2022-05-11T08:22:56-05:00 2021-06-30 390859910 BAKER TILLY US LLP 381 CHESTNUT STREET MEADVILLE PA 16335 990 2020-07-01 251490791 COMMUNITY HEALTH NET COMM 8144544530 1202 STATE STREET ERIE PA 16501 PHILIP CARDELLA CFO 8144544530 2022-05-05 1 PHILIP CARDELLA 999009999 KELLY A BROCIOUS CPA P01254262 8143362133 2022-05-05 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CRAIG ULMER 1202 STATE STREET ERIE PA 16501 11783007 0 X WWW.COMMUNITY-HEALTHNET.COM X 1985 PA CHARITABLE HEALTH CARE 16 16 132 21 0 0 3439757 4175446 7161333 7341025 0 0 231671 266536 10832761 11783007 0 0 0 0 6321480 6473172 0 0 0 4380400 4032191 10701880 10505363 130881 1277644 5305194 6930878 2470680 2819970 2834514 4110908 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 9007707 7598271 PROVIDE MEDICAL, DENTAL, VISION AND BEHAVORIAL HEALTH SERVICES TO MEDICALLY INDIGENT, UNINSURED AND HOMELESS CITIZENS. 9007707 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 8 0 132 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 X 16 16 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 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 BLOUNT 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 LINDA JOHNSON BOARD MEMBER 1.00 X 0 0 0 CRAIG ULMER CEO 40.00 X 159959 0 6552 CINDY DEDIONISIO CPA CFO 40.00 X 111623 0 1977 ANTHONY IGNOCHECK MD DOCTOR 40.00 X 198620 0 6799 MARIUM MUJAHID DO DOCTOR 40.00 X 196230 0 6729 MARYNA PETRASHEUSKAYA DDS DENTIST 40.00 X 173858 0 6083 SEAN LEONARD MD DOCTOR 40.00 X 168092 0 20066 LYNNE BIRKMEYER MD DOCTOR 40.00 X 166093 0 20035 1174475 0 68241 7 0 1 0 NEXTGEN HEALTHCARE INC 1836 LACKLAND HILL PARKWAY ST LOUIS MO 63146 BILLING SERVICES 354073 VELOCITY NETWORK INC PO BOX 1778 ERIE PA 16512 INFORMATION TECHNOLOGY SERVICES 148283 2 4175446 16443 4175446 NET PATIENT SERVICE REVENUE 621400 4527276 4527276 PHARMACY REVENUE 621400 2813749 2813749 7341025 9290 0 9290 9290 MISCELLANEOUS 900099 257246 257246 257246 11783007 7598271 0 9290 280111 280111 4966564 4380437 586127 52123 43464 8659 809887 675336 134551 364487 303933 60554 99950 88737 11213 451470 400819 50651 14266 6556 7710 474141 392174 81967 10181 4679 5502 7764 7764 238428 196354 42074 63994 38346 25648 SUPPLIES, DRUGS, LAB FE 1920293 1903883 16410 EQUIPMENT RENTAL & MAIN 330096 287261 42835 BAD DEBT 170180 170180 COMMUNITY RELATIONS 66944 30765 36179 184484 84783 99701 10505363 9007707 1497656 0 1444553 2444899 509736 509872 1561382 2166218 143507 145280 56688 145887 6008583 4499399 1579790 1509184 9538 9538 5305194 6930878 923671 1208340 145595 275325 189314 150405 1212100 1185900 2470680 2819970 X 2793784 4071428 40730 39480 2834514 4110908 5305194 6930878 X 1277644 -1250 X X 0 1 X 1 1 1 X 2499434 2437979 2516501 3439757 4175446 15069117 2499434 2437979 2516501 3439757 4175446 15069117 15069117 227 227 36160 69640 289455 224260 257246 876761 15946105 37041260 0.94500 0.94380 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 2064777 1449990 614787 407156 227392 179764 3362267 2822017 540250 1509184 OTHER LONG-TERM LIABILITIES 330 PAYCHECK PROTECTION PROGRAM LOAN 1185570 1185900 X 11612827 0 11612827 170180 170180 11783007 10335183 0 10335183 170180 170180 10505363 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, 2018, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 170,180. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 170,180. X X X X 0 0 0 0 0 0 0 0 0 ANTHONY IGNOCHECK MD DOCTOR 172620 0 0 0 26000 0 0 0 6799 0 205419 0 0 0 MARIUM MUJAHID DO DOCTOR 196230 0 0 0 0 0 0 0 6729 0 202959 0 0 0 SEAN LEONARD MD DOCTOR 142092 0 0 0 26000 0 0 0 20066 0 188158 0 0 0 LYNNE BIRKMEYER MD DOCTOR 140093 0 0 0 26000 0 0 0 20035 0 186128 0 0 0 MARYNA PETRASHEUSKAYA DDS DENTIST 165499 0 0 0 8359 0 0 0 6083 0 179941 0 0 0 CRAIG ULMER CEO 158659 0 0 0 1300 0 0 0 6552 0 166511 0 0 0 X 1 16443 FMV 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 XI, LINE 9: NET ASSETS RELEASE FROM RESTRICTIONS -1,250. 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.