CORNERSTONE FAMILY HEALTHCARE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CORNERSTONE FAMILY HEALTHCARE (EIN 06-1036715)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349302095
Schema version
2010v3.4
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)
Timestamp2011-11-15T11:13:42-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JH COHN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14 BECKER FARM ROADAddressLine1
CityROSELANDCity
StateNJState
ZIP Code070681739ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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
Phone8455638025Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12570 ROUTE 9WAddressLine1
CityCORNWALLCity
StateNYState
ZIP Code12518ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA S MULLERName
TitleCEOTitle
Phone8455638025Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
Phone9732283500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 9WAddressLine1
CityCORNWALLCity
StateNYState
ZIP Code12518ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14601086GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees231TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3517189ContributionsGrantsPriorYear
Contributions Grants Current Year4554587ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8321358ProgramServiceRevenuePriorYear
Program Service Revenue CY9808480ProgramServiceRevenueCY
Investment Income Prior Year4308InvestmentIncomePriorYear
Investment Income Current Year1963InvestmentIncomeCurrentYear
Other Revenue Prior Year172909OtherRevenuePriorYear
Other Revenue Current Year190649OtherRevenueCurrentYear
Total Revenue Prior Year12015764TotalRevenuePriorYear
Total Revenue Current Year14555679TotalRevenueCurrentYear
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 Year8094802SalariesEtcPriorYear
Salaries Etc Current Year9498899SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3124611OtherExpensePriorYear
Other Expenses Current Year3751930OtherExpensesCurrentYear
Total Expenses Prior Year11219413TotalExpensesPriorYear
Total Expenses Current Year13250829TotalExpensesCurrentYear
Revenues Less Expenses Prior Year796351RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1304850RevenuesLessExpensesCY
Total Assets BOY14416065TotalAssetsBOY
Total Assets EOY18192857TotalAssetsEOY
Total Liabilities BOY10281868TotalLiabilitiesBOY
Total Liabilities EOY13137678TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4134197NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5055179NetAssetsOrFundBalancesEOY
Mission DescriptionGREATER HUDSON VALLEY FAMILY HEALTH CENTER OF NEWBURGH, INC. 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
Expense10577871Expense
Revenue9999282Revenue
DescriptionTO PROVIDE A WIDE RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. THERE WERE 92,383 VISITS IN 2010.Description
Total Program Service Expense10577871TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
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 Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees231NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 PersonDELIA FUENTESNamePerson
Telephone Number8452203100TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID DENDY
BOARD SECRETARY1.00XX000
WAYNE DAY
BOARD TREASURER1.00XX000
PAUL BROADIE II
BOARD IMMED. PAST CHAIR1.00XX000
CHARLIE MILICH
BOARD CHAIRPERSON1.00XX000
MARYJEAN VALIGORSKY
BOARD 1ST VICE CHAIRMAN1.00XX000
REV NELSON MCALLISTER
BOARD MEMBER1.00X000
DEBRA JOHNSON
BOARD MEMBER1.00X000
ARIF MUSLIM MD
BOARD MEMBER1.00X000
MIRTA RIVAS
BOARD MEMBER1.00X000
DAISY VALE
BOARD MEMBER1.00X000
FLOYD JOHNSON
BOARD MEMBER1.00X000
MARIANNA KENNEDY
BOARD MEMBER1.00X000
ALAN B BERNSTEIN MD
CHIEF MEDICAL OFFICER35.00X251117014630
PATRICK MURPHY
CHIEF FINANCIAL OFFICER35.00X149599015736
KENNETH MACKINTOSH
CHIEF ADVANCEMENT OFFICER35.00X865200314
LINDA S MULLER
PRESIDENT & CEO35.00X2404220751
DANIEL PAGNANI MD
PHYSICIAN35.00349229013955X
JONATHAN M CASTRO MD
PHYSICIAN35.00160238012088X
CHANCHAL SINGH MD
PHYSICIAN35.00146219011069X
ANTHO KASHYAP MD
PHYSICIAN35.0024271106344X
DIANA WALLACE MD
PHYSICIAN35.0024512705418X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1871182TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation80305TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEARTHSTONE COMMERCIAL & RESIDENTIAL CONBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line148 HORTON ROADAddressLine1
CityWASHINGTONVILLECity
StateNYState
ZIP Code10992ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesGENERAL CONSTRUCTIONDescriptionOfServices
Compensation240576Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants4280002GovernmentGrants
All Other Contributions274585AllOtherContributions
Total Contributions4554587TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PMTS90009952999255299925
MANAGED CARE90009927084252708425
3RD PARTY PAYOR90009910461811046181
SELF PAY900099466170466170
UNCOMPENSATED CARE900099287779287779
FieldValueIRS element (for citing)
Total Program Service Revenue9808480TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1963TotalRevenueColumn
Exclusion$1,963ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13600Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13600Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13600TotalRevenueColumn
Exclusion$13,600ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events26425GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events65252CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses45407FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-18982TotalRevenueColumn
Exclusion-$18,982ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY REVENUE900099190802190802
MEDICAL RECORDS90009931383138
OTHER REVENUE90009920912091
FieldValueIRS element (for citing)
Total Other Revenue196031TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14555679TotalRevenueColumn
Related Or Exempt Function Income10004511RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$3,419ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total759089Total
Program Services614862ProgramServices
Management And General144227ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7577816Total
Program Services6138031ProgramServices
Management And General1439785ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total512180Total
Program Services414866ProgramServices
Management And General97314ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total649814Total
Program Services526349ProgramServices
Management And General123465ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41044Total
Management And General41044ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50379Total
Program Services1563ProgramServices
Management And General48816ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total228494Total
Program Services155376ProgramServices
Management And General73118ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total44525Total
Program Services36065ProgramServices
Management And General8460ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30205Total
Program Services24466ProgramServices
Management And General5739ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total367354Total
Program Services245972ProgramServices
Management And General121382ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total535216Total
Program Services356420ProgramServices
Management And General178796ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total44630Total
Program Services30348ProgramServices
Management And General14282ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES696099563840132259
CONSULT/CONTRACT SVCS.44645435994386511
BAD DEBT303830303830
LAB/PHARMACY/RADIOLOGY272357272357
PRINTING/POSTAGE/PUB14769311963128062

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total543650Total
Program Services413952ProgramServices
Management And General129698ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13250829Total
Program Services10577871ProgramServices
Management And General2672958ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY306333BOY
EOY792719EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY249768BOY
EOY90851EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2158049BOY
EOY2157616EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY803658BOY
EOY1585100EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY105564BOY
EOY279553EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15394203LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2152108LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10713925BOY
EOY13242095EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY78768BOY
EOY44923EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14416065BOY
EOY18192857EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1225976BOY
EOY1174417EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY116839BOY
EOY17019EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8939053BOY
EOY11497056EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY449186EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10281868BOY
EOY13137678EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2246908BOY
EOY3377343EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1887289BOY
EOY1677836EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4134197BOY
EOY5055179EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14416065BOY
EOY18192857EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1304850ReconcilationRevenueExpenses
Reconcilation Other Changes-402850ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years3614967CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3093552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5220189CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3438056CurrentTaxYearMinus1Year
Current Tax Year4554587CurrentTaxYear
Total19921351Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3614967CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3093552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5220189CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3438056CurrentTaxYearMinus1Year
Current Tax Year4554587CurrentTaxYear
Total19921351Total
FieldValueIRS element (for citing)
Public Support Total17019921351PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1121CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2250CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4308CurrentTaxYearMinus1Year
Current Tax Year1963CurrentTaxYear
Total13791Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47120CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25005CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year252042CurrentTaxYearMinus1Year
Current Tax Year54829CurrentTaxYear
Total403873Total
FieldValueIRS element (for citing)
Total Support20339015TotalSupport
Gross Receipts From Admissions Etc36222591GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97950PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97790PublicSupportPertcentPriorYear
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 Balance1887289BeginningOfYearBalance
Contributions39806Contributions
Other Expenditures249259OtherExpenditures
End Of Year Balance1677836EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance320088BeginningOfYearBalance
Other Expenditures320088OtherExpenditures
End Of Year Balance2143205EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1105850OtherCostOrOtherBasis
Book Value1105850BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10971141OtherCostOrOtherBasis
Depreciation217321Depreciation
Book Value10753820BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis230405OtherCostOrOtherBasis
Depreciation171879Depreciation
Book Value58526BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3086807OtherCostOrOtherBasis
Depreciation1762908Depreciation
Book Value1323899BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13242095TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO FHC PROPERTIES, INC.$46,336
INTEREST RATE SWAP PAYABLE$402,850
FieldValueIRS element (for citing)
Total Of Amounts449186TotalOfAmounts
Total Revenue14555679TotalRevenue
Total Expenses13250829TotalExpenses
Excess Or Deficit For Year1304850ExcessOrDeficitForYear
Net Unrealized GL On Investments-402850NetUnrealizedGLOnInvestments
Total Adjustments-402850TotalAdjustments
Excess Or Deficit Per FS902000ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14207811TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-402850NetUnrealizedGainsInvestments
Other Revenues36000OtherRevenues
Revenue Not Rptd F990-366850RevenueNotRptdF990
Revenue Subtotal14574661RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014574661TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13286440TotExpensesEtcAuditedFinclStmt
Other Expenses Included35611OtherExpensesIncluded
Expenses Not Rptd F99035611ExpensesNotRptdF990
Expenses Subtotal13250829ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013250829TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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: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, 2010. THE CENTER'S U.S. FEDERAL AND STAE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2007 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 XII, LINE 2D - OTHER ADJUSTMENTS:RELATED PARTY REVENUE (FHC) 36,000.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RELATED PARTY EXPENSES (FHC) 35,611.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA DINNERNameOfEvent1
Gross Receipts Event191677GrossReceiptsEvent1
Charitable Contributions Event165252CharitableContributionsEvent1
Gross Revenue Event126425GrossRevenueEvent1
Rent Facility Costs Event130792RentFacilityCostsEvent1
Entertainment Event114615EntertainmentEvent1
Gross Receipts Total91677GrossReceiptsTotal
Charitable Contributions Total65252CharitableContributionsTotal
Gross Revenue Total Events26425GrossRevenueTotalEvents
Rent Facility Costs Total Events30792RentFacilityCostsTotalEvents
Entertainment Total Events14615EntertainmentTotalEvents
Direct Expense Summary Events45407DirectExpenseSummaryEvents
Net Income Summary-18982NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Tailored To Ind HospitalsXPolicyTailoredToIndHospitals
FPG Reference Free Care0FPGReferenceFreeCare
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1237083TotalCommunityBenefitExpense
Direct Offsetting Revenue450119DirectOffsettingRevenue
Net Community Benefit Expense786964NetCommunityBenefitExpense
Percent Of Total Expense0.06080PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense9063662TotalCommunityBenefitExpense
Direct Offsetting Revenue7223798DirectOffsettingRevenue
Net Community Benefit Expense1839864NetCommunityBenefitExpense
Percent Of Total Expense0.14210PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense160482TotalCommunityBenefitExpense
Direct Offsetting Revenue63626DirectOffsettingRevenue
Net Community Benefit Expense96856NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10461227TotalCommunityBenefitExpense
Direct Offsetting Revenue7737543DirectOffsettingRevenue
Net Community Benefit Expense2723684NetCommunityBenefitExpense
Percent Of Total Expense0.21040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10461227TotalCommunityBenefitExpense
Direct Offsetting Revenue7737543DirectOffsettingRevenue
Net Community Benefit Expense2723684NetCommunityBenefitExpense
Percent Of Total Expense0.21040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$303,830BadDebtExpenseAmount
Amount Attributable To303830AmountAttributableTo
Amount Reimbursed By Medicare720926AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare816540CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-95614MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Number Of Hospital Facilities5NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalOtherOther
GHVFHC
1147 LAKE STREETNEWBURGHNY12550XARTICLE 28 D&TC
CENTER FOR RECOVERY
23 COMMERCIAL PLACENEWBURGHNY12550XARTICLE 28 D&TC
GHVFHC DENTAL CENTER
3100 BROADWAYNEWBURGHNY12550XARTICLE 28 D&TC
CENTER FOR WOMEN'S HEALTH & PEDIATRIC
491 BLOOMING GROVE TURNPIKENEW WINDSORNY12553XARTICLE 28 D&TC
GFVFHC ADMINISTRATOR
52570 ROUTE 9 N SUITE 10CORNWALLNY12518ADMINISTRATIVE OFFICE

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GREATER HUDSON VALLEY FAMILY HEALTH CENTBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
ExplanationPART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 303830.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
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 (8 entries)

Base 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 B BERNSTEIN MD
250278000839000146300265747000
PATRICK MURPHY
140846085000253000157360165335000
LINDA S MULLER
22461601500008060007510241173000
DANIEL PAGNANI MD
3480110001218000139550363184000
JONATHAN M CASTRO MD
160107000131000120880172326000
CHANCHAL SINGH MD
14612200097000110690157288000
ANTHO KASHYAP MD
2417070864014000063440249055000
DIANA WALLACE MD
24242002500020700054180250545000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
THE 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 DURING THE YEAR.FORM 990, PART VI, SECTION B, LINE 12C
THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT 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 B, LINE 15
THE ORGANIZATION PROVIDES COPIES OF FORM 990 AND FORM 1024 UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
NO PUBLIC DISCLOSURE IS PROVIDED, UNLESS REQUESTED; HOWEVER, 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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -402,850.FORM 990, PART XI, LINE 5:
NO CHANGE FROM PRIOR YEAR.FORM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1FHC PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1164 LAKE STREETAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
EIN141781164EIN
Primary ActivitiesFHC PROPERTIES, INC. PRIMARY PURPOSE IS TO HOLD TITLE PROPERTYPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)(2)ExemptCodeSection
Controlled Org0ControlledOrg
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
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.