CONNECTICUT HOSPITAL ASSOCIATION INC & AFFILIATES: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CONNECTICUT HOSPITAL ASSOCIATION INC & AFFILIATES (EIN 06-0632049)
- Tax period
- 2015-05-01 to 2016-04-30
- Filed
- 2016-12-12
- IRS object ID
- 201623479349300972
- Schema version
- 2015v2.1
- 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 | 2016-12-12T13:00:31-06:00 | ReturnTs |
| Tax Period End | 2016-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 Powder Forest Drive | AddressLine1Txt |
| City | Simsbury | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 060897902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060632049 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Connecticut Hospital Association Incorporated | BusinessNameLine1Txt |
| 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 |
| Signature | 2016-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BETH THURZ | PreparerPersonNm |
| PTIN | P00346435 | PTIN |
| Phone | 8606789200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIFER JACKSON | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,057,366 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | CTHOSP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1919 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ADVOCACY, REPRESENTATION AND EDUCATION FOR HOSPITALS AND HEALTHCARE ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 62 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,618,269 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,759,058 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $518,313 | PYOtherRevenueAmt |
| CY Other Revenue | $293,308 | CYOtherRevenueAmt |
| PY Total Revenue | $8,151,582 | PYTotalRevenueAmt |
| CY Total Revenue | $14,057,366 | 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 | $5,895,268 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,080,498 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,987,613 | PYOtherExpensesAmt |
| CY Other Expenses | $8,211,737 | CYOtherExpensesAmt |
| PY Total Expenses | $7,882,881 | PYTotalExpensesAmt |
| CY Total Expenses | $14,292,235 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $268,701 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$234,869 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,841,670 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,896,510 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,367,853 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,957,487 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$8,526,183 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$11,060,977 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CHA'S MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES BY LEADING, REPRESENTING, AND SERVING HOSPITALS AND THEIR RELATED HEALTHCARE ORGANIZATIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | THE ORGANIZATION PROVIDES ADVOCACY, REPRESENTATION, EDUCATION AND DISSEMINATION OF INFORMATION TO ITS MEMBERS AND THE PUBLIC. THE ASSOCIATION ORGANIZES AND SUPPORTS OVER 40 MEETING GROUPS FOR 27 HOSPITALS AND OVER 100 OTHER INSTITUTIONAL MEMBERS. | Desc |
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | Yes (true) | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 62 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BRUCE D CUMMINGS | |||||||||
| CHAIRMAN | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PETER J KARL | |||||||||
| SECRETARY | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DAVID A WHITEHEAD | |||||||||
| VICE CHAIRMAN | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER M O'CONNOR | |||||||||
| TREASURER | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER JACKSON | |||||||||
| PRESIDENT & CEO | 20.0 | Yes (X) | Yes (X) | $382,135 | $397,971 | $60,018 | 20.0 | ||
| CHRISTOPHER M DADLEZ | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| VINCENT G CAPECE JR | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN M MURPHY | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| KURT A BARWIS | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN A MYATT | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| ANNE DIAMOND | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY A FLAKS | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| ELLIOT T JOSEPH | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| CHAD W WABLE | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARNA P BORGSTROM | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM M JENNINGS | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICK A CHARMEL | |||||||||
| EX OFFICIO | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROHIT BHALLA MD | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| DARLENE STROMSTAD | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| STUART G MARCUS MD | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| COLLEEN O SMITH RN | |||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN J BRADY | |||||||||
| CFO & VP, BUSINESS PLANNING | 20.0 | Yes (X) | $138,861 | $144,616 | $68,177 | 20.0 | |||
| KIMBERLEY K HOSTETLER | |||||||||
| SR VP & CHIEF ADMIN OFFICE | 20.0 | $86,029 | $89,595 | $26,512 | 20.0 | Yes (X) | |||
| MARY LYON | |||||||||
| VP, INTEGRATED HEALTH INFO | 4.0 | $22,400 | $191,187 | $48,531 | 36.0 | Yes (X) | |||
| ANTHONY DIAS | |||||||||
| VP, DATA SERVICES | 4.0 | $36,043 | $307,630 | $33,939 | 36.0 | Yes (X) | |||
| GRACE E NAPOLITAN | |||||||||
| VP, ADMINISTRATION | 20.0 | $108,847 | $113,358 | $37,524 | 20.0 | Yes (X) | |||
| JAMES IACOBELLIS | |||||||||
| SR VP, GOVT & REGULATORY AF | 40.0 | $378,159 | $0 | $56,593 | Yes (X) | ||||
| STEPHEN A FRAYNE | |||||||||
| SR VP, HEALTH POLICY | 40.0 | $478,416 | $0 | $63,677 | Yes (X) | ||||
| MICHELLE SHARP | |||||||||
| VP, COMMUNICATIONS | 40.0 | $186,830 | $0 | $32,985 | Yes (X) | ||||
| MARIE SPIVEY | |||||||||
| VP, HEALTH EQUITY | 40.0 | $152,919 | $0 | $5,908 | Yes (X) | ||||
| karen buckley | |||||||||
| VP, Advocacy | 20.0 | $101,580 | $105,790 | $14,182 | 20.0 | Yes (X) | |||
| ALLAN J PINARD | |||||||||
| ASST VP, FINANCE | 40.0 | $214,846 | $0 | $49,706 | Yes (X) | ||||
| ELIZABETH BEAUDIN | |||||||||
| DIR, NURSING & WORKFORCE INITIATIVES | 40.0 | $179,947 | $0 | $43,078 | Yes (X) | ||||
| DOUGLAS CAYER | |||||||||
| DIR, ORGANIZATIONAL PERFORMANCE | 20.0 | $95,205 | $99,151 | $29,953 | 20.0 | Yes (X) | |||
| LISA DOUGLAS | |||||||||
| DIR, PERFORMANCE ANALYTICS | 4.0 | $20,194 | $172,355 | $12,232 | 36.0 | Yes (X) | |||
| Matthew Hoey | |||||||||
| Director Clec Operations | 11.0 | $46,515 | $128,651 | $22,477 | 29.0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,628,926 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,750,304 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $605,492 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| COX & OSOWIECKI LLC | ||||||
| 10 COLUMBUS BLVD | HARTFORD | CT | 06106 | LEGAL | $426,611 | |
| BKD LLP | ||||||
| 1201 WALNUT STREET SUITE 1700 | KANSAS CITY | MO | 64106 | CONSULTING | $324,816 | |
| WIGGIN AND DANA COUNSELLORS AT LAW | ||||||
| PO BOX 1832 | NEW HAVEN | CT | 06508 | LEGAL | $248,689 | |
| HALLORAN & SAGE LLP | ||||||
| 225 ASYLUM STREET | HARFORD | CT | 06103 | LEGAL | $123,892 | |
| SUTHERLAND ASBILL & BRENNAN LLP | ||||||
| 700 SIXTH STREET | WASHINGTON | DC | 200013980 | LEGAL | $108,519 | SUITE 700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $5,000 | AllOtherContributionsAmt |
| Total Contributions | $5,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBERSHIP DUES | 541900 | $7,242,263 | $7,242,263 |
| SPECIAL ASSESSMENTS | 541900 | $6,515,295 | $6,515,295 |
| EDUCATION PROGRAMS | 541900 | $1,500 | $1,500 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,759,058 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $117,562 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $117,562 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,562 | TotalRevenueColumnAmt |
| Exclusion | $117,562 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ANNUAL MEETING REVENUE | 541900 | $154,550 | $154,550 |
| AHA INCOME | 541900 | $9,235 | $9,235 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,961 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,961 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $175,746 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,057,366 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,934,804 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $117,562 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,158,143 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,230,167 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,516 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,149 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,523 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,720 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,936 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,564 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $982,523 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,508 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,949 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,748 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,312 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,855 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,565 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| CONTRIBUTION TO CHREF | $917,792 |
| DONATIONS | $68,755 |
| SPECIAL ASSESSMENTS | $6,515,295 |
| LICENSES & MAINTENANCE CONTRACTS | $52,848 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$2,152,633 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,292,235 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225 | BOYAmt |
| EOY | $225 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,256,478 | BOYAmt |
| EOY | $3,700,600 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,801,592 | BOYAmt |
| EOY | $3,873,114 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,667 | BOYAmt |
| EOY | $65,880 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $847,003 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $769,350 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,393 | BOYAmt |
| EOY | $77,653 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,599,315 | BOYAmt |
| EOY | $2,179,038 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,841,670 | BOYAmt |
| EOY | $9,896,510 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,876,089 | BOYAmt |
| EOY | $18,745,127 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,240,971 | BOYAmt |
| EOY | $1,246,531 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,242,623 | BOYAmt |
| EOY | $959,132 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,170 | BOYAmt |
| EOY | $6,697 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,367,853 | BOYAmt |
| EOY | $20,957,487 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,526,183 | BOYAmt |
| EOY | -$11,060,977 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,526,183 | BOYAmt |
| EOY | -$11,060,977 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,841,670 | BOYAmt |
| EOY | $9,896,510 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$234,869 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,299,925 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nonded | Yes (true) | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | false | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | false | AgreeCarryoverPriorYearInd |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $847,003 | OtherCostOrOtherBasisAmt |
| Depreciation | $769,350 | DepreciationAmt |
| Book Value | $77,653 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $77,653 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| SPLIT DOLLAR | $618,836 | F |
| INVESTMENTS IN AFFILIATES | $1,560,202 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,179,038 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST RATE SWAP LIABILITY | Desc |
| Amt | $6,697 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,697 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,057,366 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,057,366 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,057,366 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,292,235 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,292,235 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,292,235 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | 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 DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS DURING THE YEARS ENDED APRIL 30, 2016 AND 2015. THE ORGANIZATION ANTICIPATES THAT IT WILL NOT HAVE A CHANGE IN UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS THAT WOULD HAVE A MATERIAL IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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 JACKSON | ||||||||||||||
| PRESIDENT & CEO | $293,669 | $305,839 | $84,870 | $88,387 | $3,596 | $3,745 | $16,551 | $17,237 | $12,849 | $13,381 | $411,535 | $428,589 | $0 | $0 |
| JOHN J BRADY | ||||||||||||||
| CFO & VP, BUSINESS PLANNING | $114,068 | $118,796 | $17,642 | $18,373 | $7,151 | $7,447 | $16,551 | $17,237 | $16,845 | $17,544 | $172,257 | $179,397 | $0 | $0 |
| KIMBERLEY K HOSTETLER | ||||||||||||||
| SR VP & CHIEF ADMIN OFFICE | $85,348 | $88,886 | $0 | $0 | $681 | $709 | $10,765 | $11,211 | $2,222 | $2,314 | $99,016 | $103,120 | $0 | $0 |
| MARY LYON | ||||||||||||||
| VP, INTEGRATED HEALTH INFO | $22,255 | $189,952 | $0 | $0 | $145 | $1,235 | $2,833 | $24,176 | $2,257 | $19,265 | $27,490 | $234,628 | $0 | $0 |
| ANTHONY DIAS | ||||||||||||||
| VP, DATA SERVICES | $30,555 | $260,791 | $5,179 | $44,200 | $309 | $2,639 | $1,181 | $10,081 | $2,378 | $20,299 | $39,602 | $338,010 | $0 | $0 |
| GRACE E NAPOLITAN | ||||||||||||||
| VP, ADMINISTRATION | $90,860 | $94,626 | $13,182 | $13,728 | $4,805 | $5,004 | $13,532 | $14,093 | $4,849 | $5,050 | $127,228 | $132,501 | $0 | $0 |
| JAMES IACOBELLIS | ||||||||||||||
| SR VP, GOVT & REGULATORY AF | $314,570 | $0 | $56,912 | $0 | $6,677 | $0 | $32,226 | $0 | $24,367 | $0 | $434,752 | $0 | $0 | $0 |
| STEPHEN A FRAYNE | ||||||||||||||
| SR VP, HEALTH POLICY | $396,902 | $0 | $74,045 | $0 | $7,469 | $0 | $33,787 | $0 | $29,890 | $0 | $542,093 | $0 | $0 | $0 |
| MICHELLE SHARP | ||||||||||||||
| VP, COMMUNICATIONS | $167,396 | $0 | $16,546 | $0 | $2,888 | $0 | $8,157 | $0 | $24,828 | $0 | $219,815 | $0 | $0 | $0 |
| MARIE SPIVEY | ||||||||||||||
| VP, HEALTH EQUITY | $134,393 | $0 | $9,799 | $0 | $8,727 | $0 | $5,908 | $0 | $0 | $0 | $158,827 | $0 | $0 | $0 |
| karen buckley | ||||||||||||||
| VP, Advocacy | $91,565 | $95,360 | $8,756 | $9,119 | $1,259 | $1,311 | $4,298 | $4,476 | $2,649 | $2,759 | $108,527 | $113,025 | $0 | $0 |
| ALLAN J PINARD | ||||||||||||||
| ASST VP, FINANCE | $208,983 | $0 | $0 | $0 | $5,863 | $0 | $27,534 | $0 | $22,172 | $0 | $264,552 | $0 | $0 | $0 |
| ELIZABETH BEAUDIN | ||||||||||||||
| DIR, NURSING & WORKFORCE INITIATIVES | $157,390 | $0 | $15,107 | $0 | $7,450 | $0 | $23,009 | $0 | $20,069 | $0 | $223,025 | $0 | $0 | $0 |
| DOUGLAS CAYER | ||||||||||||||
| DIR, ORGANIZATIONAL PERFORMANCE | $84,956 | $88,478 | $7,144 | $7,440 | $3,105 | $3,233 | $11,988 | $12,484 | $2,685 | $2,796 | $109,878 | $114,431 | $0 | $0 |
| LISA DOUGLAS | ||||||||||||||
| DIR, PERFORMANCE ANALYTICS | $19,654 | $167,749 | $0 | $0 | $540 | $4,606 | $830 | $7,087 | $453 | $3,862 | $21,477 | $183,304 | $0 | $0 |
| Matthew Hoey | ||||||||||||||
| Director Clec Operations | $46,104 | $127,514 | $0 | $0 | $411 | $1,137 | $11,651 | $10,287 | $143 | $396 | $58,309 | $139,334 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | FormAndLineReferenceDesc |
| Explanation | JENNIFER JACKSON - $10,573. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a COMMON PAYMASTER | CHA (THE FILING ORGANIZATION) IS THE COMMON PAYMASTER FOR FIVE AFFILIATED ORGANIZATIONS AND, AS SUCH, FILES A FORM W-3 FOR EACH ORGANIZATION USING CHA'S FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN). IN TAX YEAR 2015, 30 OF THE 62 TOTAL EMPLOYEES WERE DIRECTLY EMPLOYED BY CHA. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION IS AN ASSOCIATION OF CONNECTICUT HOSPITALS AND HEALTHCARE ORGANIZATIONS. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE ORGANIZATION IS AN ASSOCIATION OF CONNECTICUT HOSPITALS AND HEALTHCARE ORGANIZATIONS WHOSE REPRESENTATIVES COMPRISE THE GOVERNING BODY. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE ASSEMBLY OF THE ASSOCIATION'S MEMBERS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE BOARD OF THE ASSOCIATION HAS DELEGATED RESPONSIBILITY FOR COMPLETING AND FILING FORM 990 TO THE ASSOCIATIONS'S CHIEF EXECUTIVE OFFICER, WHO IS A MEMBER OF THE BOARD. THE CEO REVIEWS ALL INFORMATION IN FORM 990. THE COMPLETED FORM 990 WILL BE PROVIDED TO THE COMMITTEE OF THE BOARD WITH RESPONSIBILITY FOR THE ORGANIZATION'S FINANCIAL MANAGEMENT AT ITS NEXT REGULARLY SCHEDULED MEETING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL TRUSTEES AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST IMMEDIATELY. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | 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. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | 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. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Miscellaneous - Total Revenue: 11961, Related or Exempt Function Revenue: 11961, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -2301398; CHANGE IN INTEREST RATE SWAP LIABILITY - 1473; |
| Schedule R, Part V, Line 1n SCHEDULE R AFFILIATES | CHA SHARES STAFF WITH FIVE AFFILIATED ORGANIZATIONS FOR ADMINISTRATIVE, HUMAN RESOURCES, ACCOUNTING, OPERATIONS AND INFORMATION SYSTEMS FUNCTIONS AND ALLOCATES THE COST. INCLUDED IN THESE COST ALLOCATIONS ARE STAFF EXPENSES (SALARY AND FRINGE BENEFITS) AND RELATED NON-STAFF EXPENSES (SUPPLIES, EQUIPMENT, PROFESSIONAL FEES, ETC). |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED | |||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 060890298 | PROVIDES EDUCATION PROGRAMS TO CT HOSPITALS | CT | 501(c)(3 | NA | false |
| 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 | NA | false |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| DIVERSIFIED NETWORK SERVICES INC | ||||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 060990946 | SERVICES | CT | N/A | C Corporation | false | |
| CHA INSURANCE SERVICES INC | ||||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 061310638 | MARKETING SERVICES | CT | C Corporation | false | DIVERSIFIED NETWORK SERVICES INC | |
| CHIME INC | ||||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 061454560 | DEVELOPING INFORMATION SYSTEMS | CT | C Corporation | false | DIVERSIFIED NETWORK SERVICES INC | |
| CHIMENET INC | ||||||||||
| 110 BARNES ROAD PO BOX 90 | WALLINGFORD | CT | 06492 | 061585087 | SERVICES | CT | C Corporation | false | CHIME INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Connecticut Healthcare Research and Education Foundation Incorporated | ||
| B | $917,792 | ACTUAL |
| Connecticut Healthcare Research and Education Foundation Incorporated | ||
| K | $753,916 | ACTUAL |
| Chime Inc | ||
| N | $122,535 | ACTUAL |
| ChimeNet Inc | ||
| N | $118,476 | ACTUAL |
| Chime Inc | ||
| O | $1,151,512 | ACTUAL |
| Chime Inc | ||
| O | $982,524 | ACTUAL |
| ChimeNet Inc | ||
| O | $616,825 | ACTUAL |
| Connecticut Healthcare Research and Education Foundation Incorporated | ||
| O | $586,721 | actual |
| Diversified Network Services Inc | ||
| O | $82,087 | actual |