2021-11-12T10:48:12-06:00 2020-12-31 814629899 BSC GROUP LLC 114 BAY STREET BUILDING B EASTON MD 21601 990 2020-01-01 521116591 CHOPTANK COMMUNITY HEALTH SYSTEM INC CHOP 4104794306 PO BOX 660 DENTON MD 21629 SARA RICH CEO 4104794306 2021-11-12 1 SARA RICH 999009999 CARVILLE B LEAF P00040844 4108226950 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SARA RICH PO BOX 660 DENTON MD 21629 26773640 0 X CHOPTANKHEALTH.ORG X 1978 MD PRIMARY HEALTH CARE SERVICES, DELIVERY OF HEALTH CARE TO MEDICALLY UNDERSERVED COMMUNITY 14 14 249 14 0 0 7270034 7154805 14189955 17373029 764208 113480 1792646 2132326 24016843 26773640 0 0 0 0 15371039 16066896 0 0 0 5227974 5439512 20599013 21506408 3417830 5267232 24888155 33269953 7576022 10836727 17312133 22433226 PRIMARY HEALTH CARE SERVICES: DELIVERY OF HEALTH CARE TO MEDICALLY UNDERSERVED COMMUNITY 0 0 16939009 17623492 PRIMARY HEALTH CARE SERVICES: DELIVERY OF HEALTHCARE TO MEDICALLY UNDERSERVED COMMUNITY 16939009 1 0 0 0 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 0 0 0 0 0 0 0 0 0 1 60 0 1 249 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X KIMBERLY R LOVE FINANCE DIRECTOR 4104794306 301 RANDOLPH ST DENTON MD 21629 WAYNE COLE DIRECTOR 1.00 X 0 0 0 SANDRA O'NEILL DIRECTOR 1.00 X 0 0 0 REBECCA LOUKIDES VICE CHAIR 1.00 X 0 0 0 CRYSTAL DADDS DIRECTOR 1.00 X 0 0 0 COREY PACK DIRECTOR 1.00 X 0 0 0 MICHAEL CAMPBELL DIRECTOR 1.00 X 0 0 0 LORENZO HUGHES DIRECTOR 1.00 X 0 0 0 PAULINE PINKETT DIRECTOR 1.00 X 0 0 0 MATTHEW PETERS TREASURER 1.00 X 0 0 0 JENNIFER YOST DIRECTOR 1.00 X 0 0 0 SARA VISINTAINER CHAIRMAN 1.00 X 0 0 0 ANNA SIERRA DIRECTOR 1.00 X 0 0 0 AUSTIN WEBSTER DIRECTOR 1.00 X 0 0 0 SAVANNAH WINSTON DIRECTOR 1.00 X 0 0 0 SARA RICH CHIEF EXECUTIVE OFFICER 40.00 X 176961 0 31478 BEN COTTLE CHIEF FINANCIAL OFFICER 40.00 X 145341 0 30252 MARK FABER MD PHYSICIAN 40.00 X 213539 0 27186 TURNOUH AL-ALLAQ DENTIST 40.00 X 206101 0 25888 SANDRA GARBELY-KERKOVICH DMD PHYSICIAN 40.00 X 200928 0 31879 USMAN ALI DENTIST 40.00 X 212564 0 25891 LISA URBAN PHYSICIAN 40.00 X 199701 0 20777 1355135 0 193351 38 0 1 0 GILLIS GILKERSON 150 WEST MARKET STREET SUITE 200 SALISBURY MD 21801 CONSTRUCTION CONTRACTOR 586401 HEALTH CHOICE NETWORK INC 9064 NW 13TH TERRACE DORAL FL 33172 HEALTH TECHNOLOGY SOLUTIONS 447324 BENCO DENTAL PO BOX 731372 DALLAS TX 75373 DENTAL SUPPLIES 251640 H3C LLC 17041 LAKESIDE HILLS PLAZA STE 102 OMAHA NE 68130 CHRONIC CARE MANAGEMENT 248232 HENRY SCHEIN PO BOX 371952 PITTSBURGH PA 15250 MEDICAL SUPPLIES 190061 5 6754096 400709 7154805 MEDICAL SERVICES 621400 17373029 17373029 17373029 113480 113480 1881863 1881863 MISCELLANEOUS 900099 250463 250463 250463 26773640 17623492 0 1995343 13413960 10865308 2548652 225000 182250 42750 1423560 1081906 341654 1004376 813545 190831 73508 73508 36950 36950 62740 62740 546741 438110 108631 48429 39228 9201 130316 130316 974165 789074 185091 78483 43166 35317 PROFESSIONAL FEES 1539887 1134915 404972 SUPPLIES 912231 875072 37159 TELEPHONE 160648 80324 80324 BAD DEBTS 6217 6217 869197 453646 415551 21506408 16939009 4567399 0 9592461 17055848 1224910 1580130 382829 478774 551215 105140 23784579 9734618 13120640 14049961 100 100 16000 0 24888155 33269953 2009484 1864926 283490 2204174 5111215 6609453 171833 158174 7576022 10836727 X 17312133 22433226 17312133 22433226 24888155 33269953 5267232 1235 -147374 0 X X 0 1 X 1 1 1 X 5266085 5291692 5332456 7270034 7154805 30315072 5266085 5291692 5332456 7270034 7154805 30315072 30315072 97108 127334 147890 1933469 1995343 4301144 51463 137800 66664 623385 250463 1129775 35745991 65694818 0.84810 0.89250 X 1716819 1716819 16552147 4267617 12284530 5515613 5467001 48612 14049961 PATIENT OVERPAYMENTS 158174 158174 X 26890408 1235 121750 122985 26767423 6217 6217 26773640 21621941 121750 121750 21500191 6217 6217 21506408 PART X, LINE 2: THE ORGANIZATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 6,217. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 6,217. X X 0 0 0 0 0 0 0 0 0 MARK FABER MD PHYSICIAN 198599 0 14940 0 0 0 6406 0 20780 0 240725 0 0 0 USMAN ALI DENTIST 212564 0 0 0 0 0 0 0 25891 0 238455 0 0 0 SANDRA GARBELY-KERKOVICH DMD PHYSICIAN 183148 0 17780 0 0 0 6028 0 25851 0 232807 0 0 0 TURNOUH AL-ALLAQ DENTIST 197651 0 8450 0 0 0 0 0 25888 0 231989 0 0 0 LISA URBAN PHYSICIAN 186105 0 13596 0 0 0 0 0 20777 0 220478 0 0 0 SARA RICH CHIEF EXECUTIVE OFFICER 176961 0 0 0 0 0 5652 0 25826 0 208439 0 0 0 BEN COTTLE CHIEF FINANCIAL OFFICER 145341 0 0 0 0 0 4509 0 25743 0 175593 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 PREPARED BY AN OUTSIDE INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S FINANCIAL MANAGER AND CHIEF FINANCIAL OFFICER. THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION REVIEWS THE RETURN BEFORE SIGNING. FORM 990, PART VI, SECTION B, LINE 12C 1. EACH EMPLOYEE IS REQUIRED TO READ THE CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK AND TO SIGN A STATMENT AS TO HAVING HAD REVIEWED AND UNDERSTOOD THE CONFLICT OF INTEREST POLICY. 2. CONFLICTS OF INTEREST OR THE APPEARANCE THEREOF ARE REVIEWED ON AN INDIVIDUAL BASIS AS POSSIBLE OR POTENTIAL CONFLICTS BECOME KNOWN. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AS A PART OF THE DEVELOPMENT OF THE CEO'S EMPLOYMENT CONTRACT. IN ESTABLISHING THE CEO'S COMPENSATION, THE EXECUTIVE COMMITTEE CONSIDERS THE INDIVIDUAL'S PERFORMANCE, ORGANIZATION'S PERFORMANCE, GENERAL MARKET CONDITIONS AND COMPENSATION PAID FOR COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS. THE DECISIONS OF THE EXECUTIVE COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE WHICH ARE REVIEWED BY THE BOARD OF DIRECTORS. THE DECISIONS ARE REFLECTED IN THE CEO'S EMPLOYMENT CONTRACT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. ALL OTHER COMPENSATION DECISIONS HAVE BEEN DELEGATED TO THE CEO BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: NO CHANGES FROM PRIOR YEAR