2023-05-11T13:18:33-05:00 2022-06-30 390859910 BAKER TILLY US LLP 381 CHESTNUT STREET MEADVILLE PA 16335 990 2021-07-01 251490791 COMMUNITY HEALTH NET COMM 8144544530 1202 STATE STREET ERIE PA 16501 PHILIP CARDELLA CFO 8144544530 2023-05-04 1 PHILIP CARDELLA 999009999 KELLY A BROCIOUS CPA P01254262 8143362133 2023-04-27 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CRAIG ULMER 1202 STATE STREET ERIE PA 16501 14184489 0 X WWW.COMMUNITY-HEALTHNET.COM X 1985 PA CHARITABLE HEALTH CARE 15 15 130 19 0 0 4175446 5634367 7341025 8377486 0 9 266536 172627 11783007 14184489 0 0 0 0 6473172 7274266 0 0 0 4032191 4649037 10505363 11923303 1277644 2261186 6930878 7807209 2819970 1435115 4110908 6372094 TO 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. 0 0 10261906 8537164 PROVIDE MEDICAL, DENTAL, VISION AND BEHAVORIAL HEALTH SERVICES TO MEDICALLY INDIGENT, UNINSURED AND HOMELESS CITIZENS. 10261906 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 130 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 PA X PHILIP CARDELLA 8144544530 1202 STATE STREET ERIE PA 16501 ANTHONY IGNOCHECK MD DOCTOR 40.00 X 191010 0 7105 MARIUM MUJAHID DO DOCTOR 40.00 X 130177 0 15121 MARYNA PETRASHEUSKAYA DDS DENTIST 40.00 X 174054 0 6754 WARREN BEAVER MD DOCTOR 40.00 X 152125 0 21504 LYNNE BIRKMEYER MD DOCTOR 40.00 X 159293 0 21406 CRAIG ULMER CEO 40.00 X 170779 0 6591 CINDY DEDIONISIO CPA CFO 40.00 X 112719 0 550 PHILIP CARDELLA CFO 40.00 X 59731 0 21022 THIERNO BARRY BOARD CHAIR 1.00 X X 0 0 0 VIVIAN TATE VICE CHAIRMAN 1.00 X X 0 0 0 DIANA AMES SECRETARY 1.00 X X 0 0 0 SALLY FYKE TREASURER 1.00 X X 0 0 0 AMY ARRINGTON BOARD MEMBER 1.00 X 0 0 0 ISHAN ARVIN BOARD MEMBER 1.00 X 0 0 0 LINDA JOHNSON BOARD MEMBER 1.00 X 0 0 0 BARBARA DREW BOARD MEMBER 1.00 X 0 0 0 STEPHEN GRUTOWSKI BOARD MEMBER 1.00 X 0 0 0 JOSEPHINE JOHNSON BOARD MEMBER 1.00 X 0 0 0 CURTIS JONES SR BOARD MEMBER 1.00 X 0 0 0 MICHAEL MAHLER BOARD MEMBER 1.00 X 0 0 0 DONNA MILLER BOARD MEMBER 1.00 X 0 0 0 CARLA STORRS BOARD MEMBER 1.00 X 0 0 0 JENNIFER M TORRES DEL VALLE BOARD MEMBER 1.00 X 0 0 0 1149888 0 100053 12 0 1 0 NEXTGEN HEALTHCARE INC 1836 LACKLAND HILL PARKWAY ST LOUIS MO 63146 BILLING SERVICES 386888 VELOCITY NETWORK INC PO BOX 1778 ERIE PA 16512 INFORMATION TECHNOLOGY SERVICES 127102 2 5634367 5634367 NET PATIENT SERVICE REVENUE 621400 5338596 5338596 PHARMACY REVENUE 621400 3038890 3038890 8377486 9 9 12949 0 12949 12949 MISCELLANEOUS 900099 159678 159678 159678 14184489 8537164 0 12958 371392 371392 5423991 4849009 574982 54177 45802 8375 1000738 869853 130885 423968 358431 65537 141878 116944 24934 472714 389639 83075 22790 9907 12883 533547 435128 98419 16645 7236 9409 5874 5874 239784 197476 42308 49705 19684 30021 SUPPLIES, DRUGS, LAB FE 2051619 2040109 11510 BAD DEBT 523892 523892 EQUIPMENT RENTAL & MAIN 329938 285490 44448 MISCELLANEOUS 61823 26874 34949 198828 86432 112396 11923303 10261906 1661397 0 2444899 3799663 509872 510053 2166218 1886077 145280 168925 145887 85702 6086434 4739183 1509184 1347251 9538 9538 6930878 7807209 1208340 1325330 275325 150405 109785 1185900 0 2819970 1435115 X 4071428 6332614 39480 39480 4110908 6372094 6930878 7807209 2261186 0 X X 0 1 X 1 1 1 X 2437979 2516501 3439757 4175446 5634367 18204050 2437979 2516501 3439757 4175446 5634367 18204050 18204050 227 9 236 69640 289455 224260 257246 159678 1000279 19204565 37372648 0.94790 0.94500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1250 1250 0 PART II-B, LINE 1: THE ORGANIZATION PAID PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) FOR GOVERNMENT RELATIONS ASSESSMENT FOR LOBBYIST ACTIVITIES. 174383 174383 2095777 1521250 574527 407156 267130 140026 3409118 2950803 458315 1347251 X 13660597 0 13660597 523892 523892 14184489 11399411 0 11399411 523892 523892 11923303 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. X X X X 0 0 0 0 0 0 0 0 0 ANTHONY IGNOCHECK MD DOCTOR 191010 0 0 0 0 0 0 0 7105 0 198115 0 0 0 MARYNA PETRASHEUSKAYA DDS DENTIST 174054 0 0 0 0 0 0 0 6754 0 180808 0 0 0 WARREN BEAVER MD DOCTOR 152125 0 0 0 0 0 0 0 21504 0 173629 0 0 0 LYNNE BIRKMEYER MD DOCTOR 159293 0 0 0 0 0 0 0 21406 0 180699 0 0 0 CRAIG ULMER CEO 170779 0 0 0 0 0 0 0 6591 0 177370 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B COMMUNITY 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 12C BOARD 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 15 COMPENSATION 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 18 COMMUNITY HEALTH NET MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 COMMUNITY 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.