COMMUNITY ECONSULT NETWORK INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY ECONSULT NETWORK INC (EIN 81-0690892)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202511349349306796
- Schema version
- 2023v6.0
- 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 | 2025-05-14T12:54:56-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 66 HUDSON BLVD E SUITE 2200 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810690892 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY ECONSULT NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 8603476971 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 GRAND STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK MASSELLI | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 8603476971 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY-EVELYN ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2126976900 | PhoneNum |
| Preparation | 2025-05-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | MARK MASSELLI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 GRAND STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,712,383 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHC1.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE AND PROMOTE HEALTHCARE (SEE SCHEDULE O)COMMUNITY ECONSULT NETWORK, INC. ("CECN")'S PURPOSE IS TO IMPROVE AND PROMOTE HEALTHCARE BY:(A) IMPROVING THE EFFICACY AND QUALITY OF HEALTHCARE PROVIDED TO UNDERSERVED AND RURAL POPULATIONS BY PROVIDING A PLATFORM TO PRIMARY CARE PROVIDERS FOR COMMUNICATING TIMELY AND DIRECTLY WITH HIGH QUALITY SPECIALTY CARE PROVIDERS ON BEHALF OF THESE INDIVIDUALS; AND(B) INCREASING AND ENABLING ACCESS TO MEDICAL SPECIALISTS BY PROVIDING A PLATFORM TO PRIMARY CARE PROVIDERS FOR COMMUNICATING TIMELY AND DIRECTLY WITH HIGH QUALITY SPECIALTY CARE PROVIDERS ON BEHALF OF THESE INDIVIDUALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 23 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,358,027 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,460,387 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,463,418 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,249,996 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $2,000 | CYOtherRevenueAmt |
| PY Total Revenue | $3,821,445 | PYTotalRevenueAmt |
| CY Total Revenue | $4,712,383 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,518,211 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,761,481 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,725,551 | PYOtherExpensesAmt |
| CY Other Expenses | $2,961,492 | CYOtherExpensesAmt |
| PY Total Expenses | $4,243,762 | PYTotalExpensesAmt |
| CY Total Expenses | $5,722,973 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$422,317 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,010,590 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,045,311 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,203,589 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,528,623 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,697,491 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,483,312 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,493,902 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CECN'S TAX EXEMPT PURPOSES ARE IMPROVING EFFICACY AND QUALITY OF HEALTHCARE PROVIDED TO UNDERSERVED AND RURAL POPULATIONS, AND INCREASING AND ENABLING ACCESS TO MEDICAL SPECIALISTS TO THOSE POPULATIONS. CECN USES THE ECONSULT PLATFORM WHICH IS AN ELECTRONIC WEB-BASED, HIPPA COMPLIANT COMMUNICATIONS PLATFORM FOR CLINICAL CONSULTATIONS. THE ECONSULT ACTIVITY DIRECTLY FURTHERS THESE PURPOSES BY PROVIDING A PLATFORM BY WHICH MEDICALLY UNDERSERVED INDIVIDUALS IN NEED OF SPECIALTY HEALTHCARE OBTAIN ACCESS TO THE NEEDED SPECIALTY HEALTHCARE DIRECTLY THROUGH THEIR PRIMARY CARE PROVIDERS. IN MANY CASES, DUE TO FINANCIAL HARDSHIPS, THE LACK OF INSURANCE, GEOGRAPHIC RESTRICTIONS OR THE ABSENCE OF TRANSPORTATION, MEDICALLY UNDERSERVED PATIENTS DO NOT HAVE ACCESS TO NEEDED SPECIALTY CARE PROVIDERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,297,756 | ExpenseAmt |
| Revenue | $3,251,996 | RevenueAmt |
| Desc | TO IMPROVE THE EFFICIENCY AND QUALITY OF HEALTHCARE BY PROVIDING A PLATFORM TO PRIMARY CARE PROVIDERS FOR COMMUNICATING TIMELY AND DIRECTLY WITH HIGH QUALITY SPECIALTY CARE PROVIDERS ON BEHALF OF UNDERSERVED AND RURAL POPULATIONS. | Desc |
| Total Program Service Expenses | $3,297,756 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 23 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | 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 | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSES-WEITZMAN HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8603476971 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 GRAND STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06457 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DAREN ANDERSON | ||||||||||
| PRESIDENT | 34.00 | 6.00 | Yes (X) | Yes (X) | $0 | $457,673 | $1,757 | |||
| JASON PNIEWSKI | ||||||||||
| TREASURER | 2.00 | 52.10 | Yes (X) | Yes (X) | $0 | $248,423 | $31,985 | |||
| MARK MASSELLI | ||||||||||
| CHAIRMAN | 2.00 | 52.10 | Yes (X) | Yes (X) | $0 | $826,240 | $56,657 | |||
| BILL RUBENSTEIN | ||||||||||
| MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL CRITELLI | ||||||||||
| MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARYANN MCGUIRE | ||||||||||
| NAT HEALTHCARE ACCT MGR | 40.00 | 0.00 | $176,236 | $0 | $56,139 | Yes (X) | ||||
| MARYANN SOUZA | ||||||||||
| HEAD OF CLIENT STRATEGY | 40.00 | 0.00 | $106,097 | $0 | $12,983 | Yes (X) | ||||
| MICHAEL MALCHIODI | ||||||||||
| BUSINESS TECH MANAGER | 40.00 | 0.00 | $137,122 | $0 | $13,978 | Yes (X) | ||||
| AGI ERICKSON | ||||||||||
| CHIEF COMMERCIAL OFFICER | 40.00 | 0.00 | $146,401 | $0 | $41,030 | Yes (X) | ||||
| RACHAEL DOBBS | ||||||||||
| CHIEF PRODUCT OFFICER | 40.00 | 0.00 | $152,795 | $0 | $14,606 | Yes (X) | ||||
| MICHELLE CHAPMAN | ||||||||||
| HEAD OF CLIENT STRATEGY | 40.00 | 0.00 | $129,872 | $0 | $21,282 | Yes (X) | ||||
| MARK KEELEY | ||||||||||
| FORMER CFO | 0.00 | 0.00 | $0 | $200,780 | $4,394 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $848,523 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,733,116 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $254,811 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONFERMED PC OF CALIFORNIA | |||||
| 4600 CAMPUS DRIVE SUITE 100 | NEWPORT BEACH | CA | 92660 | MEDICAL ECONSULTS | $539,570 |
| SAFETY NET CONNECT | |||||
| 101 ACADEMY SUITE 101 | IRVINE | CA | 92617 | COMPUTER SERVICES | $269,043 |
| CONFERMED PC | |||||
| 11 SILVER STREET 856 | MIDDLETOWN | CT | 06457 | MEDICAL ECONSULTS | $213,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,460,387 | AllOtherContributionsAmt |
| Total Contributions | $1,460,387 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT SERVICES | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $3,249,996 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,249,996 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,249,996 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,712,383 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,251,996 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,984 | TotalAmt |
| Program Services | $120,492 | ProgramServicesAmt |
| Management And General | $120,492 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,065,676 | TotalAmt |
| Program Services | $1,032,838 | ProgramServicesAmt |
| Management And General | $1,032,838 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,551 | TotalAmt |
| Program Services | $46,276 | ProgramServicesAmt |
| Management And General | $46,275 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,413 | TotalAmt |
| Program Services | $112,707 | ProgramServicesAmt |
| Management And General | $112,706 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,857 | TotalAmt |
| Program Services | $68,428 | ProgramServicesAmt |
| Management And General | $68,429 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,897 | TotalAmt |
| Management And General | $674,897 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Management And General | $50,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,992 | TotalAmt |
| Management And General | $39,992 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,024,514 | TotalAmt |
| Program Services | $950,927 | ProgramServicesAmt |
| Management And General | $73,587 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,950 | TotalAmt |
| Management And General | $45,950 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,322 | TotalAmt |
| Management And General | $20,322 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,600 | TotalAmt |
| Management And General | $7,600 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,730 | TotalAmt |
| Management And General | $55,730 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,014 | TotalAmt |
| Management And General | $36,014 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Management And General | $20,000 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,085 | TotalAmt |
| Management And General | $11,085 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,050 | TotalAmt |
| Management And General | $9,050 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $966,088 | $966,088 | |
| MINOR EQUIPMENT | $250 | $250 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,722,973 | TotalAmt |
| Program Services | $3,297,756 | ProgramServicesAmt |
| Management And General | $2,425,217 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,215,708 | BOYAmt |
| EOY | $1,365,130 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,585 | BOYAmt |
| EOY | $218,731 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,194,594 | BOYAmt |
| EOY | $1,430,525 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $391,682 | BOYAmt |
| EOY | $59,947 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $210,608 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $81,352 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,742 | BOYAmt |
| EOY | $129,256 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,045,311 | BOYAmt |
| EOY | $3,203,589 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,235 | BOYAmt |
| EOY | $529,583 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $803,810 | BOYAmt |
| EOY | $178,991 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,000 | BOYAmt |
| EOY | $1,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,068,578 | BOYAmt |
| EOY | $6,988,917 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,528,623 | BOYAmt |
| EOY | $8,697,491 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,483,312 | BOYAmt |
| EOY | -$5,493,902 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,483,312 | BOYAmt |
| EOY | -$5,493,902 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,045,311 | BOYAmt |
| EOY | $3,203,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,010,590 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 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 | $250,845 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $165,987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $632,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,358,027 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,460,387 | CurrentTaxYearAmt |
| Total | $3,867,371 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $250,845 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $165,987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $632,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,358,027 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,460,387 | CurrentTaxYearAmt |
| Total | $3,867,371 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,548,453 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,318,918 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $2,000 | CurrentTaxYearAmt |
| Total | $2,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,869,371 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,615,066 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.34090 | PublicSupportCY170Pct |
| Public Support PY170 | 0.41180 | 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 | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE - 2023 AMOUNT: $ 2,000. | 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 D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,269 | DepreciationAmt |
| Book Value | $4,741 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,083 | DepreciationAmt |
| Book Value | $124,515 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $129,256 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED 501(C)(3) ENTITIES | Desc |
| Amt | $6,988,917 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,988,917 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | EXCERPT FROM NOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR MOSES-WEITZMAN HEALTH SYSTEM, INC. - MWHS AND IT'S AFFILIATES HAVE RECEIVED EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS ALSO BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS UNDER FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS REVIEWED THE ORGANIZATION'S REPORTING AND BELIEVE THEY HAVE NOT TAKEN TAX POSITIONS THAT ARE MORE LIKELY THAN NOT TO BE DETERMINED TO BE INCORRECT BY THE INTERNAL REVENUE SERVICE AND THEREFORE, NO ADJUSTMENTS OR DISCLOSURES ARE REQUIRED. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK MASSELLI | ||||||||||||||
| CHAIRMAN | $0 | $615,673 | $0 | $182,060 | $0 | $28,507 | $0 | $21,923 | $0 | $34,734 | $0 | $882,897 | $0 | $0 |
| DAREN ANDERSON | ||||||||||||||
| PRESIDENT | $0 | $430,066 | $0 | $10,000 | $0 | $17,607 | $0 | $0 | $0 | $1,757 | $0 | $459,430 | $0 | $0 |
| JASON PNIEWSKI | ||||||||||||||
| TREASURER | $0 | $242,871 | $0 | $0 | $0 | $5,552 | $0 | $20,050 | $0 | $11,935 | $0 | $280,408 | $0 | $0 |
| MARYANN MCGUIRE | ||||||||||||||
| NAT HEALTHCARE ACCT MGR | $174,480 | $0 | $0 | $0 | $1,756 | $0 | $15,327 | $0 | $40,812 | $0 | $232,375 | $0 | $0 | $0 |
| MARK KEELEY | ||||||||||||||
| FORMER CFO | $0 | $171,074 | $0 | $0 | $0 | $29,706 | $0 | $3,385 | $0 | $1,009 | $0 | $205,174 | $0 | $0 |
| AGI ERICKSON | ||||||||||||||
| CHIEF COMMERCIAL OFFICER | $146,204 | $0 | $0 | $0 | $197 | $0 | $12,748 | $0 | $28,282 | $0 | $187,431 | $0 | $0 | $0 |
| RACHAEL DOBBS | ||||||||||||||
| CHIEF PRODUCT OFFICER | $152,599 | $0 | $0 | $0 | $196 | $0 | $0 | $0 | $14,606 | $0 | $167,401 | $0 | $0 | $0 |
| MICHELLE CHAPMAN | ||||||||||||||
| HEAD OF CLIENT STRATEGY | $129,717 | $0 | $0 | $0 | $155 | $0 | $6,548 | $0 | $14,734 | $0 | $151,154 | $0 | $0 | $0 |
| MICHAEL MALCHIODI | ||||||||||||||
| BUSINESS TECH MANAGER | $136,876 | $0 | $0 | $0 | $246 | $0 | $11,113 | $0 | $2,865 | $0 | $151,100 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | A RELATED ORGANIZATION PAYS THE CEO USING THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY/STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAREN ANDERSON | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER CECN - SECRETARY | RelationshipDescriptionTxt |
| Transaction | $752,630 | TransactionAmt |
| Transaction | SERVICES DAREN IS THE SOLE OWNER OF CONFERMED PC AND CONFERMED PC OF CALIFORNIA. BEGINNING ON JAN 1ST 2020 THE TWO CONFERMED PCS CONTRACTED WITH CECN FOR CECN TO PROVIDE MANAGEMENT SERVICES. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE COMMUNITY ECONSULT NETWORK, INC. IS MOSES-WEITZMAN HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MOSES-WEITZMAN HEALTH SYSTEM, INC. (MWHS) HAS THE EXCLUSIVE RIGHT TO APPOINT, REMOVE, OR REPLACE THE MEMBERS OF THE COMMUNITY ECONSULT NETWORK, INC'S BOARD OF DIRECTORS. MWHS HAS THE EXCLUSIVE RIGHT TO DETERMINE THE NUMBER OF DIRECTORS TO SERVE IN A PARTICULAR YEAR UNDER THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE 990 FOR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR AND OFFICER OF THE CORPORATION SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON (A) HAS RECEIVED A COPY OF THE CORPORATION'S CONFLICT OF INTEREST POLICY AND BYLAWS, (B) HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY AND BYLAWS, (C) HAS AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY, AND (D) UNDERSTANDS THAT THE CORPORATION IS A TAX-EXEMPT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE ANNUAL STATEMENT IS REVIEWED BY THE LEGAL DEPARTMENT OF MOSES-WEITZMAN HEALTH SYSTEM, INC. IF AN INDIVIDUAL HAS A POTENTIAL CONFLICT OF INTEREST, THEY WOULD RECUSE THEMSELF FROM ANY DISCUSSION OF THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15B | LINE 15B: THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATIONS KEY EMPLOYEE INCLUDED A REVIEW BY AN INTERNAL COMPENSATION TEAM AND THE PRESIDENT USING AVAILABLE MARKET DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PAYMENTS TO SPECIALIST NETWORK: PROGRAM SERVICE EXPENSES 950,927. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 950,927. MAINTENANCE & OTHER SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 73,587. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,587. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH CENTER INC | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 060897105 | MED/SOC | CT | 501(C)(3) | LINE 7 | MWHS | 0 | |
| CHC1 MEDIA INC | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 453784467 | SUPPORT | CT | 501(C)(3) | LINE 12A, I | CHC | 0 | |
| NATIONAL NURSE PRACTITIONER | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 475041001 | TRAINING | CT | 501(C)(3) | LINE 10 | MWHS | 0 | |
| NATIONAL INSTITUTE FOR MEDICAL ASST | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 813293048 | TRAINING | CT | 501(C)(3) | LINE 2 | MWHS | 0 | |
| CHC REALTY INC | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 274296337 | SUPPORT | CT | 501(C)(3) | LINE 12A, I | CHC | 0 | |
| CHC REALTY II INC | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 821653914 | SUPPORT | CT | 501(C)(3) | LINE 12A, I | CHC | 0 | |
| MOSES-WEITZMAN HEALTH SYSTEM INC | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 850521893 | SUPPORT | CT | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT INC | |||||||||||
| 19 GRAND STREET | MIDDLETOWN | CT | 06457 | 060712058 | SUPPORT | CT | 501(C)(3) | LINE 12A, I | CHC | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | TransferFromOtherOrgInd |
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