2023-11-07T10:46:15-06:00 2022-12-31 ERNST & YOUNG US LLP One Manhattan West NEW YORK NY 10001 990 2022-01-01 272020746 HUDSON VISTA PHYSICIAN SERVICES PC % THOMAS J GIBNEY CPA HUDS 8455614400 70 DUBOIS STREET NEWBURGH NY 125504851 Thomas J Gibney CPA SECRETARY 8455682881 2023-11-06 true Thomas J Gibney CPA XXX-XX-XXXX NICOLE M SOKOLOWSKI P01683199 2127733000 2 2022 2023-04-26 12:10:37Z Gina DelSavio MD 70 DUBOIS STREET NEWBURGH NY 125504851 7644783 false X WWW.MONTEFIORESLC.ORG X 2010 NY TO PROVIDE EMERGENCY PHYSICIAN SERVICES AND OTHER LICENSED HEALTHCARE PROFESSIONAL SERVICES TO ST. LUKE'S CORNWALL HOSPITAL PATIENTS. 1 0 0 0 0 0 1531638 1277074 5859243 6367709 0 0 0 0 7390881 7644783 0 0 0 0 0 0 0 0 0 7390881 7644783 7390881 7644783 0 2004639 2530210 2004639 2530210 0 0 TO PROVIDE EMERGENCY PHYSICIAN SERVICES AND OTHER LICENSED HEALTHCARE PROFESSIONAL SERVICES TO ST. LUKE'S CORNWALL HOSPITAL PATIENTS. false false 7223368 0 6367709 Hudson Vista Physician Services, P.C. is a supporting organization of St. Luke's Cornwall Hospital, a member of the Montefiore Health system. Hudson Vista Physician services provides EMERGENCY physician SERVICES AND OTHER LICENSED HEALTHCARE PROFESSIONAL services TO ST. LUKE'S CORNWALL HOSPITAL PATIENTS in furtherance and support of the charitable healthcare, educational and scientific mission of St. Luke's Cornwall hospital. 7223368 true true false false false false false false false false false false false true false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 1 0 true 0 false false false false false false false false false false false false X 1 0 false false false false true true true true true false false true true true true true true false false false NY X THOMAS J GIBNEY CPA 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 DANIEL J MAUGHAN ASSISTANT SECRETARY 1.0 54.0 X 0 677381 15798 GINA DEL SAVIO MD DIRECTOR, PRESIDENT 12.0 43.0 X X 0 660008 28856 THOMAS J GIBNEY CPA Secretary 1.0 54.0 X 0 534255 52545 JOAN CUSACK-MCGUIRK FORMER OFFICER 0.0 1.0 X 0 341271 0 0 2212915 97199 0 true true false New York EM-1 Medical Services PC 101 Dates Drive ITHACA NY 148501342 MEDICAL STAFFING 6539137 Change Healthcare LLCPST Services PO Box 742526 ATLANTA GA 303742526 Billing Services 123672 2 1277074 1277074 PATIENT SERVICE REVENUE 621999 6367709 6367709 0 0 6367709 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7644783 6367709 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7105847 7105847 0 0 0 7888 0 7888 0 0 0 0 0 0 0 0 0 0 117311 117311 0 0 BILLING & COLLECTION 413527 0 413527 0 PHYSICIAN DUES 210 210 0 0 7644783 7223368 421415 0 343849 72289 0 0 0 0 696175 605038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 964615 1852883 2004639 2530210 1917130 2530210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87509 0 2004639 2530210 X 0 0 0 0 0 0 2004639 2530210 0 X false true X true false X X X 1 ST LUKE'S CORNWALL HOSPITAL 141340054 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DUE FROM ST.LUKE CORNWALL HOSP 1852883 1852883 true false false false false false false false false THOMAS J GIBNEY CPA Secretary 0 467231 0 59500 0 7524 0 15578 0 36967 0 586800 0 0 GINA DEL SAVIO MD DIRECTOR, PRESIDENT 0 377046 0 35000 0 247962 0 6353 0 22503 0 688864 0 0 DANIEL J MAUGHAN ASSISTANT SECRETARY 0 519567 0 150000 0 7814 0 13743 0 2055 0 693179 0 0 JOAN CUSACK-MCGUIRK FORMER OFFICER 0 24482 0 78931 0 237858 0 0 0 0 0 341271 0 0 Schedule J, Part I, Line 3 Hudson Vista Physician Services, PC top management official's are employed and compensated by St Luke's Cornwall Hospital. THE Hospital's COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO its upper level EXECUTIVEs WITH THE ASSISTANCE OF A NATIONAL INDEPENDENT COMPENSATION CONSULTING FIRM. THE CONSULTING FIRM ASSISTS THE COMPENSATION COMMITTEE WITH ITS DECISION-MAKING PROCESS TO ENSURE EXECUTIVE COMPENSATION LEVELS ARE REASONABLE AND APPROPRIATE RELATIVE TO THOSE OF OTHER SIMILAR ORGANIZATIONS. BASE SALARIES are DETERMINED BASED ON COMPETITIVE MARKET PRACTICES FOR COMPARABLE POSITIONS WITH SIMILAR SIZE ORGANIZATIONS AND SCOPE OF RESPONSIBILITIES. BONUS AND INCENTIVE COMPENSATION IS BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS. THE EXECUTIVES' COMPENSATION PROGRAM HAS A SIGNIFICANT PAY-AT-RISK COMPONENT TO ENSURE THE ALIGNMENT OF PAY AND ORGANIZATIONAL PERFORMANCE. GOALS ARE SET IN ADVANCE IN AREAS SUCH AS QUALITY OF CARE, PATIENT SATISFACTION, COMMUNITY SERVICES AND FINANCIAL PERFORMANCE. COMPENSATION IS AT RISK IF THE GOALS ESTABLISHED BY THE COMPENSATION COMMITTEE ARE NOT MET. Schedule J, Part I, Line 4A During 2022, Joan Cusack-Mcguirk, a former officer, was paid $156,250 in severance from a related organization. As part of her severance agreement, she was required to perform transitional services for the related organization. Form 990, PART VI, SECTION A, lines 6 & 7 The organization has a sole shareholder appointed by St. Luke's Cornwall Hospital who has the authority to elect and remove any director from the organization's Board. The sole shareholder is required to obtain the express written approval of the Hospital before taking any material action relating to the ownership, existence and operation of the organization. Form 990, PART VI, SECTION B, line 11 The Form 990 was prepared by the Montefiore's tax Department working closely with St. Luke's Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by the Vice President-Finance and the ST. LUKE'S CORNWALL Hospital senior leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the Board of trustees for review and approval prior to filing. Form 990, Part VI, Section B, Line 12C THE ORGANIZATION has adopted the conflict of interest policy maintained by ST. LUKE'S CORNWALL HOSPITAL, the parent organization. All monitoring and enforcement of the conflict of interest policy is performed by the Hospital. All officers, directors and key employees of the St. Luke's organization are required to complete an annual conflict of interest questionnaire, in their capacity as an employee of the organization or as a Board Member. Completed questionnaires are returned and reviewed by Secretary of the Hospital's Board of Trustees and concerns presented by the responses are disclosed to the System's compliance officer. Any potential conflicts are disclosed and reported to the system's president/CEO and the organization's finance committee for discussion and alleviation of the conflict. Documentation of the existence and resolution of the conflict, including any meeting minutes, is maintained by the Secretary of the Board. Form 990, PART VI, SECTION B, Line 15 THE ORGANIZATION IS AN AFFILIATE WITHIN Montefiore Health System, Inc., a tax-exempt INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH includes St. LUKE'S CORNWALL HOSPITAL. The officers of the organization are employed by the hospital and their compensation is determined by the hospital. The St. Luke's Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for its top management staff. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with St. Luke's executive compensation philosophy. The Committee's decisions are made in the best interest of St. Luke's, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. Form 990, PART VI, SECTION C, Line 19 THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE available upon REQUEST. Form 990, Part IX, Lines 11g Hudson Vista Physician Services, P.C. does not have any employees. Physician services are contracted from an outside vendor. The physician contractual service expense on line 11g represents organizational cost for locum tenens physician services by a third party vendor. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PHYSICIAN SERV. TOTAL FEES:7105847 ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 141340054 Hospital NY 501(C)(3) 3 MHS true ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH NY 12550 223026261 Holding comp NY 501(C)(3) 12A Type I MHS true ST LUKE'S CORNWALL HEALTH SYS FOUNDATION 70 DUBOIS STREET NEWBURGH NY 12550 223026263 FUNDRAISING NY 501(C)(3) 7 SLCHS true HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 healthcare NY 501(C)(3) 12A Type I SLCH true MONTEFIORE HEALTH SYSTEM INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 201615393 SUPPORT SERV NY 501(C)(3) 12B TYPE II MMAHS true MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 10467 131740114 ACD MED CTR NY 501(C)(3) 3 MHS true MMC CORPORATION 111 EAST 210TH STREET BRONX NY 10467 133430322 REAL ESTATE NY 501(C)(3) 12A TYPE I MMC true MMC RESIDENTIAL CORP I INC 3411 WAYNE AVENUE BRONX NY 10467 911943271 STAFF HOUSING NY 501(C)(2) MMC true MONTEFIORE HOSP HOUSING SECTION II INC 3450 WAYNE AVENUE BRONX NY 10467 237160641 STAFF HOUSING NY 501(C)(2) MMC true MOSHOLU PRESERVATION CORPORATION 3400 RESEVOIR OVAL EAST BRONX NY 10467 133109387 COMMUNITY SER NY 501(C)(3) 12A TYPE I MMC true MONTEFIORE NEW ROCHELLE HOSPITAL 16 GUION PLACE NEW ROCHELLE NY 10801 462931956 HOSPITAL NY 501(C)(3) 3 MHS true MONTEFIORE MOUNT VERNON HOSPITAL 12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550 462916938 HOSPITAL NY 501(C)(3) 3 MHS true SCHAFFER EXTENDED CARE CENTER 16 GUION PLACE NEW ROCHELLE NY 10801 462929888 NURSING HOME NY 501(C)(3) 3 MHS true MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX NY 10467 471600439 INACTIVE NY 501(C)(3) 7 MMAHS true MONTEFIORE MEDICINE ACAD HLTH SYST INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 471582973 SYSTEM PARENT NY 501(C)(3) 12B TYPE II NA true MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HOSPITAL NY 501(C)(3) 3 MHS true WHITE PLAINS HOSPITAL MEDICAL CENTER 41 EAST POST ROAD AND DAVIS AVENUE WHITE PLAINS NY 10601 131740130 HOSPITAL NY 501(C)(3) 3 MHS true AECOM STUDENT HOUSING CO INC 1300 MORRIS PARK AVENUE BRONX NY 10461 237075620 STUDENT HOUS NY 501(C)(2) AECOM true MONTEFIORE CERC OPERATIONS INC 111 EAST 210TH STREET BRONX NY 10467 474853506 REHAB CENTER NY 501(c)(3) 3 MMC true WHITE PLAINS HOSPITAL CTR FOUNDATIONINC 41 EAST POST ROAD DAVIS AVE WHITE PLAINS NY 10601 133281507 FUNDRAISING NY 501(C)(3) 12A TYPE I WPHMC true MONTEFIORE NYACK HOSPITAL FOUNDATION 160 NORTH MIDLAND AVENUE NYACK NY 10960 133245804 FUNDRAISING NY 501(C)(3) 7 NYACK HOSP true THE WINIFRED MASTERSON BURKE REHAB HOSP 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 131739937 REHAB HOSP NY 501(C)(3) 3 MHS true Hudson Vista Corporation 70 Dubois Street Newburgh NY 12550 202286782 Healthcare NY 501(c)(3) 12A Type I NA false Montefiore Med Acad Hlth Sys Self Ins Tr 555 South Broadway Tarrytown NY 10591 824019223 Ins Trust NY 501(C)(3) 12A Type I MMAHS true Albert Einstein College of Medicine 1300 Morris Park Avenue Bronx NY 10461 830621846 Med College NY 501(C)(3) 2 MMAHS true Montefiore Community Services Inc 111 East 210th Street Bronx NY 10467 863368007 Fed Hlth Ctr NY 501(c)(3) 3 MMC true MONTEFIORE EINSTEIN ADVANCED CARE 555 SOUTH BROADWAY TARRYTOWN NY 10591 863090734 HEALTHCARE NY 501(C)(3) 3 MHS true MONTEFIORE ACTION FUND INC 111 EAST 210TH STREET BRONX NY 10467 872215301 INACTIVE NY 501(c)(4) MMC true MNH GARAGECO INC 160 NORTH MIDLAND AVENUE NYACK NY 109601912 880573052 PARKING NY 501(C)(3) pending Nyack Hosp true UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX NY 10467 133877781 MGMT SERVICES NY NA C CORP true THE MONTEFIORE IPA INC 111 EAST 210TH STREET BRONX NY 10467 134114915 INTEG PROVR ASSOC NY NA C CORP true MMC GI HOLDINGS EAST INC 111 EAST 210TH STREET BRONX NY 10467 721610013 HOLDING COMPANY NY NA C CORP true MMC GI HOLDINGS WEST INC 111 EAST 210TH STREET BRONX NY 10467 721610015 HOLDING COMPANY NY NA C CORP true MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC 111 EAST 210TH STREET BRONX NY 10467 133952750 INTEG PROV ASSOC NY NA C CORP true BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX NY 10467 300689571 INTEG PROVR ASSOC NY NA C CORP true MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX NY 10467 611728539 HOLDING COMPANY NY NA C CORP true MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX NY 10467 320436594 INACTIVE NY NA C CORP true HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX NY 10467 383978087 INTEG PROVR ASSOC NY NA C CORP true MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX NY 10467 475106910 HOLDING COMPANY NY NA C CORP true HIGHLAND MEDICAL PC 160 NORTH MIDLAND AVENUE NYACK NY 10960 134034481 HEALTHCARE SERV. NY NA C CORP true WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC 41 EAST POST ROAD WHITE PLAINS NY 10601 453164626 HEALTHCARE SERV. NY NA C CORP true CANCER AND BLOOD MEDICAL SERVS OF NY PC 41 EAST POST ROAD WHITE PLAINS NY 10601 462021804 HEALTHCARE SERV. NY NA C CORP true DAVIS AVENUE CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 133331643 Property Holding NY NA C CORP true WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS NY 10601 133331641 Property Holding NY NA C CORP true WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS NY 10601 133676932 Property holding NY NA C CORP true WHITE PLAINS MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815369152 HEALTHCARE SERV. NY NA C CORP true WHITE PLAINS PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815309615 HEALTHCARE SERV. NY NA C CORP true CHARITABLE REMAINDER TRUST (4) CHARIT REMR TRUST NY NA TRUST true WHITE PLAINS PHYSICIAN MEDICAL SERV PC DAVIES AVE AT EAST POST ROAD WHITE PLAINS NY 10601 830519787 INACTIVE NY NA C CORP true EAST POST ROAD MEDICAL SERVICES PC DAVIS AVE AT EAST POST ROAD WHITE PLAINS NY 10601 830535258 HEALTHCARE SERV. NY NA C COPR true EAST POST ROAD PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830563325 INACTIVE NY NA C CORP true DAVIS AVENUE MEDICAL SERVICES PC DAVIS AVE AT EAST POST ROAD WHITE PLAINS NY 10601 830579310 INACTIVE NY NA C CORP true WPH HOLDINGS INC DAVIS AVE AT EAST POST ROAD WHITE PLAINS NY 10601 833893119 HOLDING COMPANY NY NA C CORP true CRHT ACQUISITION INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 815220651 HOLDING COMPANY NY NA C CORP true QUANTUM BIOTHERAPEUTICS LLC 111 EAST 210TH STREET BRONX NY 10467 611793667 INACTIVE NY NA C CORP true Innovator Acquisition Corp 111 East 210th Street Bronx NY 104672401 833394059 Holding Company NY NA C Corp true PY DEVELOPMENT CORP 41 EAST POST ROAD DAVIS AVE WHITE PLAINS NY 10601 863880241 REIT NY NA REIT true SPECIALTY SURGEONS OF CONNECTICUT PC 555 SOUTH BROADWAY TARRYTOWN NY 10591 871352135 HEALTHCARE CT NA C CORP true CMO THE CARE MANAGEMENT COMPANY LLC 111 EAST 210TH STREET BRONX NY 10467 133991307 CARE MANAGEMENT NY NA C CORP true false false true false false false false false false false false false false false false false false false false ST LUKE'S CORNWALL HOSPITAL C 1277074 COST