PROGRAM SERVICE EXPENSES 30,119. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,119. TRANSLATION: PROGRAM SERVICE EXPENSES 20,867. MANAGEMENT AND GENERAL EXPENSES 4,581. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,448. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 28,927. MANAGEMENT AND GENERAL EXPENSES 100,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,137. CLERICAL SERVICES: PROGRAM SERVICE EXPENSES 70,185. MANAGEMENT AND GENERAL EXPENSES 15,406. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,591. ADP PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 112,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,277. ADMINISTRATION: PROGRAM SERVICE EXPENSES 13. MANAGEMENT AND GENERAL EXPENSES 206,984. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,997. BUSINESS MANAGEMENT: PROGRAM SERVICE EXPENSES 556,392. MANAGEMENT AND GENERAL EXPENSES 87,378. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 643,770. EMPLOYMENT AGENCY FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 171,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,396. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.