COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT INC (EIN 22-3036666)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-05-26
- IRS object ID
- 202031479349301163
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-26T12:44:39-04:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061354191 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VISCONTI & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 444 FOXON ROAD | AddressLine1Txt |
| City | EAST HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06513 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223036666 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER ASSOC OF CONNECTICUT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1484 HIGHLAND AVE | AddressLine1Txt |
| City | CHESHIRE | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06410 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KENNETH LALIME | PersonNm |
| Person Title | CHIEF EXECUTIVE | PersonTitleTxt |
| Phone | 8606677820 | PhoneNum |
| Signature | 2019-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN J VISCONTI | PreparerPersonNm |
| PTIN | P00027180 | PTIN |
| Phone | 2038652927 | PhoneNum |
| Preparation | 2020-05-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.241.85.9 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-05-26 | IPDt |
| IP Tm | 12:46:07 | IPTm |
| Federal Original Submission Id | 0631102020147300w23l | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-05-26 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E82E8152E470627D3ACE47169130F457F21489A5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E82E8152E470627D3ACE47169130F457F21489A5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,791,148 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHCACT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | T0 PROMOTE QUALITY HEALTH CARE AND SOCIAL SERVICES TO CONNECTICUTS UNDERSERVED POPULATION AND TO PROVIDE TECHNICAL AND EDUCATIONAL ASSISTANCE TO COMMUNITY HEALTH CENTERS IN CONNECTICUT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 73 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,018,952 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,778,265 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,299 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,883 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,024,251 | PYTotalRevenueAmt |
| CY Total Revenue | $7,791,148 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,778,529 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,931,966 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,057,980 | PYOtherExpensesAmt |
| CY Other Expenses | $4,654,768 | CYOtherExpensesAmt |
| PY Total Expenses | $7,836,509 | PYTotalExpensesAmt |
| CY Total Expenses | $7,586,734 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $187,742 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $204,414 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,601,322 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,067,482 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,285,561 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,547,307 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,315,761 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,520,175 | NetAssetsOrFundBalancesEOYAmt |
| Mission | T0 PROMOTE QUALITY HEALTH CARE AND SOCIAL SERVICES TO CONNECTICUTS UNDERSERVED POPULATION AND TO PROVIDE TECHNICAL AND EDUCATIONAL ASSISTANCE TO COMMUNITY HEALTH CENTERS IN CONNECTICUT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,534,991 | ExpenseAmt |
| Desc | PROVIDED TECHNICAL AND EDUCATIONAL ASSISTANCE TO COMMUNITY HEALTH CENTERS IN CONNECTICUT. | Desc |
| Total Program Service Expenses | $6,534,991 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 76 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 73 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIA MARROCCO CPA | PersonNm |
| Phone | 8606677820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1484 HIGHLAND AVE SUITE 2 | AddressLine1Txt |
| City | CHESHIRE | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06410 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| SUSAN WALKAMA | |||||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| EUGENE MARKET | |||||||||
| VICE PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOANNE BORDUAS | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUZANNE LAGARDE MD | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES MALONEY | |||||||||
| IMMEDIATE PAST PRESIDENT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KIMBERLY L BEAUREGARD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR DOUGLAS BRUCE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER GRANGER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| NICHELLE MULLINS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ARVIND SHAW | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LUDWIG SPINELLI | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY STANTON | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL TAYLOR | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DONALD THOMPSON | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS TORRES | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MOLLIE MELBOURNE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN GETTINGS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CRAIG GLOVER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH LALIME | |||||||||
| CEO | 37.50 | 0.00 | Yes (X) | $218,501 | $0 | $25,097 | |||
| RUSSELL DEXTER | |||||||||
| CIO | 37.50 | 0.00 | Yes (X) | $125,069 | $0 | $16,132 | |||
| ROBERT RIOUX | |||||||||
| NETWORK DIRECTOR | 37.50 | 0.00 | $133,031 | $0 | $23,439 | Yes (X) | |||
| HEATHER ADAMS | |||||||||
| SENIOR CLINICAL EXCELLENCE QU | 37.50 | 0.00 | $119,449 | $0 | $15,912 | Yes (X) | |||
| DEBORAH AMODIO GROSS | |||||||||
| FORMER CFO | 37.50 | 0.00 | $106,070 | $0 | $25,191 | Yes (X) | |||
| MOLLIE MELBOURNE | |||||||||
| FORMER COO | 37.50 | 0.00 | $131,052 | $0 | $29,854 | Yes (X) | |||
| DEBRA POLUN | |||||||||
| SENIOR DIRECTOR POLICY & OUTR | 37.50 | 0.00 | $102,447 | $0 | $8,450 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $935,619 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $144,075 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EHEALTHCONNECTICUT INC | |||||
| 10 COLUMBUS BLVD 9TH FL | HARTFORD | CT | 06106 | EDP SERVICES | $184,426 |
| SMC PARTNERS | |||||
| 10 COLUMBUS BLVD 9TH FL | HARTFORD | CT | 06106 | HEALTH CARE IT | $142,284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $206,400 | MembershipDuesAmt |
| Government Grants | $6,904,072 | GovernmentGrantsAmt |
| All Other Contributions | $667,793 | AllOtherContributionsAmt |
| Total Contributions | $7,778,265 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,883 | TotalRevenueColumnAmt |
| Exclusion | $12,883 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,791,148 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,883 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,692 | TotalAmt |
| Program Services | $435,520 | ProgramServicesAmt |
| Management And General | $145,172 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,788,306 | TotalAmt |
| Program Services | $1,477,255 | ProgramServicesAmt |
| Management And General | $311,051 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,968 | TotalAmt |
| Program Services | $437,989 | ProgramServicesAmt |
| Management And General | $124,979 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,770 | TotalAmt |
| Program Services | $64,670 | ProgramServicesAmt |
| Management And General | $45,100 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,553 | TotalAmt |
| Program Services | $153,111 | ProgramServicesAmt |
| Management And General | $25,442 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,528 | TotalAmt |
| Program Services | $64,653 | ProgramServicesAmt |
| Management And General | $57,875 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,893 | TotalAmt |
| Program Services | $3,878 | ProgramServicesAmt |
| Management And General | $17,015 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL AGREEMENTS | $2,804,583 | $2,804,583 | |
| CONSULTANTS & PROFESSIONAL | $1,182,265 | $945,615 | $236,650 |
| CONSUMABLE SUPPLIES | $145,140 | $81,203 | $63,937 |
| MISCELLANEOUS | $32,542 | $15,024 | $17,518 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,494 | TotalAmt |
| Program Services | $51,490 | ProgramServicesAmt |
| Management And General | $7,004 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,586,734 | TotalAmt |
| Program Services | $6,534,991 | ProgramServicesAmt |
| Management And General | $1,051,743 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,266 | BOYAmt |
| EOY | $634,136 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $745,272 | BOYAmt |
| EOY | $505,490 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,484 | BOYAmt |
| EOY | $917,350 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,503 | BOYAmt |
| EOY | $16,960 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,782 | BOYAmt |
| EOY | $3,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,501,833 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $511,887 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,091,015 | BOYAmt |
| EOY | $989,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,601,322 | BOYAmt |
| EOY | $3,067,482 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $532,183 | BOYAmt |
| EOY | $726,613 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,369 | BOYAmt |
| EOY | $324,258 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $578,009 | BOYAmt |
| EOY | $496,436 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,285,561 | BOYAmt |
| EOY | $1,547,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,315,761 | BOYAmt |
| EOY | $1,520,175 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,315,761 | BOYAmt |
| EOY | $1,520,175 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,601,322 | BOYAmt |
| EOY | $3,067,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $204,414 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,210,817 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,852,043 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,075,424 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,771,943 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,402,656 | CurrentTaxYearAmt |
| Total | $37,312,883 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,210,817 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,852,043 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,075,424 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,771,943 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,402,656 | CurrentTaxYearAmt |
| Total | $37,312,883 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $37,312,883 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $702 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $598 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,299 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,883 | CurrentTaxYearAmt |
| Total | $22,348 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $238,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $280,558 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $82,830 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $247,009 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $375,609 | CurrentTaxYearAmt |
| Total | $1,224,927 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $38,560,158 | TotalSupportAmt |
| Public Support CY170 | 0.96770 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97110 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Other income Part II line 10 or Part III line 12 | FormAndLineReferenceDesc |
| Explanation | CONTRACTED SERVICE REVENUE2014 AMOUNT: $ 238,9212015 AMOUNT: $ 280,5582016 AMOUNT: $ 82,8302017 AMOUNT: $ 247,0092018 AMOUNT: $ 375,609 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $64,182 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $64,182 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $7,522,552 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $7,586,734 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $529,337 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $132,334 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $554,303 | CurrentYearMinus3Amt |
| Current Year Minus2 | $541,434 | CurrentYearMinus2Amt |
| Current Year Minus1 | $541,825 | CurrentYearMinus1Amt |
| Current Year | $529,337 | CurrentYearAmt |
| Total | $2,166,899 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $3,250,349 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $69,784 | CurrentYearMinus3Amt |
| Current Year Minus2 | $55,329 | CurrentYearMinus2Amt |
| Current Year Minus1 | $78,473 | CurrentYearMinus1Amt |
| Current Year | $64,182 | CurrentYearAmt |
| Total | $267,768 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $138,576 | CurrentYearMinus3Amt |
| Current Year Minus2 | $135,359 | CurrentYearMinus2Amt |
| Current Year Minus1 | $135,456 | CurrentYearMinus1Amt |
| Current Year | $132,334 | CurrentYearAmt |
| Total | $541,725 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $812,588 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | General Explanation Attachment | FormAndLineReferenceDesc |
| Explanation | $64,422 WAS PAID TO A QUALIFYING CONSULTING FIRM FOR LOBBYING AND GOVERNMENTAL RELATIONS SERVICES RELATED TO THE MONITORING OF LEGISLATION THAT AFFECTS PRIMARY HEALTH CARE. THE REMAINING $1,760 REPRESENTS AN ALLOCATION OF STAFF WAGES FOR TIME SPENT ON SIMILAR ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,066,676 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $142,916 | DepreciationAmt |
| Book Value | $923,760 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $28,189 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $23,624 | DepreciationAmt |
| Book Value | $4,565 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $388,434 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $345,347 | DepreciationAmt |
| Book Value | $43,087 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $18,534 | InvestmentCostOrOtherBasisAmt |
| Book Value | $18,534 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $989,946 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,791,148 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,791,148 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,791,148 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,586,734 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,586,734 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,586,734 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Footnote for uncertain tax position under FIN 48 (Part X) | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS TAKEN BY CHCACT. THE TAX YEARS ENDED JUNE 30, 2016 THROUGH JUNE 30, 2019 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| KENNETH LALIME | |||
| CEO | $218,501 | $25,097 | $243,598 |
| DEBORAH AMODIO GROSS | |||
| FORMER CFO | $106,070 | $25,191 | $131,261 |
| MOLLIE MELBOURNE | |||
| FORMER COO | $131,052 | $29,854 | $160,906 |
| ROBERT RIOUX | |||
| NETWORK DIRECTOR | $133,031 | $23,439 | $156,470 |
| DEBRA POLUN | |||
| SENIOR DIRECTOR POLICY & OUTREACH | $102,447 | $8,450 | $110,897 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEN LALIME CEO | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | CEO IS ON THE BOARD OF CHN | RelationshipDescriptionTxt |
| Transaction | NONE OF SIGNIFICANCE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | General Explanation Attachment | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KEN LALIME, CEO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CEO IS ON THE BOARD OF CHN. CHCACT HAS NO CONTROL OR INTEREST IN CHN. (D) DESCRIPTION OF TRANSACTION: NONE OF SIGNIFICANCE | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Members or stockholder classes and rights Part VI line 6 | FIFTEEN MEMBERS OF THE ORGANIZATION ARE FEDERALLY QUALIFIED HEALTH CENTERS AND ONE MEMBER HAS FEDERALLY QUALIFIED LOOK A LIKE STATUS. ALL MEMBERS ARE LOCATED IN CONNECTICUT. |
| Member election for additional members Part VI line 7a | THE CHIEF EXECUTIVE OFFICER OF EACH OF ITS MEMBER HEALTH CENTERS IS A BOARD MEMBER OF CHCACT . |
| Form 990 governing body review Part VI line 11 | THE 990 RETURN IS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS. |
| Conflict of interest policy compliance Part VI line 12c | THE VP OF FINANCE IS RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE POLICY AND UPDATING RELATED DOCUMENTATION. |
| CEO executive director top management comp Part VI line 15a | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PREPARES A WRITTEN REVIEW OF THE CEOS PERFORMANCE EACH YEAR. THE COMMITTEE THEN USES THAT PERFORMANCE REVIEW, THE AGENCYS ESTABLISHED RANGES FOR THAT PAY GRADE LEVEL, AND AVAILABLE SALARY SURVEY RESOURCES TO DETERMINE THE CEOS COMPENSATION. THE CEO SIMILARLY DETERMINES THE COMPENSATION OF THE VP OF FINANCE, CQO, AND COO BASED ON AN ANNUAL WRITTEN PERFORMANCE REVIEW AND THE ESTABLISHED AGENCY PAY GRADE RANGES. |
| Other officer or key employee compensation Part VI line 15b | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PREPARES A WRITTEN REVIEW OF THE CEOS PERFORMANCE EACH YEAR. THE COMMITTEE THEN USES THAT PERFORMANCE REVIEW, THE AGENCYS ESTABLISHED RANGES FOR THAT PAY GRADE LEVEL, AND AVAILABLE SALARY SURVEY RESOURCES TO DETERMINE THE CEOS COMPENSATION. THE CEO SIMILARLY DETERMINES THE COMPENSATION OF THE VP OF FINANCE, CQO, AND COO BASED ON AN ANNUAL WRITTEN PERFORMANCE REVIEW AND THE ESTABLISHED AGENCY PAY GRADE RANGES. |
| Governing documents etc available to public Part VI line 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST WITH THE APPROVAL OF THE CHIEF EXECUTIVE OFFICER. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH NETWORK OF CT - | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 FAIRFIELD BOULEVARD | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061429341 | EIN |
| Primary Activities | ADMINISTRATIVE SERVICES ORGANIZATION FOR MEDICAID POPULATION | PrimaryActivitiesTxt |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Exempt Code Section | 501C4 | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |