2019-05-24T11:53:03-05:00 2018-12-31 WithumSmithBrown PC ONE TOWER CENTER BLVD 14TH FL EAST BRUNSWICK NJ 08816 990 2018-01-01 812927460 Saint Michael's Clinics Inc % CAROLYN ALLEN CPA SAIN 9736903514 111 CENTRAL AVENUE NEWARK NJ 07102 CAROLYN ALLEN CPA CFO 9736903514 2019-05-24 true Joseph Perez CPA P00961850 7328281614 2019-05-24 50.226.125.50 22006220191445000048 2019-05-24 P C7992FC970FBEE6F57873BDE709BE2D66F70A3E0 C7992FC970FBEE6F57873BDE709BE2D66F70A3E0 2018 2019-02-21 02:37:17Z PREM REDDY MD 111 CENTRAL AVENUE NEWARK NJ 07102 13728215 false X N/A X 2016 NJ PROMOTION OF PUBLIC HEALTH. 5 5 0 5 0 914405 3569940 4580926 10158275 0 0 0 0 5495331 13728215 0 0 0 0 0 0 0 0 0 5303719 13237499 5303719 13237499 191612 490716 4276717 9171122 2917817 7321506 1358900 1849616 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 12666157 0 13728215 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. 12666157 true false 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 7 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 X CAROLYN ALLEN CPA 9736903514 111 CENTRAL AVENUE NEWARK NJ 07102 JIHAD SLIM MD CHAIRPERSON - DIRECTOR 1.0 0.0 X X 0 0 0 CLAUDIA KOMER MD SECRETARY - DIRECTOR 1.0 0.0 X X 0 0 0 Carolyn Allen CPA CFO TREASURER - DIRECTOR 1.0 0.0 X X 0 0 0 ROBERT IANNACCONE DIRECTOR - EXECUTIVE DIRECTOR 2.5 0.0 X X 0 0 0 MARIA IRIZARRY COMMUNITY REP. - DIRECTOR 1.0 0.0 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 2791713 Prime Healthcare Services 22 Cortlandt Street NEW YORK NY 10007 ADMINISTRATIVE 2303245 2 3569940 3569940 PHARMACY AND PATIENT SERVICE NET 900099 10158275 10158275 10158275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13728215 10158275 0 0 0 0 0 0 0 0 0 0 5094958 4585462 509496 0 0 0 0 0 587886 529098 58788 0 30583 27525 3058 0 0 0 0 0 0 0 0 0 0 340B PROGRAM SUPPLIES 7379827 7379827 0 0 OTHER EXPENSES 144245 144245 0 0 13237499 12666157 571342 0 2039823 3613054 0 0 865915 2401189 1272843 2236903 0 0 0 0 0 0 98136 58022 0 0 0 0 0 0 0 0 0 0 0 0 0 861954 4276717 9171122 1295745 5199434 0 0 1622072 2122072 0 0 0 0 0 0 0 0 0 0 0 0 2917817 7321506 X 1358900 1849616 0 0 0 0 1358900 1849616 4276717 9171122 X 490716 0 X X false true X true true true X DUE FROM AFFILIATE 861954 861954 0 0 X 13728215 13728215 13728215 13237499 13237499 13237499 SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF SAINT MICHAEL'S CLINICS, INC. FOR THE YEAR ENDED DECEMBER 31, 2017. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S DECEMBER 31, 2017 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE CLINIC'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CLINIC IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND NEW JERSEY TAXATOIN CODES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THESE FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE TAX POSITIONS RELATED TO THE CLINIC AND DOES NOT BELIEVE THAT ANY MATERIAL UNCERTAIN TAX POSITIONS EXIST. 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 Michaels 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, 2018. 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. CORE FORM, PART XI, LINE 9 TRANSFER OF ASSETS AND LIABILITIES