2025-11-13T19:32:26-05:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 831838249 CARING COMMUNITY HEALTH CENTER % MICHAEL PENDAL CARI 5705018638 175 S WILKES-BARRE BOULEVARD WILKESBARRE PA 187025040 MICHAEL PENDAL CFO 5705018638 2025-10-15 true ROBERT W FRIZ P00438748 2673303000 2025-10-07 2024 2025-03-06 01:10:19Z COMMUNITYCARE KATHRYN HALL 175 S WILKES-BARRE BOULEVARD WILKESBARRE PA 187025040 26721750 false X PACOMMUNITYCARE.ORG X 2018 PA SEE SCHEDULE O 11 11 20 13 0 0 4788954 7174269 13596800 19419851 74959 101920 272182 25710 18732895 26721750 0 0 0 0 1925306 2323593 0 0 0 16347592 25520701 18272898 27844294 459997 -1122544 10959616 16265471 4657722 11086121 6301894 5179350 X SEE SCHEDULE O false false 25786751 0 19444651 CARING COMMUNITY HEALTH CENTER (CCHC) WAS ESTABLISHED TO OPERATE A PRIMARY CARE MEDICAL CLINIC IN THE COMMUNITIES OF WILKES-BARRE, HAZLETON AND SCRANTON, PENNSYLVANIA, FOCUSING ON SERVING THE UNINSURED AND MEDICAID-INSURED POPULATIONS OF THOSE COMMUNITIES. THANKS TO THE START-UP DONATIONS AND FUNDING IT RECEIVED, CCHC APPLIED FOR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOK-ALIKE STATUS AND WAS APPROVED BY THE HEALTH RESOURCES & SERVICE ADMINISTRATION (HRSA) EFFECTIVE FOR JANUARY 2021. FQHCS ARE COMMUNITY-BASED AND PATIENT-DIRECTED ORGANIZATIONS THAT DELIVER COMPREHENSIVE, CULTURALLY COMPETENT, HIGH-QUALITY PRIMARY HEALTH CARE SERVICES. FQHCS ALSO OFTEN INTEGRATE ACCESS TO PHARMACY, MENTAL HEALTH, SUBSTANCE USE DISORDER, AND ORAL HEALTH SERVICES IN AREAS WHERE ECONOMIC, GEOGRAPHIC, OR CULTURAL BARRIERS LIMIT ACCESS TO AFFORDABLE HEALTH CARE SERVICES. FQHCS DELIVER CARE TO A COMMUNITY'S MOST VULNERABLE INDIVIDUALS AND FAMILIES, INCLUDING PEOPLE EXPERIENCING HOMELESSNESS, AGRICULTURAL WORKERS, RESIDENTS OF PUBLIC HOUSING, AND VETERANS. CCHC WILL CONTINUE TO MEET HRSA'S REGULATORY REQUIREMENTS IN ORDER TO MAINTAIN ITS FQHC LOOK-ALIKE STATUS AND WILL LOOK TO EXPAND ITS SERVICE AREA AND PROGRAMMING TO PROVIDE PRIMARY HEALTH CARE SERVICES TO THE PATIENT POPULATIONS IT SERVES. DURING 2021, CCHC PERFORMED MULTIPLE COVID VACCINE OUTREACH CLINICS WITH THE GOAL OF REACHING OUR VULNERABLE POPULATION. VACCINES WERE ADMINISTERED AT A HISPANIC COMMUNITY CENTER FOCUSING ON OUR HISPANIC POPULATION. ALSO, OF LARGE FOCUS WAS ADMINISTERING BOOSTER VACCINES TO OUR ELDERLY POPULATIONS WHO HAVE LIMITED OR NO TRANSPORTATION. THEREFORE, OUTREACH CLINICS WERE CONDUCTED AT LOCAL CENTERS FOR THE AREA ON AGING. CCHC ALSO CONDUCTED AN IN-HOUSE FAMILY VACCINE CLINIC WITH WHICH WE WERE ABLE TO DEDICATE STAFF TO SOLELY ADMINISTERING THE COVID VACCINE FOR INDIVIDUALS OF FIVE YEARS AND OLDER. AT EACH VACCINE OUTREACH CLINIC, STAFF HAD PROVIDED EDUCATION, LOCATIONS, AND THE LATEST CDC GUIDELINES REGARDING TESTING OPPORTUNITIES AND WHEN TESTING IS WARRANTED. IN ADDITION TO PERFORMING OUTREACH CLINICS, SEVERAL CCHC STAFF JOINED FORCES WITH SEVERAL LOCAL UNIVERSITIES AND THE LOCAL CHAPTER OF THE NAACP TO CONDUCT A ZOOM SESSION TITLED DEBUNKING THE COVID VACCINE MYTH. THIS ZOOM SESSION WAS LARGELY SUCCESSFUL REACHING AREA UNIVERSITY STUDENTS AND GENERAL MINORITY POPULATIONS. DURING 2022, CCHC CONTINUED THEIR OBJECTIVES TO REDUCE COVID SPREAD BY OFFERING COVID VACCINES FOR ALL AGES AND ON-DEMAND TESTING. VACCINES AND TESTING WERE EXTENDED INTO OUR EXPRESS CARE, AND WE'VE CONTINUED OUR COLLABORATION WITH THE LUZERNE COUNTY BRANCH OF DEPARTMENT OF HEALTH, ADMINISTERING VACCINES AND TESTING AT COMMUNITY HEALTH FAIRS. A COLLABORATION WAS ESTABLISHED WITH THE LOCAL CHAPTER OF AMERICAN HEART ASSOCIATION FOR DISTRIBUTING BLOOD PRESSURE CUFFS FOR PATIENTS DIAGNOSED WITH HYPERTENSION. THIS ALLOWS HOME MONITORING AND REPORTING BACK TO THE PROVIDER FOR CLOSER MONITORING AND TREATMENT. POST-COVID HAS SEEN THE INCREASE IN DEPRESSION AMONGST OUR PATIENTS. CCHC OBTAINED IPADS THAT ALLOWS PATIENTS TO COMPLETE DEPRESSION AND SOCIAL SCREENINGS PRIOR TO THEIR EXAM. IPAD SCREENING HAS ALLOWED A DRAMATIC INCREASE IN IDENTIFYING PATIENTS SUFFERING FROM ANXIETY AND DEPRESSION. LASTLY, CCHC HAS INITIATED A PROJECT WITH EXACT SCIENCE FOR IN-CLINIC DISTRIBUTION OF KITS TO PATIENTS IN NEED OF COLON-RECTAL SCREENING. THROUGHOUT THE NATION, THIS PROJECT IS UNIQUE TO CCHC. PROCESSES WERE ALSO DEVELOPED TO RETURN THE KITS TO THE CLINICS, ALREADY RESULTING IN AN INCREASE OF COMPLETED KITS. THIS PROJECT REMAINS ONGOING. DURING 2023, CCHC CONTINUED ITS MISSION TO SERVE THE UNDERINSURED, NON-ENGLISH SPEAKING POPULATION OF LUZERNE COUNTY. CCHC HAS COLLABORATED WITH THE HAZLETON INTEGRATION PROJECT (HIP) TO PROVIDE LOCAL SCHOOL-AGE CHILDREN WITH SCHOOL-REQUIRED VACCINES AND INTRODUCE THEM TO PRIMARY CARE. OUR EFFORTS HAVE RESULTED IN OVER 45 STUDENTS REMAINING IN SCHOOL FOR FULFILLING STATE, VACCINE REQUIREMENTS. INVOLVEMENT WITH THE HIP HAS ALSO ESTABLISHED A COLLABORATION FOR A HTN PROJECT WITH OUR HISPANIC POPULATION. THROUGH THIS PROJECT, MORE OF THE SURROUNDING PATIENT POPULATION HAVE BEEN CONNECTED TO PRIMARY CARE SERVICES RELATED TO OUTREACH EVENTS PERFORMING BLOOD PRESSURE MONITORING. IN THE PRIOR YEAR, CCHC COLLABORATED WITH EXACT SCIENCES TO INCREASE EFFORTS OF COLORECTAL CANCER (CRC), SCREENING FOR AGE-ELIGIBLE PATIENTS. PROCESSES OF IN-CLINIC KIT DISTRIBUTION AND RETURNS WERE INCORPORATED INTO THE EVERYDAY OPERATIONS OF CLINIC VISITS. THIS ALLOWED A SIGNIFICANT INCREASE IN PATIENTS BEING SCREENED ALONG WITH THE NECESSARY GASTROENTEROLOGY REFERRAL FOR THOSE PATIENTS WITH POSITIVE RESULTS. AN EXTENSION OF THE PROJECT TARGETED OUR AFRICAN AMERICAN POPULATION, KNOWN FOR ITS HIGHER INCIDENCE OF CRC AND INCREASED MORTALITY RELATED TO CRC. CCHC HAS ALSO COLLABORATED WITH THE LOCAL AGENCIES FOR WOMEN'S DRESS FOR SUCCESS. THIS PROGRAM UTILIZES SUPPORT EFFORTS AIMED AT BREAKING DOWN OBSTACLES FOR EMPLOYMENT. OUR CLINIC HAS HOSTED SEVERAL MEETINGS WITH PATIENTS AS PARTICIPANTS AND BOARD MEMBER INVOLVEMENT. LASTLY, CCHC HAS INCREASED PATIENT ACCESS TO SEVERAL OF OUR SERVICES. THIS WAS ACCOMPLISHED IN 2023 WITH THE ADDITION OF THREE FAMILY PRACTICE PROVIDERS, TWO PEDIATRICIANS, ONE BEHAVIORAL HEALTH SPECIALIST AND FOUR MID-LEVEL PROVIDERS FOR OUR URGENT CARE CENTERS. DURING 2024, ONE OF CCHC'S MAJOR ACCOMPLISHMENTS WAS THE ADDITION OF A THIRD SERVICE SITE IN LACKAWANNA COUNTY, A NEIGHBORING COUNTY TO OUR TWO EXISTING CLINICS IN LUZERNE COUNTY. WITH THIS ADDITION, CCHC WAS ABLE TO INCREASE ITS SERVICE TO 19,200 UNIQUE INDIVIDUALS ACCORDING TO OUR UNIFORM DATA SYSTEM (UDS) STATISTICS. ADDING TO THE SUCCESS OF INCREASING APPOINTMENT AVAILABILITY, CCHC ACQUIRED TWO PHYSICIANS AND SIX ADVANCED PRACTICE PROVIDERS (APPS) TO COMPLIMENT THE CONCEPT OF CARE TEAMS, NOT ONLY INCREASING ACCESS BUT ALSO PROVIDING CONTINUITY OF CARE. IN CONJUNCTION, CCHC HAS OPENED A NEW EXPRESS CARE WALK IN CLINIC AT THE SCRANTON SERVICE SITE, OFFERING INCREASED ACCESS FOR ACUTE NEEDS WITH THE OBJECTIVE OF DECREASING ED UTILIZATION. THROUGH SUCCESSFUL RECRUITING, CCHC HAS DEVELOPED A ROBUST BEHAVIORAL HEALTH (BH) PROGRAM WITH THE ADDITION OF TWO PSYCHIATRISTS AND ONE LICENSED SOCIAL WORKER. THIS HAS PROVEN SUCCESSFUL IN PROVIDING MENTAL HEALTH SERVICES FOR THE EVER-INCREASING DEMAND FOR APPOINTMENTS. PATIENTS ARE OFFERED THE OPTION OF IN-PERSON VISITS ALONG WITH CONTINUED EFFORTS TO REACH PATIENTS VIA TELEHEALTH VISITS. CCHC CONTINUES TO COLLABORATE WITH SURROUNDING COMMUNITIES AND OUTREACH PROGRAMS. ONE HUGELY SUCCESSFUL PROGRAM HAS BEEN OUR COLLABORATION WITH HAZLETON INTEGRATION PROJECT (HIP) HOLDING BLOOD PRESSURE SCREENINGS. THROUGH THESE SCREENINGS, INDIVIDUALS IDENTIFIED WITH HYPERTENSION (HTN) HAVE BEEN ESTABLISHED WITH PRIMARY CARE AT OUR HAZLETON CLINIC. IN ADDITION, CCHC IS ALIGNING WITH THE AMERICAN MEDICAL ASSOCIATION (AMA) TO HEIGHTEN AWARENESS AND TREATMENT OF HTN, FOLLOWING A PROGRAM OF IDENTIFYING PATIENTS, PROVIDING TREATMENT ACCORDING TO THE STANDARD OF CARE, HAVING FREQUENT TOUCH BASES WITH PATIENTS, INCLUDING ONSITE BP CHECKS, AND ULTIMATELY PROVIDING PATIENT EDUCATION THAT INCLUDES HOME-MONITORING. UNCOMPENSATED CARE CHARITY CARE THE PRIMARY CONCERN OF CCHC IS THE DELIVERY OF HEALTHCARE TO ALL CITIZENS OF NORTHEASTERN PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. CCHC OFFERS A SLIDING FEE DISCOUNT PROGRAM FOR PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS SLIDING FEE SCALE POLICY. THE SLIDING FEES ARE AMOUNTS LESS THAN ESTABLISHED RATES. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST CCHC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST OF THE CHARITY CARE WAS $290,888 DURING THE YEAR ENDED DECEMBER 31, 2024. MEDICARE/MEDICAID/OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, CCHC PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). CCHC PROVIDES CARE BELOW COST TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE, CCHC IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID, AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS $5,896,753 DURING THE YEAR ENDED DECEMBER 31, 2024. COMMUNITY SERVICE SUMMARY MEDICARE/MEDICAID/OTHER GOVERNMENTAL $ 6,680,412 CHARITY CARE $ 444,457 TOTAL $ 7,124,869 25786751 true true false true false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 9 0 true 20 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false PA X MICHAEL PENDAL 5705018638 175 S WILKES-BARRE BOULEVARD WILKESBARRE PA 18702 MICHAEL KOVALICK DO CMO 40.0 0.0 X 443231 0 24689 KATHRYN HALL EXECUTIVE DIRECTOR, CEO 40.0 0.0 X X 177741 0 39089 MICHAEL PENDAL CFO 40.0 0.0 X 147307 0 18255 DONNA TENEDIOS RN QUALITY, SAFETY COORDINATOR 40.0 0.0 X 109971 0 33328 KATHY LLOYD DIRECTOR 1.0 0.0 X 0 0 0 ROSSANNA GABRIEL DIRECTOR 1.0 0.0 X 0 0 0 DANIEL GAYDON DIRECTOR 1.0 0.0 X 0 0 0 DAVID BOLTON DIRECTOR 1.0 0.0 X 0 0 0 RON SIMON PRESIDENT, DIRECTOR 1.0 0.0 X X 0 0 0 ALMA MCGARRY DIRECTOR 1.0 0.0 X 0 0 0 REVEREND JAMES BREESE DIRECTOR 1.0 0.0 X 0 0 0 RUTH ABAD DIRECTOR 1.0 0.0 X 0 0 0 ANDREW CHECK TREASURER, DIRECTOR 1.0 0.0 X X 0 0 0 ANA MORROBEL DIRECTOR 1.0 0.0 X 0 0 0 JUSTINE CLAXTON DIRECTOR 1.0 0.0 X 0 0 0 MARY STRALKA VICE PRESIDENT, DIRECTOR 1.0 0.0 X X 0 0 0 MARIELY VALDEZ MD DIRECTOR 1.0 0.0 X 0 0 0 878250 0 115361 4 false true false GEISINGER CLINIC 100 N ACADEMY AVENUE Danville PA 17822 STAFFING SERVICES 18127439 GEISINGER SYSTEM SERVICES 100 N ACADEMY AVENUE Danville PA 17822 SUPPORT SERVICES 3158689 GEISINGER HEALTH PLAN 100 N ACADEMY AVENUE Danville PA 17822 CASE MANAGEMENT 752479 CLEANING TECHNOLOGIES INC PO BOX 30 DALLAS PA 18612 CLEANING SERVICES 150596 ADEST LAW PLLC 33 PARK CIRCLE CEDARHURST NY 11516 LEGAL SERVICES 132000 6 74265 7100004 7174269 HEALTHCARE 621110 19378049 19378049 RENTAL INCOME 531110 41802 41802 19419851 101920 101920 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE SERVICES 541900 24800 24800 VENDING COMMISSION 900099 910 910 25710 26721750 19402849 0 144632 X 0 0 0 0 845502 845502 0 1031445 706815 324630 50062 34306 15756 273591 187483 86108 122993 84283 38710 0 0 34945 34945 562 562 0 65796 65796 21217198 20868687 348511 0 20839 11927 8912 266867 262512 4355 7929 829 7100 0 1418867 1315573 103294 23933 2316 21617 0 0 0 0 789935 732428 57507 82069 82069 MEDICAL SUPPLIES 1580473 1579162 1311 BOOKS, LICENSES, FEES 11288 430 10858 27844294 25786751 2057543 0 33603 1100 4131644 4976181 70897 0 389456 2052506 0 0 0 0 0 0 0 0 52728 153504 12467029 3384849 6281288 9082180 0 0 0 0 0 0 0 0 0 0 10959616 16265471 1768735 4779723 0 0 47907 0 0 0 0 0 0 0 0 0 2697505 6028356 143575 278042 4657722 11086121 X 6301894 5179350 0 0 6301894 5179350 10959616 16265471 -1122544 X false true X true false X 8037812 6615593 5000183 4788954 7174269 31616811 3635049 10638048 12191959 13826870 19402849 59694775 77 25800 44589 42112 42712 155290 0 0 11672938 17279441 17236731 18657936 26619830 91466876 0 0 0 91466876 1 3426 15361 74959 101920 195667 0 1 3426 15361 74959 101920 195667 0 0 11672939 17282867 17252092 18732895 26721750 91662543 0.99787 0.99880 0.00214 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 562 562 false 0 SCHEDULE C, PART II-B, LINE 1 OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. 0 0 5802456 3731 5798725 4835366 2180610 2654756 1575593 1165795 409798 0 253614 34713 218901 9082180 0 PATIENT CREDIT BALANCE 278042 278042 26721750 26721750 26721750 27844294 27844294 27844294 X true true X X false false false false false false false false false MICHAEL KOVALICK DO CMO 396428 0 1750 0 45053 0 24306 0 383 0 467920 0 0 0 KATHRYN HALL EXECUTIVE DIRECTOR, CEO 167102 0 0 0 10639 0 9101 0 29988 0 216830 0 0 0 MICHAEL PENDAL CFO 143177 0 0 0 4130 0 7236 0 11019 0 165562 0 0 0 PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE BOARD OF DIRECTORS OR SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER CARING COMMUNITY HEALTH CENTER BUSINESS, FOR TAX CALCULATIONS. FORM 990, PART III - ORGANIZATION'S MISSION CARING COMMUNITY HEALTH CENTER DBA COMMUNITYCARE OPERATES TO: - IMPROVE THE HEALTH STATUS OF THE MEDICALLY UNDERSERVED INDIVIDUALS IN THE SERVICE AREA BY PROVIDING AFFORDABLE, COMPREHENSIVE AND HIGH QUALITY PRIMARY AND SPECIALTY MEDICAL CARE SERVICES, ENSURING THAT NO INDIVIDUAL IS DENIED CARE DUE TO INABILITY TO PAY. - RENDER DIGNIFIED, CULTURALLY SENSITIVE CARE IN A BARRIER FREE, PATIENT-CENTRIC ENVIRONMENT. - ASSURE AND PROMOTE AVAILABILITY AND ACCESSIBILITY OF HEALTHCARE SERVICES PROVIDED. - EDUCATE AND EMPOWER THE COMMUNITY ABOUT THE BENEFITS OF PREVENTIVE AND ROUTINE HEALTH CARE SERVICES TO PROMOTE AND ENCOURAGE PREVENTIVE HEALTH MAINTENANCE. - MONITOR THE HEALTH CARE NEEDS OF THE COMMUNITY AND INTEGRATE NEEDS ASSESSMENTS INTO SERVICE DELIVERY PLANNING TO MEET THE CHANGING NEEDS OF THE COMMUNITY. - WORK COOPERATIVELY WITH FEDERAL, STATE AND CITY AGENCIES TO ENSURE LEVERAGING OF RESOURCES AND MAXIMUM UTILIZATION AND BENEFITS TO MEET THE USER SERVICE AREA NEEDS. - NETWORK WITH OTHER COMMUNITY-BASED ORGANIZATIONS TO LINK PATIENTS WITH COMMUNITY RESOURCES AND SOCIAL SERVICES THAT SUPPORT WELLBEING. - EXECUTE OBJECTIVES IN A MORAL, ETHICAL, PROFESSIONAL AND FISCALLY RESPONSIBLE MANNER DEVOID OF DISCRIMINATORY PRACTICES. FORM 990, PART VI, LINE 11B - PROCESS TO REVIEW FORM 990 ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. THE ORGANIZATIONS' FORM 990 FILING IS REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY EXPERIENCED TAX AND FINANCIAL REPORTING PROFESSIONALS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER CONSULTANTS. THE CHIEF FINANCIAL OFFICER (CFO) REVIEWS THE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. FORM 990, PART VI, LINE 12B, 12C - ENFORCEMENT OF CONFLICTS POLICY THE GOVERNING BOARD, SENIOR MANAGEMENT, AND KEY EMPLOYEES OF CARING COMMUNITY HEALTH CENTER ARE SUBJECT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. AT LEAST ONCE A YEAR, THE GOVERNING BOARD, SENIOR MANAGERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURES ARE REVIEWED BY THE GOVERNING BOARD, OR COMMITTEE THEREOF. AFTER REVIEW OF ANY ACTUAL OR POTENTIAL DISCLOSABLE INTEREST, INPUT FROM AN ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. THE INDIVIDUAL WITH THE DISCLOSABLE INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PART VI, LINE 15A - PROCESS FOR REVIEWING COMPENSATION COMPENSATION INFORMATION IS GATHERED FROM THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) COMPENSATION AND BENEFITS SURVEY BASED ON THE REGION AND ANNUAL NET REVENUE OF THE ORGANIZATION. THIS INFOMRATION IS THEN MATCHED WITH EXPERIENCE AND PERFORMANCE TO ESTABLISH COMPENSATION. THE COMPENSATION OF ALL OFFICERS IS REVIEWED WITH THE CEO AS PART OF THE ANNUAL EVALUATION PROCESS. THE BUDGET SUBMISSION IS REVIEWED BY THE FINANCE COMMITTEE AND APPROVED BY THE ORGANIZATION'S GOVERNING BOARD. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE INFO FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:268425 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:150668 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED LABOR TOTAL FEES:17203937 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT MAINTENANCE TOTAL FEES:60643 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE PURCHASED SERVICES TOTAL FEES:815896 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPORT SERVICES TOTAL FEES:2717629