2024-05-07T15:50:11-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-07-01 842471177 CLINICAL HEALTH NETWORK FOR TRANSFORMATION INC CLIN 3463305095 2300 N FLORIDA MANGO ROAD WEST PALM BEACH FL 33409 SAMANTHA PULLEN CFO & ACTING CEO 3463305095 2024-05-07 1 SAMANTHA PULLEN 999009999 1 KURT BENNION CPA P01469618 4252506100 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X SAMANTHA PULLEN 2300 N FLORIDA MANGO ROAD WEST PALM BEACH FL 33409 32568277 0 X N/A X 2019 DE TO PROVIDE SUPPORT SERVICES FOR CHN MEMBERS. 15 15 277 23 0 0 2839187 3470007 13521985 29084717 0 10 98780 13543 16459952 32568277 0 0 0 0 10523221 17424038 0 0 0 21713674 22594033 32236895 40018071 -15776943 -7449794 6653933 9455374 13581186 23832421 -6927253 -14377047 CHN'S MISSION IS TO PROVIDE SUPPORT SERVICES FOR CHN MEMBERS TO ALLOW MEMBERS TO FOCUS ON THEIR MISSIONS OF PROVIDING SUPERIOR PATIENT CARE. 0 0 30635682 0 29084717 CHN PROVIDES SUPPORT SERVICES FOR MEMBERS TO ALLOW MEMBERS TO FOCUS ON THEIR MISSIONS OF PROVIDING SUPERIOR PATIENT CARE. 30635682 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 33 0 277 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 0 0 X THE ORGANIZATION 3463305095 2300 N FLORIDA MANGO ROAD WEST PALM BEACH FL 33409 RHONDA MUNDHENK CEO (THROUGH OCTOBER 2022) 37.50 X 379120 0 7205 SAMANTHA PULLEN CFO, INTERIM CEO, & ACTING CEO 37.50 X 276009 0 7319 GAYLE CAPOZZALO CHAIR 1.00 X X 0 0 0 ANDREA HAGAN SECRETARY & TREASURER 1.00 X X 0 0 0 EDGAR AVILA DIRECTOR 1.00 X 0 0 0 SUZANNE BERTULEIT DIRECTOR 1.00 X 0 0 0 SAGNIK BHATTACHARYA DIRECTOR 1.00 X 0 0 0 JEFFREY BOYKIN DIRECTOR 1.00 X 0 0 0 JENNIFER CHILDS-ROSHAK DIRECTOR (THROUGH NOVEMBER 2022) 1.00 X 0 0 0 DESHA DICKSON DIRECTOR 1.00 X 0 0 0 CHUCK FARKAS DIRECTOR 1.00 X 0 0 0 FRAN DIEHL DIRECTOR 1.00 X 0 0 0 LYNN FOWLER DIRECTOR (THROUGH NOVEMBER 2022) 1.00 X 0 0 0 JOE KIMURA DIRECTOR 1.00 X 0 0 0 CAROL LANG DIRECTOR (THROUGH NOVEMBER 2022) 1.00 X 0 0 0 MELANEY LINTON DIRECTOR (THROUGH FEBRUARY 2023) 1.00 X 0 0 0 BEATRICE LIU DIRECTOR (THROUGH NOVEMBER 2022) 1.00 X 0 0 0 RASHIDA MANUEL DIRECTOR (THROUGH JULY 2022) 1.00 X 0 0 0 WILLA MARTH DIRECTOR 1.00 X 0 0 0 MELISSA REED DIRECTOR (THROUGH FEBRUARY 2023) 1.00 X 0 0 0 IVY SILVER DIRECTOR (THROUGH FEBRUARY 2023) 1.00 X 0 0 0 MARY TEMM DIRECTOR 1.00 X 0 0 0 MANSI VASCONCELLOS DIRECTOR 1.00 X 0 0 0 EMILY WALES DIRECTOR 1.00 X 0 0 0 JEN WYLEGALA DIRECTOR 1.00 X 0 0 0 655129 0 14524 2 0 1 0 NORDIC CONSULTING PARTNERS INC 2601 W BELTLINE HWY SUITE 600 MADISON WI 53713 EPIC SYSTEM CONSULTING 5516555 RINGCENTRAL INC 1055 COMMONWEALTH AVENUE BOSTON MA 02215 CONTACT CENTER 1456793 WIN WIN CONSULTING 225 CEDAR HILL STREET MARLBOROUGH MA 01752 IT CONSULTING 1406314 AMAZON WEB SERVICES INC 2121 7TH AVENUE SEATTLE WA 98121 WEB HOSTING 1268994 ARION SYSTEMS 15040 CONFERENCE CENTER DRIVE 200 CHANTILLY VA 20151 IT CONSULTING 1114506 7 3470007 3470007 SOFTWARE HOSTING & LICENSING 518210 29084717 29084717 29084717 10 10 MISCELLANEOUS REVENUE 900099 13543 13543 13543 32568277 29084717 0 13553 669742 669742 12949932 11177281 1772651 2261107 2035880 225227 1543257 1312997 230260 357526 1050 356476 66198 66198 1307658 1222497 85161 366601 333774 32827 19390879 14262734 5128145 104504 70856 33648 503084 503084 217154 217154 128802 128802 TALENT ACQUISITION 80052 80052 BANK FEES 71206 1090 70116 MISCELLANEOUS EXPENSES 369 369 40018071 30635682 9382389 0 888212 4422433 4317201 2686661 34015 1231366 2312265 805938 805938 217154 0 6653933 9455374 4520373 1497375 360813 41965 8700000 22293081 13581186 23832421 X -6927253 -14377047 -6927253 -14377047 6653933 9455374 -7449794 0 X 0 1 X 1 0 X 32198665 5075100 2839187 3470007 43582959 32198665 5075100 2839187 3470007 43582959 43582959 198677 158 10 198845 98780 13543 112323 43894127 42800087 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 805938 805938 0 0 X 32554724 0 32554724 13553 13553 32568277 40018071 0 40018071 0 40018071 PART X, LINE 2: THE ORGANIZATION IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER THE IRC AND IT IS SUBJECT TO FEDERAL INCOME TAX ONLY ON NET UNRELATED BUSINESS INCOME. THE ORGANIZATION CURRENTLY HAS NO UNRELATED BUSINESS INCOME. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: MISCELLANEOUS INCOME 13,553. X X X 0 0 0 0 0 0 0 0 0 RHONDA MUNDHENK CEO (THROUGH OCTOBER 2022) 379120 0 0 0 0 0 6179 0 1026 0 386325 0 0 0 SAMANTHA PULLEN CFO, INTERIM CEO, & ACTING CEO 276009 0 0 0 0 0 7319 0 0 0 283328 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF 7 TO 9 DIRECTORS, INCLUDING THE BOARD CHAIR AND THE CHAIRS OF EACH BOARD COMMITTEE. THE EXECUTIVE COMMITTEE: (A) CONSULTS WITH THE BOARD CHAIR ON AGENDAS FOR BOARD MEETINGS; (B) OVERSEES THE CEO REVIEW PROCESS; (C) PROPOSES NOMINEES FOR MEMBER OF STANDING AND OTHER COMMITTEES AND THE CHAIRS THEREOF; (D) FULFILLS OTHER DUTIES DELEGATED TO IT BY THE BOARD OF DIRECTORS; AND (E) EXERCISES THE POWERS OF THE BOARD BETWEEN MEETINGS OF THE BOARD ONLY IN THOSE CIRCUMSTANCES WHERE THE EXECUTIVE COMMITTEE DETERMINES THAT THE INTERESTS OF THE ORGANIZATION WILL BE MATERIALLY ADVERSELY AFFECTED IF ACTION IS DELAYED UNTIL A MEETING OF THE BOARD IS CONVENED. IF THE EXECUTIVE COMMITTEE TAKES ANY SUCH ACTIONS, IT PROVIDES TO THE BOARD A REPORT OF SUCH CIRCUMSTANCES AND THE ACTION TAKEN. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO: (A) AUTHORIZE OR AMEND UNIVERSAL MEMBER MATERIAL CONTRACTS AND PAYOR CONTRACTS; (B) ADOPT OR AMEND MEMBER POLICIES AND PROCEDURES; (C) CHANGE THE FUNDS FLOW POLICY; (D) REQUIRE ADDITIONAL CONTRIBUTIONS FROM VOTING MEMBERS; (E) AMEND THE OPERATING AGREEMENT THAT INCREASES VOTING MEMBERS' FINANCIAL OBLIGATIONS TO THE ORGANIZATION; (F) MODIFY THE TERMS OF FINANCING FOR THE PORTION OF THE AGGREGATE START-UP BUDGET THAT THE VOTING MEMBERS DO NOT CONTRIBUTE; (G) TERMINATE THE ORGANIZATION IF IT HAS NOT RECEIVED THE CORPORATION INITIAL CONTRIBUTION (AS SUCH TERM IS DEFINED IN THE OPERATING AGREEMENT); (H) DISSOLVE THE ORGANIZATION; (I) AMEND THE ARTICLES OR BYLAWS; (J) AMEND THE OPERATING AGREEMENT; (K) MODIFY ANY OTHER ACTIONS TAKEN BY THE VOTING MEMBERS; (L) FILL VACANCES IN ANY COMMITTEE OF THE BOARD; (M) AMEND OR REPEAL ANY RESOLUTION OF THE BOARD THAT BY ITS TERMS IS NOT AMENDABLE OR REPEALABLE; (N) ADOPT A RESOLUTION RECOMMENDING TO THE VOTING MEMBERS ACTION ON THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS; (O) ELECT OR REMOVE OFFICERS OF THE BOARD FROM OFFICE; OR (P) APPOINT TO OFFICE OR REMOVE FROM OFFICE THE CHAIR, VICE CHAIR OR CEO. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERS CONSIST OF CERTAIN PLANNED PARENTHOOD AFFILIATES. AS OF JUNE 30, 2023, THE MEMBERS ARE: - PLANNED PARENTHOOD ARIZONA - PLANNED PARENTHOOD GREAT PLAINS - PLANNED PARENTHOOD OF GREATER NEW YORK - PLANNED PARENTHOOOD LEAGUE OF MASSACHUSETTS - PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND - PLANNED PARENTHOOD SOUTH, EAST AND NORTH FLORIDA - PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND - PLANNED PARENTHOOD SOUTHWEST OHIO FORM 990, PART VI, SECTION A, LINE 7A ALL DIRECTORS ARE ELECTED BY THE VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS AND DECISIONS ARE ONLY AUTHORIZED IF THEY ARE APPROVED BY THE REQUISITE VOTE OF THE VOTING MEMBERS: (A) PROPOSING AND APPROVING AMENDMENTS TO THE CERTIFICATE, OPERATING AGREEMENT, OR BYLAWS; (B) AMENDING OR ESTABLISHING MEMBER POLICIES AND PROCEDURES; (C) AMENDING THE FUNDS FLOW POLICY; (D) ESTABLISHING THE MEMBERSHIP CRITERIA; (E) UNTIL JUNE 30, 2022, APPROVING THE ADMISSION OF NEW MEMBERS; (F) ELECTING AND REMOVING DIRECTORS; (G) APPROVING THE ORGANIZATION'S STRATEGIC PLAN; (H) ESTABLISHING AND AMENDING THE STRATEGIC FUNDS GUIDELINES; (I) APPROVING STRATEGIC INITIATIVES THAT REQUIRE FUNDS THAT EXCEED THE AMOUNT AVAILABLE AT THE APPLICABLE TIME FROM MEMBERSHIP STRATEGIC CONTRIBUTIONS, AND APPROVING THE FINANCING METHODOLOGY FOR SUCH STRATEGIC INITIATIVES; (J) ELECTING THE GOVERNANCE COMMITTEE; (K) APPROVING THE DIRECTOR NOMINATIONS POLICY PROPOSED BY THE GOVERNANCE COMMITTEE; (L) UNTIL JUNE 30, 2022, APPROVING THE MEMBER KEY PERFORMANCE INDICATORS, INCLUDING ANY AMENDMENTS THERETO, AND THE PARAMETERS WITHIN WHICH EACH MEMBER OR GROUP OF SIMILARLY SITUATED MEMBERS ARE REQUIRED TO ESTABLISH THE TARGETS THAT ARE APPLICABLE TO SUCH MEMBERS; AND (M) ANY MATTER REQUIRING THE APPROVAL OF THE VOTING MEMBERS PURSUANT TO THE OPERATING AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CEO & CFO, THEN A PUBLIC INSPECTION COPY OF THE FORM WAS REVIEWED BY THE FINANCE COMMITTEE AND WAS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ITS BOARD MEMBERS, COMMITTEE MEMBERS, AND OFFICERS. AN INDIVIDUAL WITH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE THE RELEVANT FACTS TO THE AUDIT AND COMPLIANCE COMMITTEE. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE AUDIT AND COMPLIANCE COMMITTEE AND/OR THE ORGANIZATION'S GENERAL COUNSEL MAKE THE DETERMINATION. CHN MAY ENTER A TRANSACTION THAT INVOLVES A CONFLICT OF INTEREST IF THE BOARD OR RELEVANT COMMITTEE DETERMINES BY MAJORITY VOTE THAT THE ARRANGEMENT IS FAIR AND REASONABLE TO THE ORGANIZATION AND IN ITS BEST INTEREST, THE ARRANGEMENT FURTHERS CHN'S MISSION, AND THE ARRANGEMENT DOES NOT RESULT IN PRIVATE INUREMENT. INDIVIDUALS WITH AN ACTUAL OR POTENTIAL CONFLICT MAY NOT BE PRESENT FOR VOTES OR DISCUSSIONS, EXECPT TO ANSWER QUESTIONS, AND ARE PROHIBITED FROM EXERTING INFLUENCE, DIRECTLY OR INDIRECTLY, WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT EXISTS AND WITH RESPECT TO ENTERING SUCH TRANSACTIONS. IF A PERSON FAILS TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT, THE BOARD OF DIRECTORS MAY TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION WAS DEVELOPED BY AGGREGATING SALARY DATA FROM SEVERAL SALARY SURVEYS: GALLAGHER MARKET ANALYSIS, WILLIS TOWERS WATSON MARKET ANALYSIS, ACEC CEO SURVEY, AND CHN AFFILIATE CEO SURVEY. THE COMPENSATION WAS REVIEWED AND APPROVED BY THE CHN CEO SEARCH COMMITTEE CO-CHAIRS AND BY THE BOARD CHAIR. THIS PROCESS WAS MOST RECENTLY COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 ARE AVAILABLE UPON REQUEST OR AT WWW.GUIDESTAR.ORG. THE ORGANIZATION'S FORM 1023 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OPEN TO THE PUBLIC.