STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY HEALTH NET: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH NET (EIN 25-1490791)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-11
IRS object ID
202301319349304525
Schema version
2021v4.2
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)
Return2023-05-11T13:18:33-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1381 CHESTNUT STREETAddressLine1Txt
CityMEADVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16335ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251490791EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH NETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone8144544530PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11202 STATE STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPHILIP CARDELLAPersonNm
Person TitleCFOPersonTitleTxt
Phone8144544530PhoneNum
Signature2023-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPHILIPPersonFirstNm
Person LastCARDELLAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLY A BROCIOUS CPAPreparerPersonNm
PTINP01254262PTIN
Phone8143362133PhoneNum
Preparation2023-04-27PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCRAIG ULMERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11202 STATE STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,184,489GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMUNITY-HEALTHNET.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionCHARITABLE HEALTH CAREActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee130TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,175,446PYContributionsGrantsAmt
CY Contributions Grants$5,634,367CYContributionsGrantsAmt
PY Program Service Revenue$7,341,025PYProgramServiceRevenueAmt
CY Program Service Revenue$8,377,486CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$9CYInvestmentIncomeAmt
PY Other Revenue$266,536PYOtherRevenueAmt
CY Other Revenue$172,627CYOtherRevenueAmt
PY Total Revenue$11,783,007PYTotalRevenueAmt
CY Total Revenue$14,184,489CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,473,172PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,274,266CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,032,191PYOtherExpensesAmt
CY Other Expenses$4,649,037CYOtherExpensesAmt
PY Total Expenses$10,505,363PYTotalExpensesAmt
CY Total Expenses$11,923,303CYTotalExpensesAmt
PY Revenues Less Expenses$1,277,644PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,261,186CYRevenuesLessExpensesAmt
Total Assets BOY$6,930,878TotalAssetsBOYAmt
Total Assets EOY$7,807,209TotalAssetsEOYAmt
Total Liabilities BOY$2,819,970TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,435,115TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,110,908NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,372,094NetAssetsOrFundBalancesEOYAmt
MissionTO ESTABLISH, IMPLEMENT AND MAINTAIN A COMPREHENSIVE PLAN AND PROGRAM FOR THE DELIVERY OF PRIMARY HEALTH SERVICES TO THE MEDICALLY INDIGENT, MEDICALLY NEEDY AND OTHER PERSONS IN THE CITY AND COUNTY OF ERIE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,261,906ExpenseAmt
Revenue$8,537,164RevenueAmt
DescPROVIDE MEDICAL, DENTAL, VISION AND BEHAVORIAL HEALTH SERVICES TO MEDICALLY INDIGENT, UNINSURED AND HOMELESS CITIZENS.Desc
Total Program Service Expenses$10,261,906TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee130EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPHILIP CARDELLAPersonNm
Phone8144544530PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11202 STATE STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ANTHONY IGNOCHECK MD
DOCTOR40.00Yes (X)$191,010$0$7,105
MARIUM MUJAHID DO
DOCTOR40.00Yes (X)$130,177$0$15,121
MARYNA PETRASHEUSKAYA DDS
DENTIST40.00Yes (X)$174,054$0$6,754
WARREN BEAVER MD
DOCTOR40.00Yes (X)$152,125$0$21,504
LYNNE BIRKMEYER MD
DOCTOR40.00Yes (X)$159,293$0$21,406
CRAIG ULMER
CEO40.00$170,779$0$6,591Yes (X)
CINDY DEDIONISIO CPA
CFO40.00$112,719$0$550Yes (X)
PHILIP CARDELLA
CFO40.00$59,731$0$21,022Yes (X)
THIERNO BARRY
BOARD CHAIR1.00$0$0$0Yes (X)Yes (X)
VIVIAN TATE
VICE CHAIRMAN1.00$0$0$0Yes (X)Yes (X)
DIANA AMES
SECRETARY1.00$0$0$0Yes (X)Yes (X)
SALLY FYKE
TREASURER1.00$0$0$0Yes (X)Yes (X)
AMY ARRINGTON
BOARD MEMBER1.00$0$0$0Yes (X)
ISHAN ARVIN
BOARD MEMBER1.00$0$0$0Yes (X)
LINDA JOHNSON
BOARD MEMBER1.00$0$0$0Yes (X)
BARBARA DREW
BOARD MEMBER1.00$0$0$0Yes (X)
STEPHEN GRUTOWSKI
BOARD MEMBER1.00$0$0$0Yes (X)
JOSEPHINE JOHNSON
BOARD MEMBER1.00$0$0$0Yes (X)
CURTIS JONES SR
BOARD MEMBER1.00$0$0$0Yes (X)
MICHAEL MAHLER
BOARD MEMBER1.00$0$0$0Yes (X)
DONNA MILLER
BOARD MEMBER1.00$0$0$0Yes (X)
CARLA STORRS
BOARD MEMBER1.00$0$0$0Yes (X)
JENNIFER M TORRES DEL VALLE
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,149,888TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$100,053TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NEXTGEN HEALTHCARE INC
1836 LACKLAND HILL PARKWAYST LOUISMO63146BILLING SERVICES$386,888
VELOCITY NETWORK INC
PO BOX 1778ERIEPA16512INFORMATION TECHNOLOGY SERVICES$127,102
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$5,634,367GovernmentGrantsAmt
Total Contributions$5,634,367TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$5,338,596$5,338,596
PHARMACY REVENUE621400$3,038,890$3,038,890
FieldValueIRS element (for citing)
Total Program Service Revenue$8,377,486TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9TotalRevenueColumnAmt
Exclusion$9ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,949FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,949TotalRevenueColumnAmt
Exclusion$12,949ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$159,678TotalRevenueColumnAmt
Related Or Exempt Func Income$159,678RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$159,678OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,184,489TotalRevenueColumnAmt
Related Or Exempt Func Income$8,537,164RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,958ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$371,392TotalAmt
Management And General$371,392ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,423,991TotalAmt
Program Services$4,849,009ProgramServicesAmt
Management And General$574,982ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$54,177TotalAmt
Program Services$45,802ProgramServicesAmt
Management And General$8,375ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,000,738TotalAmt
Program Services$869,853ProgramServicesAmt
Management And General$130,885ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$423,968TotalAmt
Program Services$358,431ProgramServicesAmt
Management And General$65,537ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$141,878TotalAmt
Program Services$116,944ProgramServicesAmt
Management And General$24,934ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$472,714TotalAmt
Program Services$389,639ProgramServicesAmt
Management And General$83,075ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,790TotalAmt
Program Services$9,907ProgramServicesAmt
Management And General$12,883ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$533,547TotalAmt
Program Services$435,128ProgramServicesAmt
Management And General$98,419ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,645TotalAmt
Program Services$7,236ProgramServicesAmt
Management And General$9,409ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,874TotalAmt
Management And General$5,874ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$239,784TotalAmt
Program Services$197,476ProgramServicesAmt
Management And General$42,308ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$49,705TotalAmt
Program Services$19,684ProgramServicesAmt
Management And General$30,021ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES, DRUGS, LAB FE$2,051,619$2,040,109$11,510
BAD DEBT$523,892$523,892
EQUIPMENT RENTAL & MAIN$329,938$285,490$44,448
MISCELLANEOUS$61,823$26,874$34,949

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$198,828TotalAmt
Program Services$86,432ProgramServicesAmt
Management And General$112,396ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,923,303TotalAmt
Program Services$10,261,906ProgramServicesAmt
Management And General$1,661,397ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,444,899BOYAmt
EOY$3,799,663EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$509,872BOYAmt
EOY$510,053EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,166,218BOYAmt
EOY$1,886,077EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$145,280BOYAmt
EOY$168,925EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$145,887BOYAmt
EOY$85,702EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,086,434LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,739,183LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,509,184BOYAmt
EOY$1,347,251EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,538BOYAmt
EOY$9,538EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,930,878BOYAmt
EOY$7,807,209EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,208,340BOYAmt
EOY$1,325,330EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$275,325BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$150,405BOYAmt
EOY$109,785EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,185,900BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,819,970BOYAmt
EOY$1,435,115EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,071,428BOYAmt
EOY$6,332,614EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,480BOYAmt
EOY$39,480EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,110,908BOYAmt
EOY$6,372,094EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,930,878BOYAmt
EOY$7,807,209EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,261,186ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,437,979CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,516,501CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,439,757CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,175,446CurrentTaxYearMinus1YearAmt
Current Tax Year$5,634,367CurrentTaxYearAmt
Total$18,204,050TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,437,979CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,516,501CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,439,757CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,175,446CurrentTaxYearMinus1YearAmt
Current Tax Year$5,634,367CurrentTaxYearAmt
Total$18,204,050TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$18,204,050PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$227CurrentTaxYearMinus4YearsAmt
Current Tax Year$9CurrentTaxYearAmt
Total$236TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$69,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$289,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$224,260CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257,246CurrentTaxYearMinus1YearAmt
Current Tax Year$159,678CurrentTaxYearAmt
Total$1,000,279TotalAmt
FieldValueIRS element (for citing)
Total Support$19,204,565TotalSupportAmt
Gross Receipts Rltd Activities$37,372,648GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94790PublicSupportCY170Pct
Public Support PY1700.94500PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,250OtherActivitiesAmt
Total Lobbying Expenditures$1,250TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) FOR GOVERNMENT RELATIONS ASSESSMENT FOR LOBBYIST ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$174,383OtherCostOrOtherBasisAmt
Book Value$174,383BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,095,777OtherCostOrOtherBasisAmt
Depreciation$1,521,250DepreciationAmt
Book Value$574,527BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$407,156OtherCostOrOtherBasisAmt
Depreciation$267,130DepreciationAmt
Book Value$140,026BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,409,118OtherCostOrOtherBasisAmt
Depreciation$2,950,803DepreciationAmt
Book Value$458,315BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,347,251TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,660,597TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,660,597RevenueSubtotalAmt
Other Revenues Not Included$523,892OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$523,892RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,184,489TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,399,411TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,399,411ExpensesSubtotalAmt
Other Expenses Not Included$523,892OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$523,892ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,923,303TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE HAD NO MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN GENERAL AND ADMINISTRATIVE EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2019, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT 523,892.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT 523,892.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANTHONY IGNOCHECK MD
DOCTOR$191,010$0$0$0$0$0$0$0$7,105$0$198,115$0$0$0
MARYNA PETRASHEUSKAYA DDS
DENTIST$174,054$0$0$0$0$0$0$0$6,754$0$180,808$0$0$0
WARREN BEAVER MD
DOCTOR$152,125$0$0$0$0$0$0$0$21,504$0$173,629$0$0$0
LYNNE BIRKMEYER MD
DOCTOR$159,293$0$0$0$0$0$0$0$21,406$0$180,699$0$0$0
CRAIG ULMER
CEO$170,779$0$0$0$0$0$0$0$6,591$0$177,370$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BCOMMUNITY HEALTH NET HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS SUBMIT AN ANNUAL CONFLICTS OF INTEREST REPORT TO THE BOARD SECRETARY. OFFICERS AND KEY EMPLOYEES ARE AWARE OF THE CONFLICT OF INTEREST POLICIES AND ANY CONFLICTS OF INTEREST ARE BROUGHT TO THE ATTENTION OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF THE CEO, CFO, AND KEY EMPLOYEES ARE REVIEWED BY THE INDEPENDENT MEMBERS OF THE PERSONNEL COMMITTEE USING COMPARABILITY DATA. THE BOARD OF DIRECTORS APPROVE THE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 18COMMUNITY HEALTH NET MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19COMMUNITY HEALTH NET MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE COMMUNITY HEALTH NET'S BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.