2020-11-14T12:13:52-06:00 2019-12-31 WithumSmithBrown PC ONE TOWER CENTER BLVD 14TH FL EAST BRUNSWICK NJ 08816 990 2019-01-01 812927460 Saint Michael's Clinics Inc % CAROLYN ALLEN CPA SAIN 9736903514 111 CENTRAL AVENUE NEWARK NJ 07102 RAJESH MEHTACPA CFO 9736903514 2020-09-15 true Joseph Perez P00961850 7328281614 65.119.199.60 22006220203195000020 2020-11-14 P 3C7EFC836C279ED584EE9D850AF83CFB0045DC43 5B6BB8D52EACAABF106F06F9267808F50B4159E4 2019 2021-01-29 14:40:06Z PREM REDDY MD 111 CENTRAL AVENUE NEWARK NJ 07102 17495836 false X N/A X 2016 NJ PROMOTION OF PUBLIC HEALTH. 5 5 0 5 0 1907677 3089231 12462320 14406605 0 0 0 0 14369997 17495836 0 0 0 0 0 0 0 0 0 13339154 14811169 13339154 14811169 1030843 2684667 5991354 7318741 3601611 2244331 2389743 5074410 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. false false 14455639 14406605 EXPENSES INCURRED IN FURTHERING THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION IN THE PROMOTION OF PUBLIC HEALTH. PLEASE REFER TO PART III, LINE 1 ABOVE FOR THE ORGANIZATION'S MISSION. 14455639 true true false false false false false false false false false false false true false true true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 12 0 true 0 false false false false false false false false false false false false X 5 5 false true false false true true true true true false false true true true true true true false false false NJ X CAROLYN ALLEN CPA 9736903514 111 CENTRAL AVENUE NEWARK NJ 07102 X JIHAD SLIM MD CHAIRPERSON - DIRECTOR 1.0 0.0 X X 0 0 0 CLAUDIA KOMER DO CMO - DIRECTOR 1.0 0.0 X X 0 0 0 Carolyn Allen CPA CF CFO - EFFECTVE 02/2019 1.0 0.0 X X 0 0 0 ROBERT IANNACCONE CEO - EXECUTIVE DIRECTOR 2.5 0.0 X X 0 0 0 EDWARD JOHNSON MD COMMUNITY REP. - DIRECTOR 1.0 0.0 X X 0 0 0 0 0 0 0 false false false COORDINATED CARE NETWORK PHARMACY 300 PENN CENTER BOULEVARD SUITE 50 PITTSBURGH PA 15235 ADMINISTRATIVE 2945472 Prime Healthcare Services 22 Cortlandt Street NEW YORK NY 10007 ADMINISTRATIVE 352854 CARDINAL HEALTH PHARMACY SERVICES 7000 Cardinal Place DUBLIN OH 43017 ADMINISTRATIVE 6055281 3 1820338 1268893 3089231 PHARMACY AND PATIENT SERVICE INCOME 621498 14406605 14406605 14406605 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17495836 14406605 0 0 0 0 0 0 0 0 0 0 5410430 5111127 299303 96910 87219 9691 25388 22849 2539 0 0 0 142340 128106 14234 0 29661 26695 2966 0 0 267973 241176 26797 0 0 0 0 0 0 0 340B PROGRAM SUPPLIES 8126080 8126080 BAD DEBT EXPENSE 641390 641390 OTHER DIRECT EXPENSES 70997 70997 14811169 14455639 355530 0 3864850 4154967 0 0 582068 461280 1273717 1426075 0 0 0 0 0 0 72657 207692 0 0 0 0 0 0 0 0 0 0 0 0 198062 1068727 5991354 7318741 1972995 1068415 0 0 1628616 1175916 0 0 0 0 0 0 0 0 0 0 0 0 3601611 2244331 X 2389743 5074410 0 0 2389743 5074410 5991354 7318741 2684667 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DUE FROM AFFILIATE 1068727 1068727 0 0 X 17495836 17495836 17495836 14811169 14811169 14811169 SCHEDULE D, PART X The Clinic is exempt from federal and state income taxes under Section 501(c)(3) of the Internal Revenue Code and New Jersey taxation codes. Accordingly, no provision for income taxes has been reflected in these financial statements. The Clinic follows generally accepted accounting principles in the United States of America related to uncertain tax positions which require tax effects from an uncertain tax position to be recognized in the financial statements only if the position is more likely than not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged. If an uncertain tax position meets the more-likely-than-not threshold, the largest amount of tax benefit that is greater than 50 percent likely to be recognized upon ultimate settlement with the taxing authority is recorded. The Clinic's primary tax positions relate to its status as a not-for-profit organization exempt from income taxes and classification of activities related to its exempt purpose. Management has evaluated the tax positions related to the Clinic and does not believe that any material uncertain tax positions exist. Further, there were no income tax related penalties or interest included in these financial statements. CORE FORM, 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. CORE FORM, PART VI, SECTION B, LINES 6 & 7 THE OFFICERS OF THE CORPORATION SHALL BE ELECTED ANNUALLY BY THE BOARD OF DIRECTORS AT ITS ANNUAL MEETING OR AT A SPECIAL MEETING HELD IN LIEU THEREOF. CORE FORM, 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 PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE CLINIC'S FINANCE PERSONNEL TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM 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. CORE FORM, PART VI, SECTION B, LINE 12 THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WITH 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. CORE FORM, PART VI, SECTION B, LINES 13 & 14 THE ORGANIZATION HAS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH SAINT MICHAEL'S MEDICAL CENTER. ACCORDINGLY, SAINT MICHAEL'S MEDICAL CENTER HAS BOTH A DOCUMENT RETENTION AND DESTRUCTION AND WHISTLEBLOWER POLICY IN PLACE TO WHICH THIS ORGANIZATION ADHERES. CORE FORM, 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. CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF SAINT MICHAEL'S CLINICS, INC. FOR THE YEAR ENDED DECEMBER 31, 2019. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. THE CLINIC'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE CLINIC'S FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR.