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COMMUNITY HEALTHCARE NETWORK INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTHCARE NETWORK INC (EIN 13-3083068)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-07
IRS object ID
202102809349300245
Schema version
2020v4.1
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)
Return2021-10-07T12:11:52-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133083068EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTHCARE NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone2125452404PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MADISON AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10010ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALAN WENGROFSKYPersonNm
Person TitleCFO AND VP OF FINANCEPersonTitleTxt
Phone2125452404PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALANPersonFirstNm
Person LastWENGROFSKYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI ROTHE YOKOBOSKY CPAPreparerPersonNm
PTINP01273422PTIN
Phone2122970400PhoneNum
Preparation2021-10-04PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT HAYESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MADISON AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10010ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$137,571,293GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHNNYC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTHCARE NETWORK, INC ("CHN") OPERATES FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 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.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee748TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$243,665TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$44,508NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$27,274,281PYContributionsGrantsAmt
CY Contributions Grants$34,422,232CYContributionsGrantsAmt
PY Program Service Revenue$62,000,820PYProgramServiceRevenueAmt
CY Program Service Revenue$72,902,494CYProgramServiceRevenueAmt
PY Investment Income$647,946PYInvestmentIncomeAmt
CY Investment Income$1,995,064CYInvestmentIncomeAmt
PY Other Revenue$625,618PYOtherRevenueAmt
CY Other Revenue$675,605CYOtherRevenueAmt
PY Total Revenue$90,548,665PYTotalRevenueAmt
CY Total Revenue$109,995,395CYTotalRevenueAmt
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$58,088,664PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,118,782CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$122CYTotalFundraisingExpenseAmt
PY Other Expenses$39,038,809PYOtherExpensesAmt
CY Other Expenses$50,863,037CYOtherExpensesAmt
PY Total Expenses$97,127,473PYTotalExpensesAmt
CY Total Expenses$104,981,819CYTotalExpensesAmt
PY Revenues Less Expenses-$6,578,808PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,013,576CYRevenuesLessExpensesAmt
Total Assets BOY$96,032,281TotalAssetsBOYAmt
Total Assets EOY$116,375,376TotalAssetsEOYAmt
Total Liabilities BOY$22,897,266TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,534,201TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$73,135,015NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$80,841,175NetAssetsOrFundBalancesEOYAmt
MissionCHN 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$93,756,826ExpenseAmt
Revenue$73,578,099RevenueAmt
DescCHN 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 185,268 HEALTH CARE VISITS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2020.Desc
Total Program Service Expenses$93,756,826TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document83IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee748EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALAN WENGROFSKYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2125452481PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MADISON AVEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10010ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRENDA MERRITT
BOARD MEMBER1.00Yes (X)$0$0$0
CAROLINE DORSEN
BOARD MEMBER1.00Yes (X)$0$0$0
DENISE GORDON
BOARD MEMBER1.00Yes (X)$0$0$0
DONNA ANDERSON
BOARD MEMBER1.00Yes (X)$0$0$0
ELIZABETH KELLNER
CHAIRPERSON1.00Yes (X)$0$0$00.50Yes (X)
GRETA ELYSEE
BOARD MEMBER1.00Yes (X)$0$0$0
HARLEM J GUNNESS
BOARD MEMBER1.00Yes (X)$0$0$0
JEFFREY ROBINSON
BOARD MEMBER1.00Yes (X)$0$0$0
JOSEPHINE DIAZ
BOARD MEMBER1.00Yes (X)$0$0$0
JUNE NIKLUS
VICE CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
KATHLEEN O'NEIL
BOARD MEMBER1.00Yes (X)$0$0$0
KRISTIN MANZOLILLO
SECRETARY1.00Yes (X)$0$0$0Yes (X)
NANCY RAPOPORT
TREASURER1.00Yes (X)$0$0$0Yes (X)
RALPH AQUILA
BOARD MEMBER1.00Yes (X)$0$0$0
RANDY SILLER
BOARD MEMBER1.00Yes (X)$0$0$0
RONDA KOTELCHUCK
BOARD MEMBER1.00Yes (X)$0$0$0
ALAN WENGROFSKY
CFO/VP FINANCE35.00$323,819$0$49,989Yes (X)
ROBERT HAYES
PRESIDENT/CEO34.50$456,591$0$47,5750.50Yes (X)
DAVID GROSS
LEGAL COUNSEL35.00$238,537$0$42,899Yes (X)
GREGORY TADDEO
CHIEF DENTAL OFFICER35.00$225,772$0$24,243Yes (X)
KENNETH MEYER
VP HUMAN RESOURCES35.00$202,680$0$42,013Yes (X)
JOSEPH SQUITIERI
DIRECTOR OF PSYCHIATRY35.00$245,406$0$40,883Yes (X)
KRISTEN MANTER
CHIEF OF PRIMARY CARE35.00$255,042$0$41,502Yes (X)
SATOKO KANAHARA
MEDICAL DIRECTOR35.00$226,693$0$23,634Yes (X)
SHARON GRIFFITH
MEDICAL DIRECTOR/WOMEN SERVICES35.00$241,842$0$46,406Yes (X)
TAISHA BENJAMIN
DIRECTOR OF PEDIATRICS35.00$237,902$0$39,556Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,654,284TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$398,700TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K96IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RELEVANT HEALTHCARE TECHNOLOGIES
222 BROADWAY 19TH FLOORNEW YORKNY10038HEALTH HOME BILLING SERVICES$478,219
COHNREZNICK LLP
1301 AVE OF THE AMERICASNEW YORKNY10019ACCOUNTING & TAX$460,702
FIDELUS TECHNOLOGIES LLC
11 PARK PLACENEW YORKNY10007TECHNOLOGY$211,080
SCRIBE AMERICA
PO BOX 417756BOSTONMA02241HEALTHCARE STAFFING$138,447
ALL MEDICAL PERSONNEL
4000 HOLLYWOOD BLVDHOLLYWOODFL33021HEALTHCARE STAFFING$121,223
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$28,137,956GovernmentGrantsAmt
All Other Contributions$6,284,276AllOtherContributionsAmt
Noncash Contributions$566,381NoncashContributionsAmt
Total Contributions$34,422,232TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
HEALTH HOME REVENUE623000$32,373,991$32,373,991
MEDICAID & MEDICAID MANAGED CARE623000$22,782,873$22,782,873
340B PHARMACY623000$10,773,339$10,529,674$243,665
NEW YORK STATE UNCOMPENSATED CARE623000$3,156,679$3,156,679
PRIVATE INSURANCE623000$2,888,078$2,888,078

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$927,534TotalRevenueColumnAmt
Related Or Exempt Func Income$927,534RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$72,902,494TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$820,478TotalRevenueColumnAmt
Exclusion$820,478ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$28,750,484SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$27,575,898SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,174,586SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,174,586TotalRevenueColumnAmt
Exclusion$1,174,586ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT INCENTIVES INCOME900099$392,971$392,971
MISCELLANEOUS INCOME900099$252,624$252,624
CCMP900099$30,010$30,010
FieldValueIRS element (for citing)
Other Revenue Total$675,605OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,995,395TotalRevenueColumnAmt
Related Or Exempt Func Income$73,334,434RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$243,665UnrelatedBusinessRevenueAmt
Exclusion$1,995,064ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,654,118TotalAmt
Program Services$1,436,015ProgramServicesAmt
Management And General$218,103ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,177,435TotalAmt
Program Services$34,879,874ProgramServicesAmt
Management And General$5,297,561ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$367,711TotalAmt
Program Services$319,227ProgramServicesAmt
Management And General$48,484ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,298,536TotalAmt
Program Services$7,204,340ProgramServicesAmt
Management And General$1,094,196ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,620,982TotalAmt
Program Services$3,143,540ProgramServicesAmt
Management And General$477,442ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$59,414TotalAmt
Management And General$59,414ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$446,200TotalAmt
Management And General$446,200ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$55,250TotalAmt
Program Services$55,250ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$231,448TotalAmt
Management And General$231,448ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,774,728TotalAmt
Program Services$1,475,321ProgramServicesAmt
Management And General$299,407ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,483TotalAmt
Program Services$20,483ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,971,427TotalAmt
Program Services$1,505,003ProgramServicesAmt
Management And General$466,424ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,826,924TotalAmt
Program Services$2,908,462ProgramServicesAmt
Management And General$918,462ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,550TotalAmt
Program Services$71,819ProgramServicesAmt
Management And General$10,731ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$285,681TotalAmt
Program Services$248,542ProgramServicesAmt
Management And General$37,139ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,325,499TotalAmt
Program Services$1,007,378ProgramServicesAmt
Management And General$318,121ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$285,335TotalAmt
Program Services$216,855ProgramServicesAmt
Management And General$68,480ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HEALTH HOME FEES$25,747,317$25,747,317
CONSUMABLE SUPPLIES$11,161,857$11,040,032$121,825
REPAIRS AND MAINTENANCE$616,503$468,542$147,961
EQUIPMENT RENTAL$420,335$319,455$100,880

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,552,086TotalAmt
Program Services$1,689,371ProgramServicesAmt
Management And General$862,593ManagementAndGeneralAmt
Fundraising$122FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$104,981,819TotalAmt
Program Services$93,756,826ProgramServicesAmt
Management And General$11,224,871ManagementAndGeneralAmt
Fundraising$122FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,730,518BOYAmt
EOY$8,009,749EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,640,066BOYAmt
EOY$27,500,991EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,300,509BOYAmt
EOY$10,013,431EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,469,380BOYAmt
EOY$9,917,443EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$157,079BOYAmt
EOY$151,204EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$834,567BOYAmt
EOY$1,119,270EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$44,145,666LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$29,576,904LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,819,271BOYAmt
EOY$14,568,762EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$32,046,132BOYAmt
EOY$27,287,701EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,109,649BOYAmt
EOY$1,139,659EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,925,110BOYAmt
EOY$16,667,166EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$96,032,281BOYAmt
EOY$116,375,376EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,529,607BOYAmt
EOY$15,137,272EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,795,085BOYAmt
EOY$672,984EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,341,001BOYAmt
EOY$18,702,785EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,231,573BOYAmt
EOY$1,021,160EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,897,266BOYAmt
EOY$35,534,201EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$70,332,900BOYAmt
EOY$77,485,271EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,802,115BOYAmt
EOY$3,355,904EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,135,015BOYAmt
EOY$80,841,175EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$96,032,281BOYAmt
EOY$116,375,376EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,013,576ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,692,584NetUnrlzdGainsLossesInvstAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$20,404,682CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,373,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,373,481CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,313,131CurrentTaxYearMinus1YearAmt
Current Tax Year$34,422,232CurrentTaxYearAmt
Total$131,887,245TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,404,682CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,373,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,373,481CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,313,131CurrentTaxYearMinus1YearAmt
Current Tax Year$34,422,232CurrentTaxYearAmt
Total$131,887,245TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$131,887,245PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$630,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,050,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$684,178CurrentTaxYearMinus1YearAmt
Current Tax Year$820,478CurrentTaxYearAmt
Total$3,283,397TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$475,729CurrentTaxYearMinus1YearAmt
Current Tax Year$243,665CurrentTaxYearAmt
Total$719,394TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,148,109CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,104,859CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,365,847CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$725,516CurrentTaxYearMinus1YearAmt
Current Tax Year$675,605CurrentTaxYearAmt
Total$6,019,936TotalAmt
FieldValueIRS element (for citing)
Total Support$141,909,972TotalSupportAmt
Gross Receipts Rltd Activities$325,101,937GrossReceiptsRltdActivitiesAmt
Public Support CY1700.92940PublicSupportCY170Pct
Public Support PY1700.92000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationCCMP REVENUE - 2016 AMOUNT: $ 564,315. 2017 AMOUNT: $ 160,557. 2018 AMOUNT: $ 223,745. 2019 AMOUNT: $ 40,964. 2020 AMOUNT: $ 30,010. FUNDRAISING REVENUE - 2016 AMOUNT: $ 14,200. 2017 AMOUNT: $ 30,360. 2018 AMOUNT: $ 32,375. 2019 AMOUNT: $ 38,850. MEANINGFUL USE - 2017 AMOUNT: $ 663,000. MISCELLANEOUS INCOME - 2017 AMOUNT: $ 232,275. 2018 AMOUNT: $ 531,163. 2019 AMOUNT: $ 645,702. 2020 AMOUNT: $ 252,624. OTHER PATIENT REVENUE - 2016 AMOUNT: $ 498,566. 2017 AMOUNT: $ 437,770. 2018 AMOUNT: $ 532,029. 2020 AMOUNT: $ 301,773. QARR HIV REVENUE - 2016 AMOUNT: $ 25,355. 2017 AMOUNT: $ 580,897. 2020 AMOUNT: $ 91,198. QCCP REVENUE - 2016 AMOUNT: $ 45,673. 2018 AMOUNT: $ 46,535.ExplanationTxt

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 ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$55,250DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$55,250TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,931OtherCostOrOtherBasisAmt
Book Value$37,931BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,809,215OtherCostOrOtherBasisAmt
Depreciation$10,959,563DepreciationAmt
Book Value$3,849,652BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,218,436OtherCostOrOtherBasisAmt
Depreciation$7,633,952DepreciationAmt
Book Value$584,484BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,120,859OtherCostOrOtherBasisAmt
Depreciation$9,103,482DepreciationAmt
Book Value$1,017,377BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,959,225OtherCostOrOtherBasisAmt
Depreciation$1,879,907DepreciationAmt
Book Value$9,079,318BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,568,762TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$994,166
SUBVENTION RECEIVABLE$1,000,000
DUE FROM AFFILIATE$14,673,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,667,166TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED RENT$762,823
DUE TO THIRD PARTY$258,337
FieldValueIRS element (for citing)
Total Liability$1,021,160TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$112,531,809TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,692,584NetUnrealizedGainsInvstAmt
Other Revenue$75,278OtherRevenueAmt
Revenue Not Reported$2,767,862RevenueNotReportedAmt
Revenue Subtotal$109,763,947RevenueSubtotalAmt
Investment Expenses Not Incld$231,448InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$231,448RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$109,995,395TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$104,750,581TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$210OtherExpensesIncludedAmt
Expenses Not Reported$210ExpensesNotReportedAmt
Expenses Subtotal$104,750,371ExpensesSubtotalAmt
Investment Expenses Not Incld2$231,448InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$231,448ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$104,981,819TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2020. CHN'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2017 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RELATED ORGANIZATION REVENUE 75,278.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RELATED ORGANIZATION EXPENSES 210.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
ROBERT HAYES
PRESIDENT/CEO$455,008$0$0$0$1,583$0$14,250$0$33,325$0$504,166$0$0$0
ALAN WENGROFSKY
CFO/VP FINANCE$323,532$0$0$0$287$0$14,250$0$35,739$0$373,808$0$0$0
KRISTEN MANTER
CHIEF OF PRIMARY CARE$254,857$0$0$0$185$0$12,835$0$28,667$0$296,544$0$0$0
SHARON GRIFFITH
MEDICAL DIRECTOR/WOMEN SERVICES$241,306$0$0$0$536$0$12,331$0$34,075$0$288,248$0$0$0
JOSEPH SQUITIERI
DIRECTOR OF PSYCHIATRY$245,282$0$0$0$124$0$12,350$0$28,533$0$286,289$0$0$0
DAVID GROSS
LEGAL COUNSEL$238,412$0$0$0$125$0$12,119$0$30,780$0$281,436$0$0$0
TAISHA BENJAMIN
DIRECTOR OF PEDIATRICS$237,777$0$0$0$125$0$11,929$0$27,627$0$277,458$0$0$0
SATOKO KANAHARA
MEDICAL DIRECTOR$226,581$0$0$0$112$0$11,437$0$12,197$0$250,327$0$0$0
GREGORY TADDEO
CHIEF DENTAL OFFICER$225,587$0$0$0$185$0$11,384$0$12,859$0$250,015$0$0$0
KENNETH MEYER
VP HUMAN RESOURCES$201,858$0$0$0$822$0$10,336$0$31,677$0$244,693$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationINCLUDED ON PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUAL'S 2020 W-2'S.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$566,381NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 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 12CALL 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 15ATHE BOARD OF DIRECTORS DETERMINES AND APPROVES COMPENSATION OF THE CEO BASED ON RECOMENDATIONS FROM EXECUTIVE COMMITEE.
FORM 990, PART VI, SECTION C, LINE 19THE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
990, PART IV, LINE 20A:THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTHCARE NETWORK FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MADISON AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10010ZIPCd
FieldValueIRS element (for citing)
EIN843909175EIN
Primary ActivitiesSUPPORT COMMUNITY HEALTHCARE NETWORK, INC.PrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTHCARE NETWORK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd