THE CONNECTICUT HEALTHCARE RESEARCH & EDUCATION FOUNDATION INCORP: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- THE CONNECTICUT HEALTHCARE RESEARCH & EDUCATION FOUNDATION INCORP (EIN 06-0890298)
- Tax period
- 2020-05-01 to 2021-04-30
- Filed
- 2022-03-15
- IRS object ID
- 202240749349300209
- Schema version
- 2020v4.2
- 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 | 2022-03-15T08:34:50-05:00 | ReturnTs |
| Tax Period End | 2021-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 LONG WHARF DRIVE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060890298 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNECTICUT HEALTHCARE RESEARCH & | BusinessNameLine1Txt |
| Business Name Line2 | EDUCATION FOUNDATION INCORPORATED | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONN | BusinessNameControlTxt |
| Phone | 2032657611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 90 110 BARNES ROAD | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER JACKSON | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 2032657611 | PhoneNum |
| Signature | 2022-03-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | JACKSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2037819600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER JACKSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 BARNES ROAD | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,189,670 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | EDUCATION PROGRAMS AND RESEARCH TO FOSTER HEALTHCARE DELIVERY BY HOSPITAL AND HEALTHCARE ORGS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,228,581 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,395,771 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,529,109 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $942,657 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $87,183 | PYOtherRevenueAmt |
| CY Other Revenue | $85,088 | CYOtherRevenueAmt |
| PY Total Revenue | $2,844,873 | PYTotalRevenueAmt |
| CY Total Revenue | $2,423,516 | 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 | $1,735,079 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,460,254 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,541,943 | PYOtherExpensesAmt |
| CY Other Expenses | $1,203,990 | CYOtherExpensesAmt |
| PY Total Expenses | $3,277,022 | PYTotalExpensesAmt |
| CY Total Expenses | $2,664,244 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$432,149 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$240,728 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,928,654 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,625,332 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $600,314 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $537,720 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,328,340 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,087,612 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE, SPONSOR AND CONDUCT EDUCATIONAL PROGRAMS AND RESEARCH TO FOSTER AND IMPROVE HOSPITAL OPERATION AND ADMINISTRATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,713,332 | ExpenseAmt |
| Revenue | $954,640 | RevenueAmt |
| Desc | PATIENT SAFETY ORGANIZATION (PSO) - A PROGRAM WHICH ASSISTS 27 HOSPITALS IN IMPROVING PATIENT SAFETY THROUGH INFORMATION SHARING AND COLLABORATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $308,053 | ExpenseAmt |
| Revenue | $73,105 | RevenueAmt |
| Desc | EDUCATION PROGRAMS - 2,143 INDIVIDUALS ATTENDED 53 PROGRAMS CONDUCTED IN THE TOPIC AREAS OF LEADERSHIP, MANAGEMENT, POLICY, PATIENT SAFETY, QUALITY, ACCREDITATION, REGULATORY AND CODING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,021,385 | 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 | 0 | 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 | 0 | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | 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 | 0 | 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 | 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 |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN J BRADY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2032947201 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 BARNES ROAD | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 |
|---|---|---|---|---|---|---|---|---|---|
| JOHN M MURPHY MD | |||||||||
| CHAIRMAN (TO 6/20) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER M O'CONNOR | |||||||||
| VICE CHAIRMAN & TREASURER (TO 6/20) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID A WHITEHEAD | |||||||||
| IMMEDIATE PAST CHAIRMAN (TO 6/20) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARNA P BORGSTROM | |||||||||
| SECRETARY (TO 6/20) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER D JACKSON | |||||||||
| PRESIDENT AND CEO | 5.00 | 35.00 | Yes (X) | Yes (X) | $0 | $884,612 | $66,199 | ||
| PATRICK A CHARMEL | |||||||||
| CHAIRMAN, DNS BOARD (TO 6/20) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN RODIS MD | |||||||||
| TRUSTEE (TO 5/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VINCENT G CAPECE JR | |||||||||
| TRUSTEE (TO 6/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS BALCEZAK MD | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KURT A BARWIS | |||||||||
| TRUSTEE (TO 6/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROHIT BHALLA MD | |||||||||
| TRUSTEE (TO 6/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH A CAREY RSM PHD | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNE DIAMOND JD | |||||||||
| TRUSTEE (TO 6/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY A FLAKS | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BIMAL PATEL | |||||||||
| TRUSTEE (TO 6/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GIL PERI | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNN RICCI | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STUART ROSENBERG | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHLEEN SILARD | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ENA WILLIAMS RN | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN J BRADY | |||||||||
| CFO/VP, STRATEGIC PLANNING & ORG PER | 5.00 | 35.00 | Yes (X) | $0 | $433,784 | $65,106 | |||
| MARY REICH COOPER | |||||||||
| SENIOR VP, CLINICAL SERVICES | 40.00 | 0.00 | $0 | $574,806 | $44,724 | Yes (X) | |||
| GRACE NAPOLITAN | |||||||||
| VP, ADMINISTRATION | 5.00 | 35.00 | $0 | $273,285 | $45,851 | Yes (X) | |||
| ANTHONY DIAS | |||||||||
| VP, DATA SERVICES | 1.00 | 39.00 | $0 | $395,021 | $43,115 | Yes (X) | |||
| DOUGLAS CAYER | |||||||||
| SENIOR DIR, ORGANIZATIONAL PERFORMANCE | 5.00 | 35.00 | $0 | $300,351 | $65,198 | Yes (X) | |||
| MARY LYON | |||||||||
| VP, INTEGRATED HEALTH INFORMATION | 1.00 | 39.00 | $0 | $316,870 | $68,346 | Yes (X) | |||
| LISA DOUGLAS | |||||||||
| DIR, PERFORMANCE ANALYTICS | 1.00 | 39.00 | $0 | $239,893 | $39,982 | Yes (X) | |||
| ELLEN CROWE | |||||||||
| DIR, CLINICAL EXCELLENCE AND CARE | 40.00 | 0.00 | $0 | $202,721 | $38,655 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,621,343 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $477,176 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITE USA INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 BROADWAY FL 8 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSULTING | ServicesDesc |
| Compensation | $113,000 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $913,870 | RelatedOrganizationsAmt |
| Government Grants | $125,380 | GovernmentGrantsAmt |
| All Other Contributions | $356,521 | AllOtherContributionsAmt |
| Total Contributions | $1,395,771 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FEES FOR SERVICES | 541700 | $539,500 | $539,500 |
| PHYSICIAN CONSULTING | 541700 | $307,500 | $307,500 |
| EDUCATION REGISTRATION | 541700 | $67,422 | $67,422 |
| HRET GRANT | 541700 | $28,235 | $28,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $942,657 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $766,154 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $766,154 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEANINGFUL USE | 900099 | $58,583 | $58,583 |
| BAD DEBT RECOVERY | 900099 | $21,505 | $21,505 |
| SPONSORSHIP INCOME | 900099 | $5,000 | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $85,088 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,423,516 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,027,745 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,813 | TotalAmt |
| Program Services | $595,813 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,786 | TotalAmt |
| Program Services | $637,786 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,060 | TotalAmt |
| Program Services | $36,060 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,780 | TotalAmt |
| Program Services | $128,780 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,815 | TotalAmt |
| Program Services | $61,815 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,562 | TotalAmt |
| Program Services | $11,562 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,326 | TotalAmt |
| Program Services | $200,326 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,707 | TotalAmt |
| Program Services | $9,707 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,146 | TotalAmt |
| Program Services | $298,146 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,345 | TotalAmt |
| Program Services | $20,345 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,389 | TotalAmt |
| Program Services | $12,389 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,567 | TotalAmt |
| Program Services | $2,567 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| OVERHEAD EXPENSES | $642,859 | $642,859 | |
| SALES & USE TAX | $3,455 | $3,455 | |
| DUES AND SUBSCRIPTIONS | $1,118 | $1,118 | |
| LICENSES & MAINTENANCE | $662 | $662 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854 | TotalAmt |
| Program Services | $854 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,664,244 | TotalAmt |
| Program Services | $2,021,385 | ProgramServicesAmt |
| Management And General | $642,859 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,350 | BOYAmt |
| EOY | $47,288 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,430 | BOYAmt |
| EOY | $28,844 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,472,157 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,922,957 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,863,874 | BOYAmt |
| EOY | $2,549,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,928,654 | BOYAmt |
| EOY | $2,625,332 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,246 | BOYAmt |
| EOY | $254,466 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266,068 | BOYAmt |
| EOY | $283,254 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,314 | BOYAmt |
| EOY | $537,720 | 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 | $2,328,340 | BOYAmt |
| EOY | $2,087,612 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,328,340 | BOYAmt |
| EOY | $2,087,612 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,928,654 | BOYAmt |
| EOY | $2,625,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$240,728 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNECTICUT HOSPITAL ASSOC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060632049 | EIN |
| Organization Type | 10 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | Yes (1) | SupportedOrgSectionC456Ind |
| Supported Org Qualified | Yes (1) | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | Yes (1) | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART IV, SECTION A, LINE 3B: | THE ORGANIZATION IS CONTROLLED BY ITS SUPPORTED ORGANIZATION. THE ORGANIZATION HAS CONFIRMED THAT THE SUPPORTED ORGANIZATION, WHICH IS A 501(C)(6) ORGANIZATION, HAS MET THE SECTION 509(A)(2) PUBLIC SUPPORT TEST FOR ITS MOST RECENT TAX YEAR. |
| SCHEDULE A, PART IV, SECTION A, LINE 3C: | THE ORGANIZATION IS CONTROLLED BY ITS SUPPORTED ORGANIZATION. THE ORGANIZATION HAS CONFIRMED THAT THE SUPPORTED ORGANIZATION, WHICH IS A 501(C)(6) ORGANIZATION, HAS USED ALL SUPPORT FROM THE ORGANIZATION FOR CHARITABLE PURPOSES. |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $437,896 | OtherCostOrOtherBasisAmt |
| Book Value | $437,896 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,607,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,516,194 | DepreciationAmt |
| Book Value | $2,091,358 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,112,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,103,948 | DepreciationAmt |
| Book Value | $8,943 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $313,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $302,815 | DepreciationAmt |
| Book Value | $11,003 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,549,200 | TotalBookValueLandBuildingsAmt |
| 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 | BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE CONNECTICUT HOSPITAL ASSOCIATION, INCORPORATED AND AFFILIATES. THE ORGANIZATION FOLLOWS FASB ASC 740, INCOME TAXES. UNDER THE ASSET AND LIABILITY METHOD OF FASB ASC 740, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASIS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. UNDER FASB ASC 740, THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. DNS FILES A CONSOLIDATED INCOME TAX RETURN WITH CHAIS, CHIME AND CHIMENET. THE PROVISION FOR INCOME TAX EXPENSE HAS BEEN ALLOCATED TO THE INDIVIDUAL ENTITIES AS IF THE CORPORATIONS EACH FILED A STANDALONE TAX RETURN. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740 THAT PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. FASB ASC 740 ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. FASB ASC 740 PERMITS THE RECOGNITION OF TAX POSITIONS THAT MEET A "MORE LIKELY THAN NOT" THRESHOLD, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS A COMPONENT OF INTEREST EXPENSE AND THE PROVISION FOR INCOME TAXES, RESPECTIVELY. AS OF APRIL 30, 2021 AND 2020, THE ORGANIZATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. ALL TAX YEARS OF THE ORGANIZATION FROM 2018 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, HOWEVER, THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENNIFER D JACKSON | ||||||||||||||
| PRESIDENT AND CEO | $0 | $714,678 | $0 | $138,959 | $0 | $30,975 | $0 | $36,337 | $0 | $29,862 | $0 | $950,811 | $0 | $0 |
| MARY REICH COOPER | ||||||||||||||
| SENIOR VP, CLINICAL SERVICES | $0 | $570,693 | $0 | $0 | $0 | $4,113 | $0 | $12,112 | $0 | $32,612 | $0 | $619,530 | $0 | $0 |
| JOHN J BRADY | ||||||||||||||
| CFO/VP, STRATEGIC PLANNING & ORG PER | $0 | $356,621 | $0 | $70,000 | $0 | $7,163 | $0 | $36,338 | $0 | $28,768 | $0 | $498,890 | $0 | $0 |
| ANTHONY DIAS | ||||||||||||||
| VP, DATA SERVICES | $0 | $394,161 | $0 | $0 | $0 | $860 | $0 | $12,112 | $0 | $31,003 | $0 | $438,136 | $0 | $0 |
| MARY LYON | ||||||||||||||
| VP, INTEGRATED HEALTH INFORMATION | $0 | $257,145 | $0 | $51,250 | $0 | $8,475 | $0 | $36,337 | $0 | $32,009 | $0 | $385,216 | $0 | $0 |
| DOUGLAS CAYER | ||||||||||||||
| SENIOR DIR, ORGANIZATIONAL PERFORMAN | $0 | $249,699 | $0 | $49,219 | $0 | $1,433 | $0 | $36,338 | $0 | $28,860 | $0 | $365,549 | $0 | $0 |
| GRACE NAPOLITAN | ||||||||||||||
| VP, ADMINISTRATION | $0 | $268,079 | $0 | $0 | $0 | $5,206 | $0 | $34,503 | $0 | $11,348 | $0 | $319,136 | $0 | $0 |
| LISA DOUGLAS | ||||||||||||||
| DIR, PERFORMANCE ANALYTICS | $0 | $238,460 | $0 | $0 | $0 | $1,433 | $0 | $10,473 | $0 | $29,509 | $0 | $279,875 | $0 | $0 |
| ELLEN CROWE | ||||||||||||||
| DIR, CLINICAL EXCELLENCE AND CARE | $0 | $200,042 | $0 | $0 | $0 | $2,679 | $0 | $8,793 | $0 | $29,862 | $0 | $241,376 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 2A: | CHREF IS A SUPPORTING ORGANIZATION TO THE CONNECTICUT HOSPITAL ASSOCIATION, INCORPORATED (CHA), A 501(C)(6) ORGANIZATION. CHA ACTS AS THE COMMON PAYMASTER FOR CHREF AND FOUR OTHER AFFILIATED ORGANIZATIONS AND, AS SUCH, FILES A FORM W-3 FOR EACH ORGANIZATION USING CHA'S FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN). IN THE TAX YEAR 2020, 5 OF THOSE EMPLOYEES WERE DIRECTLY EMPLOYED BY CHREF. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INC. ("CHREF") ARE DETERMINED BY THE CONNECTICUT HOSPITAL ASSOCIATION, INC. ("CHA") AND ITS MEMBERS. THE BOARD OF CHREF BY DEFINITION CONSISTS SOLELY OF THOSE PERSONS WHO AT THE TIME CONSTITUTE THE TRUSTEES OF CHA, AND ALMOST ALL THOSE TRUSTEES ARE DIRECTLY ELECTED BY CHA'S MEMBERS. THE MEMBERSHIP OF THE CHREF BOARD IS THUS CONTROLLED BY CHA, WHICH IS THE SUPPORTED ORGANIZATION, AND ITS MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER REVIEWS ALL INFORMATION IN THE FORM 990, WHICH IS THEN PROVIDED TO THE FINANCIAL OVERSIGHT COMMITTEE FOR THEIR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS AND EMPLOYEES ARE COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANY CONFLICT OF INTEREST IS DISCLOSED TO THE MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD BY (A) AN ANNUAL DISCLOSURE PROCEDURE, (B) AN UPDATE WHEN AN INDIVIDUAL'S CIRCUMSTANCES CHANGE BETWEEN ANNUAL DISCLOSURES, AND (C) A DISCLOSURE WHEN A MATTER COMES BEFORE THE BOARD THAT INVOLVES AN INTEREST COVERED BY THIS POLICY. ANY BOARD MEMBER OR EMPLOYEE HAVING A CONFLICT OF INTEREST, SHALL, AS APPROPRIATE TO THE CIRCUMSTANCES, ABSTAIN FROM VOTING OR USING PERSONAL INFLUENCE ON THAT MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION RECOMMENDATIONS FOR THE ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE PREPARED BY AN INDEPENDENT COMPENSATION CONSULTANT, UTILIZING DATA FROM COMPARABLE ORGANIZATIONS, AND ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND DOCUMENTED IN THE APPLICABLE MINUTES. THE LAST COMPENSATION REVIEW WAS IN NOVEMBER OF 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| CONNECTICUT HOSPITAL ASSOCIATION INCORPORATED | ||||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 060632049 | ADVOCACY & REPRESENTATION FOR CT HOSPITALS | CT | 501(C)(6) | N/A | 0 | |
| CONNECTICUT HOSPITAL ASSOCIATION TRUST | ||||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 066322583 | PROVIDES NO-INTEREST LOANS TO CT HOSPITALS | CT | 501(C)(3) | N/A | 0 | LINE 12A, I |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CHA INSURANCE SERVICES INC | |||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 061310638 | MARKETING SERVICES | CT | N/A | C | 0 |
| CHIME INC | |||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 061454560 | DEVELOPING INFORMATION SYSTEMS | CT | N/A | C | 0 |
| CHIMENET INC | |||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 061585087 | SERVICES | CT | N/A | C | 0 |
| DIVERSIFIED NETWORK SERVICES INC | |||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 060990946 | SERVICES | CT | N/A | C | 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 | Yes (1) | 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 | 0 | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |