2022-09-15T01:03:26-05:00 2021-10-31 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2020-11-01 341748776 CARE ALLIANCE CARE 2167816228 1530 SAINT CLAIR AVENUE CLEVELAND OH 44114 MICHAEL A FINCH CFO 2167816228 2022-09-14 1 MICHAEL FINCH 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2022-09-13 2 AAL1 IAL1 2020 2023-04-26 12:10:37Z CLAUDE L JONES 1530 SAINT CLAIR AVENUE CLEVELAND OH 44114 15882686 0 X WWW.CAREALLLIANCE.ORG X 1994 OH SEE SCHEDULE O 15 15 160 0 0 0 6063473 7570740 5977035 5988016 119595 -6614896 552137 2064319 12712240 9008179 0 0 0 0 8443935 7594924 0 0 168504 4674910 4760986 13118845 12355910 -406605 -3347731 15436649 10389942 2925341 1134716 12511308 9255226 X SEE SCHEDULE O 0 0 4066537 2623480 HEALTH CARE FOR THE HOMELESS: CARE ALLIANCE HEALTH CENTER WAS ESTABLISHED IN 1985 AS ONE OF THE ORIGINAL ROBERT WOOD JOHNSON FOUNDATION HEALTH CARE FOR THE HOMELESS PROJECTS IN THE NATION AND IN 1993 BECAME AN INDEPENDENT NONPROFIT ORGANIZATION. TODAY, CARE ALLIANCE CONTINUES ITS FOCUS ON PROVIDING HEALTH CARE TO THOSE EXPERIENCING HOMELESSNESS IN THE CITY OF CLEVELAND AS A FEDERALLY QUALIFIED HEALTH CENTER RECEIVING FUNDING THROUGH THE U.S. DEPARTMENT OF HEALTHRESOURCES AND SERVICES ADMINISTRATION (HRSA). AFTER MORE THAN THIRTY YEARS OF PROVIDING HEALTH CARE TO THE HOMELESS POPULATION, CARE ALLIANCE HAS BUILT A STRONG RAPPORT WITH THIS POPULATION AS WELL AS DEVELOPING TREMENDOUS RESPECT AS AN INTEGRAL MEMBER OF THE LOCAL DELIVERY SYSTEM OF SAFETY-NET PROVIDERS. THE HEALTH CARE FOR THE HOMELESS PROGRAM OFFERS PRIMARY HEALTH CARE AND SUPPORTIVE SERVICES AT ALL FOUR OF CARE ALLIANCE'S PRIMARY CLINIC LOCATIONS AS WELL AS AT OUTREACH SITES THROUGHOUT THE CITY WHERE PEOPLE WHO ARE HOMELESS TEND TO CONGREGATE. COMPREHENSIVE DENTAL AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED AT ALL OF OUR MAIN CLINICS. INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS HAVE UNIQUE HEALTH CARE NEEDS. THEY ARE AT HIGH-RISK OF CONTRACTING OR EXACERBATING SERIOUS HEALTH CONDITIONS AS A RESULT OF PROLONGED EXPOSURE TO SEVERE WEATHER AND REDUCED ACCESS TO HEALTH CARE. AS A RESULT, INDIVIDUALS ARE OFTEN TREATED AT LATER STAGES OF DISEASE AND HAVE HIGHER MORTALITY AND CHRONIC MORBIDITY THAN INDIVIDUALS WITH ACCESS TO CONSISTENT HEALTH CARE. AT OUR OUTREACH CLINICS, WE SEE MANY PATIENTS WHO HAVE CHRONIC ILLNESSES AND ACUTE HEALTH ISSUES. IN AN ATTEMPT TO REACH A GREATER NUMBER OF HOMELESS PERSONS WHO MAY NOT BE CONNECTED THROUGH SAFETY NET SERVICES, CARE ALLIANCE HAS ESTABLISHED COLLABORATIVE AGREEMENTS WITH VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY WHERE HOMELESS INDIVIDUALS TEND TO CONGREGATE SO THAT THEY MAY PROVIDE MEDICAL AND SUPPORTIVE CARE. THESE OUTREACH LOCATIONS INCLUDE: THE LUTHERAN METROPOLITAN MINISTRIES MEN'S SHELTER, THE PAYNE AVENUE WOMEN'S SHELTER. THE CITY MISSION, LAURA'S HOME, WEST SIDE CATHOLIC CENTER, AND THE SALVATION ARMY ADULT REHABILITATION CENTER, AMONG OTHERS. THROUGH OUR OUTREACH PROGRAM, CARE ALLIANCE IS ABLE TO OFFER CLINICS THROUGHOUT THE CITY OF CLEVELANDWHERE INDIVIDUALS EXPERIENCING HOMELESSNESS MAY MEET TO OBTAIN A MEAL, SOCIAL SERVICES, A SHOWER, OR SHELTER. IN 2015, CARE ALLIANCE LAUNCHED A MOBILE CLINIC PROGRAM TO SERVE CHRONICALLY HOMELESS INDIVIDUALS LIVING IN PERMANENT SUPPORTIVE HOUSING. BY PROVIDING THESE SERVICES IN ENVIRONMENTS WHERE THESE INDIVIDUALS ARE COMFORTABLE, OUR OUTREACH STAFF ARE BETTER ABLE TO ENGAGE PATIENTS INTO CARE WITH THE LONG-TERM GOAL OF BRINGING THEM INTO ONE OF OUR PRIMARY CLINICS TO OBTAIN THE FULL SCOPE OF COMPREHENSIVE SERVICES NEEDED TO TRANSITION FROM HOMELESSNESS INTO STABLE HOUSING. CLIENTS SERVED = 5,743. 6176830 3656005 PUBLIC HOUSING PRIMARY CARE: RECOGNIZING THE NEED TO PROVIDE HIGH QUALITY AND ACCESSIBLE CARE TO A POPULATION VULNERABLE TO HEALTH DISPARITIES, AND IN AN EFFORT TO MAINTAIN OUR CARE RELATIONSHIPS AS OUR PATIENTS WERE HOUSED, IN 1998, CARE ALLIANCE APPLIED FOR AND RECEIVED FUNDING FROM HRSA TO PROVIDE MEDICAL AND DENTAL CARE SPECIFICALLY TO THOSE LIVING IN AND AROUND PUBLIC HOUSING. SINCE THAT TIME, CARE ALLIANCE HAS OPERATED TWO CLINICS WITHIN CUYAHOGA METROPOLITAN HOUSING AUTHORITY (CMHA) DEVELOPMENTS. THESE SPACES HAVE ENABLED THE ORGANIZATION TO PROVIDE ITS SERVICES IN EASILY ACCESSIBLE LOCATIONS TO PUBLIC HOUSING RESIDENTS AND IN A CULTURALLY SENSITIVE MANNER. ONE FACILITY IS LOCATED ON THE NEAR EAST SIDE OF THE CITY INSIDE THE CARL B. STOKES SOCIAL SERVICES MALL, AND THE OTHER IS ON THE NEAR WEST SIDE, LOCATED IN RIVERVIEW TOWER. AFTER THE RECENT RENOVATION OF OUR RIVERVIEW TOWER CLINIC, BOTH OUR RIVERVIEW AND STOKES CLINICS OFFER CARE ALLIANCE 34-1748776 PRIMARY MEDICAL AND BEHAVIORAL HEALTH SERVICES ACROSS THE LIFESPAN AND COMPREHENSIVE DENTAL SERVICES TO OUR PATIENT POPULATION. IN APRIL 2015, CARE ALLIANCE OPENED THE CENTRAL NEIGHBORHOOD CLINIC TO PROVIDE COMPREHENSIVE PRIMARY MEDICAL, BEHAVIORAL, AND DENTAL SERVICES TO ADULTS AND CHILDREN LIVING IN CLEVELAND'S CENTRAL NEIGHBORHOOD, HOME TO THE HIGHEST CONCENTRATION OF PUBLIC HOUSING IN NORTHEAST OHIO. CLIENTS SERVED = 10,278. 295605 50050 HIV/AIDS: CARE ALLIANCE IS COMMITTED TO PROVIDING QUALITY HEALTH CARE TO UNDERSERVED POPULATIONS AT RISK FOR HEALTH DISPARITIES. AS SUCH, CARE ALLIANCE PROVIDES CARE TO PEOPLE LIVING WITH HIV/AIDS (PLWHA) THROUGH RYAN WHITE PART C AND RYAN WHITE PART A FUNDING. ADDITIONALRYAN WHITE PROGRAMMING INCLUDES COMMUNITY-BASED AND IN-HOUSE HIV TESTING, COUNSELING, LINKAGE TO CARE, AND REFERRALS TO SUPPORTIVE SERVICES. IN AN EFFORT TO PROVIDE MEDICAL, DENTAL AND SUPPORTIVE SERVICES TO PLWHA, OUR TEAM WORKS TO MAINTAIN AND DEVELOP STRONG RELATIONSHIPS WITH HIV SERVICE PROVIDERS IN THE CLEVELAND AREA TO ENSURE A CONTINUUM OF CARE AND NON-DUPLICATION OF SERVICES. WHILE HIV TESTING AND EDUCATION IS LOCATED AT EACH OF OUR FOUR CLINICS, RYAN WHITE MEDICAL CARE IS OFFERED OUT OF OUR DOWNTOWN CLINIC ON ST. CLAIR. WHEN AN INDIVIDUAL SEEN IN THE CLINIC OR OUTREACH LOCATION TESTS POSITIVE FOR THE HIV VIRUS, HE OR SHE IS IMMEDIATELY LINKED TO CARE. INDIVIDUALS WHO TEST POSITIVE ARE INTRODUCED TO OUR OUTREACH WORKER FOR BASIC HIV EDUCATION AND DISCUSSION ABOUT THE IMPORTANCE OF CONSISTENT MEDICAL CARE AND MEDICATION REGIMENS. PATIENTS WHO ELECT TO MAINTAIN PRIMARY AND HIV CARE AT CARE ALLIANCE ARE ENROLLED IN THE RYAN WHITE PROGRAM. OTHERWISE, INDIVIDUALS ARE CONNECTED TO THE MOST APPROPRIATE LOCAL PROVIDER OF CARE TO PLWHA. ALL NEW CARE ALLIANCE PATIENTS ARE SEEN BY THE RYAN WHITE CARE COORDINATOR FOR AN INITIAL ASSESSMENT TO UNDERSTAND THE NEED FOR SUPPORTIVE SERVICES. ONGOING SUPPORTIVE SERVICES INCLUDE PARTNER NOTIFICATION; MEDICAL EVALUATION AND ONGOING CARE; ADHERENCE EDUCATION; MEDICAL CASE MANAGEMENT AND ELIGIBILITY ASSISTANCE; SHORT-TERM MENTAL HEALTH AND SHORT-TERM SUBSTANCE ABUSE COUNSELING; SPECIALIZED CHRONIC ILLNESS CARE FOR RYAN WHITE PATIENTS WITH CO-MORBIDITIES; ORAL HEALTH CARE SERVICES AND REFERRALS FOR ORAL SURGERY; AND REFERRALS FOR SPECIALTY MEDICAL CARE. WITHIN THE RYAN WHITE PROGRAM, CARE ALLIANCE HAS ESTABLISHED PARTNERSHIPS WITH MANY SAFETY NET AGENCIES TO OFFER OUTREACH HIV TESTING AND BRIDGING SERVICES TO AT-RISK, UNAWARE OR OUT-OF-CARE POPULATIONS. IN 2017, THESE INCLUDED THE WEST SIDE CATHOLIC CENTER, NORMA HERR WOMEN'S SHELTER, CITY MISSION, STELLA MARIS, Y-HAVEN, AND LGBT CENTER, AMONG OTHERS. IN CARE ALLIANCE'S ROLE AS THE PRIMARY CARE HOME FOR MANY OF CLEVELAND'S UNDERSERVED POPULATIONS, THE ORGANIZATION STRIVES TO ENSURE THAT PATIENTS STAY IN CARE, UTILIZE ALL APPROPRIATE SERVICES, AND COMPLY WITH TREATMENT REGIMENS TO MAINTAIN HEALTH AND WELL-BEING. WITH THIS PRIMARY CARE MINDSET GUIDING ALL OUR SERVICES, WE CONTINUE TO RETAIN A VERY HIGH PERCENTAGE OF OUR RYAN WHITE PATIENTS IN CARE. CLIENTS SERVED = 112. 10538972 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 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 1 1 0 0 0 1 7 0 1 160 1 0 0 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 1 1 1 1 0 OH X MICHAEL A FINCH 2167816228 1530 SAINT CLAIR AVENUE CLEVELAND OH 44114 AARTI J VARKARIA BOARD MEMBER 1.00 X 0 0 0 ARTHUR JAMES MD BOARD MEMBER 1.00 X 0 0 0 BRUCE JOHNS BOARD MEMBER 1.00 X 0 0 0 CHRIS A MUNDORF BOARD MEMBER 1.00 X 0 0 0 JENNIFER DEMMERLE CPA MBA TREASURER 1.00 X X 0 0 0 JILL MARIE PAULSEN BOARD MEMBER 1.00 X 0 0 0 KATE HICKNER BOARD CHAIR 2.00 X X 0 0 0 LEAH D HUDNALL BOARD MEMBER 1.00 X 0 0 0 LIAYN M OKRESS RN BOARD MEMBER 1.00 X 0 0 0 LINDA BROWN BOARD MEMBER 1.00 X 0 0 0 LOLITA M MCDAVID MD MPA FAAP SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL G EVANS CPA BOARD MEMBER 1.00 1.00 X 0 0 0 MILDA CHMIELIASKAITE DMD MPH BOARD MEMBER 1.00 X 0 0 0 RENEE TRAMBLE RICHARD BOARD MEMBER 1.00 X 0 0 0 SHANNON FOGERTY JERSE VICE CHAIR 1.00 X 0 0 0 ANTHONY FELICI OUTGOING VP OF FINANCE 40.00 1.00 X 130034 0 13512 CLAUDE L JONES CHIEF EXECUTIVE OFFICER 40.00 1.00 X 266100 0 13572 CHERYL CHILTON PODIATRIST 40.00 X 119291 0 13863 ELIZABETH KIGHTLINGER PHYSICIAN - INTERNAL MED 40.00 X 147163 0 6216 SHANEE EDMONDS DENTIST 40.00 X 134786 0 0 SHIVANI B JOSHI PHYSICIAN - PEDIATRIC 40.00 X 177376 0 7973 SUPARNA MAHAJAN PSYCHIATRIST 40.00 X 223815 0 0 1198565 0 55136 15 0 1 0 0 1254 7184790 384696 114213 7570740 MEDICAID 621400 3565014 3565014 340B PHARMACY REVENUE 621400 1414426 1414426 MEDICARE 621400 411583 411583 OTHER THIRD PARTY 621400 403980 403980 SELF-PAY 621400 193013 193013 5988016 86468 86468 173143 150507 6724000 22636 -6724000 -6701364 -6701364 LOAN FORGIVENESS 900099 1722800 1722800 QUALITY INCENT. PYMTS 621400 289097 289097 MISC. INCOME 900099 52422 52422 2064319 9008179 6329535 0 -4892096 X 514452 448328 58022 8102 5766245 5025095 650339 90811 298337 259990 33648 4699 507843 442568 57277 7998 508047 442746 57300 8001 79360 79360 54500 54500 12285 12285 1514031 1288329 225700 2 49963 41345 8359 259 122897 103753 14865 4279 279662 220361 50106 9195 530078 408051 101280 20747 15968 13985 1983 4279 1057 3222 343810 255853 87957 72878 61492 8539 2847 PHARMACY SUPPLIES 615621 615621 SUPPLIES 321387 263409 55821 2157 REPAIRS AND MAINTENANCE 194860 181424 9787 3649 BAD DEBT 169180 169180 380227 296385 78084 5758 12355910 10538972 1648434 168504 569729 3130348 484249 484353 1300741 165646 1057607 641015 6724000 86677 136984 55830 74865 7275567 3923067 2911870 3352500 2245946 2404231 15436649 10389942 890246 911717 148779 5823 1886316 217176 2925341 1134716 X 12456448 9127278 54860 127948 12511308 9255226 15436649 10389942 -3347731 91649 0 X 0 0 0 X 5584757 5656310 5363980 6063473 7570740 30239260 5584757 5656310 5363980 6063473 7570740 30239260 30239260 67240 109489 421543 116937 86468 801677 109667 223478 347185 552136 2064319 3296785 34337722 30639089 0.88060 0.92580 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: QUALITY INCENTIVE PAYMENTS - 2018 AMOUNT: $ 347,185. 2019 AMOUNT: $ 372,136. 2020 AMOUNT: $ 289,097. LOAN FORGIVENESS - 2019 AMOUNT: $ 180,000. 2020 AMOUNT: $ 1,722,800. OTHER - 2016 AMOUNT: $ 61,616. 2017 AMOUNT: $ 223,478. 2020 AMOUNT: $ 52,422. FUNDRAISING - 2016 AMOUNT: $ 48,051. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 250000 250000 2441113 1169213 1271900 1040810 396743 644067 3131576 2357111 774465 412068 412068 3352500 DUE TO RELATED PARTY 217176 217176 X X X 0 0 0 0 0 0 0 0 0 CLAUDE L JONES CHIEF EXECUTIVE OFFICER 265824 0 0 0 276 0 0 0 13572 0 279672 0 0 0 SUPARNA MAHAJAN PSYCHIATRIST 223815 0 0 0 0 0 0 0 0 0 223815 0 0 0 SHIVANI B JOSHI PHYSICIAN - PEDIATRIC 177376 0 0 0 0 0 0 0 7973 0 185349 0 0 0 ELIZABETH KIGHTLINGER PHYSICIAN - INTERNAL MED 147163 0 0 0 0 0 0 0 6216 0 153379 0 0 0 X 1 114213 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART I, LINE 1 TO PROVIDE HIGH-QUALITY, COMPREHENSIVE MEDICAL & DENTAL CARE, PATIENT ADVOCACY & RELATED SERVICES TO PEOPLE WHO NEED THEM MOST, REGARDLESS OF THEIR ABILITY TO PAY. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE MISSION OF CARE ALLIANCE IS TO PROVIDE HIGH-QUALITY, COMPREHENSIVE MEDICAL AND DENTAL CARE, PATIENT ADVOCACY AND RELATED SERVICES TO PEOPLE WHO NEED THEM MOST, REGARDLESS OF THEIR ABILITY TO PAY. OUR GOAL IS TO IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS BY PROVIDING HOLISTIC, COMPREHENSIVE HEALTH CARE INTEGRATING THE SUPPORTIVE SERVICES NEEDED TO ACHIEVE AND MAINTAIN HEALTH AND WELLBEING. AS A TRUSTED MEMBER OF THE CLEVELAND SAFETY NET DEDICATED TO SERVING INDIVIDUALS AND FAMILIES LIVING IN EXTREME POVERTY, CARE ALLIANCE IS UNWAVERING IN OUR COMMITMENT TO MAKE AN IMPACT ON THE CYCLIC NATURE OF POOR HEALTH. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 - A DRAFT COPY OF FORM 990 IS REVIEWED BY MANAGEMENT AND MEMBERS OF THE FINANCE COMMITTEE WITH THE ASSISTANCE OF AN OUTSIDE PUBLIC ACCOUNTING FIRM. AFTER ANY CHANGES ARE MADE, AN UPDATED VERSION OF FORM 990 IS E-MAILED TO ALL BOARD MEMBERS FOR COMMENT BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY - CARE ALLIANCE HAS IDENTIFIED THE VICE PRESIDENT OF FINANCE AS THE INDIVIDUAL RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE VP OF FINANCE REVIEWS THE ANNUAL DISCLOSURE FORMS OF COVERED PERSONS AND COMPILES AND MAINTAINS A LIST OF POTENTIALLY CONFLICTED ENTITIES AND INDIVIDUALS. THE VP OF FINANCE FOLLOWS THE PROCEDURES OF THE POLICY TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND THE PROCEDURES FOR ADDRESSING IT. THE VP OF FINANCE DOCUMENTS THE DECISIONS RELATED TO TRANSACTIONS INVOLVING AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND THE APPROPRIATE ACTION TAKEN. SUCH DECISIONS ARE MADE BY INDIVIDUALS WHO DO NOT HAVE A CONFLICT WITH RESPECT TO THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL - CARE ALLIANCE'S BOARD OF TRUSTEES ENGAGED AN OUTSIDE CONSULTANT TO PERFORM A MARKET-BASED COMPENSATION ASSESSMENT FOR ALL POSITIONS. THE FINDINGS WERE THAT, ALTHOUGH CARE ALLIANCE'S COMPENSATION STRUCTURE WAS BELOW MARKET, THE ALTRUISTIC MISSION WAS A BENEFICIAL FACTOR IN ATTRACTING AND RETAINING QUALIFIED STAFF AT THE APPROPRIATE STAFFING LEVELS. ANNUAL COMPENSATION DECISIONS FOR EXECUTIVES ARE MADE BY A SUB-COMMITTEE OF THE BOARD OF TRUSTEES BASED ON THE COMPENSATION SURVEY AND PERFORMANCE EVALUATIONS. MEMBERS OF THE SUB-COMMITTEE ARE INDEPENDENT OF THE INDIVIDUALS WHOSE COMPENSATION IS BEING DETERMINED. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS - THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 1,186,435. MANAGEMENT AND GENERAL EXPENSES 225,700. FUNDRAISING EXPENSES 2. TOTAL EXPENSES 1,412,137. LABORATORY FEES: PROGRAM SERVICE EXPENSES 101,894. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,894. FORM 990, PART IV, LINE 12B: AS OF THE DATE OF FILING THE AUDIT HAS NOT YET BEEN COMPLETED. FORM 990 HAS BEEN PREPARED BASED ON THE BEST INFORMATION AVAILABLE. SHOULD INFORMATION SUBSTANTIALLY CHANGE UPON COMPLETION OF THE AUDIT APPROPRIATE ACTION WILL BE TAKEN. ALLIANCE FOR A BRIGHT FUTURE INC 1530 ST CLAIR AVENUE CLEVELAND OH 44114 464283998 SUPP.ORG OH 501(C)(3) LINE 12A, I CARE ALLIANCE 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0