2024-10-31T07:59:30-05:00 2023-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2023-01-01 133083068 COMMUNITY HEALTHCARE NETWORK COMM 2125452404 60 MADISON AVENUE NEW YORK NY 10010 ALAN WENGROFSKY CFO AND VP OF FINANCE 2125452404 2024-10-01 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2024-09-24 2023 2024-10-15 13:58:12Z ROBERT HAYES 60 MADISON AVENUE NEW YORK NY 10010 114544069 0 X WWW.CHNNYC.ORG X 1978 NY COMMUNITY HEALTHCARE NETWORK, INC ("CHN") OPERATES FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER, LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW, LOCATED THOUGHOUT NEW YORK CITY. CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY AND PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 19 19 814 20 362157 0 36218712 21618208 72684627 52762004 2015362 3465745 2894390 2973692 113813091 80819649 0 0 0 0 56763455 60050135 0 0 0 48259558 30148328 105023013 90198463 8790078 -9378814 152371209 154481387 63089516 70992264 89281693 83489123 CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY AND PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 75941056 55421673 CHN PROVIDES A BROAD RANGE OF HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PRIMARY AND PREVENTATIVE CARE, AND MENTAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. CHN PROVIDED HEALTH CARE SERVICES FOR 156,217 HEALTH CARE VISITS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2023. 75941056 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 101 2 1 814 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X ALAN WENGROFSKY 2125452481 60 MADISON AVE NEW YORK NY 10010 CAROLINE DORSEN VICE CHAIRPERSON 1.00 X X 0 0 0 CURTIS YOUNG BOARD MEMBER 1.00 X 0 0 0 DENISE GORDON BOARD MEMBER 1.00 X 0 0 0 DONNA ANDERSON BOARD MEMBER 1.00 X 0 0 0 EDWIDGE THOMAS BOARD MEMBER 1.00 X 0 0 0 ELIZABETH KROB-KELLNER CHAIRPERSON 1.00 0.50 X X 0 0 0 GRETA ELYSEE BOARD MEMBER 1.00 X 0 0 0 HARLEM GUNNESS BOARD MEMBER 1.00 X 0 0 0 JEFFREY ROBINSON BOARD MEMBER 1.00 X 0 0 0 JOSEPHINE DIAZ BOARD MEMBER 1.00 X 0 0 0 JUNE NIKLUS BOARD MEMBER 1.00 X 0 0 0 KATHLEEN O'NEIL BOARD MEMBER 1.00 X 0 0 0 KRISTIN MANZOLILLO SECRETARY 1.00 X X 0 0 0 NANCY RAPOPORT TREASURER 1.00 X X 0 0 0 PETER GEE BOARD MEMBER 1.00 X 0 0 0 RALPH AQUILA BOARD MEMBER 1.00 X 0 0 0 RANDY SILLER BOARD MEMBER 1.00 X 0 0 0 RICHARD BARASCH BOARD MEMBER 1.00 X 0 0 0 ROGER PLATT BOARD MEMBER 1.00 X 0 0 0 RONDA KOTELCHUCK BOARD MEMBER 1.00 X 0 0 0 ALAN WENGROFSKY EXECUTIVE VP/CFO 34.50 0.50 X 355188 0 41924 ROBERT HAYES PRESIDENT/CEO 34.50 0.50 X 445137 0 17241 DANIEL NAPOLITANO CHIEF POPULATION HEALTH & CARE MGT. OFFICER 35.00 X 341356 0 38921 GREGORY TADDEO CHIEF DENTAL OFFICER 35.00 X 231604 0 15241 SHARON GRIFFITH MEDICAL DIRECTOR/WOMEN'S S 35.00 X 227807 0 42657 SUSAN YEE AVP COMMUNITY HEALTH & CLINICAL OPERATIONS 35.00 X 231406 0 39394 TAISHA BENJAMIN CHIEF MEDICAL OFFICER 35.00 X 347124 0 33995 ANTHONY SHIH CHIEF STRATEGIC INITIATIVES OFFICER 35.00 X 290387 0 42294 BRYAN TOLENTINO GUERRERO MEDICAL DIRECTOR/ID & LGBT 35.00 X 247346 0 12909 JOSEPH SQUITIERI DIRECTOR OF PSYCHIATRY 35.00 X 268925 0 38564 KELLY HORN DIRECTOR/PRIMARY CARE 35.00 X 254468 0 34155 STACEY CACCIOLA DIRECTOR/PEDIATRICS 35.00 X 242030 0 38154 3482778 0 395449 102 0 1 0 COHNREZNICK LLP 1301 AVE OF THE AMERICAS NEW YORK NY 10019 AUDITING & CONSULTING SERVICES 390898 HDR INC POBOX 74008202 CHICAGO IL 60674 ENGINEERING AND FIT OUT SERVICES 162467 SOLUTIONS 4 COMMUNITY HEALTH 1037 MAIN ST PEEKSKILL NY 10566 OPTIMIZING ACCOUNTS RECEIVABLE 129274 MEDTRAINER INC 555 CAJON ST SUITE F REDLANDS CA 92373 CREDENTIALING SERVICES 100588 4 308650 19799961 1509597 795842 21618208 MEDICAID & MEDICAID MANAGED CARE 623000 25421235 25421235 340B PHARMACY 623000 11358278 10996121 362157 HEALTH HOME REVENUE 623000 6957114 6957114 NYRX REINVERSEMENT PAYMENT 623000 4497544 4497544 MEDICARE 623000 1760043 1760043 2767790 2767790 52762004 1502513 1502513 33831418 1772300 33640486 0 190932 1772300 1963232 1963232 35800 308650 83934 -48134 -48134 PATIENT INCENTIVES INCOME 623000 1941216 1941216 LEASED EMPLOYEES 900099 555145 555145 525465 525465 3021826 80819649 55421673 362157 3417611 2408897 2035041 373856 43008976 36334076 6674900 666997 563481 103516 10222078 8635634 1586444 3743187 3162252 580935 213799 213799 359208 122035 237173 111450 111450 253443 253443 2114208 1489296 624912 1720768 1322451 398317 3903927 2909985 993942 97901 82237 15664 142250 119490 22760 262326 199368 62958 1757751 1335891 421860 376533 286165 90368 CONSUMABLE SUPPLIES 14932299 14437840 494459 REPAIRS AND MAINTENANCE 724001 550241 173760 EHR CREDENTIAL FEES 712970 712970 FEES/LICENSES 674100 8075 666025 1791394 1523078 268316 90198463 75941056 14257407 0 7595526 2634433 24694754 27694778 11310079 6346446 9911580 12291934 175473 248902 652080 792183 64320607 31554845 28745882 32765762 21603582 29020836 1165753 1695488 22754072 17369859 23762428 23620766 152371209 154481387 9227800 8132559 1718675 1946770 28115859 33418961 24027182 27493974 63089516 70992264 X 89281693 83489123 89281693 83489123 152371209 154481387 -9378814 3586244 0 X 0 1 X 1 1 1 X 27313131 34422232 25526928 36218712 21618208 145099211 27313131 34422232 25526928 36218712 21618208 145099211 145099211 684178 820478 1465857 1054424 1502513 5527450 475729 243665 271991 254732 362157 1608274 686666 675605 1032845 2894390 3021826 8311332 160546267 343866360 0.90380 0.92540 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PATIENT INCENTIVES INCOME - 2020 AMOUNT: $ 301,773. 2021 AMOUNT: $ 632,650. 2022 AMOUNT: $ 2,456,023. 2023 AMOUNT: $ 1,941,216. MISCELLANEOUS INCOME - 2019 AMOUNT: $ 645,702. 2020 AMOUNT: $ 252,624. 2021 AMOUNT: $ 318,407. 2022 AMOUNT: $ 237,373. 2023 AMOUNT: $ 525,465. LEASED EMPLOYEES - 2022 AMOUNT: $ 200,994. 2023 AMOUNT: $ 555,145. QARR HIV REVENUE - 2020 AMOUNT: $ 91,198. CCMP REVENUE - 2019 AMOUNT: $ 40,964. 2020 AMOUNT: $ 30,010. 2021 AMOUNT: $ 81,788. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 111450 0 0 111450 0 PART II-B, LINE 1: THE LOBBYING ACTIVITIES INCLUDE RETENTION OF CONSULTANTS TO ADVISE CHN ON POLICY INITIATIVES AND ON OPPORTUNITIES TO SECURE SUPPORT FOR NEEDED COMMUNITY HEALTHCARE SERVICES INCLUDING A MOBILE OPTOMETRY CENTER AND ADDITIONAL CLINIC SPACE. 837931 837931 26837316 10850291 15987025 17239102 8516038 8723064 11307842 10112329 1195513 8098416 2076187 6022229 32765762 SECURITY DEPOSITS 633666 SUBVENTION RECEIVABLE 1000000 DUE FROM AFFILIATE 21987100 23620766 DUE TO THIRD PARTY 8414233 OPERATING LEASE LIABILITIES 19079741 27493974 X 84742176 3586244 237500 268292 4092036 80650140 253443 -83934 169509 80819649 90266619 237500 84099 321599 89945020 253443 253443 90198463 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 268,292. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -83,934. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 165. FUNDRAISING EXPENSES 83,934. GALA 344450 308650 35800 13000 2397 32060 36477 344450 308650 35800 13000 2397 32060 36477 83934 -48134 X 0 0 0 0 0 0 0 1 0 ROBERT HAYES PRESIDENT/CEO 444019 0 500 0 618 0 0 0 17241 0 462378 0 0 0 ALAN WENGROFSKY EXECUTIVE VP/CFO 354172 0 500 0 516 0 0 0 41924 0 397112 0 0 0 TAISHA BENJAMIN CHIEF MEDICAL OFFICER 346450 0 500 0 174 0 0 0 33995 0 381119 0 0 0 DANIEL NAPOLITANO CHIEF POPULATION HEALTH & CARE MGT. 340676 0 500 0 180 0 0 0 38921 0 380277 0 0 0 ANTHONY SHIH CHIEF STRATEGIC INITIATIVES OFFICER 289611 0 500 0 276 0 0 0 42294 0 332681 0 0 0 JOSEPH SQUITIERI DIRECTOR OF PSYCHIATRY 268305 0 500 0 120 0 0 0 38564 0 307489 0 0 0 KELLY HORN DIRECTOR/PRIMARY CARE 253788 0 500 0 180 0 0 0 34155 0 288623 0 0 0 STACEY CACCIOLA DIRECTOR/PEDIATRICS 241254 0 500 0 276 0 0 0 38154 0 280184 0 0 0 SUSAN YEE AVP COMMUNITY HEALTH & CLINICAL OPER 230630 0 500 0 276 0 0 0 39394 0 270800 0 0 0 SHARON GRIFFITH MEDICAL DIRECTOR/WOMEN'S S 226791 0 500 0 516 0 0 0 42657 0 270464 0 0 0 BRYAN TOLENTINO GUERRERO MEDICAL DIRECTOR/ID & LGBT 246738 0 500 0 108 0 0 0 12909 0 260255 0 0 0 GREGORY TADDEO CHIEF DENTAL OFFICER 230924 0 500 0 180 0 0 0 15241 0 246845 0 0 0 PART I, LINE 7 INCLUDED ON PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUAL'S W-2'S. X 1 795842 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY INDEPENDENT ACCOUNTANT AND REVIEWED BY MANAGEMENT. IT IS THEN REVIEWED BY THE CHAIR OF THE BOARD AND THE FINANCE COMMITTEE AND DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS BEFORE FILLING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL MANAGEMENT AND EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISIONS SHALL, AT LEAST ANNUALLY, FILE A CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND CONSULT WITH OUTSIDE COUNSEL, AS NECESSARY, CONCERNING ANY POTENTIAL PROBLEMS OR POSSIBLE CONFLICTS OF INTEREST. IN ADDITION, TO COMPLETING THE ANNUAL DISCLOSURE STATEMENT, ALL EMPLOYEES MUST ALSO IMMEDIATELY DISCLOSE TO THE COMPLIANCE OFFICER ANY POSSIBLE CONFLICTS OF INTEREST AS THEY ARISE. THE COMPLIANCE OFFICER, AS NECESSARY, WILL THEN CONSULT WITH OUTSIDE COUNSEL. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS DETERMINES AND APPROVES COMPENSATION OF THE CEO BASED ON RECOMENDATIONS FROM EXECUTIVE COMMITEE. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. COMMUNITY HEALTHCARE NETWORK FOUNDATION INC 60 MADISON AVENUE NEW YORK NY 10010 843909175 SUPPORT COMMUNITY HEALTHCARE NETWORK, INC. NY 501(C)(3) LINE 12A, I COMMUNITY HEALTHCARE NETWORK INC 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0