CORNERSTONE FAMILY HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CORNERSTONE FAMILY HEALTHCARE (EIN 06-1036715)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-01
IRS object ID
201323059349301137
Schema version
2012v2.1
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)
Timestamp2013-11-01T15:21:02-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061036715EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE GREATER HUDSON VALLEY FAMILY HEALTHBusinessNameLine1
Business Name Line2CENTER INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlGREANameControl
Phone8452203100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9W NO 10AddressLine1
CityCORNWALLCity
StateNYState
ZIP Code12518ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA S MULLERName
TitlePRESIDENT & CEOTitle
Phone8452203100Phone
Date Signed2013-10-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA S MULLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9W NO 10AddressLine1
CityCORNWALLCity
StateNYState
ZIP Code12518ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22334298GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteGHVFHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees372TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5363669ContributionsGrantsPriorYear
Contributions Grants Current Year4578262ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14468652ProgramServiceRevenuePriorYear
Program Service Revenue CY17157722ProgramServiceRevenueCY
Investment Income Prior Year1335InvestmentIncomePriorYear
Investment Income Current Year1819InvestmentIncomeCurrentYear
Other Revenue Prior Year460666OtherRevenuePriorYear
Other Revenue Current Year476275OtherRevenueCurrentYear
Total Revenue Prior Year20294322TotalRevenuePriorYear
Total Revenue Current Year22214078TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12232643SalariesEtcPriorYear
Salaries Etc Current Year14755493SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4945553OtherExpensePriorYear
Other Expenses Current Year5826159OtherExpensesCurrentYear
Total Expenses Prior Year17178196TotalExpensesPriorYear
Total Expenses Current Year20581652TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3116126RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1632426RevenuesLessExpensesCY
Total Assets BOY21262090TotalAssetsBOY
Total Assets EOY21912913TotalAssetsEOY
Total Liabilities BOY13824337TotalLiabilitiesBOY
Total Liabilities EOY12960590TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7437753NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8952323NetAssetsOrFundBalancesEOY
Mission DescriptionGREATER HUDSON VALLEY 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16842164Expense
Revenue17157722Revenue
DescriptionTO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. IN 2012 WE HAD 154,170 PATIENT VISITS WHICH INCLUDES HIV SERVICES OF 627 VISITS, 46,840 OASAS METHADONE VISITS, AND OASAS SUBSTANCE ABUSE VISITS OF 15,959.Description
Total Program Service Expense16842164TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees372NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJACQUELINE FOWLERNamePerson
Telephone Number8452203100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9W-NAddressLine1
CityCORNWALLCity
StateNYState
ZIP Code12518ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ARIF MUSLIM MD
BOARD MEMBER1.002.00X000
CHARLES MILICH
BOARD CHAIR1.002.00X000X
DAISY VALE
BOARD MEMBER1.002.00X000
DAVID DENDY
SECRETARY1.002.00X000X
DEBRA JOHNSON
1ST VICE CHAIR1.002.00X000X
FLOYD JOHNSON
BOARD MEMBER1.002.00X000
MARCEL MARTINO
BOARD MEMBER1.002.00X000
MARIANNA KENNEDY
BOARD MEMBER1.002.00X000
MARYJEAN VALIGORSKY
BOARD MEMBER1.002.00X000
MIRTA RIVAS
BOARD MEMBER1.002.00X000
PAUL BROADIE
IMMEDIATE PAST CHAIR1.002.00X000X
REV NELSON MCALLISTER
BOARD MEMBER1.002.00X000
WAYNE DAY
TREASURER1.002.00X000X
ALAN BERNSTEIN MD
CHIEF MEDICAL OFFICER35.00203354014342X
AVI K SILBER
CHIEF MEDICAL DIRECTOR35.00157707022812X
KENNETH MACKINTOSH
CHIEF ADVANCEMENT OFFICER35.0013475904341X
LINDA S MULLER
PRESIDENT & CEO35.002.0028362908286X
PATRICK R MURPHY
CFO35.00213093025596X
ANHTHO T KASHYAP
PHYSICIAN35.00178265012203X
DANIEL PAGNANI
PHYSICIAN35.00283100019364X
DIANA R WALLACE
PHYSICIAN35.00178477011851X
STANLEY SWABY
PHYSICIAN35.00243093026864X
JANICE WOLF
PHYSICIAN35.0015954906680X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2035026TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation152339TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEARTHSTONE COMMERCIAL & RESIDENTIAL CON
48 HORTON ROADWASHINGTONVILLENY10992CONSTRUCTION SERVICES183832
HUDSON VALLEY IMAGING
575 HUDSON VALLEY AVENUENEW WINDORNY12553IMAGING SERVICES101009
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events137376FundraisingEvents
Government Grants3994340GovernmentGrants
All Other Contributions446546AllOtherContributions
Noncash Contributions36497NoncashContributions
Total Contributions4578262TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID62111082013548201354
MANAGED CARE62111050866345086634
OTHER THIRD PARTY62111014464431446443
SELF PAY621110859932859932
MEDICARE621110850003850003

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column713356TotalRevenueColumn
Related Or Exempt Function Income713356RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17157722TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1819TotalRevenueColumn
Exclusion$1,819ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real83900Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real26825Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real57075Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column57075TotalRevenueColumn
Exclusion$57,075ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events42775GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events137376CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses93395FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-50620TotalRevenueColumn
Exclusion-$50,620ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEANINGFUL INCENTIVE624100441070441070
FORGIVENESS OF DEBT9000992127521275
MEDICAL RECORDS62410062006200

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1275TotalRevenueColumn
Related Or Exempt Function Income1275RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue469820TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22214078TotalRevenueColumn
Related Or Exempt Function Income17627542RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,274ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1067919Total
Program Services865014ProgramServices
Management And General202905ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11633331Total
Program Services9422998ProgramServices
Management And General2210333ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total72658Total
Program Services58853ProgramServices
Management And General13805ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total777416Total
Program Services629707ProgramServices
Management And General147709ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1204169Total
Program Services975377ProgramServices
Management And General228792ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15033Total
Management And General15033ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75514Total
Management And General75514ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total614565Total
Program Services519986ProgramServices
Management And General94579ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total569952Total
Program Services370043ProgramServices
Management And General199909ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total52481Total
Program Services42510ProgramServices
Management And General9971ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total556359Total
Program Services478210ProgramServices
Management And General78149ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total84382Total
Program Services68350ProgramServices
Management And General16032ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total45003Total
Program Services36452ProgramServices
Management And General8551ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total579714Total
Program Services473701ProgramServices
Management And General106013ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total933366Total
Program Services760590ProgramServices
Management And General172776ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total54046Total
Program Services44236ProgramServices
Management And General9810ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES849167849167
REPAIRS AND MAINTENANCE46535038158783763
BAD DEBT295610295610
LAB/PHARMACY/RADIOLOGY257992257992

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total377625Total
Program Services311781ProgramServices
Management And General65844ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20581652Total
Program Services16842164ProgramServices
Management And General3739488ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY756639BOY
EOY1155775EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY354615BOY
EOY146660EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1741330BOY
EOY1715134EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3480888BOY
EOY2933735EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY5693EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY111271BOY
EOY655816EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17446641LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2619579LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14542558BOY
EOY14827062EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY17940BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY256849BOY
EOY473038EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21262090BOY
EOY21912913EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1654730BOY
EOY1580139EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY20523BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11012683BOY
EOY10001193EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1136401BOY
EOY1379258EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13824337BOY
EOY12960590EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5972124BOY
EOY7869367EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1465629BOY
EOY1082956EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7437753BOY
EOY8952323EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21262090BOY
EOY21912913EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1632426ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-117856ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5220189CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3517189CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4554587CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5363669CurrentTaxYearMinus1Year
Current Tax Year4578262CurrentTaxYear
Total23233896Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5220189CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3517189CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4554587CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5363669CurrentTaxYearMinus1Year
Current Tax Year4578262CurrentTaxYear
Total23233896Total
FieldValueIRS element (for citing)
Public Support Total17023233896PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4308CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15563CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86155CurrentTaxYearMinus1Year
Current Tax Year85719CurrentTaxYear
Total195894Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years104666CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years212398CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years222456CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year455573CurrentTaxYearMinus1Year
Current Tax Year512595CurrentTaxYear
Total1507688Total
FieldValueIRS element (for citing)
Total Support24937478TotalSupport
Gross Receipts From Admissions Etc56912394GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93170PublicSupportPertcentage170
Public Support Pertcent Prior Year0.93620PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1465629BeginningOfYearBalance
Contributions19827Contributions
Other Expenditures402500OtherExpenditures
End Of Year Balance1082956EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1677836BeginningOfYearBalance
Contributions37793Contributions
Other Expenditures250000OtherExpenditures
End Of Year Balance1465629EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1887289BeginningOfYearBalance
Contributions39806Contributions
Other Expenditures249259OtherExpenditures
End Of Year Balance1677836EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2143205BeginningOfYearBalance
Contributions25929Contributions
Other Expenditures281845OtherExpenditures
End Of Year Balance1887289EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance320088BeginningOfYearBalance
Other Expenditures320088OtherExpenditures
End Of Year Balance2143205EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1280852OtherCostOrOtherBasis
Book Value1280852BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12136863OtherCostOrOtherBasis
Depreciation793715Depreciation
Book Value11343148BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis138959OtherCostOrOtherBasis
Depreciation10841Depreciation
Book Value128118BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3889967OtherCostOrOtherBasis
Depreciation1815023Depreciation
Book Value2074944BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14827062TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INTEREST RATE SWAP PAYABLE$1,254,258
REFUNDABLE ADVANCES$125,000
FieldValueIRS element (for citing)
Total Of Amounts1379258TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt22021034TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-117856NetUnrealizedGainsInvestments
Other Revenues-195408OtherRevenues
Revenue Not Rptd F990-313264RevenueNotRptdF990
Revenue Subtotal22334298RevenueSubtotal
Other Revenues Not Included-120220OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-120220RevenueNotRptdOnFinStmt
Total Revenue Per Form99022214078TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20550386TotExpensesEtcAuditedFinclStmt
Other Expenses Included264344OtherExpensesIncluded
Expenses Not Rptd F990264344ExpensesNotRptdF990
Expenses Subtotal20286042ExpensesSubtotal
Other Expenses Not Included295610OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt295610ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020581652TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE TEMPORARILY RESTRICTED FUNDS WILL BE USED FOR FUTURE CAPITAL EXPENDITURES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. IN ADDITION, THE CENTER IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2012. THE CENTER'S U.S. FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RELATED PARTY REVENUE 136,095. INTERCOMPANY ELIMINATION -35,893. BAD DEBT EXPENSE -295,610.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSE -93,395. RENTAL EXPENSE -26,825.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RELATED PARTY EXPENSES 180,017. INTERCOMPANY ELIMINATION -35,893. RENTAL EXPENSE 26,825. DIRECT FUNDRAISING EXPENSE 93,395.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 295,610.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PILLARSNameOfEvent1
Gross Receipts Event1155312GrossReceiptsEvent1
Charitable Contributions Event1121312CharitableContributionsEvent1
Gross Revenue Event134000GrossRevenueEvent1
Non Cash Prizes Event134797NonCashPrizesEvent1
Rent Facility Costs Event139452RentFacilityCostsEvent1
Entertainment Event1374EntertainmentEvent1
Other Direct Expenses Event17858OtherDirectExpensesEvent1
Name Of Event2BAILE LATINONameOfEvent2
Gross Receipts Event219490GrossReceiptsEvent2
Charitable Contributions Event214090CharitableContributionsEvent2
Gross Revenue Event25400GrossRevenueEvent2
Non Cash Prizes Event21700NonCashPrizesEvent2
Rent Facility Costs Event25160RentFacilityCostsEvent2
Food And Beverage Event2104FoodAndBeverageEvent2
Gross Receipts Total174802GrossReceiptsTotal
Charitable Contributions Total135402CharitableContributionsTotal
Gross Revenue Total Events39400GrossRevenueTotalEvents
Non Cash Prizes Total Events36497NonCashPrizesTotalEvents
Rent Facility Costs Total Events44612RentFacilityCostsTotalEvents
Food And Beverage Total Events104FoodAndBeverageTotalEvents
Entertainment Total Events374EntertainmentTotalEvents
Other Direct Expenses Total Events7858OtherDirectExpensesTotalEvents
Direct Expense Summary Events89445DirectExpenseSummaryEvents
Net Income Summary-50045NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALAN BERNSTEIN MD
CHIEF MEDICAL OFFICER18703401500001320000143420217696000
AVI K SILBER
CHIEF MEDICAL DIRECTOR154587030000120035000193120180519000
LINDA S MULLER
PRESIDENT & CEO254605027500015240750007860291915000
PATRICK R MURPHY
CFO1877250250000368062500193460238689000
ANHTHO T KASHYAP
PHYSICIAN175609025000156019500102530190468000
DANIEL PAGNANI
PHYSICIAN26151602000001584000193640302464000
DIANA R WALLACE
PHYSICIAN17325205000022505400064510190328000
STANLEY SWABY
PHYSICIAN2430930000075000193640269957000
JANICE WOLF
PHYSICIAN159549000000066800166229000

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionNON CASH PRIZESDescription
Number Of Contributions65NumberOfContributions
Noncash Contribs Rptd F99036497NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 ARE REQUIRED TO ANNUALLY FILL OUT A COI QUESTIONNAIRE.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, TOP FINANCIAL OFFICIAL AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY A PROCESS WHICH INCLUDES SUCH FACTORS AS CAREER EXPERIENCE AND COMPETITIVE FORCES UPON HIRING. SUCH AMOUNTS, AND ANY ANNUAL SALARY ADJUSTMENTS, ARE APPROVED BY THE PERSONNEL COMMITTEE OF THE BOARD AND RATIFIED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE 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 XII, LINE 2C:THE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgPublic Charity StatusPublicCharityStatus
FHC PROPERTIES INC
2570 US HIGHWAY 9W STE 10CORNWALLNY12518141781164FHC PROPERTIES, INC. PRIMARY PURPOSE IS TO HOLD TITLE PROPERTYNY501(C)(2)THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER INC0
ENCORE INC- CONSIGN FOR A CAUSE
2570 US HIGHWAY 9W STE 10CORNWALLNY12518452391908THRIFT SHOPNY501(C)(3)THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER INC0LINE 9
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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