2025-11-03T13:03:48-06:00 2024-12-31 333709623 COHNREZNICK ADVISORY LLC 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2024-01-01 060863942 COMMUNITY HEALTH SERVICES INC COMM 8602499625 500 ALBANY AVENUE HARTFORD CT 06120 GREGORY L STANTON CEO 8602499625 2025-11-03 1 1 LORI ROTHE YOKOBOSKY P01273422 9592007000 2025-10-31 2024 2025-03-06 01:10:19Z GREGORY L STANTON 500 ALBANY AVENUE HARTFORD CT 06120 17508702 0 X WWW.CHSHARTFORD.ORG X 1967 CT TO PROVIDE MEDICAL SERVICES FOR THE RESIDENTS OF THE GREATER HARTFORD CONNECTICUT AREA. TO PROVIDE QUALITY HEALTH CARE SERVICES TO LOW AND MODERATE INCOME INDIVIDUALS IN THE GREATER HARTFORD CONNECTICUT AREA REGARDLESS OF ABILITY TO PAY. 9 9 232 11 0 0 9184061 6583038 11629638 10798596 539 768 103045 126300 20917283 17508702 0 0 0 0 15854490 14965833 0 0 0 5341711 5400816 21196201 20366649 -278918 -2857947 18349509 15714963 1687494 1903756 16662015 13811207 TO PROVIDE MEDICAL SERVICES FOR THE RESIDENTS OF THE GREATER HARTFORD CONNECTICUT AREA. TO PROVIDE QUALITY HEALTH CARE SERVICES TO LOW AND MODERATE INCOME INDIVIDUALS IN THE GREATER HARTFORD CONNECTICUT AREA REGARDLESS OF ABILITY TO PAY. 0 0 14825294 10899065 PROVIDE QUALITY HEALTH CARE SERVICES TO PATIENTS WHO ARE LOW AND MODERATE INCOME INDIVIDUALS IN THE GREATER HARTFORD CONNECTICUT AREA. THERE WERE 72,086 PATIENT VISITS IN 2024. 14825294 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 31 0 1 232 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 CT X DIANNA KULMACZ 8602499625 500 ALBANY AVENUE HARTFORD CT 06120 ALECIA BONNICK DIRECTOR 0.50 X 0 0 0 CARLOS ROSARIO TREASURER 0.50 X X 0 0 0 JUDITH BURCHELL VICE CHAIR 0.50 X X 0 0 0 LILLARD LEWIS JR DIRECTOR 0.50 X 0 0 0 NETTIE ROBERTS OUTGOING DIRECTOR 0.50 X 0 0 0 RAICHEEN BLANKS CHAIR 0.50 X X 0 0 0 RANDY MCKENNEY OUTGOING DIRECTOR 1.00 X 0 0 0 RITHERLEY GUERRIER DIRECTOR 0.50 X 0 0 0 ROBERT A MICHALIK JR DIRECTOR 0.50 X 0 0 0 ROSEMARY TATE SECRETARY 0.50 X X 0 0 0 TIFFANY PAK DIRECTOR 0.50 X 0 0 0 DIANNA KULMACZ CHIEF FINANCIAL OFFICER 40.00 X 179142 0 26785 GREGORY STANTON CHIEF EXECUTIVE OFFICER 40.00 X 251329 0 24027 AVINDER UPADHYAY DIRECTOR OF DENTAL 40.00 X 243400 0 10962 ELKE WEBB STAFF PEDIATRICIAN 40.00 X 194453 0 29827 JEFFREY MARZIAN PODIATRIST 40.00 X 153542 0 22985 OLUBUKOLA AWE APRN 40.00 X 143476 0 24836 ZEEV HAREL DIR OF PEDIATRICS & ADOLESCENCE 40.00 X 251829 0 30397 1417171 0 169819 26 0 1 0 DIVERSIFIED BUILDING SERVICES LLC PO BOX 4658 WALLINGFORD CT 06492 BUILDING MAINTENANCE 155281 1 6499762 83276 676439 6583038 MEDICAID 621400 7336471 7336471 MEDICARE 621400 1702204 1702204 PHARMACY REVENUE 621400 1370666 1370666 SELF PAY 621400 254977 254977 THIRD-PARTY PAYORS 621400 134278 134278 10798596 768 768 25831 0 25831 25831 25831 WOMEN'S HEALTH DSS INCENTIVE PROG 900099 11919 11919 USAC REIMBURSEMENT 900099 6127 6127 MC REPORT REIMBURSEMENT 900099 3205 3205 79218 79218 100469 17508702 10899065 0 26599 481283 336898 144385 11176711 7823697 3353014 308287 215801 92486 642388 449672 192716 2357164 1650015 707149 71391 71391 72909 72909 756017 660591 95426 300 300 118329 82830 35499 986789 779564 207225 504395 399416 104979 14371 10060 4311 63389 31695 31694 4970 3479 1491 797384 582090 215294 176428 128792 47636 DONATED VACCINES 676439 676439 MEDICAL SUPPLIES 565600 565600 EQUIP RENTAL & MAINT. 452711 330479 122232 139394 97876 41518 20366649 14825294 5541355 0 5846016 4021420 1403868 1152824 237892 287105 960395 1023024 520039 493687 24632203 16730661 8610825 7901542 26128 33267 729139 786887 15207 15207 18349509 15714963 905811 1064854 36152 30653 745531 808249 1687494 1903756 X 16580972 13744101 81043 67106 16662015 13811207 18349509 15714963 -2857947 7139 0 X 0 1 X 1 1 1 X 7723168 9625720 10505074 9184061 6583038 43621061 7723168 9625720 10505074 9184061 6583038 43621061 43621061 27663 24987 23528 26369 26599 129146 99555 105947 61009 77215 100469 444195 44194402 57464008 0.98700 0.98840 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 29,353. 2021 AMOUNT: $ 70,183. 2022 AMOUNT: $ 25,842. 2023 AMOUNT: $ 48,094. 2024 AMOUNT: $ 79,218. MEDICARE COST REPORT REIMBURSEMENT - 2020 AMOUNT: $ 29,063. 2021 AMOUNT: $ 3,850. 2022 AMOUNT: $ 3,757. 2023 AMOUNT: $ 5,658. 2024 AMOUNT: $ 3,205. USAC REIMBURSEMENT - 2020 AMOUNT: $ 9,364. 2021 AMOUNT: $ 5,995. 2022 AMOUNT: $ 8,369. 2023 AMOUNT: $ 9,013. 2024 AMOUNT: $ 6,127. WOMENS HEALTH DSS INCENTIVE PROGRAM - 2020 AMOUNT: $ 31,775. 2021 AMOUNT: $ 25,919. 2022 AMOUNT: $ 23,041. 2023 AMOUNT: $ 14,450. 2024 AMOUNT: $ 11,919. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 133022 133022 20030205 12705421 7324784 4383307 3939571 443736 85669 85669 0 7901542 OPERATING LEASE LIABILITIES 808249 808249 X 17515841 7139 7139 17508702 0 17508702 20366649 0 20366649 0 20366649 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2021 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. X X 0 0 0 0 0 0 0 1 0 ZEEV HAREL DIR OF PEDIATRICS & ADOLESCENCE 240477 0 9653 0 1699 0 9005 0 21392 0 282226 0 0 0 GREGORY STANTON CHIEF EXECUTIVE OFFICER 251329 0 0 0 0 0 10030 0 13997 0 275356 0 0 0 AVINDER UPADHYAY DIRECTOR OF DENTAL 236336 0 7064 0 0 0 9736 0 1226 0 254362 0 0 0 ELKE WEBB STAFF PEDIATRICIAN 188707 0 5746 0 0 0 8130 0 21697 0 224280 0 0 0 DIANNA KULMACZ CHIEF FINANCIAL OFFICER 179142 0 0 0 0 0 3152 0 23633 0 205927 0 0 0 JEFFREY MARZIAN PODIATRIST 153542 0 0 0 0 0 3446 0 19539 0 176527 0 0 0 OLUBUKOLA AWE APRN 143476 0 0 0 0 0 5858 0 18978 0 168312 0 0 0 PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II, COLUMN B REPRESENTS BONUSES FOR HIGHLY COMPENSATED CLINICAL STAFFING, WHICH IS REFLECTED IN THE EMPLOYEES W-2'S. CONTRACT SPECIFICATIONS ALONG WITH PERFORMANCE METRICS ARE REVIEWED BY MANAGEMENT AND BONUSES CALCULATED. ALL BONUSES ARE APPROVED BY THE SENIOR MANAGEMENT TEAM OF THE ORGANIZATION. X 1 676349 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE DEPARTMENT ALONG WITH THE CEO REVIEWS THE FORM 990. AFTER APPROVAL FROM THE CEO AND SUBMISSION, IT IS THEN FORWARDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW. THE 990 IS THEN DISTRIBUTED TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C COMMUNITY HEALTH SERVICES, INC. REQUIRES THAT ALL EMPLOYEES AND BOARD MEMBERS SIGN A WRITTEN CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE CORPORATE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE TEAM WHICH MEETS ON A QUARTERLY BASIS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS, IN AN EXECUTIVE MEETING, DETERMINES THE COMPENSATION OF THE CEO. THEY USE A LOCAL NONPROFIT CEO COMPENSATION SURVEY AS A GUIDELINE. THE CEO DETERMINES THE COMPENSATION OF THE ORGANIZATION'S EMPLOYEES. HE IS GUIDED BY STATE AND NATIONAL GUIDELINES AND SURVEYS AS WELL AS A SURVEY DONE YEARLY FOR THE COMMUNITY HEALTH CENTERS IN CONNECTICUT BY THE COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT. FORM 990, PART VI, SECTION C, LINE 19 COMMUNITY HEALTH SERVICES' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.