2020-04-13T12:08:44-05:00 2019-06-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2018-07-01 810690892 COMMUNITY ECONSULT NETWORK INC COMM 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 ROBERT BLOCK CFO/TREASURER 8603476971 2020-04-08 1 MARY-EVELYN ANTONETTI P00431862 2037819600 47.19.127.190 2020-04-08 10:37:44 ED P 227314C584990EAD25B15C5D270E2D1F6E3A74A5 04DC45234ACA7FC46FC69F653C1951DD105C433F 2018 2021-01-29 14:40:06Z MARK MASSELLI 635 MAIN STREET MIDDLETOWN CT 06457 1078745 0 X WWW.CHC1.COM X 2015 CT TO IMPROVE AND PROMOTE HEALTHCARE (SEE SCHEDULE O)COMMUNITY ECONSULT NETWORK, INC. ("CECN")'S PURPOSE IS TO IMPROVE AND PROMOTE HEALTHCARE BY:(A) IMPROVING THE EFFICACY AND QUALITY OF HEATHCARE PROVIDED TO UNDERSERVED AND RURAL POPULATIONS BY PROVIDING A PLATFORM TO PRIMARY CARE PROVIDERS OF UNDERSERVED AND RURAL POPULATIONS FOR COMMUNICATING TIMELY AND DIRECTLY WITH HIGH QUALITY SPECIALTY CARE PROVIDERS ON BEHALF OF UNDERSERVED INDIVIDUALS; AND(B) INCREASING AND ENABLING ACCESS TO MEDICAL SPECIALIST FOR UNDERSERVED AND RURAL POPULATIONS BY PROVIDING A PLATFORM TO PRIMARY CARE PROVIDERS OF UNDERSERVED AND RURAL POPULATIONS FOR COMMUNICATING TIMELY AND DIRECTLY WITH HIGH QUALITY SPECIALTY CARE PROVIDERS ON BEHALF OF UNDERSERVED INDIVIDUALS. 7 3 12 3 0 0 40297 180474 490451 898271 0 0 0 0 530748 1078745 0 0 0 0 212746 732195 0 0 0 907175 1278430 1119921 2010625 -589173 -931880 725059 1034636 2088657 3284361 -1363598 -2249725 X CECN'S TAX EXEMPT PURPOSES ARE IMPROVING EFFICACY AND QUALITY OF HEALTHCARE PROVIDED TO UNDERSERVED AND RURAL POPULATIONS, AND INCREASING AND ENABLING ACCESS TO MEDICAL SPECIALISTS FOR UNDERSERVED AND RURAL POPULATIONS. CECN USES THE ECONSULT PLATFORM WHICH IS AN ELECTRONIC WEB-BASED, HIPPA COMPLIANT COMMUNICATIONS PLATFORM FOR CLINICAL CONSULTATIONS. THE ECONSULT ACTIVITY DIRECTLY FURTHERS THESE PURPOSES BY PROVIDING A PLATFORM BY WHICH MEDICALLY UNDERSERVED INDIVIDUALS IN NEED OF SPECIALTY HEALTHCARE OBTAIN ACCESS TO THE NEEDED SPECIALTY HEALTHCARE DIRECTLY THROUGH THEIR PRIMARY CARE PROVIDERS. IN MANY CASES, DUE TO FINANCIAL HARDSHIPS, THE LACK OF INSURANCE, GEOGRAPHIC RESTRICTIONS OR THE ABSENCE OF TRANSPORTATION, MEDICALLY UNDERSERVED PATIENTS DO NOT HAVE ACCESS TO NEDED SPECIALTY CARE PROVIDERS. 0 0 1895191 898271 TO IMPROVE THE EFFICIENCY AND QUALITY OF HEALTHCARE PROVIDED TO UNDER SERVED AND RURAL POPULATIONS BY PROVIDING A PLATFORM TO PRIMARY CARE PROVIDERS OF UNDER SERVED AND RURAL POPULATIONS FOR COMMUNICATING TIMELY AND DIRECTLY WITH HIGH QUALITY SPECIALTY CARE PROVIDERS ON BEHALF OF UNDER SERVED INDIVIDUALS. 1895191 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 12 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X COMMUNITY HEALTH CENTER 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 MARK MASSELLI PRESIDENT/CEO 2.00 48.00 X X 0 577944 68654 DAREN ANDERSON SEC./QUALITY OFFICER 25.00 25.00 X X 0 448854 72051 ROBERT BLOCK CFO/TREASURER 2.00 48.00 X X 0 234833 64916 MARK BONNEY DIRECTOR 0.50 0.00 X 0 0 0 MICHAEL CRITELLI DIRECTOR 0.50 0.00 X 0 0 0 CARLOS OLIVARES DIRECTOR 0.50 0.00 X 0 0 0 MARGARET FLINTER VP/CLINICAL DIRECTOR 2.00 48.00 X X 0 392936 60229 0 1654567 265850 0 0 1 0 0 180474 180474 ECONSULTING REVENUE 621400 841771 841771 IMPLEMENTATION FEES 621400 27775 27775 LICENSING FEES 621400 15725 15725 PEER REVIEW 621400 13000 13000 898271 1078745 898271 0 0 X 651249 651249 25884 25884 55062 55062 18497 18497 96937 96937 739553 739553 26540 26540 31321 31321 34779 34779 21941 21941 70846 70846 39724 39724 64458 64458 BAD DEBT 104950 104950 LICENSE AND PERMITS 16355 16355 MEALS 5946 5946 MEDICAL SUPPLIES 3334 3334 3249 3249 2010625 1895191 115434 0 465354 919617 193705 108238 4531 66000 63750 0 2250 66000 0 725059 1034636 49173 2088657 3235188 2088657 3284361 X -1363598 -2249725 -1363598 -2249725 725059 1034636 X -931880 45753 X X 0 1 X 1 0 X 40297 180474 220771 490451 898271 1388722 530748 1078745 1609493 0 0 0 1609493 530748 1078745 1609493 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 66000 63750 2250 2250 DUE TO CHC 3235188 3235188 X PART X, LINE 2: EXCERPT FROM NOTE 1 OF THE CONSOLIDATED FINANCIAL STATEMENTS FOR COMMUNITY HEALTH CENTER INC. - THE ORGANIZATION HAS RECEIVED EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS ALSO BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509 (A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170 (B) (1) (A) (VI). MANAGEMENT HAS REVIEWED THE ORGANIZATION'S REPORTING AND BELIEVE THEY HAVE NOT TAKEN TAX POSITIONS THAT ARE MORE LIKELY THAN NOT TO BE DETERMINED TO BE INCORRECT BY THE INTERNAL REVENUE SERVICE AND THEREFORE, NO ADJUSTMENTS OR DISCLOSURES ARE REQUIRED. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. 0 0 0 0 0 0 0 0 0 MARK MASSELLI PRESIDENT/CEO 0 484648 0 68700 0 24596 0 33552 0 35102 0 646598 0 0 DAREN ANDERSON SEC./QUALITY OFFICER 0 389250 0 40000 0 19604 0 37574 0 34477 0 520905 0 0 ROBERT BLOCK CFO/TREASURER 0 203388 0 20000 0 11445 0 29662 0 35254 0 299749 0 0 MARGARET FLINTER VP/CLINICAL DIRECTOR 0 312149 0 50000 0 30787 0 33867 0 26362 0 453165 0 0 PART I, LINE 3 COMMUNITY HEALTH CENTER, INC. ("CHC"), A RELATED 501(C)(3), PAYS ALL SALARIES FOR OFFICERS. CHC USED THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE COMMUNITY ECONSULT NETWORK, INC. IS COMMUNITY HEALTH CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE COMMUNITY HEALTH CENTER, INC. (CHC INC) HAS THE EXCLUSIVE RIGHT TO APPOINT, REMOVE, OR REPLACE THE MEMBERS OF THE COMMUNITY ECONSULT NETWORK, INC'S BOARD OF DIRECTORS. CHC INC HAS THE EXCLUSIVE RIGHT TO DETERMINE THE NUMBER OF DIRECTORS TO SERVE IN A PARTICULAR YEAR UNDER THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE 990 FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CECN FOLLOWS THE CONFLICT OF INTEREST POLICY OF ITS SOLE MEMBER, CHC. A CONFLICT OF INTEREST FORM IS FILLED OUT ANNUALLY. SPECIFIC ISSUES ARE HANDLED ON A CASE BY CASE BASIS AND REVIEWED BY THE FULL BOARD AND IF NECESSARY ARE FORWARDED TO THE COMPLIANCE OFFICER OF COMMUNITY HEALTH CENTER, INC. FOR FURTHER REVIEW AND FOLLOW UP. IF THERE IS A CONFLICT OF INTEREST, THE INDIVIDUAL WILL RECUSE THEMSELF FROM ALL DISCUSSIONS RELATING TO THE POTENTIAL ACTIVITY. FORM 990, PART VI, SECTION B, LINE 15 CECN HAS NO EMPLOYEES. ALL OFFICERS AND EMPLOYEES ARE PAID BY A RELATED ORGANIZATION, COMMUNITY HEALTH CENTER, INC. TO DETERMINE OFFICER COMPENSATION CHC ENGAGED AN OUTSIDE CONSULTANT IN 2018 TO PERFORM AN INDEPENDENT COMPENSATION STUDY. THE COMPENSATION WAS THEN APPROVED BY CHC'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PAYMENTS TO SPECIALIST NETWORK: PROGRAM SERVICE EXPENSES 739,553. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 739,553. FORM 990, PART XI, LINE 9: TRANSFER FROM COMMUNITY HEALTH CENTER, INC. 45,753. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. COMMUNITY HEALTH CENTER INC 635 MAIN STREET MIDDLETOWN CT 06457 060897105 MED/SOC CT 501(C)(3) LINE 7 N/A 0 CHC1 MEDIA INC 635 MAIN STREET MIDDLETOWN CT 06457 453784467 SUPPORT CT 501(C)(3) LINE 12A, I CHC 0 NATIONAL NURSE PRACTITIONER 635 MAIN STREET MIDDLETOWN CT 06457 475041001 TRAINING CT 501(C)(3) LINE 10 CHC 0 NATIONAL INSTITUTE FOR MEDICAL ASST 635 MAIN STREET MIDDLETOWN CT 06457 813293048 TRAINING CT 501(C)(3) LINE 2 CHC 0 CHC REALTY INC 635 MAIN STREET MIDDLETOWN CT 06457 274296337 SUPPORT CT 501(C)(3) LINE 12A, I CHC 0 CHC REALTY II INC 635 MAIN STREET MIDDLETOWN CT 06457 821653914 SUPPORT CT 501(C)(3) LINE 12A, I CHC 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1