2024-10-01T06:34:12-05:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2023-01-01 510567466 COMMUNITY HEALTH CENTER OF RICHMOND INC COMM 7189242254 439 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 HENRY THOMPSON CEO 7189242254 2024-09-27 1 1 KERRI N BOGDA CPA P00760402 7177404863 2024-09-27 X 2023 2024-10-15 13:58:12Z HENRY THOMPSON 439 PORT RICHMOND AVENUE STATEN ISLAND NY 10302 18591546 0 X WWW.CHCRICHMOND.ORG X 2006 NY TO PROVIDE QUALITY HEALTH CARE AND SPECIALTY SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE. 10 10 101 10 0 0 8574486 10057372 9134830 8253021 158 1131 501110 280022 18210584 18591546 0 0 0 0 11367105 11487929 0 0 0 6068171 6937767 17435276 18425696 775308 165850 25669194 26630672 10542790 11338418 15126404 15292254 X OUR MISSION IS TO SUSTAIN A VIBRANT, HEALTHY AND STRONG COMMUNITY THROUGH AFFORDABLE, CULTURALLY COMPETENT, QUALITY PRIMARY HEALTH CARE. 0 0 15187932 8253021 THE CENTER PROVIDES PRIMARY CARE SERVICES TO RESIDENTS OF STATEN ISLAND, NEW YORK WITH PARTICULAR EMPHASIS PLACED ON SERVING THE POOR AND UNDER-INSURED WITHIN THE COMMUNITY. THERE WERE 33,925 VISITS FOR 2023. CHCR HAS PROVIDED SERVICES TO 10,790 PATIENTS OF WHICH 2,434 WERE UNINSURED AND 10,118 WERE AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINE. THERE WERE 36.00 HEALTH CARE PROVIDER FTES WHO DELIVERED THE SERVICES DURING THE YEAR.THE CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUES OR SHOWN AS GRANTS TO INDIVIDUALS.THE CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE THAT IT PROVIDES. THE COSTS ASSOCIATED WITH THE CHARITABLE CARE SERVICES PROVIDED ARE ESTIMATED BY APPLYING THE COST-TO-CHARGE RATIO FROM THE MOST RECENTLY FILED COST REPORT TO THE AMOUNT OF GROSS UNCOMPENSATED CHARGES FOR THE PATIENTS RECEIVING CHARITY CARE. TOTAL CHARITY CARE COSTS WERE $6,906,827 FOR THE YEAR ENDED DECEMBER 31, 2023. 15187932 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 68 0 101 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X BENITO LINDO CFO 7189242254 439 PORT RICHMOND AVE STATEN ISLAND NY 10302 JACK DESANTIS JR CPA PRESIDENT 1.00 0.00 X X 0 0 0 DEMETRIUS CAROLINA 1ST VICE PRESIDENT 1.00 0.00 X X 0 0 0 TIFFANY ARGUELLO 2ND VICE PRESIDENT 1.00 0.00 X X 0 0 0 SANDHYA NADADUR SECRETARY 1.00 0.00 X X 0 0 0 MICHAEL CARR TREASURER 1.00 0.00 X X 0 0 0 MICHAEL PERRY MEMBER 1.00 0.00 X 0 0 0 BARBARA HART MEMBER 1.00 0.00 X 0 0 0 KIM HINKSON MEMBER 1.00 0.00 X 0 0 0 DIADRIAN CLARKE MEMBER 1.00 0.00 X 0 0 0 JENNIFER MILLAN MEMBER 1.00 0.00 X 0 0 0 HENRY THOMPSON CHIEF EXECUTIVE OFFICER 40.00 0.00 X 395627 0 74314 BENITO LINDO CHIEF FINANCIAL OFFICER 40.00 0.00 X 286489 0 37026 ROSALINDA ROSARIO-LIPKA DO CHIEF MEDICAL OFFICER 30.00 0.00 X 272559 0 37215 MONIQUE WELBECK DNP CHIEF NURSING OFFICER 40.00 0.00 X 265687 0 34556 SEIN THAN PHYSICIAN 40.00 0.00 X 224993 0 25848 PREETI SHETKAR PHYSICIAN 40.00 0.00 X 223865 0 58783 WILLIAR HODGES FINANCE DIRECTOR 40.00 0.00 X 227899 0 31428 GRACIE-ANN ROBERTS CHIEF QUALITY OFFICER 40.00 0.00 X 223117 0 38901 2120236 0 338071 26 0 1 0 TANDYM GROUP LLC PO BOX 830312 PHILADELPHIA PA 19182 JOB PLACEMENT 305209 HENRICH GROUP LLC 125-28 QUEENS BLVD SUITE 617 KEW GARDENS NY 11415 CONSTRUCTION MGMT 299395 COHNREZNICK LLP 1301 AVENUE OF AMERICAS NEW YORK NY 10019 CONSULTING 121198 1 8573774 1483598 445801 10057372 NET PATIENT SVC REV 623000 7159018 7159018 PHARMACY SALES AT COST 623000 1094003 1094003 8253021 1131 1131 PATIENT INCENTIVE REVENUE 900099 276062 276062 MEDICAL RECORDS REVENUE 900099 3960 3960 280022 18591546 8253021 0 281153 1103230 323515 779715 7464940 6739623 725317 743327 658446 84881 1468295 1231880 236415 708137 590936 117201 484144 404015 80129 60000 50070 9930 1774913 1236701 538212 96149 24337 71812 1755770 1624819 130951 86583 72496 14087 799198 774956 24242 170555 120127 50428 357055 285644 71411 606241 484993 121248 134255 107404 26851 LAB AND X-RAY 196328 196328 REPAIRS AND MAINTENANCE 164245 120293 43952 BDCC SURCHARGE 57757 57757 TRAINING EXPENSES 44109 37902 6207 150465 103447 47018 18425696 15187932 3237764 0 350 350 1028657 2732040 327186 552135 1436290 1106647 145709 92514 27784469 8224980 19719720 19559489 85936 85936 2925346 2501561 25669194 26630672 1270673 1488722 277993 1438102 5818874 5673205 3175250 2738389 10542790 11338418 X 15126404 15292254 15126404 15292254 25669194 26630672 165850 0 X 0 1 X 1 1 1 X 6941794 7596369 9893131 8574486 10057372 43063152 9046196 8043726 9226878 9134830 8253021 43704651 15987990 15640095 19120009 17709316 18310393 86767803 0 0 0 86767803 1998 1509 647 158 1131 5443 1998 1509 647 158 1131 5443 942957 1093122 396607 501110 280022 3213818 16932945 16734726 19517263 18210584 18591546 89987064 0.96420 0.95150 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 3,500. 2022 AMOUNT: $ 60. MEDICAL RECORDS - 2019 AMOUNT: $ 15,573. 2020 AMOUNT: $ 6,213. 2021 AMOUNT: $ 3,816. 2022 AMOUNT: $ 7,334. 2023 AMOUNT: $ 3,960. INCENTIVE PROGRAM - 2019 AMOUNT: $ 254,151. 2020 AMOUNT: $ 510,144. 2021 AMOUNT: $ 275,882. 2022 AMOUNT: $ 493,716. 2023 AMOUNT: $ 276,062. DSRIP INCENTIVE - 2019 AMOUNT: $ 626,706. 2020 AMOUNT: $ 576,765. 2021 AMOUNT: $ 99,000. CHIPA PARTNERSHIP - 2019 AMOUNT: $ 43,027. 2021 AMOUNT: $ 17,909. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9138783 9138783 13782425 6669283 7113142 1904553 1555697 348856 2958708 2958708 19559489 SECURITY DEPOSITS 31497 RIGHT OF USE OPERATING LEASE 2470064 2501561 OPERATING LEASES 2738389 2738389 X 18573070 -18476 -18476 18591546 0 18591546 18407220 0 18407220 18476 18476 18425696 PART X, LINE 2: THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISON FOR BAD DEBTS NETTED AGAINST REVENUE -18,476. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISON FOR BAD DEBTS NETTED AGAINST REVENUE 18,476. X X 0 0 0 0 0 0 0 0 0 HENRY THOMPSON CHIEF EXECUTIVE OFFICER 395627 0 0 0 0 0 30458 0 43856 0 469941 0 0 0 BENITO LINDO CHIEF FINANCIAL OFFICER 286489 0 0 0 0 0 22688 0 14338 0 323515 0 0 0 ROSALINDA ROSARIO-LIPKA DO CHIEF MEDICAL OFFICER 272559 0 0 0 0 0 19752 0 17463 0 309774 0 0 0 MONIQUE WELBECK DNP CHIEF NURSING OFFICER 265687 0 0 0 0 0 20481 0 14075 0 300243 0 0 0 PREETI SHETKAR PHYSICIAN 223865 0 0 0 0 0 18755 0 40028 0 282648 0 0 0 GRACIE-ANN ROBERTS CHIEF QUALITY OFFICER 223117 0 0 0 0 0 18492 0 20409 0 262018 0 0 0 WILLIAR HODGES FINANCE DIRECTOR 227899 0 0 0 0 0 17353 0 14075 0 259327 0 0 0 SEIN THAN PHYSICIAN 224993 0 0 0 0 0 14889 0 10959 0 250841 0 0 0 X 2 445801 COST 0 0 1 0 PART I, COLUMN (B): THE AMOUNT REPORTED IN COLUMN B OF SCHEDULE M REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO REVIEW THE FORM 990 BEFORE IT IS FILED. THE RETURN IS THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND THEN TO THE GENERAL BOARD FOR APPROVAL BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CHCR PROVIDES BOARD MEMBERS AND STAFF WITH A CONFLICT OF INTEREST STATEMENT WHICH SUMMARIZES THE KEY ELEMENTS OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THE STATEMENT IS PROVIDED TO AND SIGNED BY BOARD MEMBERS AND STAFF BOTH AT THE TIME OF THE INDIVIDUAL'S INITIAL AFFILIATION WITH THE ORGANIZATION AND ANNUALLY THEREAFTER. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE POLICY. THE CEO IS RESPONSIBLE FOR MONITORING THE CONFLICTS. THE BOARD OF DIRECTORS REVIEWS THE CEO'S ANNUAL CONFLICT OF INTEREST STATEMENT. IN THE CASE OF A CONFLICT OF INTEREST, THE BOARD MEMBER WILL REPORT THE CONFLICT TO THE FULL BOARD PRIOR TO ANY DISCUSSION OF THE MATTER AND RECUSE THEMSELVES FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 OFFICER COMPENSATION IS DETERMINED AND COMPARED BASED ON THE CURRENT MARKET, INDUSTRY STANDARDS AND SURVEYS TAKEN. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S SALARY. THE COMPENSATION SETTING PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. THIS PROCESS IS THEN DONE WITH THE GOAL OF ENSURING A SALARY OF NO MORE THAN THE FAIR MARKET VALUE OF THE SERVICES RENDERED. SALARIES FOR THE OTHER OFFICERS AND STAFF ARE BASED UPON AN INDUSTRY SURVEY, E.G. NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), AND THE COMMUNITY HEALTH CENTER ASSOCIATION OF NEW YORK STATE (CHCANYS). THE ORGANIZATION HAS A BOARD PERSONNEL COMMITTEE THAT OVERSEES HIRING AND CREDENTIALING OF EMPLOYEES. THE CEO HAS THE PRIVILEGE AND SOLE AUTHORITY TO HIRE AND FIRE EMPLOYEES; TO ESTABLISH SALARIES BASED UPON THE SURVEY PARAMETERS, AND TO PROVIDE RECOMMENDATIONS TO THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.