2024-11-14T20:36:05-06:00 2023-12-31 861065772 DELOITTE TAX LLP 695 TOWN CENTER DRIVE SUITE 1000 COSTA MESA CA 92626 990 2023-01-01 812927460 SAINT MICHAEL'S CLINICS INC SAIN 9736903514 111 CENTRAL AVENUE NEWARK NJ 07102 ALAN SICKLES MD EXECUTIVE DIRECTOR 9736903514 2024-11-14 1 1 BASIR MOHAMMAD P01866373 7144367100 2023 2024-10-15 13:58:12Z ALAN SICKLES MD 111 CENTRAL AVENUE NEWARK NJ 07102 16955505 0 X N/A X 2016 DE PROMOTION OF PUBLIC HEALTH. 5 1 0 0 0 0 1289847 1437772 16423409 15514980 0 0 255 2753 17713511 16955505 0 0 0 0 0 0 0 0 0 16693970 16708946 16693970 16708946 1019541 246559 13096718 12240216 2946274 1957897 10150444 10282319 X THE MISSION OF THE CLINIC IS TO PROVIDE COMPREHENSIVE MEDICAL SERVICES, CASE MANAGEMENT, PSYCHOLOGICAL SERVICES, AND SUBSTANCE-ABUSE COUNSELING FOR PEOPLE WHO ARE HIV POSITIVE OR HAVE AIDS. THE CLINIC WAS TRANSFERRED CONTRACTS FROM THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES AND OTHER RESOURCE PROVIDERS TO CARRY ON THE EXEMPT FUNCTION OF THE PETER HO CLINIC WHICH WAS A DIVISION OF THE ST. MICHAEL'S MEDICAL CENTER. THE EXEMPT PURPOSE OF THE CLINIC IS TO PROMOTE HEALTH IN THE CITY OF NEWARK AND SURROUNDING AREAS THROUGH DEVELOPMENT, ESTABLISHMENT, OWNERSHIP AND OPERATION OF OUTPATIENT OR AMBULATORY CARE CLINICS IN NEW JERSEY, AS PROVIDED FOR BY N.J.A.C. TITLE 8, CHAPTER 43A. 0 0 16075938 0 15517733 SAINT MICHAEL'S CLINICS, INC. PROVIDES COMPREHENSIVE MEDICAL SERVICE, CASE MANAGEMENT, PSYCHOLOGICAL SERVICE, NUTRITION COUNSELING AND SUBSTANCE ABUSE COUNSELING FOR PEOPLE WHO ARE HIV POSITIVE OR HAVE AIDS. THE EXEMPT PURPOSE OF THE SAINT MICHAEL'S CLINICS, INC. IS TO PROMOTE HEALTH IN THE CITY OF NEWARK AND SURROUNDING AREAS THROUGH DEVELOPMENT, ESTABLISHMENT, OWNERSHIP, AND OPERATIONS OF OUTPATIENT CLINICS IN NEW JERSEY AS PROVIDED FOR THE NEW JERSEY ADMINISTRATIVE CODE TITLE 8, CHAPTER 43A. 16075938 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NJ X RAJESH MEHTA 9736903514 111 CENTRAL AVENUE NEWARK NJ 07102 ALAN SICKLES MD CEO, EXECUTIVE DIRECTOR 2.50 40.00 X X 0 428472 22243 RAJESH MEHTA CFO AND TREASURER 1.00 40.00 X X 0 249713 48599 JIHAD SLIM MD CHAIRPERSON, CLINIC - PHYSICIAN 1.00 40.00 X X 0 205247 51127 SYED KAZMI CMO AND SECRETARY 1.00 40.00 X X 0 141250 42258 EDWARD JOHNSON MD DIRECTOR 1.00 0.00 X X 0 0 0 0 1024682 164227 0 0 1 0 COORDINATED CARE NETWORK 300 PENN CENTER BLVD STE 505 PITTSBURGH PA 15235 CONSULTING AND IT SERVICES FOR 340B 3170275 1 1437772 1437772 PATIENT SERVICE REV. 621498 15514980 15514980 15514980 OTHER OPERATING REV. 900099 2753 2753 2753 16955505 15517733 0 0 X 2904544 2614090 290454 82400 74160 8240 3098797 2788917 309880 10940 9846 1094 233404 210064 23340 PHARMACEUTICALS 10349576 10349576 OTHER DIRECT EXPENSES 27770 27770 DUES & SUBSCIPTIONS 1180 1180 OTHER EXPENSES 335 335 16708946 16075938 633008 0 10883574 10167988 892748 502180 1320396 1325771 0 244277 13096718 12240216 2726019 1654603 220255 303294 2946274 1957897 X 10150444 10282319 10150444 10282319 13096718 12240216 246559 -114684 0 X 0 1 X 1 1 1 X 0 DUE TO AFFILIATES 303294 303294 X 16955505 0 16955505 0 16955505 16708946 0 16708946 0 16708946 PART X, LINE 2: THE LITERATURE RELATED TO UNCERTAIN TAX POSITIONS PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DE-RECOGNITION, INTEREST, PENALTIES, AND DISCLOSURES REQUIRED. THE COMPANY DOES NOT HAVE ANY ENTITY-LEVEL UNCERTAIN TAX POSITIONS. 0 0 0 0 0 0 0 0 0 ALAN SICKLES MD CEO, EXECUTIVE DIRECTOR 0 376406 0 45000 0 7066 0 0 0 22243 0 450715 0 0 RAJESH MEHTA CFO AND TREASURER 0 227647 0 15000 0 7066 0 29156 0 19443 0 298312 0 0 JIHAD SLIM MD CHAIRPERSON, CLINIC - PHYSICIAN 0 176424 0 0 0 28823 0 20280 0 30847 0 256374 0 0 SYED KAZMI CMO AND SECRETARY 0 114555 0 10000 0 16695 0 22500 0 19758 0 183508 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE, AND COMPENSATION SURVEY OR STUDY. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH PRIME HEALTHCARE SERVICES - ST. MICHAEL'S, LLC ("PRIME"). PURSUANT TO THIS AGREEMENT, PRIME PROVIDES DAY-TO-DAY OPERATIONS FOR THE ORGANIZATION INCLUDING ADMINISTRATIVE, BILLING, EQUIPMENT, AND COORDINATION OF SUCH SERVICES AS ARE NECESSARY AND APPROPRIATE FOR THE DAY-TO-DAY ADMINISTRATION OF THE SAINT MICHAEL'S CLINICS, LLC. FORM 990, PART VI, SECTION B, LINE 11B SAINT MICHAEL'S CLINICS, INC. FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE CLINIC'S BOARD OF TRUSTEES HAS THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS, THE CLINIC HIRED A CPA FIRM THAT PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE CLINIC'S FINANCE PERSONNEL FOR REVIEW. THE FINANCE PERSONNEL REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE CLINIC'S FINANCE PERSONNEL FOR FINAL REVIEW AND APPROVAL. FOLLOWING THE REVIEW AND APPROVAL, A COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO ALL BOARD OF DIRECTOR MEMBERS AND OFFICERS ON AN ANNUAL BASIS. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SECRETARY OF THE BOARD FOR REVIEW. THEREAFTER THE SECRETARY PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS, IF APPLICABLE, FOR REVIEW BY THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THIS ORGANIZATION HAS NO PAID EMPLOYEES. HOWEVER, IF, IN THE FUTURE, THERE BECOMES A NEED FOR EMPLOYEES, A REVIEW AND APPROVAL PROCESS WHICH MEETS THE CRITERIA OF THE INTERNAL REVENUE SERVICE'S REBUTTABLE PRESUMPTION OF REASONABLENESS WILL BE IMPLEMENTED. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 95,281. MANAGEMENT AND GENERAL EXPENSES 10,587. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,868. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,693,636. MANAGEMENT AND GENERAL EXPENSES 299,293. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,992,929. PRIME HEALTHCARE HOLDINGS INC 3840 E GUASTI ROAD ONTARIO CA 917610000 272458309 MEDICAL SERVICES CA N/A S 0 PRIME HEALTHCARE SERVICES INC (ST MICHAELS LLC) 3840 E GUASTI ROAD ONTARIO CA 917610000 330943449 HEALTHCARE CA N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0