2023-09-28T12:01:44-05:00 2022-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2022-01-01 133083068 COMMUNITY HEALTHCARE NETWORK COMM 2125452404 60 MADISON AVENUE NEW YORK NY 10010 ALAN WENGROFSKY CFO AND VP OF FINANCE 2125452404 2023-09-15 1 ALAN WENGROFSKY 999009999 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2023-09-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT HAYES 60 MADISON AVENUE NEW YORK NY 10010 123401941 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 19 831 19 254732 37075 25526928 36218712 85122917 72684627 3468680 2015362 1032845 2894390 115151370 113813091 0 0 0 0 55142201 56763455 0 0 0 54738427 48259558 109880628 105023013 5270742 8790078 144711761 152371209 58084857 63089516 86626904 89281693 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 92009080 75324285 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 159,559 HEALTH CARE VISITS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022. 92009080 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 74 0 1 831 1 1 1 0 0 0 0 0 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 CDR HARLEM J GUNNESS BOARD MEMBER 1.00 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 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 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 35.00 X 341791 0 43289 ROBERT HAYES PRESIDENT/CEO 34.50 0.50 X 427523 0 43139 DANIEL NAPOLITANO CHIEF POPULATION HEALTH & CARE MGT. OFIICER 35.00 X 330248 0 41071 GREGORY TADDEO CHIEF DENTAL OFFICER 35.00 X 220860 0 18233 SHARON GRIFFITH MEDICAL DIRECTOR/WOMEN'S SERVICES 35.00 X 236307 0 46309 SUSAN YEE CHIEF OPERATING OFFICER 35.00 X 209210 0 39745 TAISHA BENJAMIN CHIEF MEDICAL OFFICER 35.00 X 337658 0 36452 BRYAN TOLENTINO GUERRERO MEDICAL DIRECTOR/ID & LGBTQ PROGRAMS 35.00 X 237986 0 17825 JOSEPH SQUITIERI DIRECTOR OF PSYCHIATRY 35.00 X 258177 0 39400 KELLY HORN DIRECTOR/PRIMARY CARE 35.00 X 238374 0 36178 MICHELLE JOHNSON CHIEF DIVERSITY & PEOPLE OFFICER 35.00 X 229576 0 34071 STACEY CACCIOLA DIRECTOR/PEDIATRICS 35.00 X 232328 0 39002 3300038 0 434714 92 0 1 0 COHNREZNICK LLP 1301 AVE OF THE AMERICAS NEW YORK NY 10019 AUDITING & TAX 494664 FOOTHOLD TECHNOLOGY HOLDING INC PO BOX 83458 WOBURN BOSTON MA 018133458 CLOUD BASED ADMINISTRATION OF CLAIMS 427153 WINSTON SUPPORT SERVICES LLCWINSTON SUP 122 EAST 42ND STREET SUITE 320 NEW YORK NY 10168 CONTRACTED NURSING & SUPPORT STAFF 312883 3 32288773 3929939 510016 36218712 MEDICAID & MEDICAID MANAGED CARE 623000 29760638 29760638 HEALTH HOME REVENUE 623000 24959030 24959030 340B PHARMACY 623000 12775593 12520861 254732 NEW YORK STATE UNCOMPENSATED CARE 623000 1974554 1974554 MEDICARE 623000 1968646 1968646 1246166 1246166 72684627 1054424 1054424 9549788 1000000 9588850 0 -39062 1000000 960938 960938 PATIENT INCENTIVES INCOME 623000 2456023 2456023 LEASED EMPLOYEES 900099 200994 200994 237373 237373 2894390 113813091 75324285 254732 2015362 2328786 2004038 324748 40774337 35087593 5686744 594117 511370 82747 9399231 8090123 1309108 3666984 3153606 513378 199727 199727 417114 200690 216424 108050 108050 243715 243715 2622702 2057523 565179 36540 36540 1546355 1173320 373035 3956441 2907956 1048485 76747 66002 10745 77281 66462 10819 363916 363916 1502464 1126848 375616 321195 240896 80299 HEALTH HOME FEES 19193039 19193039 CONSUMABLE SUPPLIES 13912761 13759344 153417 REPAIRS AND MAINTENANCE 539043 404282 134761 PERSONNEL RECRUITMENT 355409 355409 2787059 1465989 1321070 105023013 92009080 13013933 0 7493836 7595526 29628253 24694754 13705439 11310079 15491849 9911580 125080 175473 701573 652080 61113135 32367253 25785636 28745882 26911684 21603582 1221447 1165753 23646964 46516500 144711761 152371209 15696591 9227800 645772 1718675 40567273 28115859 1175221 24027182 58084857 63089516 X 86466904 89281693 160000 0 86626904 89281693 144711761 152371209 8790078 -6135289 0 X 0 1 X 1 1 1 X 25373481 27313131 34422232 25526928 36218712 148854484 25373481 27313131 34422232 25526928 36218712 148854484 148854484 97296 684178 820478 1465857 1054424 4122233 475729 243665 271991 254732 1246117 1333472 686666 675605 1032845 2894390 6622978 160845812 356667726 0.92540 0.92560 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER PATIENT REVENUE - 2018 AMOUNT: $ 532,029. 2020 AMOUNT: $ 301,773. 2021 AMOUNT: $ 632,650. 2022 AMOUNT: $ 2,456,023. MISCELLANEOUS INCOME - 2018 AMOUNT: $ 531,163. 2019 AMOUNT: $ 645,702. 2020 AMOUNT: $ 252,624. 2021 AMOUNT: $ 318,407. 2022 AMOUNT: $ 237,373. LEASED EMPLOYEES - 2022 AMOUNT: $ 200,994. QCCP REVENUE - 2018 AMOUNT: $ 46,535. QARR HIV REVENUE - 2020 AMOUNT: $ 91,198. CCMP REVENUE - 2018 AMOUNT: $ 223,745. 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 108050 0 0 108050 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 28804887 12252103 16552784 17132599 8011282 9121317 11336346 10064930 1271416 3001372 2038938 962434 28745882 SECURITY DEPOSITS 775328 SUBVENTION RECEIVABLE 1000000 DUE FROM AFFILIATE 21987100 OPERATING LEASE ASSETS 22754072 46516500 DUE TO THIRD PARTY 58342 OPERATING LEASE LIABILITIES 23968840 24027182 X 107939879 -6135289 237500 268292 -5629497 113569376 243715 243715 113813091 105016978 237500 180 237680 104779298 243715 243715 105023013 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2022, 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 2019 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 XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 180. X 0 0 0 0 0 0 0 0 0 ROBERT HAYES PRESIDENT/CEO 425265 0 0 0 2258 0 6100 0 37039 0 470662 0 0 0 ALAN WENGROFSKY EXECUTIVE VP/CFO 341275 0 0 0 516 0 6100 0 37189 0 385080 0 0 0 TAISHA BENJAMIN CHIEF MEDICAL OFFICER 337478 0 0 0 180 0 6100 0 30352 0 374110 0 0 0 DANIEL NAPOLITANO CHIEF POPULATION HEALTH & CARE MGT. 330068 0 0 0 180 0 6100 0 34971 0 371319 0 0 0 JOSEPH SQUITIERI DIRECTOR OF PSYCHIATRY 258057 0 0 0 120 0 5211 0 34189 0 297577 0 0 0 SHARON GRIFFITH MEDICAL DIRECTOR/WOMEN'S SERVICES 235791 0 0 0 516 0 4909 0 41400 0 282616 0 0 0 KELLY HORN DIRECTOR/PRIMARY CARE 238194 0 0 0 180 0 4800 0 31378 0 274552 0 0 0 STACEY CACCIOLA DIRECTOR/PEDIATRICS 232052 0 0 0 276 0 4693 0 34309 0 271330 0 0 0 MICHELLE JOHNSON CHIEF DIVERSITY & PEOPLE OFFICER 229300 0 0 0 276 0 911 0 33160 0 263647 0 0 0 BRYAN TOLENTINO GUERRERO MEDICAL DIRECTOR/ID & LGBTQ PROGRAMS 237879 0 0 0 107 0 4797 0 13028 0 255811 0 0 0 SUSAN YEE CHIEF OPERATING OFFICER 209030 0 0 0 180 0 4256 0 35489 0 248955 0 0 0 GREGORY TADDEO CHIEF DENTAL OFFICER 220680 0 0 0 180 0 4452 0 13781 0 239093 0 0 0 X 1 510016 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