Civic Intelligence

Refuah Health Center Inc

EIN 13-3652555 • 501(c)3 • Spring Valley, NY

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Profile

Refuah health center, inc. Operates freestanding diagnostic and treatment centers, licensed under article 28 of the new york state health law. The center provides a broad range of health services to a largely medically underserved population.

728 North Main StreetSpring Valley, NY 10977

www.refuahhealthcenter.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

14th percentile

0.15x

Higher debt load relative to assets than 14% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

13th percentile

0.15x

Higher debt load relative to revenue than 13% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Net Margin

87th percentile

19%

Higher net margin than 87% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

37th percentile

$831,367

Higher top officer pay than 37% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

NTEE E • $100M-$250M nonprofits • Source year 2024

Asset Growth

84th percentile

19%

Faster asset growth than 84% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

85th percentile

30%

Faster revenue growth than 85% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets14th percentile

Assets

Up

$119,039,349

Up $18,876,298 (+19%) from 2023

Liabilities

Down

$17,366,395

Down $4,202,892 (-19%) from 2023

Net Assets

Up

$101,672,954

Up $23,079,190 (+29%) from 2023

Operations
Liabilities / Revenue13th percentileNet Margin87th percentile

Revenue

Up

$119,572,027

Up $27,837,415 (+30%) from 2023

Expenses

Up

$96,762,107

Up $11,966,433 (+14%) from 2023

Net Income

Up

$22,809,920

Up $15,870,982 (+229%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth84th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $31,629,622Liabilities 2010: $9,460,059Net Assets 2010: $22,169,5632010Assets 2011: $34,098,527Liabilities 2011: $10,091,719Net Assets 2011: $24,006,8082011Assets 2012: $37,212,974Liabilities 2012: $10,001,726Net Assets 2012: $27,211,2482012Assets 2013: $37,695,434Liabilities 2013: $8,727,613Net Assets 2013: $28,967,8212013Assets 2014: $38,782,693Liabilities 2014: $9,706,805Net Assets 2014: $29,075,8882014Assets 2015: $41,840,758Liabilities 2015: $9,997,224Net Assets 2015: $31,843,5342015Assets 2016: $45,506,201Liabilities 2016: $8,475,456Net Assets 2016: $37,030,7452016Assets 2017: $57,466,342Liabilities 2017: $14,562,201Net Assets 2017: $42,904,1412017Assets 2018: $57,143,495Liabilities 2018: $10,640,925Net Assets 2018: $46,502,5702018Assets 2019: $66,303,714Liabilities 2019: $15,204,501Net Assets 2019: $51,099,2132019Assets 2020: $79,995,137Liabilities 2020: $18,537,247Net Assets 2020: $61,457,8902020Assets 2021: $86,079,660Liabilities 2021: $13,986,176Net Assets 2021: $72,093,4842021Assets 2022: $88,111,109Liabilities 2022: $17,029,211Net Assets 2022: $71,081,8982022Assets 2023: $100,163,051Liabilities 2023: $21,569,287Net Assets 2023: $78,593,7642023Assets 2024: $119,039,349Liabilities 2024: $17,366,395Net Assets 2024: $101,672,9542024

Highlighted filing

2024

Assets$119,039,349
Liabilities$17,366,395
Net Assets$101,672,954
Open 2024 Filing

Operations Trend

Revenue Growth85th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $22,642,1912010Revenue 2011: $29,412,610Expenses 2011: $27,575,365Net Income 2011: $1,837,2452011Expenses 2012: $33,942,5692012Revenue 2013: $42,658,534Expenses 2013: $40,901,961Net Income 2013: $1,756,5732013Revenue 2014: $48,000,250Expenses 2014: $47,892,183Net Income 2014: $108,0672014Revenue 2015: $53,953,656Expenses 2015: $51,186,010Net Income 2015: $2,767,6462015Revenue 2016: $60,185,036Expenses 2016: $54,997,825Net Income 2016: $5,187,2112016Revenue 2017: $69,347,092Expenses 2017: $63,473,696Net Income 2017: $5,873,3962017Revenue 2018: $76,198,540Expenses 2018: $72,600,111Net Income 2018: $3,598,4292018Revenue 2019: $71,871,666Expenses 2019: $67,275,023Net Income 2019: $4,596,6432019Revenue 2020: $77,311,981Expenses 2020: $66,953,304Net Income 2020: $10,358,6772020Revenue 2021: $83,793,686Expenses 2021: $73,158,092Net Income 2021: $10,635,5942021Revenue 2022: $86,130,195Expenses 2022: $87,189,145Net Income 2022: -$1,058,9502022Revenue 2023: $91,734,612Expenses 2023: $84,795,674Net Income 2023: $6,938,9382023Revenue 2024: $119,572,027Expenses 2024: $96,762,107Net Income 2024: $22,809,9202024

Highlighted filing

2024

Revenue$119,572,027
Expenses$96,762,107
Net Income$22,809,920
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$119,039,349
Liabilities
$17,366,395
Net assets
$101,672,954
Revenue
$119,572,027
Expenses
$96,762,107
Net income
$22,809,920
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$119$17.4$102$120$96.8$22.8
2023Detailed filing. Detailed filing data is available for this year.$100$21.6$78.6$91.7$84.8$6.94
2022Detailed filing. Detailed filing data is available for this year.$88.1$17.0$71.1$86.1$87.2$1.06
2021Detailed filing. Detailed filing data is available for this year.$86.1$14.0$72.1$83.8$73.2$10.6
2020Detailed filing. Detailed filing data is available for this year.$80.0$18.5$61.5$77.3$67.0$10.4
2019Detailed filing. Detailed filing data is available for this year.$66.3$15.2$51.1$71.9$67.3$4.60
2018Detailed filing. Detailed filing data is available for this year.$57.1$10.6$46.5$76.2$72.6$3.60
2017Detailed filing. Detailed filing data is available for this year.$57.5$14.6$42.9$69.3$63.5$5.87
2016Detailed filing. Detailed filing data is available for this year.$45.5$8.48$37.0$60.2$55.0$5.19
2015Detailed filing. Detailed filing data is available for this year.$41.8$10.00$31.8$54.0$51.2$2.77
2014Detailed filing. Detailed filing data is available for this year.$38.8$9.71$29.1$48.0$47.9$0.11
2013Detailed filing. Detailed filing data is available for this year.$37.7$8.73$29.0$42.7$40.9$1.76
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$37.2$10.0$27.2$33.9
2011Summary only. Only limited summary data is available for this year.$34.1$10.1$24.0$29.4$27.6$1.84
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.6$9.46$22.2$22.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$123,455,955
Mission and Program Overview

Mission

Refuah health center, inc operates freestanding diagnostic and treatment centers, licensed under article 28 of the new york state health law the center provides a broad range of health services to a largely medically underserved population.

Our mission is to provide high-quality, comprehensive medical, dental and supportive services to all patients, regardless of their ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$35,053,110$41,240,928▲ $6,187,818
Accounts Receivable$16,506,459$30,627,763▲ $14,121,304
Land, Buildings, and Equipment, Net$24,592,907$27,101,648▲ $2,508,741
Savings and Temporary Cash Investments$10,171,837$8,653,941▼ $1,517,896
Intangible Assets$8,791,905$8,133,313▼ $658,592
Inventories for Sale or Use$754,654$1,159,452▲ $404,798
Prepaid Expenses and Deferred Charges$1,163,922$1,053,007▼ $110,915
Pledges and Grants Receivable$3,066,838$995,283▼ $2,071,555
Cash and Non-Interest-Bearing Accounts$6,058$6,867▲ $809
Total Assets$100,163,051$119,039,349▲ $18,876,298
Other Assets Total$55,361$67,147▲ $11,786
Liabilities
Accounts Payable and Accrued Expenses$7,061,048$6,617,289▼ $443,759
Other Liabilities$8,360,188$4,465,801▼ $3,894,387
Deferred Revenue$3,854,458$4,295,388▲ $440,930
Unsecured Notes Loans Payable$2,293,593$1,987,917▼ $305,676
Total Liabilities$21,569,287$17,366,395▼ $4,202,892
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$72,593,764$95,672,954▲ $23,079,190
Net Assets With Donor Restrictions$6,000,000$6,000,000→ $0
Total Net Assets Fund Balance$78,593,764$101,672,954▲ $23,079,190
Total Liabilities and Net Assets / Fund Balance$100,163,051$119,039,349▲ $18,876,298

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,116,625$13,370,676$27,487,301
Equipment$6,154,526$10,253,329$16,407,855
Leasehold Improvements$3,497,089$5,650,819$9,147,908
Other Land Buildings$593,049$2,590,112$3,183,161
Land$2,740,359-$2,740,359
Compensation and Service Providers
Top Officer Pay37th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Chanie SternbergPresident & CEOFT$666,495$164,872$831,367
Joyce FriedmanVP Womens Health AffairsFT$732,316$47,402$779,718
Tzvi AaronPediatricianFT$631,155$43,472$674,627
Morris FriedmanInternistFT$613,292$13,690$626,982
Ramin ZaghiPodiatristFT$528,873$42,301$571,174
Edward RudolphAssociate Clinical DirectorFT$473,922$48,688$522,610
Tamir KatzMedical DirectorPT$400,925$39,105$440,030
Corinna ManiniChief Medical OfficerFT$386,800$4,905$391,705

Board Members and Trustees

NameTitle
Sam BreuerChairsperson
Jacob FriederVice Chairsperson
Devora SpitzBoard Member
Julio BelberBoard Member
Leah WeiszBoard Member
Naomi ChevalierBoard Member
Pearl GoldklangBoard Member
Renold JulienBoard Member
Shloime WosnerSecretary
Victor OstreicherTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
New Square Women's Medical Care PCMedical Services1107 FIFTH AVENUE, New York, NY 10128$5,242,085
Dm It ConsultingIt Professional Services3422 OLD CAPITAL TRAINING SUITE 34, Wilmington, DE 19808$1,188,134
Azriel Hirschfeld Md PllcMedical Services705 CAFFREY AVE, Far Rockaway, NY 11691$386,000
University Eye CenterMedical ServicesSUNY COLLEGE OPTOMETRY PO BOX 5129, New York, NY 10087$356,676
Cohnreznick LLPAudit & Tax Services1301 AVENUE OF THE AMERICAS, New York, NY 10019$336,443
Revenue and Support

Revenue Composition

Contributions and Grants
$9,199,410
Program Service Revenue
$104,755,230
Investment Income
$2,210,975
Other Revenue
$3,406,412
All Other Contributions
$335,473
Change in Net Assets
$22,809,920

Audited Revenue Reconciliation

Revenue per Audited Statements
$120,659,232
Revenue Not Reported on Financial Statements
$-1,087,205
Revenue Not Reported on Form 990
$269,270
Other Revenue Adjustments
$-1,087,205
Total Revenue per Audited Statements
$120,928,502
Total Revenue per Form 990
$119,572,027
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$57,702,183
Other Expenses$38,349,242
Grants and Similar Amounts Paid$710,682
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$43,512,350$5,288,000-$48,800,350
Fees for Services Other$12,220,587$662,112-$12,882,699
Office Expenses$5,770,332$266,925-$6,037,257
Payroll Taxes$3,448,573$449,428-$3,898,001
Other Employee Benefits$2,955,555$385,176-$3,340,731
Depreciation Depletion$3,052,006$189,186-$3,241,192
Occupancy$1,820,907$310,753-$2,131,660
Information Technology$1,682,043$91,133-$1,773,176
Current Officers, Directors, Trustees, and Key Employees$1,482,324$180,777-$1,663,101
Travel$710,348$66,405-$776,753
Grants to Domestic Orgs$710,682--$710,682
All Other Expenses$236,062$344,291-$580,353
Fees for Services Accounting-$509,327-$509,327
Advertising$441,181$8,323-$449,504
Fees for Services Legal-$394,539-$394,539
Other Expenses$333,495$50,315-$383,810
Insurance$276,369$61,481-$337,850
Conferences and Meetings$250,878$23,452-$274,330
Interest$195,514$41,138-$236,652
Total Functional Expenses$86,620,649$10,141,458$0$96,762,107

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$97,849,312
Expenses per Audited Statements$96,762,107
Total Expenses per Form 990$96,762,107
Expenses Not Reported on Form 990$1,087,205
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Sun River Healthcare IncPeekskill, NY501 (c)(3)General Support$675,182
Hatzoloh Ems IncMonsey, NY501 (c)(3)General Support$25,000
Congregation Shivtei YisruelSpring Valley, NY501 (c)(3)General Support$8,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Family Member of Victor OstreicherIt Products and ServicesNo$209,628
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liabilities$3,265,057
Due to Third Party - Medicaid Liability$589,823
Contingent Liabilities$461,064
Finance Lease Liabilities$149,857
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“Samuel breuer and victor ostreicher share a family relationship.”

Form 990, Part VI, Section B, Line 11B

“Prior to submission, the draft form 990 is distributed to the president and ceo and the board of directors who are asked to review and approve and raise any questions or comments the ceo and accounting staff review/revise as appropriate prior to filing, each member of the board of directors is provided with the final version of the form 990.”

Form 990, Part VI, Section B, Line 12C

“Refuah requires all employees (at the time of hire), contractors, agents, officers, and members of the board of directors to disclose in writing (and update at least annually) all business and family relationships which might potentially create a conflict of interest when a conflict of interest is disclosed, the affected employee may not take part in refuah decisions to which the conflict relates or influence the decision directly or indirectly. Employees who violate this policy may be subject to disciplinary action up to and including possible termination.”

Form 990, Part VI, Section B, Line 15A

“The board of directors has approved a compensation policy and formed a compensation committee that reviews the compensation of the president and ceo and uses an outside hr consultant to perform salary surveys on a regular basis. This was last reviewed in november 2020.”

Form 990, Part VI, Section C, Line 19

“The organization provides copies of these documents upon request.”

Filing and Contact Details

Filer

Filer Name
Refuah Health Center Inc
EIN
13-3652555
Phone
8453549300
Address
728 NORTH MAIN STREET, SPRING VALLEY, NY 10977

Signing Officer

Name
Neil Latman
Title
CFO
Phone
8453549300
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Chanie Sternberg
Formed
1992
Legal Domicile
Ny
Voting Board Members
10
Independent Board Members
9
Employees
747
Volunteers
9

Preparer

Firm
Cohnreznick Advisory LLC
Address
1301 AVENUE OF THE AMERICAS, NEW YORK, NY 10019
Preparer
Lori Rothe Yokobosky
Phone
2122970400
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Clinical consultants: program service expenses 9,661,154. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,661,154. Other consultants: program service expenses 2,559,433. Management and general expenses 662,112. Fundraising expenses 0. Total expenses 3,221,545.”

Financial Statement Notes

PART X, LINE 2:

“Management has analyzed the tax positions taken by the center and has concluded that, as of december 31, 2024, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or an asset) or disclosure in the financial statements. The center's federal and state income tax returns prior to fiscal year 2021 are closed, and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Cost of goods sold -1,087,205.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Cost of goods sold 1,087,205.”

Raw XML AppendixShowing 400 of 842 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0IN 2024, REFUAH PROVIDED MEDICAL CARE TO FAMILIES IN THE FOLLOWING FIELDS: FAMILY MEDICINE, PEDIATRIC PRIMARY CARE; WOMEN'S HEALTH INCLUDING OBSTETRICS, GYNECOLOGY, MIDWIFERY, AND ONSITE BIRTHING CENTER SERVICES, MFM, IMAGING; SPECIALTY MEDICINE, INCLUDING PODIATRY, OTOLARYNGOLOGY, UROLOGY, RHEUMATOLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATEIC GASTROENTEROLOGY, PEDIATRIC CARDIOLOGY, AND PEDIATRIC PULMONOLOGY; INTEGRATED BEHAVIORAL HEALTH PSYCHIATRY AND TELEPSYCHIATRY; PEDIATRIC AND ADULT DENTISTRY, INCLUDING ORTHODONTICS; EXTENDED HOURS & URGENT CARE; OPTOMETRY AND OPTICAL SHOP; PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY; IN-HOUSE LABORATORY; WELLNESS CENTER; RADIOLOGY; TELEHEALTH; AND COMMUNITY PREVENTION, INTERNAL MEDICINE, FERTILITY, ONCOLOGY INFUSIONS AND WELLNESS SERVICES.
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IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRSPERSON
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP WOMENS HEALTH AFFAIRS
IRS990/Form990PartVIISectionAGrp/TitleTxt14PEDIATRICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt15INTERNIST
IRS990/Form990PartVIISectionAGrp/TitleTxt16PODIATRIST
IRS990/Form990PartVIISectionAGrp/TitleTxt17ASSOCIATE CLINICAL DIRECTOR
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IRS990/MissionDesc0OUR MISSION IS TO PROVIDE HIGH-QUALITY, COMPREHENSIVE MEDICAL, DENTAL AND SUPPORTIVE SERVICES TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY.
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