2013-11-14T16:48:32-06:00 2012-12-31 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2012-01-01 352387526 HUDSON INFORMATION TECHNOLOGY FOR COMMUNITY HEALTH INC HUDS 2123547455 1037 MAIN STREET PEEKSKILL NY 10566 HELEN KOPAL 2123547455 2013-11-13 1 THOMAS LANNING P00851654 2122970400 2012 2016-02-24 21:20:13Z HELEN KOPAL 1037 MAIN STREET PEEKSKILL NY 10566 2885877 0 X WWW.HITCOMMUNITYHEALTH.ORG X 2010 NY THE MISSION OF HITCH IS TO PROMOTE HIGH QUALITY CARE AMONG SAFETY-NET PRIMARY CARE PROVIDERS BY DEVELOPING AND DISSEMINATING PROVEN APPROACHES TO PROCESS AND OUTCOME IMPROVEMENTS. 4 4 0 0 0 0 998232 2852529 0 0 0 0 0 33348 998232 2885877 0 222727 0 0 0 0 0 0 0 996278 2674135 996278 2896862 1954 -10985 697962 975645 696008 984676 1954 -9031 X THE MISSION OF HITCH IS TO PROMOTE HIGH QUALITY CARE AMONG SAFETY-NET PRIMARY CARE PROVIDERS BY DEVELOPING AND DISSEMINATING PROVEN APPROACHES TO PROCESS AND OUTCOME IMPROVEMENTS. HITCH OFFERS TOOOLS, CONTENT, AND PROFESSIONAL SERVICES TO HELP ORGANIZATIONS TO USE INFORMATION TECHNOLOGY TO ACHEIVE THEIR QUALITY GOALS, AND SUSTAIN THEIR IMPROVEMENTS BY INSTILLING AND SUPPORTING QI BEST PRACTICES. 0 0 1231210 222727 HEAL 17 - INCREASE HEALTH INFORMATION TECHNOLOGY (HIT) INFRASTRUCTURE AND INFORMATION FOR MENTAL AND BEHAVIORAL HEALTH TO IMPROVE THEIR CARE. 458329 CANCER SERVICE PROGRAMS - TO PROVIDE AND PROMOTE UTILIZATION OF CANCER SCREENING SERVICES THROUGHOUT PROPOSED SERVICE AREA. 1156990 CHILDREN'S HEALTH INSURANCE PROGRAM - TO INCREASE THE NUMBER OF C HILDREN COVERED BY MCD THROUGH PRIMARY CARE MEDICAL HOME. 2846529 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 NY X JAMES SINKOFF 2123547455 1037 MAIN STREET PEEKSKILL NY 10566 X ANNE KAUFFMAN NOLON 1.00 X X 0 0 0 NEIL CALMAN 1.00 X X 0 0 0 LINDSAY FARRELL 1.00 X X 0 0 0 HELENE KOPAL 1.00 X 0 0 0 0 0 0 0 0 0 0 0 2852529 2852529 MEMBER REIMBURSEMENT 900099 33348 33348 33348 2885877 33348 0 0 X 222727 222727 3065 3065 43761 43761 2237868 2237868 17097 17097 26840 26840 7659 7659 750 750 1986 1986 2021 500 1521 EQUIPMENT RENTAL 297137 297137 OTHER EXPENSES 22690 22690 STAFF TRAINING 12899 12899 LICENSES 362 362 2896862 2846529 50333 0 227211 95325 467594 872889 10049 2618 3157 7431 697962 975645 109956 231791 586052 752885 696008 984676 X 1954 -9031 1954 -9031 697962 975645 -10985 0 X X 0 1 X 1 0 X 233340 998232 2852529 4084101 233340 998232 2852529 4084101 4084101 33348 33348 4117449 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MEMBER REIMBURSEMENT - 2012 AMOUNT: $ 33,348. SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 2010 WAS A SHORT YEAR DUE TO THE ORGANIZATION BEING FOUNDED IN MAY OF 2010 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10049 2618 7431 7431 DUE TO RELATED PARTIES 752885 752885 X 2885877 0 2885877 0 2885877 2896862 0 2896862 0 2896862 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS WELL AS FROM STATE INCOME TAXES. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. IN ADDITION, THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2012. SINCE THIS IS THE FIRST YEAR OF OPERATIONS, THE ORGANIZATION HAS NOT YET FILED ANY FEDERAL OR STATE TAX RETURNS AS THEY ARE NOT YET DUE. GOING FORWARD, MANAGEMENT PLANS TO EVALUATE 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. 0 ADIRONDACK HEALTH NEWTWORK 9 CAREY RD QUEENSBURY NY 12804 141698269 501(C)(3) 222727 TO FURTHER ORGANIZATION'S EXEMPT PURPOSE. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS. FORM 990, PART VI, SECTION A, LINE 6 HUDSON RIVER HEALTH CARE, 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 7A HUDSON RIVER HEALTH CARE, 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 11 TAX RETURN IS PREPARED BY COHNREZNICK AND REVIEWED BY MANAGEMENT, A DRAFT OF THE FORM 990 IS REVIEWED WITH THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 2,237,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,237,868. FORM 990, PART XII, LINE C2: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.