COMMUNITY HEALTH NETWORK OF CONNECTICUT INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH NETWORK OF CONNECTICUT INC (EIN 06-1429341)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201403219349306060
- Schema version
- 2013v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T13:18:47-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061648707 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIONDELLA MILONE & LASARACINA LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WINDING BROOK DRIVE | AddressLine1 |
| City | GLASTONBURY | City |
| State | CT | State |
| ZIP Code | 06033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061429341 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH NETWORK OF CONNECTICUT INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2039494000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 FAIRFIELD BOULEVARD | AddressLine1 |
| City | WALLINGFORD | City |
| State | CT | State |
| ZIP Code | 06492 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | IBRAHIM BENITEZ | PersonNm |
| Person Title | SENIOR VICE PRESIDENT AND CFO | PersonTitleTxt |
| Phone | 2039494118 | PhoneNum |
| Signature | 2014-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00635577 | PTIN |
| Phone | 8606573651 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | IBRAHIM BENITEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 FAIRFIELD BOULEVARD | AddressLine1 |
| City | WALLINGFORD | City |
| State | CT | State |
| ZIP Code | 06492 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $69,054,742 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.CHNCT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION IMPROVES THE HEALTH OF THE RESIDENTS OF CONNECTICUT AND PROMOTES THE AVAILABILITY OF HIGH-QUALITY, COMPREHENSIVE, COST-EFFECTIVE HEALTH CARE SERVICES TO A CHARITABLE POPULATION OF OVER HALF A MILLION CONNECTICUT RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 525 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $52,814,127 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $68,915,106 | CYProgramServiceRevenueAmt |
| PY Investment Income | $85,432 | PYInvestmentIncomeAmt |
| CY Investment Income | $53,586 | CYInvestmentIncomeAmt |
| PY Other Revenue | $83,589 | PYOtherRevenueAmt |
| CY Other Revenue | $86,050 | CYOtherRevenueAmt |
| PY Total Revenue | $52,983,148 | PYTotalRevenueAmt |
| CY Total Revenue | $69,054,742 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,400,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,818,374 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,793,080 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,482,799 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,746,795 | PYOtherExpensesAmt |
| CY Other Expenses | $26,464,775 | CYOtherExpensesAmt |
| PY Total Expenses | $47,939,875 | PYTotalExpensesAmt |
| CY Total Expenses | $65,765,948 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,043,273 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,288,794 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $47,822,341 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,534,133 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,606,618 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,529,616 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $34,215,723 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $34,004,517 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION IMPROVES THE HEALTH OF THE RESIDENTS OF CONNECTICUT AND PROMOTES THE AVAILABILITY OF HIGH-QUALITY, COMPREHENSIVE, COST-EFFECTIVE HEALTH CARE SERVICES TO A CHARITABLE POPULATION OF OVER HALF A MILLION CONNECTICUT RESIDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | -$3,630,629 | ExpenseAmt |
| Revenue | $174,224 | RevenueAmt |
| Desc | HEALTH CARE PROGRAMS, GENERAL/OTHER: COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. PROVIDES HEALTH CARE SERVICES AND DISEASE MANAGEMENT SERVICES TO MEDICAID RECIPIENTS AND ADMINISTERS HEALTH CARE SERVICES TO STATE GENERAL ASSISTANCE RECIPIENTS THROUGH A STATEWIDE NETWORK COMPRISED OF FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS AND A FULL SCOPE OF OTHER CONTRACTED HEALTH CARE PRACTITIONERS AND INSTITUTIONAL PROVIDERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $65,677,602 | ExpenseAmt |
| Grant | $18,374 | GrantAmt |
| Revenue | $68,741,932 | RevenueAmt |
| Desc | CONNECTICUT MEDICAID MEDICAL ADMINISTRATIVE SERVICES PROGRAM: THROUGH ITS MEDICAID MEDICAL ADMINISTRATIVE SERVICES PROGRAM, CHNCT PROVIDES MEDICAL ADMINISTRATIVE SERVICES TO OVER 650,000 UNDERSERVED AND VULNERABLE MEMBERS OF CONNECTICUT'S MEDICAID POPULATION WHO PARTICIPATE IN THE CONNECTICUT DEPARTMENT OF SOCIAL SERVICES' HUSKY HEALTH PROGRAM AND CHARTER OAK HEALTH PLAN. THIS PROGRAM PROMOTES AND IMPROVES THE HEALTH OF MEMBERS OF CONNECTICUT'S MOST VULNERABLE AND UNDERSERVED POPULATIONS. THROUGH THIS PROGRAM, CHNCT PROVIDES A COMPREHENSIVE ARRAY OF SERVICES IN MANAGING CHRONIC CONDITIONS, PROMOTING WELL CARE/PREVENTION, PROVIDING DIRECT SUPPORT TO INDIVIDUALS AND FAMILIES AND PROVIDERS, AND INTEGRATING AND ANALYZING DATA FROM MULTIPLE SOURCES.KEY OBJECTIVES OF THIS PROGRAM INCLUDE:IMPROVING QUALITY OF CARE AND HEALTH CARE OUTCOME FOR INDIVIDUALS SERVED BY CONNECTICUT'S MEDICAID PROGRAM WHILE DRIVING DOWN THE COST OF CARE THROUGH BETTER MANAGEMENT OF SERVICE UTILIZATION;PROVIDING UNINTERRUPTED AND SEAMLESS SERVICES TO MEMBERS OF CONNECTICUT'S MEDICAID POPULATION AND THE NETWORK OF HEALTH CARE PROVIDERS WHO SERVE SUCH POPULATION; ANDDERIVING INTELLIGENCE FROM OUR COMPREHENSIVE REPOSITORY OF CLAIMS AND CLINICAL INFORMATION TO OPTIMALLY MANAGE MEDICAL EXPENSES AND UTILIZATION.CHNCT IS DEDICATED TO SERVING MEMBERS OF THIS VULNERABLE AND UNDERSERVED POPULATION WITH THEIR DESIRE TO IMPROVE HEALTH OUTCOMES, DEVELOP MEDICAL SELF-MANAGEMENT SKILLS AND IMPROVE MEDICATION MANAGEMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,800,000 | ExpenseAmt |
| Grant | $2,800,000 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM: THROUGH ITS ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM, CHNCT MAKES CHARITABLE GRANTS TO ORGANIZATIONS THAT ARE EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.THE ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM IS DESIGNED TO AFFORD CHNCT'S FOUNDING FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SITES AN OPPORTUNITY TO REQUEST FUNDING FOR PROJECT AND/OR FACILITY IMPROVEMENTS THAT WOULD ENHANCE ACCESS TO CARE AT THESE LOCATIONS. EACH OF THESE FQHCS IS A TAX-EXEMPT CHARITABLE ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.THE INITIATIVES THAT QUALIFY FOR AN ENVIRONMENTAL SUPPORT CHARITABLE GRANT MUST BE RELATED TO:EXPANDING ACCESS TO HEALTHCARE;EMERGENCY ROOM DIVERSION;SPECIALTY SERVICE/ACCESS TO SPECIALTY CARE;HELPING WITH MEDICAL HOME MODEL INITIATIVES;IMPLEMENTING MEANINGFUL USE INITIATIVES; AND/ORFQHC FACILITY IMPROVEMENTS.DURING 2013, CHNCT MADE GRANTS OF $400,000 TO EACH OF ITS SEVEN FOUNDING TAX-EXEMPT 501(C)(3) FQHCS FOR A TOTAL OF $2,800,000 IN CHARITABLE GRANTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $64,846,973 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 77 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 525 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINA BLANEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2039494117 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 FAIRFIELD BOULEVARD | AddressLine1 |
| City | WALLINGFORD | City |
| State | CT | State |
| ZIP Code | 06492 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ANTOINETTE D'ALMEIDA | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| LUDWIG SPINELLI | ||||||||
| CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CARL MIKOLOWSKY | ||||||||
| TREASURER/SECRETARY/BOARD | 0.50 | Yes (X) | $1,702 | $0 | $0 | |||
| SYLVIA B KELLY | ||||||||
| EXEC DIRECTOR/CEO/VICE CHAIR | 40.00 | Yes (X) | $486,842 | $0 | $35,152 | Yes (X) | ||
| JOHN H SENECHAL MD | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $3,084 | $0 | $0 | |||
| IBRAHIM BENITEZ | ||||||||
| SR. VICE PRESIDENT/CFO | 40.00 | $290,088 | $0 | $29,984 | Yes (X) | |||
| CORY LUDINGTON | ||||||||
| VICE PRESIDENT | 40.00 | $217,546 | $0 | $14,370 | Yes (X) | |||
| GAIL DIGIOIA | ||||||||
| VICE PRESIDENT | 40.00 | $232,506 | $0 | $27,153 | Yes (X) | |||
| JAMES KARL | ||||||||
| VICE PRESIDENT | 40.00 | $225,070 | $0 | $27,477 | Yes (X) | |||
| JOHN FEDERICO | ||||||||
| SR. VICE PRESIDENT | 40.00 | $377,665 | $0 | $29,001 | Yes (X) | |||
| JOHN KAUKAS | ||||||||
| VICE PRESIDENT | 40.00 | $250,269 | $0 | $28,028 | Yes (X) | |||
| MARY ANN CYR | ||||||||
| VICE PRESIDENT | 40.00 | $286,786 | $0 | $11,116 | Yes (X) | |||
| ANNISE CARO | ||||||||
| DIRECTOR | 40.00 | $151,303 | $0 | $15,983 | Yes (X) | |||
| VENICE FRANCIS-CHURILOV | ||||||||
| DIRECTOR | 40.00 | $150,678 | $0 | $12,447 | Yes (X) | |||
| ROBERTA GELLER | ||||||||
| DIRECTOR | 40.00 | $152,541 | $0 | $17,882 | Yes (X) | |||
| AIDINHA BLANEY | ||||||||
| DIRECTOR OF FINANCE | 40.00 | $151,283 | $0 | $25,731 | Yes (X) | |||
| TRACY CENTOLA | ||||||||
| DIRECTOR | 40.00 | $138,733 | $0 | $21,194 | Yes (X) | |||
| DEBORAH AMATO | ||||||||
| DIRECTOR | 40.00 | $131,023 | $0 | $25,109 | Yes (X) | |||
| MARY KRENTZMAN | ||||||||
| DIRECTOR | 40.00 | $141,486 | $0 | $19,680 | Yes (X) | |||
| RAY CONNELLY | ||||||||
| DIRECTOR | 40.00 | $131,432 | $0 | $25,323 | Yes (X) | |||
| PETER ROSARIO | ||||||||
| DIRECTOR | 40.00 | $138,684 | $0 | $2,260 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,658,721 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $367,890 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARE TO CARE LLC | |||||
| 755 SECOND AVE 2ND FLOOR | NEW YORK | NY | 10017 | IMAGING RADIOLOGY BENEFIT MGMT | $1,756,486 |
| HTMS AND EMDEON COMPANY | |||||
| PO BOX 572490 | SALT LAKE CITY | UT | 84157 | IT CONSULTING | $538,454 |
| CERVALIS LLC | |||||
| 4 ARMSTRONG RD | SHELTON | CT | 06484 | DISASTER RECOVERY SERVICES | $239,574 |
| KPMG LLP | |||||
| DEPT 0511 PO BOX 120511 | DALLAS | TX | 75312 | AUDIT/ACCOUNTING SERVICES | $227,497 |
| QUALITY MECHANICAL SERVICES LLC | |||||
| PO BOX 186 | TORRINGTON | CT | 06790 | HEATING & AIR CONDITIONING SERVICES | $215,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| ASO REVENUE | $68,298,477 | $68,298,477 |
| REWARDS TO QUIT PROGRAM | $342,999 | $342,999 |
| SAGA - ASO REVENUE | $191,929 | $191,929 |
| GRANT FUNDS - AQG | $64,343 | $64,343 |
| GRANT FUNDS - HCCN | $35,063 | $35,063 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$17,705 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$17,705 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $68,915,106 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,586 | TotalRevenueColumnAmt |
| Exclusion | $53,586 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $85,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $85,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,000 | TotalRevenueColumnAmt |
| Exclusion | $85,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Total Revenue Column | $1,050 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,050 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,050 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,054,742 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $68,916,156 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $138,586 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,812,845 | TotalAmt |
| Program Services | $2,812,845 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,529 | TotalAmt |
| Program Services | $5,529 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,977,363 | TotalAmt |
| Program Services | $2,977,363 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,030,408 | TotalAmt |
| Program Services | $25,671,277 | ProgramServicesAmt |
| Management And General | $359,131 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $571,338 | TotalAmt |
| Program Services | $564,549 | ProgramServicesAmt |
| Management And General | $6,789 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,631,925 | TotalAmt |
| Program Services | $4,572,915 | ProgramServicesAmt |
| Management And General | $59,010 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,271,765 | TotalAmt |
| Program Services | $2,244,751 | ProgramServicesAmt |
| Management And General | $27,014 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,320 | TotalAmt |
| Program Services | $48,888 | ProgramServicesAmt |
| Management And General | $161,432 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,321 | TotalAmt |
| Program Services | $151,321 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,643 | TotalAmt |
| Management And General | $37,643 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,503,709 | TotalAmt |
| Program Services | $3,297,412 | ProgramServicesAmt |
| Management And General | $206,297 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,505 | TotalAmt |
| Program Services | $2,343 | ProgramServicesAmt |
| Management And General | $1,162 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,994,221 | TotalAmt |
| Program Services | $2,984,075 | ProgramServicesAmt |
| Management And General | $10,146 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,088,177 | TotalAmt |
| Program Services | $8,088,177 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,281,557 | TotalAmt |
| Program Services | $1,281,557 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,681 | TotalAmt |
| Program Services | $120,343 | ProgramServicesAmt |
| Management And General | $5,338 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,314 | TotalAmt |
| Program Services | $166,906 | ProgramServicesAmt |
| Management And General | $1,408 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,856,011 | TotalAmt |
| Program Services | $2,856,011 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,768 | TotalAmt |
| Program Services | $443,768 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MCKESSON | $6,152,111 | $6,152,111 | |
| CARE TO CARE | $1,759,986 | $1,759,986 | |
| VALUE OPTIONS | $1,678,519 | $1,678,519 | |
| OTHER | $453,662 | $410,057 | $43,605 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$3,443,730 | TotalAmt |
| Program Services | -$3,443,730 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,765,948 | TotalAmt |
| Program Services | $64,846,973 | ProgramServicesAmt |
| Management And General | $918,975 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,851,343 | BOYAmt |
| EOY | $29,096,315 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,457,589 | BOYAmt |
| EOY | $1,942,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,168,889 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,552,291 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,724,525 | BOYAmt |
| EOY | $9,616,598 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,005,530 | BOYAmt |
| EOY | $6,156,424 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,783,354 | BOYAmt |
| EOY | $2,722,631 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,822,341 | BOYAmt |
| EOY | $49,534,133 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,686,061 | BOYAmt |
| EOY | $8,905,279 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,920,557 | BOYAmt |
| EOY | $6,624,337 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,606,618 | BOYAmt |
| EOY | $15,529,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,984 | BOYAmt |
| EOY | $748,984 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,466,739 | BOYAmt |
| EOY | $33,255,533 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,215,723 | BOYAmt |
| EOY | $34,004,517 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,822,341 | BOYAmt |
| EOY | $49,534,133 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,288,794 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $100,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,600,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $412,300 | InvestmentCostOrOtherBasisAmt |
| Book Value | $412,300 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,764,984 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $871,692 | DepreciationAmt |
| Book Value | $1,893,292 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,981,787 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,311,418 | DepreciationAmt |
| Book Value | $1,670,369 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $10,153,966 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $5,171,458 | DepreciationAmt |
| Book Value | $4,982,508 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,855,852 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,197,723 | DepreciationAmt |
| Book Value | $658,129 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,616,598 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSIT | $30,013 |
| PREPAID EXPENSES | $2,692,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,722,631 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FUNDS HELD FOR R2Q, SAGA AND PIHP PROGRAMS | $207,535 |
| ACCOUNTS PAYABLE - DSS ASO | $6,416,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,624,337 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $69,223,961 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $169,219 | OtherRevenueAmt |
| Revenue Not Reported | $169,219 | RevenueNotReportedAmt |
| Revenue Subtotal | $69,054,742 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $69,054,742 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $65,960,156 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $194,208 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $194,208 | ExpensesNotReportedAmt |
| Expenses Subtotal | $65,765,948 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $65,765,948 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE COMPANY FOLLOWS THE GUIDANCE OF ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR INCOME TAXES (ASC 740), RELATED TO UNCERTAINTIES IN INCOME TAXES, WHICH PRESCRIBES A THRESHOLD OF MORE LIKELY THAN NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY BELIEVES IT HAS TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHN FOUNDATION REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS NET OF IN-KIND CONTRIBUTIONS FROM CHN FOR INTER-COMPANY EXPENSES $440,077; CHN FOUNDATION FORM 990-PF FILED SEPARATELY UNDER EIN: 20-0395748 |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHN FOUNDATION EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS NET OF IN-KIND CONTRIBUTIONS FROM CHN FOR INTER-COMPANY EXPENSES $440,077; CHN FOUNDATION FORM 990-PF FILED SEPARATELY UNDER EIN: 20-0395748 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| STAYWELL HEALTH CARE INC | |||||||
| 80 PHOENIX AVENUE SUITE 201 | WATERBURY | CT | 06702 | 223160873 | 501(C)(3) | $400,000 | THE ENVIRONMENTAL SUPPORT PROGRAM HAS AS ITS PRIMARY FOCUS, THE ENHANCEMENT OF HEALTH CARE DELIVERY PROVIDED TO CHNCT MEMBERS AND THEIR FAMILIES WHO ARE DEPENDENT UPON THESE SITES AS THEIR MEDICAL HOME. |
| OPTIMUS HEALTH CARE INC | |||||||
| 982 EAST MAIN STREET | BRIDGEPORT | CT | 06608 | 060972166 | 501(C)(3) | $400,000 | THE ENVIRONMENTAL SUPPORT PROGRAM HAS AS ITS PRIMARY FOCUS, THE ENHANCEMENT OF HEALTH CARE DELIVERY PROVIDED TO CHNCT MEMBERS AND THEIR FAMILIES WHO ARE DEPENDENT UPON THESE SITES AS THEIR MEDICAL HOME. |
| CHARTER OAK HEALTH CENTER | |||||||
| 21 GRAND STREET | HARTFORD | CT | 06106 | 060986747 | 501(C)(3) | $400,000 | THE ENVIRONMENTAL SUPPORT PROGRAM HAS AS ITS PRIMARY FOCUS, THE ENHANCEMENT OF HEALTH CARE DELIVERY PROVIDED TO CHNCT MEMBERS AND THEIR FAMILIES WHO ARE DEPENDENT UPON THESE SITES AS THEIR MEDICAL HOME. |
| FAIR HAVEN COMMUNITY HEALTH CLINIC INC | |||||||
| 374 GRAND AVENUE | NEW HAVEN | CT | 06513 | 060883545 | 501(C)(3) | $400,000 | THE ENVIRONMENTAL SUPPORT PROGRAM HAS AS ITS PRIMARY FOCUS, THE ENHANCEMENT OF HEALTH CARE DELIVERY PROVIDED TO CHNCT MEMBERS AND THEIR FAMILIES WHO ARE DEPENDENT UPON THESE SITES AS THEIR MEDICAL HOME. |
| GENERATIONS FAMILY HEALTH CENTER INC | |||||||
| 40 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 223158253 | 501(C)(3) | $400,000 | THE ENVIRONMENTAL SUPPORT PROGRAM HAS AS ITS PRIMARY FOCUS, THE ENHANCEMENT OF HEALTH CARE DELIVERY PROVIDED TO CHNCT MEMBERS AND THEIR FAMILIES WHO ARE DEPENDENT UPON THESE SITES AS THEIR MEDICAL HOME. |
| CORNELL SCOTT - HILL HEALTH CORP | |||||||
| 400 COLUMBUS AVENUE | NEW HAVEN | CT | 06519 | 060870990 | 501(C)(3) | $400,000 | THE ENVIRONMENTAL SUPPORT PROGRAM HAS AS ITS PRIMARY FOCUS, THE ENHANCEMENT OF HEALTH CARE DELIVERY PROVIDED TO CHNCT MEMBERS AND THEIR FAMILIES WHO ARE DEPENDENT UPON THESE SITES AS THEIR MEDICAL HOME. |
| SOUTHWEST COMMUNITY HEALTH CENTER INC | |||||||
| 46 ALBION STREET | BRIDGEPORT | CT | 06605 | 061023013 | 501(C)(3) | $400,000 | THE ENVIRONMENTAL SUPPORT PROGRAM HAS AS ITS PRIMARY FOCUS, THE ENHANCEMENT OF HEALTH CARE DELIVERY PROVIDED TO CHNCT MEMBERS AND THEIR FAMILIES WHO ARE DEPENDENT UPON THESE SITES AS THEIR MEDICAL HOME. |
| COMMUNITY HEALTH CENTER INC | |||||||
| 635 MAIN STREET | MIDDLETOWN | CT | 064572718 | 060897105 | N/A | $6,615 | A STIPEND IS PAID TO HEALTH CENTERS FOR EACH MEMBER THAT ENROLLS IN THE REWARDS TO QUIT PROGRAM WHICH ASSISTS MEMBERS IN QUITTING SMOKING. THEY ARE PAID $35 PER MEMBER ENROLLED. |
| (no name) | |||||||
| THE PURPOSE OF THE GRANT WAS TO PROVIDE THE FUNDS FOR CHN HOLDINGS TO PURCHASE THE PROPERTY LOCATED AT 4 FAIRFIELD BOULEVARD, WALLINGFORD, CT. | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PREPAID DEBIT CARDS ISSUED TO MEMBERS WHEN THEY SIGN UP FOR REWARDS TO QUIT PROGRAM | GrantTypeTxt |
| Recipient | 79 | RecipientCnt |
| Cash Grant | $5,529 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM: THROUGH ITS ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM, CHNCT MAKES CHARITABLE GRANTS TO ORGANIZATIONS THAT ARE EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM IS DESIGNED TO AFFORD CHNCT'S FOUNDING FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SITES AN OPPORTUNITY TO REQUEST FUNDING FOR PROJECT AND/OR FACILITY IMPROVEMENTS THAT WOULD ENHANCE ACCESS TO CARE AT THESE LOCATIONS. EACH OF THESE FQHCS IS A TAX-EXEMPT CHARITABLE ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INITIATIVES THAT QUALIFY FOR AN ENVIRONMENTAL SUPPORT CHARITABLE GRANT MUST BE RELATED TO: EXPANDING ACCESS TO HEALTHCARE; EMERGENCY ROOM DIVERSION; SPECIALTY SERVICE/ACCESS TO SPECIALTY CARE; HELPING WITH MEDICAL HOME MODEL INITIATIVES; IMPLEMENTING MEANINGFUL USE INITIATIVES; AND/OR FQHC FACILITY IMPROVEMENTS. DURING 2013, CHNCT MADE GRANTS OF $400,000 TO EACH OF ITS SEVEN FOUNDING TAX-EXEMPT 501(C)(3) FQHCS FOR A TOTAL OF $2,800,000 IN CHARITABLE GRANTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SYLVIA B KELLY | ||||||||||||||
| EXEC DIRECTOR/CEO/VICE CHAIR | $401,795 | $0 | $85,047 | $0 | $0 | $0 | $0 | $0 | $35,152 | $0 | $521,994 | $0 | $0 | $0 |
| IBRAHIM BENITEZ | ||||||||||||||
| SR. VICE PRESIDENT/CFO | $243,432 | $0 | $46,656 | $0 | $0 | $0 | $0 | $0 | $29,984 | $0 | $320,072 | $0 | $0 | $0 |
| CORY LUDINGTON | ||||||||||||||
| VICE PRESIDENT | $170,168 | $0 | $47,378 | $0 | $0 | $0 | $0 | $0 | $14,370 | $0 | $231,916 | $0 | $0 | $0 |
| GAIL DIGIOIA | ||||||||||||||
| VICE PRESIDENT | $185,136 | $0 | $47,370 | $0 | $0 | $0 | $0 | $0 | $27,153 | $0 | $259,659 | $0 | $0 | $0 |
| JAMES KARL | ||||||||||||||
| VICE PRESIDENT | $178,125 | $0 | $46,945 | $0 | $0 | $0 | $0 | $0 | $27,477 | $0 | $252,547 | $0 | $0 | $0 |
| JOHN FEDERICO | ||||||||||||||
| SR. VICE PRESIDENT | $330,709 | $0 | $46,956 | $0 | $0 | $0 | $0 | $0 | $29,001 | $0 | $406,666 | $0 | $0 | $0 |
| JOHN KAUKAS | ||||||||||||||
| VICE PRESIDENT | $202,888 | $0 | $47,381 | $0 | $0 | $0 | $0 | $0 | $28,028 | $0 | $278,297 | $0 | $0 | $0 |
| MARY ANN CYR | ||||||||||||||
| VICE PRESIDENT | $231,688 | $0 | $55,098 | $0 | $0 | $0 | $0 | $0 | $11,116 | $0 | $297,902 | $0 | $0 | $0 |
| ANNISE CARO | ||||||||||||||
| DIRECTOR | $146,413 | $0 | $4,890 | $0 | $0 | $0 | $0 | $0 | $15,983 | $0 | $167,286 | $0 | $0 | $0 |
| VENICE FRANCIS-CHURILOV | ||||||||||||||
| DIRECTOR | $145,788 | $0 | $4,890 | $0 | $0 | $0 | $0 | $0 | $12,447 | $0 | $163,125 | $0 | $0 | $0 |
| ROBERTA GELLER | ||||||||||||||
| DIRECTOR | $144,391 | $0 | $8,150 | $0 | $0 | $0 | $0 | $0 | $17,882 | $0 | $170,423 | $0 | $0 | $0 |
| AIDINHA BLANEY | ||||||||||||||
| DIRECTOR OF FINANCE | $151,283 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,731 | $0 | $177,014 | $0 | $0 | $0 |
| TRACY CENTOLA | ||||||||||||||
| DIRECTOR | $138,733 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,194 | $0 | $159,927 | $0 | $0 | $0 |
| DEBORAH AMATO | ||||||||||||||
| DIRECTOR | $131,023 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,109 | $0 | $156,132 | $0 | $0 | $0 |
| MARY KRENTZMAN | ||||||||||||||
| DIRECTOR | $141,486 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,680 | $0 | $161,166 | $0 | $0 | $0 |
| RAY CONNELLY | ||||||||||||||
| DIRECTOR | $131,432 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,323 | $0 | $156,755 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A SINGLE CLASS OF MEMBERS. THE SOLE MEMBER IN THAT CLASS IS COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC., A CONNECTICUT NONSTOCK CORPORATION ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. MORE SPECIFICALLY, COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC., THE ORGANIZATION'S SOLE MEMBER, HAS THE POWER TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO THE MEMBER. MORE SPECIFICALLY, COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC., THE ORGANIZATION'S SOLE MEMBER, HAS THE EXCLUSIVE POWER TO AMEND THE BYLAWS OF THE ORGANIZATION. IN ADDITION, IN ACCORDANCE WITH SUCH BYLAWS, THE ORGANIZATION'S SOLE MEMBER HAS APPROVAL RIGHT WITH RESPECT TO THE ORGANIZATION'S ABILITY TO (I) ADOPT OR MODIFY THE ORGANIZATION'S MISSION STATEMENT, (II) ADOPT OR MODIFY THE ORGANIZATION'S BUDGETS, (III) APPROVE SIGNIFICANT BORROWINGS, (IV) HIRE THE ORGANIZATION'S PRESIDENT, (V) APPROVE SIGNIFICANT CHANGES IN THE ORGANIZATION'S ACTIVITIES, (VI) ACQUIRE OR DISPOSE OF SIGNIFICANT ASSETS, (VII) FILE FOR BANKRUPTCY, AND (VIII) AMEND THE CERTIFICATE OF INCORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE DIRECTOR OF FINANCE AND THE CFO REVIEWED THE FORM 990 BEFORE IT WAS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANNUAL INTERESTS THAT COULD GIVE RISE TO CONFLICTS TO THE COMPLIANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE VICE PRESIDENT OF HUMAN RESOURCES COMPILES SURVEYS AND COMPARABLE DATA TO DETERMINE COMPENSATION. THE BOARD APPROVES THE CEO'S SALARY AND BONUSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, THESE DOCUMENTS WOULD BE MADE AVAILABLE ON THE PREMISES OF THE COMPANY'S CORPORATE LOCATION FOR REVIEW BY THE PUBLIC. |
| FORM 990, PART VII | ANTOINETTE D'ALMEIDA - 177 ALLEN STREET, WATERBURY, CT 06706. LUDWIG SPINELLI - 982 EAST MAIN STREET, BRIDGEPORT, CT 06608. CARL MIKOLOWSKY - 43 GRANITE COURT, COLCHESTER, CT 06415. JOHN H. SENECHAL, M.D. - 19 JOE SABBATH DRIVE, TOLLAND, CT 06084. |
| FORM 990, PART VII, SECTION A, LINE 1A, COLUMN E | REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS - THE ORGANIZATION ATTEMPTED TO SECURE THE REPORTABLE COMPENSATION OF THE BOARD MEMBERS FROM THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. THEY WERE UNABLE TO GET THIS COMPENSATION INFORMATION TO REPORT ON THE FORM 990. |
| FORM 990, PART XI, LINE 9: | DISTRIBUTION TO SOLE MEMBER, CHNCT HOLDINGS, INC., A 501(C)(3) ORGANIZATION -3,600,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| STAYWELL HEALTH CARE INC | |||||||||||
| 80 PHOENIX AVENUE | WATERBURY | CT | 06702 | 223160873 | MEDICAL CLINIC, HEALTHY START, DENTAL CLINIC, PRENATAL, GYN, BEHAVORIAL HLTH | CT | 501(C)(3) | LINE 7 | N/A | 0 | |
| OPTIMUS HEALTH CARE INC | |||||||||||
| 982 EAST MAIN STREET | BRIDGEPORT | CT | 06608 | 060972166 | PROVIDES PRIMARY CARE SERVICES TO LOW INCOME AND DISADVANTAGED INDIVIDUALS | CT | 501(C)(3) | LINE 7 | N/A | 0 | |
| CHARTER OAK HEALTH CENTER | |||||||||||
| 21 GRAND STREET | HARTFORD | CT | 06106 | 060986747 | PROVIDES HEALTH SERVICES TO MEDICALLY UNDERSERVED AND PERSONS OF ALL AGES | CT | 501(C)(3) | LINE 7 | N/A | 0 | |
| FAIR HAVEN COMMUNITY HEALTH CLINIC INC | |||||||||||
| 374 GRAND AVENUE | NEW HAVEN | CT | 06513 | 060883545 | PROVIDES HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED IN NEW HAVEN AREA | CT | 501(C)(3) | LINE 9 | N/A | 0 | |
| GENERATIONS FAMILY HEALTH CENTER INC | |||||||||||
| 40 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 223158253 | PROVIDES HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS | CT | 501(C)(3) | LINE 7 | N/A | 0 | |
| CORNELL SCOTT-HILL HEALTH CORP | |||||||||||
| 400 COLUMBUS AVENUE | NEW HAVEN | CT | 06519 | 060870990 | PROVIDES MEDICAL, BEHAVORIAL HEALTH, DENTAL, AND PREVENTION SERVICES | CT | 501(C)(3) | LINE 7 | N/A | 0 | |
| SOUTHWEST COMMUNITY HEALTH CENTER INC | |||||||||||
| 46 ALBION STREET | BRIDGEPORT | CT | 06605 | 061023013 | OFFERS PRIMARY HEALTH CARE SERVICES TO THE GREATER BRIDGEPORT AREA | CT | 501(C)(3) | LINE 7 | N/A | 0 | |
| COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC | |||||||||||
| 11 FAIRFIELD BOULEVARD | WALLINGFORD | CT | 06492 | 200395748 | SUPPORTS NONPROFIT ACTIVITIES OF COMMUNITY HEALTH CENTERS AND NONPROFIT ORGS | CT | 501(C)(3) | LINE 7 | Yes (1) | COMMUNITY HEALTH NETWORK OF CONNECTICUT INC | |
| COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC | |||||||||||
| 11 FAIRFIELD BOULEVARD | WALLINGFORD | CT | 06492 | 455239655 | SUPPORTS T/E ACTIVITIES OF CHNCT THRU STRATEGIC PLNG & FACILITY MAINTENANCE | CT | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionTypeTxt |
| Involved | $440,361 | InvolvedAmt |