2026-04-09T10:07:28-05:00 2025-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-07-01 842471177 CLINICAL HEALTH NETWORK FOR TRANSFORMATION INC CLIN 3463305095 390 NE 191ST STREET 8466 MIAMI FL 33179 DENISE JOHNSON VICE PRESIDENT OF FINANCE 3463305095 2026-04-07 1 1 KURT BENNION CPA P01469618 4252506100 2026-04-07 2024 2025-03-06 01:10:19Z ZARI WATKINS 390 NE 191ST STREET 8466 MIAMI FL 33179 33787162 0 X WWW.CLINICALHEALTHNETWORK.ORG X 2019 DE TO PROVIDE SUPPORT SERVICES FOR CHN MEMBERS. 9 9 452 12 0 0 102348 279503 35453048 33366306 14006 141353 0 0 35569402 33787162 0 0 0 0 19793067 21693697 0 0 0 13674341 12442563 33467408 34136260 2101994 -349098 11943468 10480176 24218521 23104327 -12275053 -12624151 CHN'S MISSION IS TO PROVIDE SUPPORT SERVICES FOR CHN MEMBERS TO ALLOW MEMBERS TO FOCUS ON THEIR MISSIONS OF PROVIDING SUPERIOR PATIENT CARE. 0 0 33331061 0 33366306 CHN PROVIDES SUPPORT SERVICES FOR MEMBERS TO ALLOW MEMBERS TO FOCUS ON THEIR MISSIONS OF PROVIDING SUPERIOR PATIENT CARE. 33331061 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 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 0 0 0 0 1 25 0 452 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X THE ORGANIZATION 3463305095 390 NE 191ST STREET SITE 8466 MIAMI FL 33179 SAMANTHA PULLEN ACTING CEO (THROUGH MARCH 2025) 37.50 X 299841 0 13233 AARON CAINE CHIEF INFORMATION OFFICER 37.50 X 223503 0 36222 DENISE JOHNSON VICE PRESIDENT OF FINANCE 37.50 X 196451 0 24118 EBONY BROWN VP, REVENUE CYCLE 37.50 X 185138 0 15210 FRANCISCO UMANA ENGINEERING DIRECTOR 37.50 X 155944 0 39199 PHILIPPE AUGUSTE SR. DIRECTOR, CUSTOMER IT SERVICES 37.50 X 186351 0 2053 VICTORIA PARKS VICE PRESIDENT, ACCESS OPERATIONS 37.50 X 166778 0 21086 ERIN VELLELA VP OF PEOPLE EQUITY, INTERIM CEO (MAR - JUN 2025) 37.50 X 157175 0 18622 LEE ANN HEIM PATIENT ACCESS DIRECTOR 37.50 X 141732 0 31078 GLADYS-ELIZABETH TCHATAL-WILSON COMPLIANCE OFFICER 37.50 X 139369 0 27137 ZARI WATKINS JD MBA CEO (AS OF JUNE 2025) 37.50 X 0 0 0 EMILY WALES CHAIR 1.00 X X 0 0 0 EDGAR AVILA SECRETARY/TREASURER 1.00 X X 0 0 0 SUZANNE BERTULEIT DIRECTOR 1.00 X 0 0 0 SAGNIK BHATTACHARYA DIRECTOR 1.00 X 0 0 0 DESHA DICKSON DIRECTOR (THROUGH DEC 2024) 1.00 X 0 0 0 FRAN DIEHL DIRECTOR (THROUGH DEC 2024) 1.00 X 0 0 0 CHUCK FARKAS DIRECTOR 1.00 X 0 0 0 CAROL LANG DIRECTOR 1.00 X 0 0 0 WILLA MARTH DIRECTOR 1.00 X 0 0 0 KIANA TIPTON DIRECTOR 1.00 X 0 0 0 MANSI VASCONCELLOS DIRECTOR (THROUGH DEC 2024) 1.00 X 0 0 0 JEN WYLEGALA DIRECTOR 1.00 X 0 0 0 1852282 0 227958 20 0 1 0 APPSMART CSP INC PO BOX 532202 ATLANTA GA 303532202 SOFTWARE LICENSE MANAGMENT SERVICES 2267761 PC CONNECTION SALES CORPORATION 3332 PROGRESS WAY WILMINGTON OH 45177 EQUIPMENT DEPOT MANAGEMENT SERVICES 1081703 PALO ALTO NETWORKS FINANCIAL SERVICES IN 3000 TANNERY WAY SANTA CLARA CA 95054 INFORSEC SERVICES 1070529 RINGCENTRAL INC PO BOX 734232 DALLAS TX 753734232 IP PHONE SERVICES 857764 MED TECH SOLUTIONS PO BOX 748882 LOS ANGELES CA 900748882 DATA ARCHIVAL SERVICES 742408 19 279503 279503 SERVICES REVENUE 518210 33366306 33366306 33366306 141353 141353 33787162 33366306 0 141353 1065894 417799 648095 15853647 15853647 3380003 3380003 1394153 1384211 9942 483756 452279 31477 53113 49657 3456 807075 796055 11020 30051 29338 713 10122110 10114390 7720 20268 19646 622 5272 4929 343 512099 484316 27783 141109 131927 9182 TAXES 106655 106655 BANK FEES 103102 51551 51551 TALENT ACQUISITION 57324 54039 3285 MISCELLANEOUS EXPENSES 629 619 10 34136260 33331061 805199 0 6054366 6705884 3457368 2228183 379491 360026 2052243 1186083 11943468 10480176 3045933 2789564 70493 314763 21102095 20000000 24218521 23104327 X -12275053 -12624151 -12275053 -12624151 11943468 10480176 -349098 0 X 0 1 X 1 0 X 5075100 2839187 3470007 102348 279503 11766145 5075100 2839187 3470007 102348 279503 11766145 11766145 158 10 14006 141353 155527 98780 13543 112323 12033995 111619441 0.97770 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 33645809 0 33645809 141353 141353 33787162 34136260 0 34136260 0 34136260 PART X, LINE 2: THE ORGANIZATION IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER THE IRC AND IT IS SUBJECT TO FEDERAL INCOME TAX ONLY ON NET UNRELATED BUSINESS INCOME. THE ORGANIZATION CURRENTLY HAS NO UNRELATED BUSINESS INCOME. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 141,353. X X X 0 0 0 0 0 0 0 0 0 SAMANTHA PULLEN ACTING CEO (THROUGH MARCH 2025) 299841 0 0 0 0 0 9079 0 4154 0 313074 0 0 0 AARON CAINE CHIEF INFORMATION OFFICER 223503 0 0 0 0 0 6857 0 29365 0 259725 0 0 0 DENISE JOHNSON VICE PRESIDENT OF FINANCE 196451 0 0 0 0 0 5993 0 18125 0 220569 0 0 0 EBONY BROWN VP, REVENUE CYCLE 185138 0 0 0 0 0 0 0 15210 0 200348 0 0 0 FRANCISCO UMANA ENGINEERING DIRECTOR 155944 0 0 0 0 0 4868 0 34331 0 195143 0 0 0 PHILIPPE AUGUSTE SR. DIRECTOR, CUSTOMER IT SERVICES 186351 0 0 0 0 0 870 0 1183 0 188404 0 0 0 VICTORIA PARKS VICE PRESIDENT, ACCESS OPERATIONS 166778 0 0 0 0 0 0 0 21086 0 187864 0 0 0 ERIN VELLELA VP OF PEOPLE EQUITY, INTERIM CEO (MAR - JUN 2025) 157175 0 0 0 0 0 4189 0 14433 0 175797 0 0 0 LEE ANN HEIM PATIENT ACCESS DIRECTOR 141732 0 0 0 0 0 3707 0 27371 0 172810 0 0 0 GLADYS-ELIZABETH TCHATAL-WILSON COMPLIANCE OFFICER 139369 0 0 0 0 0 4464 0 22673 0 166506 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF 7 TO 9 DIRECTORS, INCLUDING THE BOARD CHAIR AND THE CHAIRS OF EACH BOARD COMMITTEE. THE EXECUTIVE COMMITTEE: (A) CONSULTS WITH THE BOARD CHAIR ON AGENDAS FOR BOARD MEETINGS; (B) OVERSEES THE CEO REVIEW PROCESS; (C) PROPOSES NOMINEES FOR MEMBER OF STANDING AND OTHER COMMITTEES AND THE CHAIRS THEREOF; (D) FULFILLS OTHER DUTIES DELEGATED TO IT BY THE BOARD OF DIRECTORS; AND (E) EXERCISES THE POWERS OF THE BOARD BETWEEN MEETINGS OF THE BOARD ONLY IN THOSE CIRCUMSTANCES WHERE THE EXECUTIVE COMMITTEE DETERMINES THAT THE INTERESTS OF THE ORGANIZATION WILL BE MATERIALLY ADVERSELY AFFECTED IF ACTION IS DELAYED UNTIL A MEETING OF THE BOARD IS CONVENED. IF THE EXECUTIVE COMMITTEE TAKES ANY SUCH ACTIONS, IT PROVIDES TO THE BOARD A REPORT OF SUCH CIRCUMSTANCES AND THE ACTION TAKEN. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO: (A) AUTHORIZE OR AMEND UNIVERSAL MEMBER MATERIAL CONTRACTS AND PAYOR CONTRACTS; (B) ADOPT OR AMEND MEMBER POLICIES AND PROCEDURES; (C) CHANGE THE FUNDS FLOW POLICY; (D) REQUIRE ADDITIONAL CONTRIBUTIONS FROM VOTING MEMBERS; (E) AMEND THE OPERATING AGREEMENT THAT INCREASES VOTING MEMBERS' FINANCIAL OBLIGATIONS TO THE ORGANIZATION; (F) MODIFY THE TERMS OF FINANCING FOR THE PORTION OF THE AGGREGATE START-UP BUDGET THAT THE VOTING MEMBERS DO NOT CONTRIBUTE; (G) TERMINATE THE ORGANIZATION IF IT HAS NOT RECEIVED THE CORPORATION INITIAL CONTRIBUTION (AS SUCH TERM IS DEFINED IN THE OPERATING AGREEMENT); (H) DISSOLVE THE ORGANIZATION; (I) AMEND THE ARTICLES OR BYLAWS; (J) AMEND THE OPERATING AGREEMENT; (K) MODIFY ANY OTHER ACTIONS TAKEN BY THE VOTING MEMBERS; (L) FILL VACANCES IN ANY COMMITTEE OF THE BOARD; (M) AMEND OR REPEAL ANY RESOLUTION OF THE BOARD THAT BY ITS TERMS IS NOT AMENDABLE OR REPEALABLE; (N) ADOPT A RESOLUTION RECOMMENDING TO THE VOTING MEMBERS ACTION ON THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS; (O) ELECT OR REMOVE OFFICERS OF THE BOARD FROM OFFICE; OR (P) APPOINT TO OFFICE OR REMOVE FROM OFFICE THE CHAIR, VICE CHAIR OR CEO. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERS CONSIST OF CERTAIN PLANNED PARENTHOOD AFFILIATES. AS OF JUNE 30, 2025, THE MEMBERS ARE: - PLANNED PARENTHOOD ARIZONA - PLANNED PARENTHOOD GREAT PLAINS - PLANNED PARENTHOOD OF GREATER NEW YORK - PLANNED PARENTHOOOD LEAGUE OF MASSACHUSETTS - PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND - PLANNED PARENTHOOD SOUTH, EAST AND NORTH FLORIDA - PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND - PLANNED PARENTHOOD SOUTHWEST OHIO FORM 990, PART VI, SECTION A, LINE 7A ALL DIRECTORS ARE ELECTED BY THE VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS AND DECISIONS ARE ONLY AUTHORIZED IF THEY ARE APPROVED BY THE REQUISITE VOTE OF THE VOTING MEMBERS: (A) PROPOSING AND APPROVING AMENDMENTS TO THE CERTIFICATE, OPERATING AGREEMENT, OR BYLAWS; (B) AMENDING OR ESTABLISHING MEMBER POLICIES AND PROCEDURES; (C) AMENDING THE FUNDS FLOW POLICY; (D) ESTABLISHING THE MEMBERSHIP CRITERIA; (E) UNTIL JUNE 30, 2022, APPROVING THE ADMISSION OF NEW MEMBERS; (F) ELECTING AND REMOVING DIRECTORS; (G) APPROVING THE ORGANIZATION'S STRATEGIC PLAN; (H) ESTABLISHING AND AMENDING THE STRATEGIC FUNDS GUIDELINES; (I) APPROVING STRATEGIC INITIATIVES THAT REQUIRE FUNDS THAT EXCEED THE AMOUNT AVAILABLE AT THE APPLICABLE TIME FROM MEMBERSHIP STRATEGIC CONTRIBUTIONS, AND APPROVING THE FINANCING METHODOLOGY FOR SUCH STRATEGIC INITIATIVES; (J) ELECTING THE GOVERNANCE COMMITTEE; (K) APPROVING THE DIRECTOR NOMINATIONS POLICY PROPOSED BY THE GOVERNANCE COMMITTEE; AND (L) ANY MATTER REQUIRING THE APPROVAL OF THE VOTING MEMBERS PURSUANT TO THE OPERATING AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CEO AND VICE PRESIDENT OF FINANCE, THEN A PUBLIC INSPECTION COPY OF THE FORM WAS REVIEWED BY THE FINANCE COMMITTEE AND WAS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ITS BOARD MEMBERS, COMMITTEE MEMBERS, AND OFFICERS. AN INDIVIDUAL WITH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE THE RELEVANT FACTS TO THE AUDIT AND COMPLIANCE COMMITTEE. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE AUDIT AND COMPLIANCE COMMITTEE AND/OR THE ORGANIZATION'S GENERAL COUNSEL MAKE THE DETERMINATION. CHN MAY ENTER A TRANSACTION THAT INVOLVES A CONFLICT OF INTEREST IF THE BOARD OR RELEVANT COMMITTEE DETERMINES BY MAJORITY VOTE THAT THE ARRANGEMENT IS FAIR AND REASONABLE TO THE ORGANIZATION AND IN ITS BEST INTEREST, THE ARRANGEMENT FURTHERS CHN'S MISSION, AND THE ARRANGEMENT DOES NOT RESULT IN PRIVATE INUREMENT. INDIVIDUALS WITH AN ACTUAL OR POTENTIAL CONFLICT MAY NOT BE PRESENT FOR VOTES OR DISCUSSIONS, EXECPT TO ANSWER QUESTIONS, AND ARE PROHIBITED FROM EXERTING INFLUENCE, DIRECTLY OR INDIRECTLY, WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT EXISTS AND WITH RESPECT TO ENTERING SUCH TRANSACTIONS. IF A PERSON FAILS TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT, THE BOARD OF DIRECTORS MAY TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION WAS DEVELOPED BY AGGREGATING SALARY DATA FROM SEVERAL SALARY SURVEYS: GALLAGHER MARKET ANALYSIS, WILLIS TOWERS WATSON MARKET ANALYSIS, ACEC CEO SURVEY, AND CHN AFFILIATE CEO SURVEY. THE COMPENSATION WAS REVIEWED AND APPROVED BY THE CHN CEO SEARCH COMMITTEE CO-CHAIRS AND BY THE BOARD CHAIR. THIS PROCESS WAS MOST RECENTLY COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 ARE AVAILABLE UPON REQUEST OR ON PUBLIC WEBSITES LIKE GUIDESTAR, PROPUBLICA AND CAUSEIQ. THE ORGANIZATION'S FORM 1023 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OPEN TO THE PUBLIC.