2014-11-17T13:18:47-06:00 2013-12-31 061648707 FIONDELLA MILONE & LASARACINA LLP 300 WINDING BROOK DRIVE GLASTONBURY CT 06033 990 2013-01-01 061429341 COMMUNITY HEALTH NETWORK OF CONNECTICUT INC COMM 2039494000 11 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 IBRAHIM BENITEZ SENIOR VICE PRESIDENT AND CFO 2039494118 2014-08-13 1 P00635577 8606573651 2013 2015-11-30 17:44:51Z IBRAHIM BENITEZ 11 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 69054742 0 X WWW.CHNCT.ORG X 1995 CT 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. 5 0 525 0 0 0 0 0 52814127 68915106 85432 53586 83589 86050 52983148 69054742 1400000 2818374 0 0 30793080 36482799 0 0 0 15746795 26464775 47939875 65765948 5043273 3288794 47822341 49534133 13606618 15529616 34215723 34004517 X 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. 0 0 -3630629 174224 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. 65677602 18374 68741932 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. 2800000 2800000 0 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. 64846973 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 77 0 1 525 1 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 X DINA BLANEY 2039494117 11 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 X ANTOINETTE D'ALMEIDA BOARD MEMBER 0.50 X 0 0 0 LUDWIG SPINELLI CHAIR 0.50 X 0 0 0 CARL MIKOLOWSKY TREASURER/SECRETARY/BOARD 0.50 X 1702 0 0 SYLVIA B KELLY EXEC DIRECTOR/CEO/VICE CHAIR 40.00 X X 486842 0 35152 JOHN H SENECHAL MD BOARD MEMBER 0.50 X 3084 0 0 IBRAHIM BENITEZ SR. VICE PRESIDENT/CFO 40.00 X 290088 0 29984 CORY LUDINGTON VICE PRESIDENT 40.00 X 217546 0 14370 GAIL DIGIOIA VICE PRESIDENT 40.00 X 232506 0 27153 JAMES KARL VICE PRESIDENT 40.00 X 225070 0 27477 JOHN FEDERICO SR. VICE PRESIDENT 40.00 X 377665 0 29001 JOHN KAUKAS VICE PRESIDENT 40.00 X 250269 0 28028 MARY ANN CYR VICE PRESIDENT 40.00 X 286786 0 11116 ANNISE CARO DIRECTOR 40.00 X 151303 0 15983 VENICE FRANCIS-CHURILOV DIRECTOR 40.00 X 150678 0 12447 ROBERTA GELLER DIRECTOR 40.00 X 152541 0 17882 AIDINHA BLANEY DIRECTOR OF FINANCE 40.00 X 151283 0 25731 TRACY CENTOLA DIRECTOR 40.00 X 138733 0 21194 DEBORAH AMATO DIRECTOR 40.00 X 131023 0 25109 MARY KRENTZMAN DIRECTOR 40.00 X 141486 0 19680 RAY CONNELLY DIRECTOR 40.00 X 131432 0 25323 PETER ROSARIO DIRECTOR 40.00 X 138684 0 2260 3658721 0 367890 17 0 1 0 CARE TO CARE LLC 755 SECOND AVE 2ND FLOOR NEW YORK NY 10017 IMAGING RADIOLOGY BENEFIT MGMT 1756486 HTMS AND EMDEON COMPANY PO BOX 572490 SALT LAKE CITY UT 84157 IT CONSULTING 538454 CERVALIS LLC 4 ARMSTRONG RD SHELTON CT 06484 DISASTER RECOVERY SERVICES 239574 KPMG LLP DEPT 0511 PO BOX 120511 DALLAS TX 75312 AUDIT/ACCOUNTING SERVICES 227497 QUALITY MECHANICAL SERVICES LLC PO BOX 186 TORRINGTON CT 06790 HEATING & AIR CONDITIONING SERVICES 215894 5 ASO REVENUE 68298477 68298477 REWARDS TO QUIT PROGRAM 342999 342999 SAGA - ASO REVENUE 191929 191929 GRANT FUNDS - AQG 64343 64343 GRANT FUNDS - HCCN 35063 35063 -17705 -17705 68915106 53586 53586 85000 0 85000 85000 85000 OTHER INCOME 1050 1050 1050 69054742 68916156 0 138586 2812845 2812845 5529 5529 2977363 2977363 26030408 25671277 359131 571338 564549 6789 4631925 4572915 59010 2271765 2244751 27014 210320 48888 161432 151321 151321 37643 37643 3503709 3297412 206297 3505 2343 1162 2994221 2984075 10146 8088177 8088177 1281557 1281557 125681 120343 5338 168314 166906 1408 2856011 2856011 443768 443768 MCKESSON 6152111 6152111 CARE TO CARE 1759986 1759986 VALUE OPTIONS 1678519 1678519 OTHER 453662 410057 43605 -3443730 -3443730 65765948 64846973 918975 0 28851343 29096315 1457589 1942165 18168889 8552291 8724525 9616598 6005530 6156424 2783354 2722631 47822341 49534133 6686061 8905279 6920557 6624337 13606618 15529616 X 748984 748984 0 0 33466739 33255533 34215723 34004517 47822341 49534133 X 3288794 100000 -3600000 X 0 1 X 1 0 412300 412300 2764984 871692 1893292 2981787 1311418 1670369 10153966 5171458 4982508 1855852 1197723 658129 9616598 SECURITY DEPOSIT 30013 PREPAID EXPENSES 2692618 2722631 FUNDS HELD FOR R2Q, SAGA AND PIHP PROGRAMS 207535 ACCOUNTS PAYABLE - DSS ASO 6416802 6624337 X 69223961 169219 169219 69054742 0 69054742 65960156 194208 194208 65765948 0 65765948 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 1 STAYWELL HEALTH CARE INC 80 PHOENIX AVENUE SUITE 201 WATERBURY CT 06702 223160873 501(C)(3) 400000 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) 400000 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) 400000 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) 400000 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) 400000 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) 400000 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) 400000 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 6615 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. THE PURPOSE OF THE GRANT WAS TO PROVIDE THE FUNDS FOR CHN HOLDINGS TO PURCHASE THE PROPERTY LOCATED AT 4 FAIRFIELD BOULEVARD, WALLINGFORD, CT. 7 1 PREPAID DEBIT CARDS ISSUED TO MEMBERS WHEN THEY SIGN UP FOR REWARDS TO QUIT PROGRAM 79 5529 FMV PART I, LINE 2: 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. X 0 0 0 0 0 0 0 0 0 SYLVIA B KELLY EXEC DIRECTOR/CEO/VICE CHAIR 401795 0 85047 0 0 0 0 0 35152 0 521994 0 0 0 IBRAHIM BENITEZ SR. VICE PRESIDENT/CFO 243432 0 46656 0 0 0 0 0 29984 0 320072 0 0 0 CORY LUDINGTON VICE PRESIDENT 170168 0 47378 0 0 0 0 0 14370 0 231916 0 0 0 GAIL DIGIOIA VICE PRESIDENT 185136 0 47370 0 0 0 0 0 27153 0 259659 0 0 0 JAMES KARL VICE PRESIDENT 178125 0 46945 0 0 0 0 0 27477 0 252547 0 0 0 JOHN FEDERICO SR. VICE PRESIDENT 330709 0 46956 0 0 0 0 0 29001 0 406666 0 0 0 JOHN KAUKAS VICE PRESIDENT 202888 0 47381 0 0 0 0 0 28028 0 278297 0 0 0 MARY ANN CYR VICE PRESIDENT 231688 0 55098 0 0 0 0 0 11116 0 297902 0 0 0 ANNISE CARO DIRECTOR 146413 0 4890 0 0 0 0 0 15983 0 167286 0 0 0 VENICE FRANCIS-CHURILOV DIRECTOR 145788 0 4890 0 0 0 0 0 12447 0 163125 0 0 0 ROBERTA GELLER DIRECTOR 144391 0 8150 0 0 0 0 0 17882 0 170423 0 0 0 AIDINHA BLANEY DIRECTOR OF FINANCE 151283 0 0 0 0 0 0 0 25731 0 177014 0 0 0 TRACY CENTOLA DIRECTOR 138733 0 0 0 0 0 0 0 21194 0 159927 0 0 0 DEBORAH AMATO DIRECTOR 131023 0 0 0 0 0 0 0 25109 0 156132 0 0 0 MARY KRENTZMAN DIRECTOR 141486 0 0 0 0 0 0 0 19680 0 161166 0 0 0 RAY CONNELLY DIRECTOR 131432 0 0 0 0 0 0 0 25323 0 156755 0 0 0 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. 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 COMMUNITY HEALTH NETWORK OF CONNECTICUT INC 1 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 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC O 440361