2024-11-15T01:45:02-06:00 2023-12-31 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2023-01-01 060863942 COMMUNITY HEALTH SERVICES INC COMM 8602499625 500 ALBANY AVENUE HARTFORD CT 06120 GREGORY L STANTON CEO 8602499625 2024-11-14 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2024-11-13 2023 2024-10-15 13:58:12Z GREGORY L STANTON 500 ALBANY AVENUE HARTFORD CT 06120 20917283 0 X WWW.CHSHARTFORD.ORG X 1967 CT TO PROVIDE MEDICAL SERVICES FOR THE RESIDENTS OF THE GREATER HARTFORD CONNECTICUT AREA. TO PROVIDE QUALITY HEALTH CARE SERVICES TO LOW AND MODERATE INCOME INDIVIDUALS IN THE GREATER HARTFORD CONNECTICUT AREA REGARDLESS OF ABILITY TO PAY. 9 9 240 9 0 0 10505074 9184061 11769889 11629638 503 539 84034 103045 22359500 20917283 0 0 0 0 15577727 15854490 0 0 0 4962211 5341711 20539938 21196201 1819562 -278918 18727179 18349509 1787273 1687494 16939906 16662015 TO PROVIDE MEDICAL SERVICES FOR THE RESIDENTS OF THE GREATER HARTFORD CONNECTICUT AREA. TO PROVIDE QUALITY HEALTH CARE SERVICES TO LOW AND MODERATE INCOME INDIVIDUALS IN THE GREATER HARTFORD CONNECTICUT AREA REGARDLESS OF ABILITY TO PAY. 0 0 15424190 11706853 PROVIDE QUALITY HEALTH CARE SERVICES TO PATIENTS WHO ARE LOW AND MODERATE INCOME INDIVIDUALS IN THE GREATER HARTFORD CONNECTICUT AREA. THERE WERE 78,000 PATIENT VISITS IN 2023. 15424190 1 1 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 1 0 0 0 0 0 0 0 0 1 35 0 1 240 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 CT X DIANNA KULMACZ 8602499625 500 ALBANY AVENUE HARTFORD CT 06120 CARLOS ROSARIO SECRETARY 0.50 X X 0 0 0 JUDITH BURCHELL VICE CHAIR 0.50 X X 0 0 0 LILLARD LEWIS JR DIRECTOR 0.50 X 0 0 0 NETTIE ROBERTS DIRECTOR 0.50 X 0 0 0 RAICHEEN BLANKS TREASURER 0.50 X X 0 0 0 RANDY MCKENNEY CHAIR 1.00 X X 0 0 0 ROBERT A MICHALIK JR DIRECTOR 0.50 X 0 0 0 ROSEMARY TATE DIRECTOR 0.50 X 0 0 0 TIFFANY PAK DIRECTOR 0.50 X 0 0 0 DIANNA KULMACZ CHIEF FINANCIAL OFFICER 40.00 X 176204 0 24588 GREGORY STANTON CHIEF EXECUTIVE OFFICER 40.00 X 256137 0 23365 AVINDER UPADHYAY DIRECTOR OF DENTAL 40.00 X 178397 0 5457 ELKE WEBB STAFF PEDIATRICIAN 40.00 X 188407 0 27213 ORETT BROWN CMO 40.00 X 235791 0 51814 ZEEV HAREL DIR OF PEDIATRICS & ADOLESCENCE 40.00 X 266810 0 34165 SYLVESTER PARKER STAFF DENTIST 40.00 X 166929 0 32344 1468675 0 198946 27 0 1 0 IT SAVVY PO BOX 3296 GLEN ELLYN IL 60138 COMPUTER SOFTWARE & HARDWARE 182325 DIVERSIFIED BUILDING SERVICES LLC PO BOX 4658 WALLINGFORD CT 06492 BUILDING MAINTENANCE 170896 NEW ENGLAND PERSONNEL LLC 15 NOTT LANE UNIT 1 ESSEX CT 06426 RECRUITMENT FIRM 126804 3 20000 9020197 143864 614439 9184061 MEDICAID 621400 7983003 7983003 MEDICARE 621400 1945873 1945873 PHARMACY REVENUE 621400 1431266 1431266 THIRD-PARTY PAYORS 621400 159799 159799 SELF PAY 621400 109697 109697 11629638 539 539 25830 0 25830 25830 25830 WOMEN'S HEALTH DSS INCENTIVE PROG 900099 14450 14450 USAC REIMBURSEMENT 900099 9013 9013 MC REPORT REIMBURSEMENT 900099 5658 5658 48094 48094 77215 20917283 11706853 0 26369 480294 336206 144088 11740307 8218215 3522092 338719 237103 101616 2248506 1573954 674552 1046664 732665 313999 55733 55733 66885 66885 913903 760980 152923 119160 119160 130932 91652 39280 688069 543575 144494 505831 402095 103736 19923 13946 5977 69571 34786 34785 4972 3480 1492 772167 563682 208485 169725 123899 45826 MEDICAL SUPPLIES 648023 648023 DONATED VACCINES 614439 614439 EQUIP RENTAL & MAINT. 422181 308192 113989 140197 98138 42059 21196201 15424190 5772011 0 6056015 5846016 1131114 1403868 297382 237892 903201 960395 301495 520039 24573556 15962731 9159682 8610825 25101 26128 837984 729139 15205 15207 18727179 18349509 909338 905811 28531 36152 849404 745531 1787273 1687494 X 16900575 16580972 39331 81043 16939906 16662015 18727179 18349509 -278918 1027 0 X 0 1 X 1 1 1 X 6416673 7723168 9625720 10505074 9184061 43454696 6416673 7723168 9625720 10505074 9184061 43454696 43454696 13128 27663 24987 23528 26369 115675 49045 99555 105947 61009 77215 392771 43963142 60947808 0.98840 0.98640 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 14,298. 2020 AMOUNT: $ 29,353. 2021 AMOUNT: $ 70,183. 2022 AMOUNT: $ 25,842. 2023 AMOUNT: $ 48,094. MEDICARE COST REPORT REIMBURSEMENT - 2019 AMOUNT: $ 28,886. 2020 AMOUNT: $ 29,063. 2021 AMOUNT: $ 3,850. 2022 AMOUNT: $ 3,757. 2023 AMOUNT: $ 5,658. USAC REIMBURSEMENT - 2019 AMOUNT: $ 5,861. 2020 AMOUNT: $ 9,364. 2021 AMOUNT: $ 5,995. 2022 AMOUNT: $ 8,369. 2023 AMOUNT: $ 9,013. WOMENS HEALTH DSS INCENTIVE PROGRAM - 2020 AMOUNT: $ 31,775. 2021 AMOUNT: $ 25,919. 2022 AMOUNT: $ 23,041. 2023 AMOUNT: $ 14,450. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 133022 133022 20001540 12038166 7963374 4323872 3815516 508356 115122 109049 6073 8610825 OPERATING LEASE LIABILITIES 745531 745531 X 20918310 1027 1027 20917283 0 20917283 21196201 0 21196201 0 21196201 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, 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 FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. X X 0 0 0 0 0 0 0 1 0 ZEEV HAREL DIR OF PEDIATRICS & ADOLESCENCE 256028 0 9282 0 1500 0 9796 0 24369 0 300975 0 0 0 ORETT BROWN CMO 221091 0 14700 0 0 0 9898 0 41916 0 287605 0 0 0 GREGORY STANTON CHIEF EXECUTIVE OFFICER 256137 0 0 0 0 0 9900 0 13465 0 279502 0 0 0 ELKE WEBB STAFF PEDIATRICIAN 182882 0 5525 0 0 0 7877 0 19336 0 215620 0 0 0 DIANNA KULMACZ CHIEF FINANCIAL OFFICER 176204 0 0 0 0 0 1795 0 22793 0 200792 0 0 0 SYLVESTER PARKER STAFF DENTIST 159003 0 7926 0 0 0 6875 0 25469 0 199273 0 0 0 AVINDER UPADHYAY DIRECTOR OF DENTAL 173194 0 5198 0 5 0 5353 0 104 0 183854 0 0 0 PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II, COLUMN B REPRESENTS BONUSES FOR HIGHLY COMPENSATED CLINICAL STAFFING, WHICH IS REFLECTED IN THE EMPLOYEES W-2'S. CONTRACT SPECIFICATIONS ALONG WITH PERFORMANCE METRICS ARE REVIEWED BY MANAGEMENT AND BONUSES CALCULATED. ALL BONUSES ARE APPROVED BY THE SENIOR MANAGEMENT TEAM OF THE ORGANIZATION. X 1 614439 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE DEPARTMENT ALONG WITH THE CEO REVIEWS THE FORM 990. AFTER APPROVAL FROM THE CEO AND SUBMISSION, IT IS THEN FORWARDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW. THE 990 IS THEN DISTRIBUTED TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C COMMUNITY HEALTH SERVICES, INC. REQUIRES THAT ALL EMPLOYEES AND BOARD MEMBERS SIGN A WRITTEN CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE CORPORATE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE TEAM WHICH MEETS ON A QUARTERLY BASIS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS, IN AN EXECUTIVE MEETING, DETERMINES THE COMPENSATION OF THE CEO. THEY USE A LOCAL NONPROFIT CEO COMPENSATION SURVEY AS A GUIDELINE. THE CEO DETERMINES THE COMPENSATION OF THE ORGANIZATION'S EMPLOYEES. HE IS GUIDED BY STATE AND NATIONAL GUIDELINES AND SURVEYS AS WELL AS A SURVEY DONE YEARLY FOR THE COMMUNITY HEALTH CENTERS IN CONNECTICUT BY THE COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT. FORM 990, PART VI, SECTION C, LINE 19 COMMUNITY HEALTH SERVICES' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.