2015-07-08T09:50:28-05:00 2014-09-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2013-10-01 061504725 CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT INC CHIL 8606791519 270 FARMINGTON AVE SUITE 367 FARMINGTON CT 06032 PAUL SUTER VP FOR FINANCE & OPERATIONS 8606791519 2015-06-25 1 PAUL BALLASY P00852868 9592007000 2013 2016-02-25 16:41:14Z JUDITH C MEYERS 270 FARMINGTON AVE SUITE 367 FARMINGTON CT 06032 5987765 0 X CHDI.ORG X 1997 CT WE ADVANCE AND INFORM IMPROVEMENTS IN PRIMARY AND PREVENTIVE PEDIATRIC HEALTH AND MENTAL HEALTH CARE PROGRAMS, PRACTICE AND POLICY IN CONNECTICUT, WITH PARTICULAR FOCUS ON DISADVANTAGED OR UNDERSERVED CHILDREN AND THEIR FAMILIES. 17 12 21 17 0 0 3375427 5937747 0 0 380 18 50000 50000 3425807 5987765 305000 332480 0 0 1942959 2187181 0 0 8339 2538813 3638136 4786772 6157797 -1360965 -170032 1124636 1287122 567174 899692 557462 387430 X WE ADVANCE AND INFORM IMPROVEMENTS IN PRIMARY AND PREVENTIVE PEDIATRIC HEALTH AND MENTAL HEALTH CARE PROGRAMS, PRACTICE AND POLICY IN CONNECTICUT, WITH PARTICULAR FOCUS ON DISADVANTAGED OR UNDERSERVED CHILDREN AND THEIR FAMILIES. 0 0 4406663 22500 50000 MENTAL HEALTH CARE - CHDI'S WORK IN PEDIATRIC PRIMARY CARE HAS FOCUSED ON INCREASING THE ROLE OF CHILD HEALTH PROVIDERS IN ENSURING CHILDREN'S HEALTHY DEVELOPMENT. WE REACH TWO THIRDS OF THE STATE'S CHILD HEATH SITES WITH TRAINING ON MANAGING BEHAVIORAL HEALTH ISSUES, ORAL HEALTH SERVICES, HOME AND CAR SAFETY, DEVELOPMENTAL SCREENING AND PROMOTING SOCIO-EMOTIONAL HEALTH IN YOUNG CHILDREN. AS A RESULT OF OUR WORK, THE NUMBERS OF DISADVANTAGED CHILDREN WHO RECEIVE DEVELOPMENTAL AND MENTAL HEALTH SCREENING AS PART OF THEIR HEALTH SERVICES HAS INCREASED FIFTEEN FOLD, AND THE NUMBER CHILDREN YOUNGER THAN THREE WHO RECEIVE FLUORIDE VARNISH FROM THEIR CHILD HEALTH PROVIDER HAS ALSO INCREASED DRAMATICALLY. WE BRING CHILD HEALTH PROVIDERS UP TO DATE INFORMATION ON THE SERVICES AVAILABLE FOR THEIR PATIENTS IN THEIR COMMUNITIES. WE ALSO PROVIDE OPPORTUNITIES FOR CHILD HEALTH SITES TO IMPROVE THE CARE THEY PROVIDE BY USING DATA DRIVEN, QUALITY IMPROVEMENT METHODOLOGIES. WE PREPARE THEM TO PARTICIPATE IN THE NEW HEALTH CARE ENVIRONMENT, WHICH EMPHASIZES QUALITY AND COORDINATED CARE. TO ADDRESS COORDINATION OF PATIENT SERVICES, CHDI'S WORK FOCUSSES ON CONNECTING CHILD HEALTH SITES TO THE OTHER SECTORS OF CARE THAT CONTRIBUTE TO CHILDREN'S DEVELOPMENT. THESE INCLUDE CHILDCARE PROGRAMS, PRESCHOOLS AND SCHOOLS. OUR GOAL IS TO ENSURE THAT CHILDREN ARRIVE AT SCHOOL HEALTHY AND READY TO LEARN AND THAT CHILDCARE AND SCHOOL SETTINGS HAVE THE INFORMATION THEY NEED FROM HEALTH PROVIDERS TO ENSURE THAT CHILDREN'S HEALTH NEEDS ARE MET. WE ALSO REPRESENT CHILD HEALTH ISSUES IN THE STATE'S LARGER REFORM EFFORTS. OUR GOAL IS TO ENSURE THAT CHILD HEALTH SERVICES BENEFIT FROM HEALTH CARE REFORMS AND STATE INITIATIVES. 762348 60000 PEDIATRIC PRIMARY CARE - CHDI'S WORK IN PEDIATRIC PRIMARY CARE HAS FOCUSED ON INCREASING THE ROLE OF CHILD HEALTH PROVIDERS IN ENSURING CHILDREN'S HEALTHY DEVELOPMENT. WE REACH TWO THIRDS OF THE STATE'S CHILD HEATH SITES WITH TRAINING ON MANAGING BEHAVIORAL HEALTH ISSUES, ORAL HEALTH SERVICES, HOME AND CAR SAFETY, DEVELOPMENTAL SCREENING AND PROMOTING SOCIO-EMOTIONAL HEALTH IN YOUNG CHILDREN. AS A RESULT OF OUR WORK, THE NUMBERS OF DISADVANTAGED CHILDREN WHO RECEIVE DEVELOPMENTAL AND MENTAL HEALTH SCREENING AS PART OF THEIR HEALTH SERVICES HAS INCREASED FIFTEEN FOLD, AND THE NUMBER CHILDREN YOUNGER THAN THREE WHO RECEIVE FLUORIDE VARNISH FROM THEIR CHILD HEALTH PROVIDER HAS ALSO INCREASED DRAMATICALLY. WE BRING CHILD HEALTH PROVIDERS UP TO DATE INFORMATION ON THE SERVICES AVAILABLE FOR THEIR PATIENTS IN THEIR COMMUNITIES. WE ALSO PROVIDE OPPORTUNITIES FOR CHILD HEALTH SITES TO IMPROVE THE CARE THEY PROVIDE BY USING DATA DRIVEN, QUALITY IMPROVEMENT METHODOLOGIES. WE PREPARE THEM TO PARTICIPATE IN THE NEW HEALTH CARE ENVIRONMENT, WHICH EMPHASIZES QUALITY AND COORDINATED CARE. TO ADDRESS COORDINATION OF PATIENT SERVICES, CHDI'S WORK FOCUSSES ON CONNECTING CHILD HEALTH SITES TO THE OTHER SECTORS OF CARE THAT CONTRIBUTE TO CHILDREN'S DEVELOPMENT. THESE INCLUDE CHILDCARE PROGRAMS, PRESCHOOLS AND SCHOOLS. OUR GOAL IS TO ENSURE THAT CHILDREN ARRIVE AT SCHOOL HEALTHY AND READY TO LEARN AND THAT CHILDCARE AND SCHOOL SETTINGS HAVE THE INFORMATION THEY NEED FROM HEALTH PROVIDERS TO ENSURE THAT CHILDREN'S HEALTH NEEDS ARE MET. WE ALSO REPRESENT CHILD HEALTH ISSUES IN THE STATE'S LARGER REFORM EFFORTS. OUR GOAL IS TO ENSURE THAT CHILD HEALTH SERVICES BENEFIT FROM HEALTH CARE REFORMS AND STATE INITIATIVES. 521136 249980 EARLY CHILDHOOD - CHDI CONTINUED ITS 6-YEAR PARTNERSHIP WITH THE WILLIAM CASPAR GRAUSTEIN MEMORIAL FUND AND THE STATE OF CT TO SUPPORT 33 COMMUNITIES TO DEVELOP EARLY CHILDHOOD SYSTEMS, INCLUSIVE OF HEALTH, THAT ENSURE EARLY LEARNING SUCCESS FOR CHILDREN BIRTH TO EIGHT. WE WORKED WITH A SUBSET OF THESE COMMUNITIES (6) TO ADVANCE THE USE OF THE EARLY CHILDHOOD HEALTH ASSESSMENT RECORDS THAT ARE REQUIRED FOR ENROLLMENT IN LICENSED DAY CARE, AS A SOURCE OF DATA FOR PLANNING AT THE COMMUNITY AND STATE LEVELS. WE WORKED WITH THE CT ASSOCIATION OF INFANT MENTAL HEALTH TO DEVELOP AND DELIVER TRAINING FOR CHILD HEALTH AND CHILD CARE PROVIDERS ON INFANT MENTAL HEALTH AND MATERNAL DEPRESSION. WE DEVELOPED AND DELIVERED TWO NEW EPIC MODULES ON THESE TOPICS AND PUBLISHED AN IMPACT ON MATERNAL DEPRESSION. WE BEGAN WORK IN THE AREA OF CHILDHOOD OBESITY, PRODUCING AND PUBLISHING AN IMPACT ON PREVENTING OBESITY IN YOUNG CHILDREN. WE SUPPORTED THE COMPLETION OF THE CT MEDICATION ADMINISTRATION TRAINING IN EARLY EDUCATION AND CHILD CARE SETTINGS (2014) CURRICULUM WITH AUDIO NARRATION IN ENGLISH AND SPANISH WITH 100 CHILD HEALTH PROVIDERS SUBSEQUENTLY TRAINED TO TEACH MEDICATION ADMINISTRATION IN EARLY EDUCATION AND CHILD CARE PROGRAMS. 215391 IDENTIFY AND DEVELOP INNOVATIONS IN CHILD HEALTH SERVICE DELIVERY TO INFORM POLICY, SYSTEMS AND PRACTICE IN CONNECTICUT. COORDINATE STRATEGIC OBJECTIVES BETWEEN CHDI'S EXISTING PARTNERS AND CHDI. 215391 5905538 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 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 0 0 0 1 38 0 1 21 1 0 0 0 0 0 0 0 0 0 0 X 17 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X PAUL SUTER 8606791533 270 FARMINGTON AVE SUITE 367 FARMINGTON CT 06032 ANDREA BENIN MD BOARD MEMBER 0.50 55.00 X 0 409266 45876 BRIAN FORSYTH BOARD MEMBER 0.50 0.50 X 0 0 0 DEAN RAPOZA BOARD MEMBER 0.50 55.00 X 0 280104 47937 EDDIE KEITH BOARD MEMBER 0.50 0.50 X 0 0 0 FERNANDO BETANCOURT BOARD MEMBER 0.50 0.50 X 0 0 0 FRED VOLKMAR BOARD MEMBER 0.50 0.50 X 0 0 0 GEORGE COLEMAN BOARD MEMBER 0.50 0.50 X 0 0 0 JENNIFER CARROLL BOARD MEMBER 0.50 0.50 X 0 0 0 JUAN SALAZAR BOARD MEMBER 0.50 55.00 X 0 283790 37719 JUDITH MEYERS PRESIDENT 35.00 10.00 X X 195317 0 39776 KEN SPIEGELMAN BOARD MEMBER 0.50 0.50 X 0 0 0 KEVIN FLAHERTY SECRETARY 0.50 0.50 X X 0 0 0 KEVIN KELLY BOARD MEMBER 0.50 0.50 X 0 0 0 MARGARET GREY BOARD MEMBER 0.50 0.50 X 0 0 0 MOSES VARGAS BOARD MEMBER 0.50 55.00 X 0 164426 32189 ROBERT TRESTMAN CHAIR 1.00 0.50 X X 0 0 0 THOMAS BARNES TREASURER 0.50 0.50 X X 0 0 0 PAUL SUTER VP FOR FINANCE AND OPERATIONS 35.00 10.00 X 127058 0 30392 LISA HONIGFELD VICE PRESIDENT FOR HEALTH 45.00 X 113622 0 32332 ROBERT FRANKS VICE PRESIDENT AND DIRECTOR 45.00 X 122580 0 28406 558577 1137586 294627 4 0 1 0 PRESIDENT & FELLOWS OF HARVARD COLLEGE PO BOX 415649 BOSTON MA 022415649 REPLICATION OF CHILD STEPS 770250 CHILD FIRST 917 BRIDGEPORT AVENUE SHELTON CT 06484 REPLICATION OF CHILD FIRST PROJECT 221735 WHEELER CLINIC 74 EAST STREET PLAINVILLE CT 06062 TRAINING COORDINATION 208193 KJMB SOLUTIONS LLC 27762 ANTONIO PARKWAY LADERA RANCH CA 92694 DEVELOP DATA SYSTEM AND PUBLIC REGISTRY 205000 UNIVERSITY OF CT HEALTH CENTER 263 FARMINGTON AVENUE FARMINGTON CT 06032 CONSULTING 105234 5 1339682 4034215 563850 5937747 18 18 MISCELLANEOUS 541610 50000 50000 50000 5987765 50000 0 18 X 332480 332480 416954 240196 168419 8339 1305303 1184178 121125 127318 113862 13456 219207 192559 26648 118399 98454 19945 2308 2308 15202 15202 745706 714788 30918 307607 266402 41205 147721 117246 30475 98807 78504 20303 119750 119750 20101 20101 7847 7847 SUBCONTRACTORS 2165371 2165371 BAD DEBT 5120 5120 OTHER 2596 1247 1349 INDIRECT ALLOCATION 0 275381 -275381 6157797 5905538 243920 8339 100 100 311010 543986 718065 612798 16990 30342 7699 233767 116721 40420 117046 7709 5493 1124636 1287122 336336 703971 37500 55000 193338 140721 567174 899692 X 259043 380987 298419 6443 557462 387430 1124636 1287122 -170032 0 X X 0 1 X 1 1 1 X 2822501 3835453 5372836 3375427 5937747 21343964 2822501 3835453 5372836 3375427 5937747 21343964 3217389 18126575 4523 1555 1625 380 18 8101 48000 50000 50000 50000 198000 21550065 0.84110 0.75840 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2010 AMOUNT: $ 48,000. 2011 AMOUNT: $ 50,000. 2012 AMOUNT: $ 50,000. 2013 AMOUNT: $ 50,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 6157797 6157797 457890 114473 0 0 364682 404884 389339 457890 1616795 2425193 1812 1812 91171 101221 97335 114473 404200 606300 22507 21478 1029 171660 78910 92750 39600 16333 23267 117046 X 5987765 0 5987765 0 5987765 6157797 0 6157797 0 6157797 PART X, LINE 2: THE INSTITUTE HAS NO UNRECOGNIZED TAX BENEFITS AS OF SEPTEMBER 30, 2014 AND 2013. THE INSTITUTE'S FEDERAL INFORMATION RETURNS PRIOR TO FISCAL YEAR 2011 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. 1 UNITED WAY OF WEST CENTRAL CT INC 200 MAIN STREET BRISTOL CT 06010 060653262 501(C)(3) 22120 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E UNITED COMMUNITY AND FAMILY SERVICES 34 EAST TOWN STREET NORWICH CT 06360 060653142 501(C)(3) 12120 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E UNITED WAY OF WESTERN CONNECTICUT 85 WEST STREET DANBURY CT 06810 060646577 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E EAST HARTFORD CHILDPLAN INC 50 CHAPMAN PLACE ROOM 2 EAST HARTFORD CT 06108 020556974 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E MERIDEN CHILDREN FIRST INITIATIVE 105 MILLER STREET MERIDEN CT 06450 061626440 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E UNITED WAY OF MIDDLESEX COUNTY 100 RIVERVIEW CENTER SUITE 230 MIDDLETOWN CT 06457 060665170 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E COMMUNITY FOUNDATION OF GREATER NEW BRITAIN 74A VINE STREET NEW BRITAIN CT 06052 066036461 501(C)(3) 12120 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E UNITED WAY OF COASTAL FAIRFIELD COUNTY 75 WASHINGTON AVENUE BRIDGEPORT CT 06604 060864341 501(C)(3) 17120 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E EDUCATION CONNECTION 355 GOSHEN ROAD LITCHFIELD CT 06759 060842189 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E UNITED WAY OF GREATER WATERBURY 60 NORTH MAIN STREET 3RD FLOOR WATERBURY CT 06702 060646634 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E CONNECTICUT ASSOCIATION FOR INFANT MENTAL HEALTH INC 230 S FRONTAGE ROAD NEW HAVEN CT 06520 262749756 501(C)(3) 20000 FOR GRANTEE TO ENGAGE IN THE ACTIVITIES AROUND INFRASTRUCTURE DEVELOPMENT TO YALE UNIVERSITY PO BOX 208047 NEW HAVEN CT 065208047 060646973 501(C)(3) 55000 DEVELOPING A MEDICATION ADMINISTRATION TRAINING SYSTEM FOR CONNECTICUT EARLY UNITED WAY OF GREATER NEW HAVEN 370 JAMES STREET NEW HAVEN CT 06513 060646761 501(C)(3) 18180 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E MANCHESTER EARLY LEARNING CENTER INC 80 WADDELL ROAD MANCHESTER CT 06040 060949846 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E HOCKANUM VALLEY CHILD CARE CENTER 695 HARTFORD TURNPIKE VERNON CT 06066 237296751 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E YMCA OF GREATER HARTFORD 12 NORTH MAIN STREET WEST HARTFORD CT 06107 060881325 501(C)(3) 11060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E COVENTRY EARLY CHILDHOOD CENTER 1171 MAIN STREET COVENTRY CT 06238 060728769 501(C)(3) 17120 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E VALLEY UNITED WAY 54 GROVE STREET SHELTON CT 06484 060847098 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E TEAM INC 30 ELIZABETH STREET DERBY CT 06418 060835182 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E EASTCONN 376 HARTFORD TURNPIKE HAMPTON CT 06247 061023768 501(C)(3) 12120 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E UNITED WAY OF NAUGATUCK AND BEACON FALLS 284 CHURCH STREET NAUGATUCK CT 06770 060788028 501(C)(3) 6060 SUPPORT THE COMMUNITY TO IMPLEMENT THE HEALTH ASPECTS OF ITS COMPREHENSIVE E 21 FORM 990 SCHEDULE I SCHEDULE I, PART I, LINE 2 - WHEN SEEKING FUNDING, POTENTIAL GRANTEES MUST SUBMIT DETAIL FINANCIAL BUDGETS THAT LIST THE EXPENSE THEY ANTICIPATE THAT THEY WILL INCUR OVER THE TERM OF THEIR PROJECT. IF SELECTED FOR FUNDING, GRANTEES ARE REQUIRED TO SUBMIT A FINAL FINANCIAL REPORT THAT COMPARES THE BUDGET SUBMITTED WITH THE ORIGINAL PROPOSAL TO THE GRANTEE'S ACTUAL EXPENSES. THE GRANTEES ARE TO SHOW ONLY THE BUDGET AMOUNTS ATTRIBUTED TO THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT, INC. FUNDING AND HOW CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTCUT, INC. FUNDS WERE SPENT. GRANTEES ARE REQUIRED TO EXPLAIN ANY SIGNIFICANT VARIATIONS BETWEEN THE ORIGINAL BUDGET AND ACTUAL EXPENSES. GRANTS THAT ARE LONG-TERM IN NATURE MAY HAVE INTERIM FINANCIAL REPORTING REQUIREMENTS. X X X X 0 0 0 0 0 0 0 0 0 ANDREA BENIN MD BOARD MEMBER 0 329047 0 75000 0 5219 0 17850 0 28026 0 455142 0 0 DEAN RAPOZA BOARD MEMBER 0 249816 0 25000 0 5288 0 25500 0 22437 0 328041 0 0 JUAN SALAZAR BOARD MEMBER 0 274961 0 7254 0 1575 0 14540 0 23179 0 321509 0 0 JUDITH MEYERS PRESIDENT 195317 0 0 0 0 0 19532 0 20244 0 235093 0 0 0 MOSES VARGAS BOARD MEMBER 0 157166 0 6967 0 293 0 11697 0 20492 0 196615 0 0 PAUL SUTER VP FOR FINANCE AND OPERATIONS 127058 0 0 0 0 0 12706 0 17686 0 157450 0 0 0 ROBERT FRANKS VICE PRESIDENT AND DIRECTOR 122580 0 0 0 0 0 12258 0 16148 0 150986 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FOLLOWING IS THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT, INC.'S FORM 990 REVIEW PROCESS POLICY - THE FORM 990 (TAX RETURN) WILL BE PREPARED ANNUALLY. COPIES OF THE COMPLETED FORM 990, WITH SUPPORTING SCHEDULES, WILL BE DISTRIBUTED BY THE VP FOR FINANCE AND OPERATIONS TO THE PRESIDENT AND CEO FOR REVIEW AND APPROVAL. ANY CORRECTIONS OR CHANGES WILL BE NOTED AND ADDRESSED. ONCE APPROVED BY THE PRESIDENT AND CEO, THE VP FOR FINANCE AND OPERATIONS WILL PROVIDE THE FORM 990 WITH SUPPORTING SCHEDULES TO THE BOARD OF DIRECTORS. ONCE THE BOARD OF DIRECTORS HAS HAD A REASONABLE OPPORTUNITY TO REVIEW THE FORM 990, ANY CORRECTIONS OR CHANGES WILL BE NOTED AND ADDRESSED. THE VP FOR FINANCE AND OPERATIONS WILL THEN PROCESS THE FILING OF THE FORM 990 USING E-FILE RETURN PROCEDURES. FORM 990, PART VI, SECTION B, LINE 12C THE FOLLOWING IS THE DISCLOSURE SECTION OF THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT, INC.'S CONFLICT OF INTEREST POLICY - TO PROMOTE THE SOUND ADMINISTRATION OF THIS POLICY, ALL DIRECTORS AND OFFICERS OF THE CORPORATION COMPLETE ANNUALLY (AND UPDATE AS APPROPRIATE), A DISCLOSURE STATEMENT THAT DESCRIBES A TRANSACTION OR ARRANGEMENT THAT COULD REASONABLY GIVE RISE TO A CONFLICT OF INTEREST. THE STATEMENT INCLUDES AN ITEMIZATION AND DESCRIPTION OF THE NATURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS RELATED THERETO. DIRECTORS AND OFFICERS ARE URGED TO BE INCLUSIVE IN THIS DISCLOSURE SINCE THE DISCLOSURE OF POTENTIAL CONFLICTS IS ESSENTIAL TO ENSURING APPROPRIATE, OPEN DISCUSSION, EVEN IF A CONFLICT OF INTEREST IS EVENTUALLY DETERMINED NOT TO EXIST. IF, AFTER SUBMITTING AN ANNUAL DISCLOSURE STATEMENT, AN APPARENT OR POTENTIAL CONFLICT ARISES WITHIN THE SPIRIT OF THIS POLICY, DIRECTORS AND OFFICERS IMMEDIATELY DISCLOSE THE SITUATION IN WRITING TO THE PRESIDENT. DISCLOSURE STATEMENTS ARE PROVIDED BY AND RETURNED TO THE PRESIDENT. IF A POTENTIAL CONFLICT OF INTEREST SITUATION INVOLVES A PENDING TRANSACTION OR ARRANGEMENT ON THE PART OF THE CORPORATION, SUCH POTENTIAL CONFLICT IS BROUGHT TO THE ATTENTION OF THE PRESIDENT PRIOR TO ANY ACTION ON THE PART OF THE CORPORATION. THE PRESIDENT CONSULTS WITH THE DIRECTOR OR OFFICER WITH THE POTENTIAL CONFLICT AND OBTAINS INFORMATION NECESSARY FOR AN ORDINARILY PRUDENT PERSON TO MAKE A JUDGMENT AS TO WHETHER A CONFLICT EXISTS. THE PRESIDENT EXERCISES GOOD FAITH JUDGMENT IN DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS, AND PROVIDES GUIDANCE TO THE DIRECTOR OR OFFICER WITH THE POTENTIAL CONFLICT AND/OR TO THE BOARD, AS APPLICABLE, AS TO THE APPROPRIATE COURSE OF ACTION. IF A CONFLICT EXISTS OR IF THE PRESIDENT DETERMINES THAT FURTHER REVIEW WOULD BE PRUDENT, HE OR SHE SHALL SEEK THE ADVICE AND APPROVAL OF THE BOARD IN DETERMINING WHETHER THE SITUATION OR TRANSACTION IS FAIR AND SERVES THE CORPORATION'S BEST INTERESTS. DIRECTORS AND OFFICERS WHO HAVE DECLARED OR HAVE BEEN DEEMED TO HAVE A CONFLICT OF INTEREST ("INTERESTED PERSONS") REFRAIN FROM CONSIDERATION OF PROPOSED TRANSACTIONS OR ARRANGEMENTS, UNLESS FOR SPECIAL REASON THE BOARD REQUESTS INFORMATION OR INTERPRETATIONS. THE CORPORATION MAKES ITS DECISION AS TO WHETHER TO ENTER INTO A TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH THE FOLLOWING DETERMINATION PROCESS. A) AN INTERESTED PERSON MAY UPON INVITATION MAKE A PRESENTATION AT THE BOARD MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B) IN THE CONTEXT OF A TRANSACTION OR ARRANGEMENT, THE PRESIDENT SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED DIRECTOR OR COMMITTEE OF DISINTERESTED DIRECTORS TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C) AFTER EXERCISING DUE DILIGENCE, THE BOARD SHALL DETERMINE, IF APPROPRIATE, WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE OR APPROPRIATE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE BY A MAJORITY VOTE, BUT NOT FEWER THAN TWO, OF THE DISINTERESTED DIRECTORS, OR AS OTHERWISE PERMITTED BY LAW, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND IS FAIR AND REASONABLE; PROVIDED, HOWEVER, IF SUCH CONFLICTING INTEREST TRANSACTION IS APPROVED BY DISINTERESTED DIRECTORS WHO DO NOT SATISFY A QUORUM OR VOTING REQUIREMENT APPLICABLE TO THE AUTHORIZATION OF THE ACTION BY REASON OF THE CORPORATION'S CERTIFICATE OF INCORPORATION, BYLAWS OR A PROVISION OF LAW, THE ACTION MUST BE INDEPENDENTLY APPROVED BY SUCH INTERESTED AND DISINTERESTED DIRECTORS AS SATISFY THE APPLICABLE QUORUM OR VOTING REQUIREMENT. THE BOARD WILL RETAIN DETAILED MINUTES OF ANY PROCEEDINGS INVOLVING A POTENTIAL CONFLICT OF INTEREST TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE FOLLOWING IS THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT OF CONNECTICUT, INC.,S COMPENSATION POLICY - THIS POLICY APPLIES TO THE PROCESS FOR DETERMINING COMPENSATION IN COMPLIANCE WITH IRS INSTRUCTIONS FOR THE CFC'S CEO, TOP MANAGEMENT OFFICIAL, OTHER OFFICERS OR KEY EMPLOYEES. THE PROCESS INCLUDES ALL OF THESE ELEMENTS: (1) REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE OF THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT (CFC); (2) USE OF DATA AS TO COMPARABLE COMPENSATION; AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. 1. REVIEW AND APPROVAL. THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE OF CFC, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THIS REVIEW AND APPROVAL. 2. USE OF DATA AS TO COMPARABLE COMPENSATION. THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. 3. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COPIES ARE PROVIDED TO THE PUBLIC OR THE PUBLIC MAY INSPECT THE DOCUMENTS AT CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT, INC.'S OFFICE LOCATED AT 270 FARMINGTON AVENUE, SUITE 367, FARMINGTON, CT 06032. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 714,788. MANAGEMENT AND GENERAL EXPENSES 30,918. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 745,706. FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. CONNECTICUT CHILDREN'S MEDICAL CENTER INC 282 WASHINGTON STREET HARTFORD CT 06106 060646755 CHILDRENS HOSPITAL CT 501(C)(3) LINE 3 N/A 0 CONNECTICUT CHILDREN'S MEDICAL CENTER FOUNDATION INC 282 WASHINGTON STREET HARTFORD CT 06106 222619869 MANAGE ENDOWMENT FUND & SOLICIT/RECEIVE CT 501(C)(3) LINE 7 N/A 0 CCMC AFFILIATES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619870 CHILD DEVELOPMENT AND SPECIAL CT 501(C)(3) LINE 9 N/A 0 CONNECTICUT CHILDREN'S SPECIALTY GROUP 282 WASHINGTON STREET HARTFORD CT 06106 061446900 TO PROVIDE MEDICAL CARE TO THE PATIENTS CT 501(C)(3) LINE 9 N/A 0 CCMC CORPORATION INC 282 WASHINGTON STREET HARTFORD CT 06106 222619876 FURTHER THE PROGRAMS AND ACTIVITIES OF CT 501(C)(3) LINE 3 N/A 0 CHILDRENS FUND OF CONNECTICUT 270 FARMINGTON AVE SUITE 367 FARMINGTON CT 06032 061364513 FUNDS INNOVATIVE COMMUNITY-BASED CT 501(C)(3) LINE 11A, I N/A 0 CCMC VENTURES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619873 HEALTH CARE SUPPORT AND CT N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0