2019-03-07T13:19:13-05:00 2018-06-30 061354191 VISCONTI & ASSOCIATES PC 444 FOXON ROAD East Haven CT 06513 990 2017-07-01 223036666 COMMUNITY HEALTH CENTER ASSOC OF CONNECTICUT INC COMM 1484 HIGHLAND AVE CHESHIRE CT 06410 KENNETH LALIME CHIEF EXECUTIVE 8606677820 2018-10-24 true JOHN VISCONTI P00027180 2038652927 2019-03-07 50.241.85.9 2019-03-07 14:32:10 06311020190663vnppub 2019-03-07 P D0A7E69E58C2BDF0EADB7712E93059EB58EEED10 D0A7E69E58C2BDF0EADB7712E93059EB58EEED10 2017 2019-02-21 02:37:17Z 8024251 false X WWW.CHCACT.ORG X 1989 CT 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. 17 17 56 0 0 9158254 8018952 0 598 5299 0 9158852 8024251 0 0 2750998 2778529 0 0 6319915 5057980 9070913 7836509 87939 187742 3167610 2601322 2039591 1285561 1128019 1315761 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. false false 6890775 PROVIDED TECHNICAL AND EDUCATIONAL ASSISTANCE TO COMMUNITY HEALTH CENTERS IN CONNECTICUT. 6890775 true true false true false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false true false false false false false true false false false true 42 0 true 56 true false false false false false false false false false false X 17 17 false false false false true true false true true false false true true true true true true true true false CT X X DEBORAH AMODIO-GROSS 8606677820 1484 HIGHLAND AVE SUITE 2 CHESHIRE CT 06410 JAMES H MALONEY ESQ PRESIDENT 1.00 0.00 X X 0 0 0 CRAIG GLOVER VICE PRESIDENT 1.00 0.00 X X 0 0 0 JOANNE BORDUAS SECRETARY 1.00 0.00 X X 0 0 0 SUZANNE LAGARDE MD TREASURER 1.00 0.00 X X 0 0 0 SUSAN WALKAMA MEMBER AT LARGE 1.00 0.00 X X 0 0 0 KIMBERLY L BEAUREGARD DIRECTOR 1.00 0.00 X 0 0 0 DR DOUGLAS BRUCE DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER GRANGER DIRECTOR 1.00 0.00 X 0 0 0 EUGENE MARKET DIRECTOR 1.00 0.00 X 0 0 0 NICHELLE MULLINS DIRECTOR 1.00 0.00 X 0 0 0 ARVIND SHAW DIRECTOR 1.00 0.00 X 0 0 0 LUDWIG SPINELLI DIRECTOR 1.00 0.00 X 0 0 0 GREGORY STANTON DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL TAYLOR DIRECTOR 1.00 0.00 X 0 0 0 DONALD THOMPSON DIRECTOR 1.00 0.00 X 0 0 0 DENNIS TORRES DIRECTOR 1.00 0.00 X 0 0 0 KATHERINE YACAVONE DIRECTOR 1.00 0.00 X 0 0 0 KENNETH LALIME CEO 37.50 0.00 X 17152 0 33 DEBORAH AMODIO GROSS CFO 37.50 0.00 X 110366 0 23732 MOLLIE MELBOURNE COO 37.50 0.00 X 139995 0 36586 RUSSELL DEXTER CIO 37.50 0.00 X 115112 0 19006 ROBERT RIOUX NETWORK DIRECTOR 37.50 0.00 X 127791 0 21590 DEBRA POLUN SENIOR DIRECTOR POLICY & OUTR 37.50 0.00 X 95102 0 9117 HEATHER ADAMS SENIOR CLINICAL EXCELLENCE QU 37.50 0.00 X 109846 0 12193 EVELYN BARNUM FORMER CEO 37.50 0.00 X 172511 0 52504 887875 0 174761 6 true true false EHEALTHCONNECTICUT INC 10 COLUMBUS BLVD 9TH FL HARTFORD CT 06106 EDP SERVICES 137817 ARISTAMD INC 11099 N TORREY PINES ROAD SUITE 290 LA JOLLA CA 92037 CARE CONSULTANTS 254485 2 218138 7043619 757195 8018952 5299 5299 8024251 0 0 5299 686995 515247 171748 1569420 1290887 278533 522114 412617 109497 80009 65913 14096 115047 84880 30167 121544 64689 56855 27172 27172 CONTRACTUAL AGREEMENTS 3176690 3176690 CONSULTANTS & PROFESSIONAL 1295871 1086202 209669 CONSUMABLE SUPPLIES 136582 103494 33088 MISCELLANEOUS 24956 16840 8116 80109 73316 6793 7836509 6890775 945734 0 254171 90266 124097 745272 1563584 650484 26505 14503 24148 9782 1483299 392284 1175105 1091015 3167610 2601322 1239498 532183 142926 175369 657167 578009 2039591 1285561 X 1128019 1315761 1128019 1315761 3167610 2601322 187742 0 X false true X true true true X 4962778 5210817 7852043 9075424 7771943 34873005 4962778 5210817 7852043 9075424 7771943 34873005 5912639 28960366 3121 2866 702 598 5299 12586 176182 238921 280558 82830 247009 1025500 35911091 0.80640 0.96860 X Other income Part II line 10 or Part III line 12 CONTRACTED SERVICE REVENUE2013 AMOUNT: $ 176,1822014 AMOUNT: $ 238,9212015 AMOUNT: $ 280,5582016 AMOUNT: $ 82,8302017 AMOUNT: $ 247,009 78473 78473 7758036 7836509 541825 135456 421253 554303 541434 541825 2058815 3088223 53042 69784 55329 78473 256628 105313 138576 135359 135456 514704 772056 1094865 131850 963015 388434 260434 128000 1091015 X 8024251 8024251 8024251 7836509 7836509 7836509 Footnote for uncertain tax position under FIN 48 (Part X) MANAGEMENT IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS TAKEN BY CHCACT. THE TAX YEARS ENDED JUNE 30, 2015 THROUGH JUNE 30, 2018 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. X true true X X X false true false false false false false false false EVELYN BARNUM FORMER CEO 172511 52504 225015 MOLLIE MELBOURNE COO 139995 36586 176581 Benefit information (Part I, line 1a) WRITTEN POLICY REGARDING TAX INDEMNIFICATION ADHERED TO BY MANAGEMENT. EVELYN BARNUM CEO FORMER CEO WAS ON THE BOARD OF CHN NONE OF SIGN false General Explanation Attachment BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: EVELYN BARNUM, FORMER 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. Members or stockholder classes and rights Part VI line 6 FIFTEEN MEMBERS OF TEH 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 CHIEF FINANCIAL OFFICER 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 CFO, CIO, 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 CFO, CIO, 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. COMMUNITY HEALTH NETWORK OF CT - 11 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 061429341 ADMINISTRATIVE SERVICES ORGANIZATION FOR MEDICAID POPULATION CT 501C4 N/A false