2019-08-15T12:43:07-05:00 2018-12-31 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2018-01-01 061429341 COMMUNITY HEALTH NETWORK OF CONNECTICUT INC COMM 2039494000 11 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 IBRAHIM BENITEZ SENIOR VICE PRESIDENT & CFO 2039494000 2019-08-13 1 JOHN TOSCANO P00358542 9592007000 2019-08-13 209.59.242.22 2019-08-13 13:45:08 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3A16AF227DFFBEB6A54D665AEE301AB9EC7A606C 2018 2019-02-21 02:37:17Z IBRAHIM BENITEZ 11 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 75713469 0 X WWW.CHNCT.ORG X 1995 CT THE ORGANIZATION IMPROVES THE HEALTH OF THE RESIDENTS OF CONNECTICUT AND PROMOTES THE AVAILABILITY OF HIGH-QUALITY, COMPREHENSIVE, COST-EFFECTIVE HEALTH CARE SERVICES TO A CHARITABLE POPULATION OF OVER 800,000 CONNECTICUT RESIDENTS. 5 4 559 0 0 46018 0 0 76002315 74602996 396215 540884 0 0 76398530 75143880 1050000 1080000 0 0 50953679 51506725 0 0 0 23413900 21844335 75417579 74431060 980951 712820 51117293 45145118 13465988 7801004 37651305 37344114 X THE ORGANIZATION IMPROVES THE HEALTH OF THE RESIDENTS OF CONNECTICUT AND PROMOTES THE AVAILABILITY OF HIGH-QUALITY, COMPREHENSIVE, COST-EFFECTIVE HEALTH CARE SERVICES TO A CHARITABLE POPULATION OF OVER 800,000 CONNECTICUT RESIDENTS. 0 0 -69453 HEALTH CARE PROGRAMS, GENERAL/OTHER:IN 2018, 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. IN 2018, CHNCT RECEIVED UNCLAIMED PROPERTY FUNDS FROM THE STATE OF CT TREASURY OFFICE DIRECTLY RELATED TO CLAIMS OVERPAYMENTS RETURNED TO CHNCT BY VARIOUS HEALTH CARE PROVIDERS. 72400819 74602996 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. 1080000 1080000 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 2017, CHNCT MADE ENIVONMENTAL SUPPORT GRANTS IN JANUARY TO THE FOUNDING FEDERALLY QUALIFIED HEALTH CENTERS. 73411366 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 62 0 1 559 1 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X IBRAHIM BENITEZ 2039494000 11 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 ANTOINETTE D'ALMEIDA BOARD MEMBER 0.50 X 0 0 0 CARL A MIKOLOWSKY MD TREASURER/SECRETARY/BM 0.50 X X 5318 0 0 JOHN H SENECHAL MD BOARD MEMBER 0.50 X 3418 0 0 LUDWIG SPINELLI CHAIR 0.50 1.00 X X 0 0 0 SYLVIA B KELLY PRESIDENT, CEO & VICE CHAIR 40.00 3.00 X X 409911 0 13764 IBRAHIM BENITEZ SR. VP AND CFO 40.00 2.00 X 351860 0 38893 CORY LUDINGTON SR. VP FOR GOVT AFFAIRS AND CO 40.00 X 254155 0 22133 GAIL DIGIOIA VP, MEMBER AND PS 40.00 X 232334 0 36306 GREGORY BARBIERO VP OF ME & QM 40.00 X 218654 0 10019 JOHN KAUKAS VP AND CIO 40.00 X 261521 0 35535 LAWRENCE MAGRAS SR. VP FOR POP HEALTH & CMO 40.00 2.00 X 396061 0 41094 MARY ANN CYR SR. VP, HEALTH SERVICES 40.00 X 323072 0 13553 ROBERTA GELLER ASSOC VP OF UTILIZATION MG 40.00 X 217751 0 36644 STEVEN BARTOLOTTA VP AND CISO 40.00 X 230452 0 34481 TRESSA SPEARS-JACKSON VP, COMM. AFFAIRS AND CORP 40.00 X 187987 0 19218 VENICE FRANCIS-CHURILOV ASSOC VP OF ICM 40.00 X 207612 0 18194 AIDINHA BLANEY DIRECTOR OF FINANCE 40.00 X 189533 0 44192 ATTILIO GRANATA MEDICAL REVIEWER 36.00 X 237476 0 23526 NANCY SHUSTER DURABLE ME CLINICAL ANALYS 40.00 X 176203 0 35334 RICHARD COWETT MEDICAL REVIEWER 40.00 X 257145 0 37076 TRACEY SAUCIER DIRECTOR OF BUSINESS SYSTE 40.00 X 182488 0 20295 4342951 0 480257 81 0 1 0 IT1 SOURCE PO BOX 413006 SALT LAKE CITY UT 84141 SOFTWARE HARDWARE AND MAINTENANCE RESELL 1860467 CHANGE HEALTHCARE LLC 22423 NETWORK PLACE CHICAGO IL 60673 SOFTWARE, ANALYTICS, NETWORK SOLUTIONS A 1019398 FALCON SUBSIDIARY MAILCODE5199 PO BOX 660367 DALLAS TX 75266 NURSE ADVICE LINE 509695 OMNI PRINT 160 CHRISTIAN STREET OXFORD CT 06478 PRINTING SERVICES 337807 SMG SERVICES 25 CONTROLS DRIVE SHELTON CT 06484 CLEANING SERVICES 134172 6 ASO REVENUE 561000 74228892 74228892 OTHER INCOME 561000 374104 374104 74602996 546820 546820 563653 569589 -5936 -5936 -5936 75143880 74602996 0 540884 1080000 1080000 3620491 3620491 36452293 36217563 234730 1092979 1088396 4583 7283033 7240509 42524 3057929 3033378 24551 106882 86711 20171 123260 123260 34702 34702 1738613 1367992 370621 3435765 3435765 10838816 10717967 120849 1359557 1359557 104907 104907 201756 198975 2781 1299709 1221147 78562 542945 542945 RADIOLOGY-EVICORE 1603451 1603451 OTHER EXPENSES 453972 368352 85620 74431060 73411366 1019694 0 30203109 14785373 3015398 2412233 3263189 3836551 23992197 20564027 4157332 3428170 10441924 20646448 36341 36343 51117293 45145118 6617392 6982893 6848596 818111 13465988 7801004 X 748984 748984 0 0 36902321 36595130 37651305 37344114 51117293 45145118 X 712820 -680013 -340000 X X 0 1 X 1 0 412300 412300 2764984 1332522 1432462 4811598 4038457 773141 15981636 15177046 804590 21679 16002 5677 3428170 X PART X, LINE 2: THE COMPANY FOLLOWS THE GUIDANCE OF ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR INCOME TAXES (ASC 740), RELATED TO UNCERTAINTIES IN INCOME TAXES, WHICH PRESCRIBES A THRESHOLD OF MORE LIKELY THAN NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY BELIEVES IT HAS TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS. 1 SOUTHWEST COMMUNITY HEALTH CENTER INC 46 ALBION STREET BRIDGEPORT CT 06605 061023013 501(C)(3) 150000 ENVIRONMENTAL SUPPORT CHARITABLE GRANT FAIR HAVEN COMMUNITY HEALTH CLINIC INC 374 GRAND AVENUE NEW HAVEN CT 06513 060883545 501(C)(3) 150000 ENVIRONMENTAL SUPPORT CHARITABLE GRANT CORNELL SCOTT-HILL HEALTH CORP 400 COLUMBUS AVENUE NEW HAVEN CT 06519 060870990 501(C)(3) 150000 ENVIRONMENTAL SUPPORT CHARITABLE GRANT CHARTER OAK HEALTH CENTER 21 GRAND STREET HARTFORD CT 06106 060986747 501(C)(3) 150000 ENVIRONMENTAL SUPPORT CHARITABLE GRANT OPTIMUS HEALTH CARE INC 982 EAST MAIN STREET BRIDGEPORT CT 06608 060972166 501(C)(3) 150000 ENVIRONMENTAL SUPPORT CHARITABLE GRANT STAYWELL HEALTH CARE INC 80 PHOENIX AVENUE WATERBURY CT 06702 223160873 501(C)(3) 180000 ENVIRONMENTAL SUPPORT CHARITABLE GRANT GENERATIONS FAMILY HEALTH CENTER INC 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 223158253 501(C)(3) 150000 ENVIRONMENTAL SUPPORT CHARITABLE GRANT 7 PART II, LINES 1-7, COLUMN H: 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 2018, CHNCT MADE GRANTS RANGING FROM $150,000 - $180,000 TO EACH OF ITS SEVEN FOUNDING TAX EXEMPT 501(C)(3) FQHCS FOR A TOTAL OF $1,080,000 IN CHARITABLE GRANTS. X X X 0 0 0 0 0 0 0 1 0 SYLVIA B KELLY PRESIDENT, CEO & VICE CHAIR 373806 0 0 0 36105 0 9625 0 4139 0 423675 0 0 0 IBRAHIM BENITEZ SR. VP AND CFO 308925 0 33769 0 9166 0 9625 0 29268 0 390753 0 0 0 CORY LUDINGTON SR. VP FOR GOVT AFFAIRS AND CO 219573 0 21730 0 12852 0 8067 0 14066 0 276288 0 0 0 GAIL DIGIOIA VP, MEMBER AND PS 201437 0 21692 0 9205 0 7325 0 28981 0 268640 0 0 0 GREGORY BARBIERO VP OF ME & QM 187278 0 19442 0 11934 0 6587 0 3432 0 228673 0 0 0 JOHN KAUKAS VP AND CIO 227092 0 24138 0 10291 0 8137 0 27398 0 297056 0 0 0 LAWRENCE MAGRAS SR. VP FOR POP HEALTH & CMO 356696 0 38537 0 828 0 9625 0 31469 0 437155 0 0 0 MARY ANN CYR SR. VP, HEALTH SERVICES 274920 0 28657 0 19495 0 9625 0 3928 0 336625 0 0 0 ROBERTA GELLER ASSOC VP OF UTILIZATION MG 183456 0 18924 0 15371 0 6715 0 29929 0 254395 0 0 0 STEVEN BARTOLOTTA VP AND CISO 207780 0 21440 0 1232 0 7172 0 27309 0 264933 0 0 0 TRESSA SPEARS-JACKSON VP, COMM. AFFAIRS AND CORP 164391 0 14508 0 9088 0 4411 0 14807 0 207205 0 0 0 VENICE FRANCIS-CHURILOV ASSOC VP OF ICM 179646 0 19002 0 8964 0 3895 0 14299 0 225806 0 0 0 AIDINHA BLANEY DIRECTOR OF FINANCE 166761 0 12040 0 10732 0 6163 0 38029 0 233725 0 0 0 ATTILIO GRANATA MEDICAL REVIEWER 226102 0 0 0 11374 0 8317 0 15209 0 261002 0 0 0 NANCY SHUSTER DURABLE ME CLINICAL ANALYS 173707 0 0 0 2496 0 6330 0 29004 0 211537 0 0 0 RICHARD COWETT MEDICAL REVIEWER 238872 0 0 0 18273 0 8483 0 28593 0 294221 0 0 0 TRACEY SAUCIER DIRECTOR OF BUSINESS SYSTE 163651 0 11676 0 7161 0 5849 0 14446 0 202783 0 0 0 PART I, LINE 7 HIGHLY COMPENSATED EMPLOYEES RECEIVED A BOARD APPROVED BONUS WHICH IS REPORTED IN THEIR 2018 W2. 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 -340,000. 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. COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC 11 FAIRFIELD AVENUE WALLINGFORD CT 06492 200395748 SUPPORTS NONPROFIT ACTIVITIES OF COMMUNITY HEALTH CENTERS AND NONPROFIT ORGS CT 501(C)(3) LINE 7 COMMUNITY HEALTH NETWORK OF CONNECTICUT INC 1 COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC 11 FAIRFIELD AVENUE WALLINGFORD CT 06492 455239655 SUPPORTS THE PUBLICLY-SUPPORTED 501(C)(3) FQHCS THAT ARE ITS MEMBERS CT 501(C)(3) LINE 12A, I N/A 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC B 340000 FAIR VALUE COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC O 365499 FAIR VALUE COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC K 285519 FAIR VALUE COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC Q 73623 FAIR VALUE