2023-11-13T10:56:31-06:00 2022-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2022-01-01 133556132 COMMUNITY HEALTH ACTION OF STATEN ISLAND INC COMM 7188081300 56 BAY STREET 4TH FLOOR STATEN ISLAND NY 10301 KATHERINE GORNO CHIEF FINANCIAL OFFICER 7188081300 2023-11-11 1 KATHERINE GORNO XXX-XX-XXXX 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DIANE ARNETH 56 BAY STREET 4TH FLOOR STATEN ISLAND NY 10301 12961788 0 X WWW.CHASINY.ORG X 1990 NY COMMUNITY HEALTH ACTION OF STATEN ISLAND DRIVES DRAMATIC IMPROVEMENTS IN THE HEALTH OF NEW YORKERS. 17 16 218 16 0 0 10556390 12026442 1284773 832427 5926 4572 47843 60822 11894932 12924263 0 0 0 0 7964200 8636420 0 0 3851 3778166 3621869 11742366 12258289 152566 665974 10560362 14817862 2211485 5803011 8348877 9014851 X COMMUNITY HEALTH ACTION OF STATEN ISLAND' DRIVES DRAMATIC IMPROVEMENTS IN THE HEALTH OF NEW YORKERS. 0 0 2819306 SUBSTANCE USE DISORDER SERVICES: OUR SUBSTANCE USE DISORDER SERVICES DEPARTMENT SERVES INDIVIDUALS AND THEIR FAMILIES WHO ARE DEALING WITH SUBSTANCE ABUSE ON THE CONTINUUM FROM ACTIVE USERS TO THOSE ACTIVELY IN RECOVERY. WE MANAGE A 24/7 RESOURCE AND RECOVERY CENTER THAT HOSTS PROGRAMS FOR PEOPLE AT VARIOUS STAGES OF RECOVERY AND WORKS CLOSELY ON CALL WITH THE LOCAL PRECINCTS AND THE DA'S OFFICE IN A CRIMINAL JUSTICE DIVERSION PROGRAM FOR LOW LEVEL DRUG OFFENSES AND WITH A LOCAL HOSPITAL EMERGENCY ROOM IN A NON-FATAL OVERDOSE INTERVENTION PROGRAM. AND OUR HARM REDUCTION PROGRAM PROVIDES ACTIVE USERS WITH NARCAN TRAINING, CLEAN SYRINGES, SUPPORT GROUPS AND INFORMATION AND MEDICATION ASSISTED TREATMENT OPTIONS. 3004264 HIV SERVICES: CHASI HAS A BROAD ARRAY OF HIV PREVENTION AND CARE SERVICES. WE HAVE MULTIPLE PREVENTION PROGRAMS SPECIALIZING IN A VARIETY OF HIGH RISK TARGET POPULATIONS, INCLUDING: WOMEN OF COLOR, MEN WHO HAVE SEX WITH MEN, PEOPLE IN PRISON AND INJECTION DRUG USERS. THESE PROGRAMS DO OUTREACH INTO THE COMMUNITY AND PROVIDE EDUCATION, TESTING, INFORMATION ABOUT PEP AND PREP AND LINKAGE TO MEDICAL CARE. CHASI'S HIV CARE COORDINATION PROGRAM PROVIDES DIRECT SERVICES FOR PEOPLE WITH HIV AND AIDS INCLUDING EDUCATION, CASE MANAGEMENT AND INTENSIVE CARE COORDINATION, INCLUDING ESCORTS TO THE DOCTOR AND DIRECTLY OBSERVED THERAPY. CHASI ALSO HAS A PROGRAM FOR PEOPLE WITH HIV/AIDS THAT ARE UNDOCUMENTED PROVIDING EDUCATIONAL GROUPS, PEER SUPPORT AND CASE MANAGEMENT. FOCUSING ON HIV+ INDIVIDUALS NOT ELIGIBLE FOR MEDICAID, CHASI PROVIDES A MULTITUDE OF SERVICES TO THOSE IN THE COMMUNITY OR INCARCERATED TO IMPROVE HEALTH OUTCOMES FOR PEOPLE LIVING WITH OR AT RISK FOR HIV INFECTION. 2074240 832427 HEALTH HOMES AND SI CARES: CHASI PROVIDES CASE MANAGEMENT SERVICES TO MEDICAID BENEFICIARIES WITH CHRONIC CONDITIONS AND ASSISTS THEM WITH ENGAGEMENT, RETENTION AND ADHERENCE IN REGULAR CARE. CHASI'S HEALTH HOME PROGRAM IS A LONG TERM PROGRAM FOR CLIENTS WITH TWO OR MORE CONDITIONS. AS A NYS HEALTH HOME, CHASI IS A MEMBER OF COORDINATED BEHAVIORAL CARE, COMMUNITY HEALTH NETWORK AND COMMUNITY CARE MANAGEMENT PARTNERS AND A PARTNER IN IHEALTH. SI CARES IS A NYS DSRIP INITIATIVE PROVIDING CARE MANAGEMENT SERVICES SHORT TERM FOR MEDICAID BENEFICIARIES WHO HAVE AT LEAST ONE CHRONIC ILLNESS. 2634322 46787 OTHER PROGRAMS 2634322 46787 10532132 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 57 0 1 218 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X DIANE ARNETH 7188081405 56 BAY STREET 4TH FL STATEN ISLAND NY 10301 ADAM SMITH PHD VICE CHAIR 3.00 X X 0 0 0 ANTHONY LODICO BOARD MEMBER 2.00 X 0 0 0 AUBREY E SAUNDERS TREASURER 3.00 1.00 X X 0 0 0 DANA WALKER-BOYD BOARD MEMBER 2.00 X 0 0 0 DEEPTHA NEDUNCHEZIAN MD BOARD MEMBER 2.00 X 0 0 0 EVAN ZUCKERMAN BOARD MEMBER 2.00 35.50 X 0 479069 50694 GARY STETZ II BOARD MEMBER 2.00 X 0 0 0 GIUSEPPE LENTINI BOARD MEMBER 2.00 X 0 0 0 HELAINE DANDREA BOARD MEMBER 2.00 X 0 0 0 JACK CUFFE SECRETARY 3.00 X X 0 0 0 JACK D'ANGELO BOARD MEMBER 2.00 X 0 0 0 VINCENT TUZZALO BOARD MEMBER 2.00 X 0 0 0 YOLANDA L RUDICH ESQ CHAIR 3.00 X X 0 0 0 ABOU SY DIAKHATE BOARD MEMBER 2.00 X 0 0 0 EILEEN PERALTA BOARD MEMBER 2.00 X 0 0 0 MICHAEL J SILLETTI BOARD MEMBER 2.00 X 0 0 0 BRANDON PATTERSON BOARD MEMBER 2.00 X 0 0 0 DIANE ARNETH EXECUTIVE DIRECTOR 37.50 7.50 X 0 253827 16253 ERICKER ONAGA CHIEF PROGRAM OFFICER 40.00 X 144039 0 1948 144039 732896 68895 1 0 1 0 0 180349 93450 2995695 8756948 176413 12026442 MEDICAID 621400 832427 832427 832427 4572 4572 20760 0 20760 20760 20760 30800 93450 37525 -6725 -6725 46787 46787 46787 12924263 879214 0 18607 6718842 6361031 357811 47974 43542 4432 1170349 1062239 108110 699255 629330 69925 30939 30939 24042 4867 19175 734464 355918 377893 653 214335 199473 13966 896 94857 90399 4458 812699 733476 79223 104677 68216 36461 8936 8271 665 209633 209633 74659 74659 CONSUMABLE SUPPLIES 944453 744974 197842 1637 DUES AND SUBSCRIPTIONS 136194 73523 62671 REPAIR AND MAINTENANCE 128794 76083 52711 103187 89061 14126 12258289 10532132 1722306 3851 17158 12956 5689639 3680432 2476698 6086406 63848 82814 18807 27372 4198975 1807197 2138337 2391778 2419217 155875 116887 10560362 14817862 369595 529375 446296 182839 160278 1212755 5113358 2211485 5803011 X 8348877 9014851 8348877 9014851 10560362 14817862 665974 0 X 0 1 X 1 1 1 X 8046225 9666456 9780285 10556390 12026442 50075798 8046225 9666456 9780285 10556390 12026442 50075798 50075798 79098 39706 24118 5926 25332 174180 81878 46348 264333 27173 46787 466519 50716497 5819889 0.98740 0.98240 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING REVENUE - 2018 AMOUNT: $ 48,916. 2019 AMOUNT: $ 41,600. OTHER REVENUE - 2018 AMOUNT: $ 32,962. 2019 AMOUNT: $ 4,748. 2020 AMOUNT: $ 264,333. 2021 AMOUNT: $ 27,173. 2022 AMOUNT: $ 46,787. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1025000 1025000 1410279 419247 991032 957229 770167 187062 756467 617783 138684 50000 50000 2391778 DUE TO RELATED PARTIES 2329615 OPERATING LEASE LIABILITIES 2564097 DUE TO THIRD PARTY 219646 5113358 X 371146560 358222297 358222297 12924263 0 12924263 348296463 336038174 336038174 12258289 0 12258289 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY CHASI AND AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. CHASI'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS' REVENUE 393,521,657. INTERCOMPANY ELMINATION -35,336,885. FUNDRAISING EXPENSES 37,525. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS' EXPENSES 363,333,518. INTERCOMPANY ELIMINATIONS -27,332,869. FUNDRAISING EXPENSES 37,525. SPRING GALA 124250 93450 30800 3425 29000 5100 124250 93450 30800 3425 29000 5100 37525 -6725 X 0 0 0 0 0 0 0 0 0 EVAN ZUCKERMAN BOARD MEMBER 0 431463 0 39488 0 8118 0 19825 0 30869 0 529763 0 0 DIANE ARNETH EXECUTIVE DIRECTOR 0 250050 0 0 0 3777 0 16253 0 0 0 270080 0 0 SCHEDULE J, PART II, COLUMN B(II): INCLUDED IN SCHEDULE J, COLUMN B(II) IS 162 BONUS PLAN FOR EVAN ZUCKERMAN, TREASURER/CFO. THE CENTER HAS ESTABLISHED A DISCRETIONARY 162 PERFORMANCE BONUS PLAN (THE "162 BONUS PLAN") FOR CERTAIN ELIGIBLE EMPLOYEES. THE 162 BONUS PLAN IS EXEMPT FROM ERISA AND IS INTENDED TO BE EXEMPT FROM SECTION 409A OF THE CODE UNDER THE SHORT-TERM DEFERRAL EXCEPTION. THE 162 BONUS PLAN INCLUDES A BASE CONTRIBUTION OF 8% OF THE PARTICIPANT'S COMPENSATION FOR THE FIRST PLAN YEAR; BASE CONTRIBUTION FOR SUBSEQUENT PLAN YEARS SHALL BE DETERMINED BY THE BOARD OF DIRECTORS OF THE CENTER. THE CENTER MAY ALSO MAKE DISCRETIONARY CONTRIBUTIONS TO THE 162 BONUS PLAN FOR ANY PLAN YEAR. PARTICIPANTS WILL BE 100% VESTED IN CONTRIBUTIONS MADE TO THE 162 BONUS PLAN. BONUS CONTRIBUTIONS ARE GROSSED UP FOR TAX PURPOSE. X 51209 FMV X 359417 125204 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENT NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 SUN RIVER HEALTHCARE, INC. IS THE SOLE MEMBER OF COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC. FORM 990, PART VI, SECTION A, LINE 7A SUN RIVER HEALTHCARE, INC. IS THE SOLE MEMBER OF COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC. AND, THEREFORE, HAS THE POWER TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE PREPARED FORM 990 IS REVIEWED BY THE ORGANIZATION FISCAL MANAGEMENT TEAM, AFTER THAT IT IS REVIEWED BY THE ORGANIZATIONS CHIEF FINANCIAL OFFICER AND THE CHIEF OPERATING OFFICER. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY THE OFFICERS AND DIRECTORS OF THE AGENCY UPON INITIATION OF THEIR TERM OF SERVICE AND IS RENEWED ANNUALLY. SHOULD AN OFFICER OR A DIRECTOR HAVE A CONFLICT OF INTEREST, THEY MUST DISCLOSE AND RECUSE THEMSELVES FROM THE RESPECTIVE DECISION. THE BOARD'S AUDIT AND COMPLIANCE SUBCOMMITTEE REVIEWS ANY INTERNAL DECISIONS INVOLVING A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A CHASI EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS EVALUATES THE EXECUTIVE DIRECTOR PERFORMANCE AND MAKES A RECOMMENDATION TO SUN RIVER HEALTHCARE, INC. FOR THE COMPENSATION TO BE EARNED. SUN RIVER HEALTHCARE, INC. CEO AND EXECUTIVE COMMITTEE THEN APPROVES THE COMPENSATION TO BE PAID. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE BY REQUEST. BRIGHTPOINT CARE 1401 UNIVERSITY AVENUE BRONX NY 10452 133464470 CARE FOR AIDS PATIENTS NY 501(C)(3) LINE 10 SUN RIVER HEALTHCARE INC 0 SUN RIVER HEALTHCARE INC 1037 MAIN STREET PEEKSKILL NY 10566 132828349 HEALTHCARE NY 501(C)(3) LINE 7 N/A 0 HUDSON RIVER HEALTHCARE LOCAL DEVELOPMENT 1200 BROWN STREET PEEKSKILL NY 10566 471482665 DEVELOPMENT NY 501(C)(3) LINE 12A, I SUN RIVER HEALTHCARE INC 0 CARIBBEAN WOMEN'S HEALTH ASSOCIATION 3512 CHURCH AVENUE BROOKLYN NY 11203 133323168 HEALTHCARE NY 501(C)(3) LINE 7 SUN RIVER HEALTHCARE INC 0 BRIGHTPOINT SEARCH LLC 373 PARK AVE S FL 7 NEW YORK NY 10016 474782647 RECRUITMENT COMPANY NY N/A 0 0 CBHCARE IPA LLC 1037 MAIN STREET PEEKSKILL NY 10566 474056392 BEHAVIORAL HEALTH NY N/A 0 0 SOLUTIONS 4 COMMUNITY HEALTH INC 1037 MAIN STREET PEEKSKILL NY 10566 753241273 MEDICAL BILLING NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0