COMMUNITY HEALTH NETWORK OF CONNECTICUT INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH NETWORK OF CONNECTICUT INC (EIN 06-1429341)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-03
- IRS object ID
- 202023089349301222
- Schema version
- 2019v5.1
- 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 | 2020-11-03T10:29:04-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 CHURCH STREET 12TH FLOOR | AddressLine1Txt |
| City | HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061429341 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH NETWORK OF | BusinessNameLine1Txt |
| Business Name Line2 | CONNECTICUT INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2039494000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 FAIRFIELD BOULEVARD | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | IBRAHIM BENITEZ | PersonNm |
| Person Title | SENIOR VICE PRESIDENT & CFO | PersonTitleTxt |
| Phone | 2039494000 | PhoneNum |
| Signature | 2020-10-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9592007000 | PhoneNum |
| Preparation | 2020-10-19 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.59.243.22 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-19 | IPDt |
| IP Tm | 15:19:50 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | IBRAHIM BENITEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 FAIRFIELD BOULEVARD | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $76,287,613 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.CHNCT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION IMPROVES THE HEALTH OF THE RESIDENTS OF CONNECTICUT AND PROMOTES THE AVAILABILITY OF HIGH-QUALITY, COMPREHENSIVE, COST-EFFECTIVE HEALTH CARE SERVICES TO A CHARITABLE POPULATION OF OVER 800,000 CONNECTICUT RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 549 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $74,602,996 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,824,573 | CYProgramServiceRevenueAmt |
| PY Investment Income | $540,884 | PYInvestmentIncomeAmt |
| CY Investment Income | $594,651 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $75,143,880 | PYTotalRevenueAmt |
| CY Total Revenue | $74,419,224 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,080,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,160,400 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,506,725 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $50,807,682 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,844,335 | PYOtherExpensesAmt |
| CY Other Expenses | $22,127,470 | CYOtherExpensesAmt |
| PY Total Expenses | $74,431,060 | PYTotalExpensesAmt |
| CY Total Expenses | $74,095,552 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $712,820 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $323,672 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $45,145,118 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,116,672 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,801,004 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,864,916 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,344,114 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,251,756 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION IMPROVES THE HEALTH OF THE RESIDENTS OF CONNECTICUT AND PROMOTES THE AVAILABILITY OF HIGH-QUALITY, COMPREHENSIVE, COST-EFFECTIVE HEALTH CARE SERVICES TO A CHARITABLE POPULATION OF OVER 800,000 CONNECTICUT RESIDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | -$10,868 | ExpenseAmt |
| Desc | HEALTH CARE PROGRAMS, GENERAL/OTHER:IN 2019, CHNCT CONTINUED TO RECEIVE FUNDS DIRECTLY RELATED TO THIRD PARTY LIABILITY CLAIMS OVERPAYMENT RECOVERY AUDIT WORK CONDUCTED BY FIRST RECOVERY (FR). SINCE CHNCT ENTERED INTO THE AGREEMENT WITH CT DSS AS THE MEDICAID PROGRAM'S MEDICAL ADMINISTRATIVE SERVICES ORGANIZATION EFFECTIVE JANUARY 1, 2012, CHNCT IS NO LONGER AT RISK FOR MEDICAID CLAIMS PAYMENTS AND AUDIT RECOVERY RESULTS HAVE DECREASED CONSIDERABLY. HOWEVER, FR CONTINUES TO CONDUCT RECOVERY AUDIT WORK SOLELY ON CLAIMS PAID THAT HAD A MEDICAL SERVICE PROVIDED PRIOR TO 2012. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $71,875,322 | ExpenseAmt |
| Revenue | $73,824,573 | RevenueAmt |
| Desc | CONNECTICUT MEDICAID MEDICAL ADMINISTRATIVE SERVICES PROGRAM: THROUGH ITS MEDICAID MEDICAL ADMINISTRATIVE SERVICES PROGRAM, CHNCT PROVIDES MEDICAL ADMINISTRATIVE SERVICES TO OVER 800,000 UNDERSERVED AND VULNERABLE MEMBERS OF CONNECTICUT'S MEDICAID POPULATION WHO PARTICIPATE IN THE CONNECTICUT DEPARTMENT OF SOCIAL SERVICES' HUSKY HEALTH PROGRAM. THIS PROGRAM PROMOTES AND IMPROVES THE HEALTH OF MEMBERS OF CONNECTICUT'S MOST VULNERABLE AND UNDERSERVED POPULATIONS. THROUGH THIS PROGRAM, CHNCT PROVIDES A COMPREHENSIVE ARRAY OF SERVICES IN MANAGING CHRONIC CONDITIONS, PROMOTING WELL CARE/PREVENTION, PROVIDING DIRECT SUPPORT TO INDIVIDUALS AND FAMILIES AND PROVIDERS, AND INTEGRATING AND ANALYZING DATA FROM MULTIPLE SOURCES.KEY OBJECTIVES OF THIS PROGRAM INCLUDE:IMPROVING QUALITY OF CARE AND HEALTH CARE OUTCOME FOR INDIVIDUALS SERVED BY CONNECTICUT'S MEDICAID PROGRAM WHILE DRIVING DOWN THE COST OF CARE THROUGH BETTER MANAGEMENT OF SERVICE UTILIZATION;PROVIDING UNINTERRUPTED AND SEAMLESS SERVICES TO MEMBERS OF CONNECTICUT'S MEDICAID POPULATION AND THE NETWORK OF HEALTH CARE PROVIDERS WHO SERVE SUCH POPULATION; ANDDERIVING INTELLIGENCE FROM OUR COMPREHENSIVE REPOSITORY OF CLAIMS AND CLINICAL INFORMATION TO OPTIMALLY MANAGE MEDICAL EXPENSES AND UTILIZATION.CHNCT IS DEDICATED TO SERVING MEMBERS OF THIS VULNERABLE AND UNDERSERVED POPULATION WITH THEIR DESIRE TO IMPROVE HEALTH OUTCOMES, DEVELOP MEDICAL SELF-MANAGEMENT SKILLS AND IMPROVE MEDICATION MANAGEMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,160,400 | ExpenseAmt |
| Grant | $1,160,400 | GrantAmt |
| Desc | ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM: THROUGH ITS ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM, CHNCT MAKES CHARITABLE GRANTS TO ORGANIZATIONS THAT ARE EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.THE ENVIRONMENTAL SUPPORT CHARITABLE GRANT PROGRAM IS DESIGNED TO AFFORD CHNCT'S FOUNDING FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SITES AN OPPORTUNITY TO REQUEST FUNDING FROM CHNCT FOR PROJECT AND/OR FACILITY IMPROVEMENTS THAT WOULD EXPAND ACCESS TO HEALTHCARE, ENHANCE ACCESS TO SPECIALTY CARE, ASSIST WITH MEDICAL HOME MODEL INITIATIVES, IMPLEMENT ELECTRONIC HEALTH RECORD MEANINGFUL USE INITIATIVES, AND/OR HELP PROVIDE CARE ALTERNATIVES WHEN HOSPITAL EMERGENCY ROOM SERVICES ARE NOT A NECESSITY.DURING 2019, CHNCT MADE ENIVONMENTAL SUPPORT GRANTS IN JANUARY TO THE FOUNDING FEDERALLY QUALIFIED HEALTH CENTERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $73,024,854 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| 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 | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 55 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 549 | 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 |
| 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 | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 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 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | IBRAHIM BENITEZ | PersonNm |
| Phone | 2039494000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 FAIRFIELD BOULEVARD | AddressLine1Txt |
| City | WALLINGFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06492 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANTOINETTE D'ALMEIDA | |||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| ARVIND SHAW | |||||||||
| CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | 3.00 | Yes (X) | ||
| CARL A MIKOLOWSKY MD | |||||||||
| TREASURER/SECRETARY/BM | 0.50 | Yes (X) | $4,892 | $0 | $0 | Yes (X) | |||
| JOHN H SENECHAL MD | |||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $2,978 | $0 | $0 | ||||
| LUDWIG SPINELLI | |||||||||
| OUTGOING CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| SYLVIA B KELLY | |||||||||
| PRESIDENT, CEO & VICE CHAIR | 40.00 | Yes (X) | $499,481 | $0 | $15,949 | 3.00 | Yes (X) | ||
| IBRAHIM BENITEZ | |||||||||
| SR. VP AND CFO | 40.00 | $376,346 | $0 | $38,221 | 2.00 | Yes (X) | |||
| CORY LUDINGTON | |||||||||
| SR. VP FOR GOVT AFFAIRS AN | 40.00 | $258,856 | $0 | $23,119 | Yes (X) | ||||
| GAIL DIGIOIA | |||||||||
| VP, MEMBER AND PS | 40.00 | $231,603 | $0 | $39,906 | Yes (X) | ||||
| GREGORY BARBIERO | |||||||||
| VP OF ME & QM | 40.00 | $217,370 | $0 | $10,323 | Yes (X) | ||||
| JOHN KAUKAS | |||||||||
| VP AND CIO | 40.00 | $260,906 | $0 | $39,945 | Yes (X) | ||||
| KRISTINE LISI | |||||||||
| VP OF CLINICAL AFFAIRS | 40.00 | $242,670 | $0 | $44,032 | Yes (X) | ||||
| LAWRENCE MAGRAS | |||||||||
| SR. VP FOR POP HEALTH & CM | 40.00 | $415,378 | $0 | $42,267 | 2.00 | Yes (X) | |||
| MARY ANN CYR | |||||||||
| SR. VP, HEALTH SERVICES | 40.00 | $327,158 | $0 | $13,831 | Yes (X) | ||||
| MARYANN KEAVENEY | |||||||||
| VP OF HUMAN RESOURCES | 40.00 | $198,777 | $0 | $22,211 | Yes (X) | ||||
| ROBERTA GELLER | |||||||||
| ASSOC VP OF UTILIZATION MG | 40.00 | $222,576 | $0 | $35,468 | Yes (X) | ||||
| STEVEN BARTOLOTTA | |||||||||
| VP AND CISO | 40.00 | $232,086 | $0 | $37,313 | Yes (X) | ||||
| TRESSA SPEARS-JACKSON | |||||||||
| VP, COMM. AFFAIRS AND CORP | 40.00 | $199,290 | $0 | $22,080 | Yes (X) | ||||
| VENICE FRANCIS-CHURILOV | |||||||||
| ASSOC VP OF ICM | 40.00 | $217,420 | $0 | $20,961 | Yes (X) | ||||
| AIDINHA BLANEY | |||||||||
| DIRECTOR OF FINANCE | 40.00 | $190,731 | $0 | $43,714 | Yes (X) | ||||
| ATTILIO GRANATA | |||||||||
| MEDICAL REVIEWER | 36.00 | $226,268 | $0 | $23,141 | Yes (X) | ||||
| NANCY SHUSTER | |||||||||
| DURABLE ME CLINICAL ANALYS | 40.00 | $178,220 | $0 | $37,605 | Yes (X) | ||||
| RICHARD COWETT | |||||||||
| MEDICAL REVIEWER | 40.00 | $256,686 | $0 | $38,608 | Yes (X) | ||||
| TRACEY SAUCIER | |||||||||
| DIRECTOR OF BUSINESS SYSTE | 40.00 | $188,338 | $0 | $8,393 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,948,030 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $557,087 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 81 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| IT1 SOURCE | |||||
| PO BOX 413006 | SALT LAKE CITY | UT | 84141 | SOFTWARE HARDWARE AND MAINTENANCE RESELL | $1,851,499 |
| MICROSOFT LICENSING GP | |||||
| 6100 NEIL RD | RENO | NV | 89511 | SOFTWARE | $657,125 |
| OMNI PRINT | |||||
| 160 CHRISTIAN STREET | OXFORD | CT | 06478 | PRINTING SERVICES | $220,510 |
| SHIPMAN & GOODWIN | |||||
| ONE CONSTITUTION PLAZA | HARTFORD | CT | 06103 | LEGAL | $199,715 |
| KPMG | |||||
| DEPT 0579 PO BOX 120579 | DALLAS | TX | 75312 | AUDIT SERVICES | $164,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ASO REVENUE | 561000 | $73,181,472 | $73,181,472 |
| OTHER INCOME | 561000 | $643,101 | $643,101 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,824,573 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $588,035 | TotalRevenueColumnAmt |
| Exclusion | $588,035 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,875,005 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,868,389 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,616 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,616 | TotalRevenueColumnAmt |
| Exclusion | $6,616 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,419,224 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,824,573 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $594,651 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,160,400 | TotalAmt |
| Program Services | $1,160,400 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,297,999 | TotalAmt |
| Program Services | $4,297,999 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,612,996 | TotalAmt |
| Program Services | $35,373,887 | ProgramServicesAmt |
| Management And General | $239,109 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,059,128 | TotalAmt |
| Program Services | $1,052,103 | ProgramServicesAmt |
| Management And General | $7,025 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,820,313 | TotalAmt |
| Program Services | $6,779,226 | ProgramServicesAmt |
| Management And General | $41,087 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,017,246 | TotalAmt |
| Program Services | $2,993,083 | ProgramServicesAmt |
| Management And General | $24,163 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,404 | TotalAmt |
| Program Services | $98,665 | ProgramServicesAmt |
| Management And General | $84,739 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,351 | TotalAmt |
| Program Services | $120,351 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,191 | TotalAmt |
| Management And General | $33,191 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,955,609 | TotalAmt |
| Program Services | $3,573,520 | ProgramServicesAmt |
| Management And General | $382,089 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,802,732 | TotalAmt |
| Program Services | $2,802,732 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,853,208 | TotalAmt |
| Program Services | $9,712,751 | ProgramServicesAmt |
| Management And General | $140,457 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,367,922 | TotalAmt |
| Program Services | $1,367,922 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,905 | TotalAmt |
| Program Services | $119,905 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,044 | TotalAmt |
| Program Services | $175,964 | ProgramServicesAmt |
| Management And General | $80 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,020 | TotalAmt |
| Program Services | $810,325 | ProgramServicesAmt |
| Management And General | $49,695 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $519,776 | TotalAmt |
| Program Services | $519,776 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RADIOLOGY-EVICORE | $1,606,311 | $1,606,311 | |
| OTHER EXPENSES | $528,997 | $459,934 | $69,063 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,095,552 | TotalAmt |
| Program Services | $73,024,854 | ProgramServicesAmt |
| Management And General | $1,070,698 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,785,373 | BOYAmt |
| EOY | $22,236,772 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,412,233 | BOYAmt |
| EOY | $2,268,567 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,836,551 | BOYAmt |
| EOY | $3,499,619 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,571,817 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,572,610 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,428,170 | BOYAmt |
| EOY | $2,999,207 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,646,448 | BOYAmt |
| EOY | $22,076,164 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,343 | BOYAmt |
| EOY | $36,343 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,145,118 | BOYAmt |
| EOY | $53,116,672 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,982,893 | BOYAmt |
| EOY | $7,100,493 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $818,111 | BOYAmt |
| EOY | $7,764,423 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,801,004 | BOYAmt |
| EOY | $14,864,916 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,984 | BOYAmt |
| EOY | $748,984 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,595,130 | BOYAmt |
| EOY | $37,502,772 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,344,114 | BOYAmt |
| EOY | $38,251,756 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,145,118 | BOYAmt |
| EOY | $53,116,672 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $323,672 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $823,970 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$240,000 | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $412,300 | OtherCostOrOtherBasisAmt |
| Book Value | $412,300 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,764,984 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,424,689 | DepreciationAmt |
| Book Value | $1,340,295 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,164,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,314,574 | DepreciationAmt |
| Book Value | $850,250 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,208,030 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,814,248 | DepreciationAmt |
| Book Value | $393,782 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,679 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,099 | DepreciationAmt |
| Book Value | $2,580 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,999,207 | 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 | 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. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SOUTHWEST COMMUNITY HEALTH CENTER INC | |||||||
| 46 ALBION STREET | BRIDGEPORT | CT | 06605 | 061023013 | 501(C)(3) | $169,200 | ENVIRONMENTAL SUPPORT CHARITABLE GRANT |
| FAIR HAVEN COMMUNITY HEALTH CLINIC INC | |||||||
| 374 GRAND AVENUE | NEW HAVEN | CT | 06513 | 060883545 | 501(C)(3) | $169,200 | ENVIRONMENTAL SUPPORT CHARITABLE GRANT |
| CORNELL SCOTT-HILL HEALTH CORP | |||||||
| 400 COLUMBUS AVENUE | NEW HAVEN | CT | 06519 | 060870990 | 501(C)(3) | $164,400 | ENVIRONMENTAL SUPPORT CHARITABLE GRANT |
| CHARTER OAK HEALTH CENTER | |||||||
| 21 GRAND STREET | HARTFORD | CT | 06106 | 060986747 | 501(C)(3) | $164,400 | ENVIRONMENTAL SUPPORT CHARITABLE GRANT |
| OPTIMUS HEALTH CARE INC | |||||||
| 982 EAST MAIN STREET | BRIDGEPORT | CT | 06608 | 060972166 | 501(C)(3) | $164,400 | ENVIRONMENTAL SUPPORT CHARITABLE GRANT |
| STAYWELL HEALTH CARE INC | |||||||
| 80 PHOENIX AVENUE | WATERBURY | CT | 06702 | 223160873 | 501(C)(3) | $164,400 | ENVIRONMENTAL SUPPORT CHARITABLE GRANT |
| GENERATIONS FAMILY HEALTH CENTER INC | |||||||
| 40 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 223158253 | 501(C)(3) | $164,400 | ENVIRONMENTAL SUPPORT CHARITABLE GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINES 1-7, COLUMN H: | FormAndLineReferenceDesc |
| Explanation | THE 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 ENVIRONMENT 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; SPECIALITY SERVICE/ACCESS TO SPECIALITY CARE; HELPING WITH MEDICAL HOME MODEL INITIATIVES; IMPLEMENTING ELECTRONIC HEALTH RECORD MEANINGFUL USE INITIATIVES; AND/OR FQHC FACILITY IMPROVEMENTS. DURING 2019, CHNCT MADE GRANTS RANGING FROM $160,000-$170,000 TO EACH OF ITS SEVEN FOUNDING TAX EXEMPT 501(C)(3) FQHCS FOR A TOTAL OF $1,160,400 IN CHARITABLE GRANTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SYLVIA B KELLY | ||||||||||||||
| PRESIDENT, CEO & VICE CHAIR | $413,272 | $0 | $47,438 | $0 | $38,771 | $0 | $9,800 | $0 | $6,149 | $0 | $515,430 | $0 | $0 | $0 |
| IBRAHIM BENITEZ | ||||||||||||||
| SR. VP AND CFO | $324,607 | $0 | $30,711 | $0 | $21,028 | $0 | $9,107 | $0 | $29,114 | $0 | $414,567 | $0 | $0 | $0 |
| CORY LUDINGTON | ||||||||||||||
| SR. VP FOR GOVT AFFAIRS AN | $238,605 | $0 | $19,911 | $0 | $340 | $0 | $8,457 | $0 | $14,662 | $0 | $281,975 | $0 | $0 | $0 |
| GAIL DIGIOIA | ||||||||||||||
| VP, MEMBER AND PS | $204,778 | $0 | $19,859 | $0 | $6,966 | $0 | $7,482 | $0 | $32,424 | $0 | $271,509 | $0 | $0 | $0 |
| GREGORY BARBIERO | ||||||||||||||
| VP OF ME & QM | $191,481 | $0 | $17,876 | $0 | $8,013 | $0 | $6,718 | $0 | $3,605 | $0 | $227,693 | $0 | $0 | $0 |
| JOHN KAUKAS | ||||||||||||||
| VP AND CIO | $228,281 | $0 | $22,111 | $0 | $10,514 | $0 | $7,880 | $0 | $32,065 | $0 | $300,851 | $0 | $0 | $0 |
| KRISTINE LISI | ||||||||||||||
| VP OF CLINICAL AFFAIRS | $242,116 | $0 | $0 | $0 | $554 | $0 | $5,790 | $0 | $38,242 | $0 | $286,702 | $0 | $0 | $0 |
| LAWRENCE MAGRAS | ||||||||||||||
| SR. VP FOR POP HEALTH & CM | $364,432 | $0 | $34,707 | $0 | $16,239 | $0 | $9,800 | $0 | $32,467 | $0 | $457,645 | $0 | $0 | $0 |
| MARY ANN CYR | ||||||||||||||
| SR. VP, HEALTH SERVICES | $281,449 | $0 | $26,171 | $0 | $19,538 | $0 | $9,800 | $0 | $4,031 | $0 | $340,989 | $0 | $0 | $0 |
| MARYANN KEAVENEY | ||||||||||||||
| VP OF HUMAN RESOURCES | $198,004 | $0 | $0 | $0 | $773 | $0 | $6,436 | $0 | $15,775 | $0 | $220,988 | $0 | $0 | $0 |
| ROBERTA GELLER | ||||||||||||||
| ASSOC VP OF UTILIZATION MG | $191,722 | $0 | $17,329 | $0 | $13,525 | $0 | $6,941 | $0 | $28,527 | $0 | $258,044 | $0 | $0 | $0 |
| STEVEN BARTOLOTTA | ||||||||||||||
| VP AND CISO | $210,190 | $0 | $19,491 | $0 | $2,405 | $0 | $7,343 | $0 | $29,970 | $0 | $269,399 | $0 | $0 | $0 |
| TRESSA SPEARS-JACKSON | ||||||||||||||
| VP, COMM. AFFAIRS AND CORP | $173,346 | $0 | $15,894 | $0 | $10,050 | $0 | $6,205 | $0 | $15,875 | $0 | $221,370 | $0 | $0 | $0 |
| VENICE FRANCIS-CHURILOV | ||||||||||||||
| ASSOC VP OF ICM | $171,897 | $0 | $17,329 | $0 | $28,194 | $0 | $5,911 | $0 | $15,050 | $0 | $238,381 | $0 | $0 | $0 |
| AIDINHA BLANEY | ||||||||||||||
| DIRECTOR OF FINANCE | $169,993 | $0 | $11,120 | $0 | $9,618 | $0 | $6,484 | $0 | $37,230 | $0 | $234,445 | $0 | $0 | $0 |
| ATTILIO GRANATA | ||||||||||||||
| MEDICAL REVIEWER | $223,563 | $0 | $0 | $0 | $2,705 | $0 | $7,631 | $0 | $15,510 | $0 | $249,409 | $0 | $0 | $0 |
| NANCY SHUSTER | ||||||||||||||
| DURABLE ME CLINICAL ANALYS | $176,135 | $0 | $0 | $0 | $2,085 | $0 | $6,439 | $0 | $31,166 | $0 | $215,825 | $0 | $0 | $0 |
| RICHARD COWETT | ||||||||||||||
| MEDICAL REVIEWER | $239,962 | $0 | $0 | $0 | $16,724 | $0 | $8,301 | $0 | $30,307 | $0 | $295,294 | $0 | $0 | $0 |
| TRACEY SAUCIER | ||||||||||||||
| DIRECTOR OF BUSINESS SYSTE | $170,389 | $0 | $10,565 | $0 | $7,384 | $0 | $5,987 | $0 | $2,406 | $0 | $196,731 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | IN 2019, THE COMPANY ISSUED INCENTIVE BONUS PAYMENTS TO ELIGIBLE EMPLOYEES AS PER THE ANNUAL INCENTIVE PLAN THAT WAS ESTABLISHED IN 2017 BY THE PERSONNEL AND COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE PURPOSE OF THE ANNUAL INCENTIVE PLAN IS INTENDED TO ALIGN ELIGIBLE EMPLOYEES' RESPECTIVE WORK EFFORT WITH THE PERFORMANCE TARGETS THE COMPANY AND THE STATE OF CONNECTICUT AGREED TO AS IT PERTAINS TO THE COMPANY'S ADMINISTRATIVE SERVICES ORGANIZATION SCOPE OF WORK FOR THE CONNECTICUT MEDICAID (HUSKY) PROGRAM. ON AN ANNUAL BASIS, THE ELIGIBLE EMPLOYEES ARE DETERMINED TO BE PARTICIPANTS OF THE ANNUAL INCENTIVE PLAN BY THE PERSONNEL AND COMPENSATION COMMITTEE. IN 2019, THE COMMITTEE APPROVED FOR ALL EMPLOYEES AT THE POSITION LEVEL OF DIRECTOR, ASSOCIATE VICE PRESIDENT, VICE PRESIDENT, SENIOR VICE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER AS PARTICIPANTS OF THE INCENTIVE PLAN. IN 2019, THE SIZE OF THE POOL WAS DETERMINED BY THE PERSONNEL AND COMPENSATION COMMITTEE'S AND BOARD OF DIRECTORS' APPROVED PERCENTAGE OF SALARY OF EACH PARTICIPANT (CHIEF EXECUTIVE OFFICER 10%; SENIOR VICE PRESIDENT, VICE PRESIDENT AND ASSOCIATE VICE PRESIDENT 7.5%; AND DIRECTOR 5%). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A SINGLE CLASS OF MEMBERS. THE SOLE MEMBER IN THAT CLASS IS COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC., A CONNECTICUT NONSTOCK CORPORATION ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. MORE SPECIFICALLY, COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC., THE ORGANIZATION'S SOLE MEMBER, HAS THE POWER TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO THE MEMBER. MORE SPECIFICALLY, COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC., THE ORGANIZATION'S SOLE MEMBER, HAS THE EXCLUSIVE POWER TO AMEND THE BYLAWS OF THE ORGANIZATION. IN ADDITION, IN ACCORDANCE WITH SUCH BYLAWS, THE ORGANIZATION'S SOLE MEMBER HAS APPROVAL RIGHT WITH RESPECT TO THE ORGANIZATION'S ABILITY TO (I) ADOPT OR MODIFY THE ORGANIZATION'S MISSION STATEMENT, (II) ADOPT OR MODIFY THE ORGANIZATION'S BUDGETS, (III) APPROVE SIGNIFICANT BORROWINGS, (IV) HIRE THE ORGANIZATION'S PRESIDENT, (V) APPROVE SIGNIFICANT CHANGES IN THE ORGANIZATION'S ACTIVITIES, (VI) ACQUIRE OR DISPOSE OF SIGNIFICANT ASSETS, (VII) FILE FOR BANKRUPTCY, AND (VIII) AMEND THE CERTIFICATE OF INCORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | ONCE PREPARED BY OUR THIRD PARTY ACCOUNTANTS, THE 990 FORM IS REVIEWED BY CHNCT'S DIRECTOR OF FINANCE, CHIEF FINANCIAL OFFICER, CHIEF EXECUTIVE OFFICER, VICE PRESIDENT OF COMPLIANCE, AND VICE PRESIDENT OF HUMAN RESOURCES. AFTER THIS REVIEW PROCESS IS COMPLETED, THE 990 FORM IS DISTRIBUTED TO EACH MEMBER OF THE CHNCT BOARD OF DIRECTORS, AND EACH MEMBER OF THE CHNCT HOLDINGS BOARD OF DIRECTORS (CHNCT HOLDINGS IS THE SOLE MEMBER OF CHNCT) PRIOR TO THE FILING OF THE DOCUMENT WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL CHNCT OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUAL INTERESTS THAT COULD GIVE RISE TO CONFLICTS TO THE COMPLIANCE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15 | DURING 2016, THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM (SULLIVAN COTTER) TO CONDUCT A MARKET STUDY AND COMPARISON OF BASE COMPENSATION, BONUS PAY, BENEFITS, AND TOTAL CASH COMPENSATION FOR THE CEO AND MOST OF THE OFFICERS/VP'S (NINE POSITIONS IN ALL). THEY ALSO UTILIZED THE WARREN AND ACAP SURVEYS, BUT SUPPLEMENTED THAT DATA WITH OTHER SOURCES. THEY COMPARED THE NINE POSITIONS TO AN EQUALLY WEIGHTED BLEND OF HEALTH PLAN, NOT-FOR-PROFIT, AND GENERAL INDUSTRY MARKETS. IN COMPARING TO THE NOT-FOR-PROFIT AND GENERAL INDUSTRY MARKETS, THEY UTILIZED ANNUAL REVENUE SIZE AS SCOPE DATA. FOR THE NINE POSITIONS TREATED IN THE CONSULTANT'S MARKET STUDY, SALARY RANGES WERE ADJUSTED IN KEEPING WITH THE MARKET DATA, AND APPROVED BY THE BOARD'S COMPENSATION AND PERSONNEL COMMITTEE (THE COMMITTEE). ADJUSTMENTS TO BASE SALARY WERE REVIEWED AND APPROVED BY THE COMMITTEE IN KEEPING WITH NORMS IDENTIFIED BY THE CONSULTANT. FOR THE REMAINING KEY POSITIONS, (I.E. THOSE FALLING OUTSIDE THE SCOPE OF THE CONSULTANT'S STUDY), MARKET DATA WERE OBTAINED FROM THREE RECOGNIZED SURVEY SOURCES (WARREN HMO SURVEY, ACAP EXECUTIVE SALARY SURVEY, AND ECONOMIC RESEARCH INSTITUTE EXECUTIVE ASSESSOR). INCUMBENT SALARIES WERE COMPARED TO AN EQUALLY-WEIGHTED SURVEY MEDIAN SALARY, AND SALARY RANGES ESTABLISHED AND APPROVED BY THE COMMITTEE. A RANGE OF SALARY INCREASES BASED UPON INCUMBENTS' COMPA-RATIO WAS SUBSEQUENTLY APPROVED BY COMMITTEE, SUBJECT TO THE LIMITATIONS OF THE COMPANY'S OVERALL ADMINISTRATIVE EXPENSE BUDGET, AS APPROVED BY THE FULL BOARD. IN 2017 CHNCT ADOPTED THE CONSULTING FIRMS' RECOMMENDATIONS THAT WERE APPROVED BY THE COMMITTEE AS DESCRIBED ABOVE. |
| 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 XI, LINE 9: | TRANSFER TO HOLDINGS -240,000. |
| FORM 990 PART XII LINE 2C | THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
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 | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | |
| COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC | |||||||||||
| 11 FAIRFIELD BOULEVARD | WALLINGFORD | CT | 06492 | 455239655 | SUPPORTS THE PUBLICLY-SUPPORTED 501(C)(3) FQHCS THAT ARE ITS MEMBERS | CT | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC | ||
| B | $240,000 | FAIR VALUE |
| COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC | ||
| O | $346,858 | FAIR VALUE |
| COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC | ||
| K | $241,855 | FAIR VALUE |
| COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC | ||
| Q | $76,235 | FAIR VALUE |
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