2026-05-14T16:22:34-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 66 HUDSON BLVD E SUITE 2200 NEW YORK NY 10001 990 2024-07-01 060897105 COMMUNITY HEALTH CENTER INC COMM 8603476971 19 GRAND STREET MIDDLETOWN CT 06457 MARK MASSELLI PRESIDENT/CEO 8603476971 2026-05-13 1 1 MARY-EVELYN ANTONETTI P00431862 2126976900 2026-05-13 2024 2025-03-06 01:10:19Z MARK MASSELLI 19 GRAND STREET MIDDLETOWN CT 06457 181241894 0 X WWW.CHC1.COM X 1972 CT IMPROVING HEALTHCARE OUTCOMES AND BUILDING HEALTHIER COMMUNITIES (SEE SCHEDULE O)COMMUNITY HEALTH CENTER (CHC) IS BUILDING A WORLD CLASS PRIMARY CARE ORGANIZATION, IMPROVING HEALTH OUTCOMES AND BUILDING HEALTHIER COMMUNITIES THROUGH CLINICAL EXCELLENCE, RESEARCH AND INNOVATION, AND TRAINING THE NEXT GENERATION. CHC IS BASED ON CONSUMER CONTROL AND IS COMMITTED TO ENSURING HUMAN RIGHTS AND RESPECTING HUMAN DIGNITY. 10 10 1257 10 0 0 35514926 28278178 142798541 151908074 899580 594220 244681 461422 179457728 181241894 246924 333874 0 0 98725799 101688020 0 0 0 81006692 81209006 179979415 183230900 -521687 -1989006 124535389 103935983 51757464 32644230 72777925 71291753 X COMMUNITY HEALTH CENTER (CHC) IS BUILDING A WORLD CLASS PRIMARY CARE ORGANIZATION, IMPROVING HEALTH OUTCOMES AND BUILDING HEALTHIER COMMUNITIES THROUGH CLINICAL EXCELLENCE, RESEARCH AND INNOVATION, AND TRAINING THE NEXT GENERATION. CHC IS BASED ON CONSUMER CONTROL AND IS COMMITTED TO ENSURING HUMAN RIGHTS AND RESPECTING HUMAN DIGNITY. 0 0 77408784 14989 89077198 MEDICAL SERVICES: COMMUNITY HEALTH CENTER, INC. (CHC) PROVIDES COMPREHENSIVE PRIMARY MEDICAL CARE TO PATIENTS OF ALL AGES, FROM NEWBORNS TO GERIATRIC PATIENTS THROUGH ITS PRIMARY CARE OFFICES ACROSS THE STATE OF CONNECTICUT. IT PROVIDES CARE IN TRADITIONAL OFFICE SETTINGS AND OTHER SETTINGS, SUCH AS SCHOOL BASED HEALTH CENTERS. CHC'S MODEL OF CARE IS BASED ON THE PRINCIPLES OF ADVANCED ACCESS, PLANNED CARE, AND THE CHRONIC CARE MODEL SUPPORTED BY ELECTRONIC MEDICAL RECORDS AND A TEAM-BASED APPROACH TO CARE. CHC ALSO PROVIDES PRENATAL CARE AND SPECIFIC SPECIALTY AND SUPPORT SERVICES INCLUDING PODIATRY, DIABETES EDUCATION, NUTRITION, AND PHARMACY CONSULTATION.(SEE SCHEDULE O) CHCI, FOUNDED ON THE PRINCIPLES OF HEALTHCARE IS A RIGHT, NOT A PRIVILEGE, REMAINS FOCUSED ON EXCELLENCE IN CLINICAL CARE, OPERATIONS, AND INNOVATION IN PRIMARY CARE. IN FY 2025 CHCI SAW OVER 107,000 UNDUPLICATED PATIENTS FROM NEARLY EVERY CITY AND TOWN IN CONNECTICUT. OUR PRIMARY CARE PATIENTS ARE CONCENTRATED IN THE CITIES THAT ARE HOME TO CHCI'S COMPREHENSIVE PRIMARY CARE FACILITIES--HARTFORD, NEW BRITAIN, NEW LONDON, GROTON, MERIDEN, MIDDLETOWN, ENFIELD, BRISTOL, CLINTON, DANBURY, NORWALK, STAMFORD AND WATERBURY. OUR SCHOOL-BASED HEALTH CENTERS ARE DISTRIBUTED IN CITIES AND TOWNS ACROSS THE STATE AND SERVE NEARLY 20,000 STUDENTS PER YEAR. MULTIPLE STUDIES HAVE DOCUMENTED THE INCREASED NEED FOR BEHAVIORAL HEALTH SERVICES FOR YOUNG PEOPLE IN CONNECTICUT, AND OUR SCHOOL-BASED HEALTH CENTERS AS WELL AS OUR PRIMARY CARE SITES PLAY A VERY IMPORTANT ROLE IN MEETING THOSE NEEDS. BOTH BEHAVIORAL HEALTH AND MEDICAL PATIENTS ABLE TO USE TELEHEALTH SELECTIVELY AS APPROPRIATE TO THE CLINICAL NEEDS AND THEIR PREFERENCE. CHCI HAS CONTINUED ITS FOCUS ON REACHING PATIENTS IN THE COMMUNITY THROUGH ITS W.Y.A. (WHEREVER YOU ARE) HEALTHCARE FOR THE HOMELESS PROGRAM WITH AN EXPANSION TO INCLUDING MOBILE HEALTH UNITS AS WELL AS SHELTER-BASED FACILITIES. CHCI CONTINUES TO BE HOME TO A 24/7 DOMESTIC VIOLENCE PROGRAM (NEW HORIZONS). CHCI CONTINUED TO FOCUS ON SECURING GRANT FUNDING TO SUPPORT NEW PROGRAMS AND WON COMPETITIVE AWARDS FROM HRSA FOR PROGRAMS TARGETING MATERNAL HEALTH OUTCOMES AND OPTIMIZING VIRTUAL CARE.HEALTH CARE CONTINUES TO CHANGE AT A RAPID RATE. IN FY 2025, CHCI CONTINUED TO INCREASED PARTICIPATION IN VALUE-BASED CARE THROUGH NEW CONTRACTS WITH ACOS (AFFORDABLE CARE ORGANIZATIONS) AND NEGOTIATED FAVORABLE NEW CONTRACTS WITH MULTIPLE PRIVATE INSURERS. LIKE ALL OF HEALTHCARE, WE ARE KEEPING A CLOSE EYE ON THE IMPACT OF AI ON CLINICAL AND ORGANIZATIONAL PRACTICE. OUR TEAM OF OPERATIONS, DATA, AND DESIGN EXPERTS CONTINUED TO STUDY, IMPROVE AND REDESIGN MULTIPLE OPERATIONAL ELEMENTS OF THE ORGANIZATION FROM CALL CENTERS TO MANAGING REFERRALS. CHCI CONTINUES ITS COMMITMENT TO EDUCATION AND TRAINING OF THE PRESENT AND FUTURE HEALTHCARE WORKFORCE BY WELCOMING NEARLY 200 STUDENTS OF VIRTUALLY EVERY HEALTH DISCIPLINE IN FY 2025 FROM SCHOOLS AND UNIVERSITIES THROUGHOUT THE REGION FOR CLINICAL ROTATIONS. IN ADDITION, CHCI CONTINUES TO SPONSOR ITS OWN POSTGRADUATE NURSE PRACTITIONER RESIDENCY TRAINING PROGRAMS IN PRIMARY CARE AND IN PSYCHIATRIC/MENTAL HEALTH SPECIALTIES AS WELL AS A POSTDOCTORAL RESIDENCY-TRAINING PROGRAM FOR CLINICAL PSYCHOLOGISTS. BOTH PROGRAMS ARE FULLY ACCREDITED. COMMUNITY HEALTH CENTER, INC. CONTINUES TO BENEFIT FROM ITS RELATIONSHIP WITH MOSES WEITZMAN HEALTH SYSTEM AND ITS WEITZMAN INSTITUTE, AS WELL AS ITS OTHER AFFILIATES (CONFERMED, NIMAA, AND THE CONSORTIUM FOR ADVANCED PRACTICE PROVIDERS (CAPP) BY ACCESSING TRAINING AND EDUCATION OPPORTUNITIES THROUGH THE INSTITUTE, SPECIALTY CONSULTATIONS THRU CONFERMED, ACCREDITATION SERVICES THROUGH CAPP, AND ACCESS TO HIRING THE GRADUATES OF THE NIMAA PROGRAM. 17961178 126675 27976575 SCHOOL BASED SERVICES: OUR SCHOOL-BASED HEALTH STAFF ARE LICENSED HEALTH CARE PROVIDERS, WHO WORK WITH SCHOOL STAFF AND NURSES TO PROVIDE EXPANDED MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES TO STUDENTS DURING THE SCHOOL DAY. THEY WORK IN CONJUNCTION WITH THE STUDENT'S PRIMARY CARE PROVIDERS TO SUPPORT THEIR HEALTH CARE NEEDS. CHC PROUDLY SERVES OVER 17,000 STUDENTS THROUGHOUT CONNECTICUT. 22409471 5746 25281933 MENTAL HEALTH SERVICES: COMMUNITY HEALTH CENTER, INC. (CHC) PROVIDES INDIVIDUAL, GROUP, AND FAMILY TREATMENT FOR ADULTS AND CHILDREN REFERRED PRIMARILY FROM ITS PRIMARY CARE DEPARTMENT, AS WELL AS FROM COMMUNITY SOURCES. THE CHC BEHAVIORAL HEALTH TEAM INCLUDES PSYCHIATRISTS, PSYCHIATRIC APRNS, PSYCHOLOGISTS, LCSWS, AND SOCIAL WORKERS WHO WORK IN AN INTEGRATED MODEL WITH THE PRIMARY CARE TEAM TO ASSURE COORDINATED, COMPREHENSIVE CARE. CHC PARTNERS WITH MULTIPLE SCHOOL SYSTEMS TO IMBED A CHC BEHAVIORALIST WITHIN SCHOOLS TO PROVIDE EARLY INTERVENTION AND TREATMENT OF BEHAVIORAL HEALTH CONDITIONS. A MEMBER SUBSTITUTION WITH CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. EXPANDED THESE PROGRAMS. (SEE SCH. O)IN ORDER TO EXPAND ACCESS TO BEHAVIORAL HEALTH CARE, CHC EXPANDED ITS OPERATIONS BY SIGNING A MEMBER SUBSTITUTION AGREEMENT WITH THE CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. IN JANUARY 2020, CHC BEGAN OPERATING THE MAJOR PROGRAMS PERFORMED BY CGC WHICH INCLUDED:-THE PROVISIONS OF CGC PROVIDES CHILD AND FAMILY THERAPY SERVICES.-THE CHILD FIRST PROGRAM WHICH IS AN EVIDENCE-BASED, INTENSIVE, HOME-BASED SERVICE THAT IDENTIFIES VERY YOUNG AND VULNERABLE CHILDREN FROM HIGH RISK FAMILIES BEFORE ABUSE OR NEGLECT HAS OCCURRED AND BEFORE A CHILD DEVELOPS SERIOUS PROBLEMS. -THE STATE'S DESIGNATED MOBILE CRISIS INTERVENTION SERVICE ("MCIS") PROVIDER FOR STAMFORD, GREENWICH, DARIEN AND NEW CANAAN. 15016651 186464 9815064 DENTAL SERVICES: THE DENTAL CARE TEAM, INCLUDING BOTH DENTISTS AND DENTAL HYGIENISTS AT CHC IS AN IMPORTANT PART OF THE INTEGRATED CARE TEAM. THEY WORK CLOSELY WITH ALL OF THE STAFF TO ENSURE THE PATIENTS ORAL HEALTH IS CARED FOR. IN ADDITION TO THE MAIN CARE SITES, CHC OFFERS DENTAL CARE AT MANY OF THE SCHOOL BASED HEALTH CENTERS, AND HAVE MOBILE DENTAL CLINICS THAT BRING CARE TO PATIENTS ACROSS THE STATE OF CONNECTICUT. ALL OTHER PROGRAMS: AS A COMMUNITY HEALTH CENTER, CHC IS CONCERNED WITH THE INTERFACE OF PERSONAL HEALTH AND COMMUNITY HEALTH. TO THIS END IT IS EXTENSIVELY INVOLVED IN CONDUCTING COMMUNITY OUTREACH, HEALTH EDUCATION, AND PREVENTION/WELLNESS PROGRAMS SUCH AS THE "FAMILY RESOURCE CENTER AND ITS DANCE/PHYSICAL ACTIVITY SPACE, "VINNIE'S." IT OPERATES A 24/7 BATTERED WOMEN'S SHELTER, CONDUCTS HOME VISITATION PROGRAM SUCH AS THE NURTURING FAMILY NETWORK. 15016651 186464 9815064 132796084 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 138 0 1 1257 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARK MASSELLI 8603476971 19 GRAND STREET MIDDLETOWN CT 06457 GARY REID CHAIRPERSON 2.00 1.50 X X 0 0 0 TERRY DANAHER VICE CHAIRPERSON 2.00 0.50 X X 0 0 0 JILL MACONI DIRECTOR 2.00 0.50 X 0 0 0 ANGELA ANTHONY DIRECTOR 2.00 0.50 X 0 0 0 ROSA VENTURA DIRECTOR 2.00 0.50 X 0 0 0 SANDRA MICALIZZI DIRECTOR 2.00 0.50 X 0 0 0 MARY GUZMAN DIRECTOR 2.00 0.50 X 0 0 0 CAROL MAGNER MITCHELL DIRECTOR 2.00 0.50 X 0 0 0 LES GORDON DIRECTOR 2.00 0.00 X 0 0 0 RICH OSTUW DIRECTOR 2.00 0.00 X 0 0 0 MARK MASSELLI PRESIDENT/CEO 40.00 14.10 X 882389 0 62065 MARGARET FLINTER VICE PRESIDENT 40.00 6.10 X 471174 0 51066 JASON PNIEWSKI CFO 14.10 40.00 X 0 305704 45711 MARTIN ACEVEDO SECRETARY 2.00 40.00 X 0 251371 7404 DAREN ANDERSON VP/CHIEF QUALITY 6.00 34.00 X 453727 0 31357 VEENA CHANNAMSETTY CMO - UNTIL 12/2024 40.00 0.00 X 427939 0 60821 SHEELA TUMMALA CHIEF DENTAL OFFICER 40.00 0.00 X 288741 0 54572 TICHIANAA ARMAH CHIEF PSYCHIATRY OFFICER 40.00 0.00 X 413031 0 56690 MARWAN HADDAD MED. DIR.-CTR FOR KEY POPULATION 40.00 0.00 X 324090 0 20063 DAVID MELMAN PHYSICIAN 40.00 0.00 X 336924 0 25308 MARY BLANKSON CHIEF NURSING OFFICER 40.00 2.00 X 307424 0 0 ROBERT DUDLEY PEDIATRICIAN 40.00 0.00 X 301966 0 46059 4207405 557075 461116 170 0 1 0 BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 TEMPORARY MEDICAL STAFFING 1230923 UNIVERSITY OF BRIDGEPORT 126 PARK AVE BRIDGEPORT CT 06604 CHIROPRACTIC SERVICES 1127000 PROPIO LS LLC 10801 MASTIN STREET SUITE 580 OVERLAND PARK KS 66210 LANGUAGE SERVICES 796846 BUILDING ONE FACILITY SERVICES LLC 57 OZICK DRIVE SUITE A DURHAM CT 06422 BUILDING CLEANING SERVICES 792866 CLOUDMED PO BOX 208272 DALLAS TX 75320 SERVICE - 340B DATA ANALYSIS 721023 48 44642 25947127 2286409 4327468 28278178 PATIENT FEES 621400 124511303 124511303 PHARMACY 621400 24832638 24832638 CONSULTING 621400 319279 319279 2244854 2244854 151908074 594220 594220 43276 0 43276 43276 43276 OTHER INCOME 900099 176816 144916 31900 CANCELLATION OF LEASE LIAB. 900099 143550 143550 INTERCOMPANY SERVICE REVENUE 900099 60000 60000 37780 37780 418146 181241894 152150770 0 812946 X 5 5 333869 333869 2477129 2006471 470658 78759575 67968427 10791148 3404187 2772753 631434 11110081 9560698 1549383 5937048 4899731 1037317 26972386 949049 26023337 98534 98534 51613 51613 36000 36000 9881 9881 11093006 6396583 4696423 99256 390 98866 536640 488487 48153 228404 62792 165612 4809715 4294519 515196 374733 290025 84708 81046 48370 32676 710082 9668 700414 3461771 2230831 1230940 1097287 1097287 PHARMACY 13639145 13638590 555 MEDICAL/DENTAL/SUPPLIES 9185904 9177330 8574 BAD DEBT 3461730 3461730 REPAIRS & MAINTENANCE 1690115 1468317 221798 3571758 2737449 834309 183230900 132796084 50434816 0 15549302 8972751 8425970 9724353 4266386 3046832 14021286 18199973 20812050 0 647898 956216 73083515 47212234 26517055 25871281 6217088 6972030 566893 607886 27511461 29584661 124535389 103935983 13894727 14265383 2296481 3836883 19075362 0 16490894 14541964 51757464 32644230 X 72777925 71291753 72777925 71291753 124535389 103935983 X -1989006 650190 -147356 X X 0 1 X 1 1 1 X 30436142 43672471 43197493 35514926 28278178 181099210 30436142 43672471 43197493 35514926 28278178 181099210 181099210 320155 354548 971808 951536 637496 3235543 231704 192350 418146 842200 185176953 732169227 0.97800 0.98150 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INSURANCE SETTLEMENT - 2022 AMOUNT: $ 231,704. 2023 AMOUNT: $ 57,920. OTHER INCOME - 2023 AMOUNT: $ 79,460. 2024 AMOUNT: $ 176,816. MEDICAL RECORDS REVENUE - 2023 AMOUNT: $ 54,970. 2024 AMOUNT: $ 37,780. INTERCOMPANY SERVICE REVENUE - 2024 AMOUNT: $ 60,000. CANCELATION OF LEASE LIABILITY - 2024 AMOUNT: $ 143,550. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36000 36000 183230900 183266900 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 36000 36000 36000 36000 144000 250000 250000 250000 250000 1000000 1500000 963043 963043 35603458 21195648 14407810 6122559 4840193 1282366 27191473 20674793 6516680 3202982 501600 2701382 25871281 DUE FROM RELATED 501(C)(3) ENTITIES 26434557 OTHER ASSETS 867764 OPERATING LEASE RIGHT OF USE ASSETS 2282340 29584661 OTHER LIABILITIES 857907 DUE TO RELATED 501(C)(3) ENTITIES 11345874 OPERATING LEASE LIABILITIES 2338183 14541964 X PART X, LINE 2: EXCERPT FROM NOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR MOSES-WEITZMAN HEALTH SYSTEM, INC. - MWHS AND IT'S AFFILIATES HAVE 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. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS UNDER FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. 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. 1 DENTAL ASSISTANCE 4 127 COST ASSISTING WITH DENTAL COSTS MEDICAL ASSISTANCE 593 39105 COST ASSISTING WITH MEDICAL COSTS UTILITIES ASSISTANCE 55 7574 COST ASSISTING WITH THE COST OF UTILITIES TRANSPORTATION ASSISTANCE 680 28257 COST ASSISTING WITH TRANSPORTATION NEEDS CLIENT SUPPORT - OTHER (FOOD, SHELTER, FARMWORKERS, ETC.) 1946 258806 COST ASSISTING WITH OTHER COST SUCH AS FOOD, SHELTER, ETC. PART I, LINE 2: COMMUNITY HEALTH CENTER, INC. (CHC) PROVIDES ASSISTANCE TO INDIVIDUALS IN THE FORM OF TRANSPORTATION, MEDICAL/DENTAL ASSISTANCE AND SUPPORT FOR UTILITIES, AMONG OTHER FORMS OF ASSISTANCE. CHC MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF ASSISTANCE, CLIENT ELIGIBILITY, AND THE SELECTION CRITERIA USED. ALL ASSISTANCE IS DEEMED NON-CASH AS THE EXPENSE IS PAID DIRECTLY TO THE INVOICER, NOT THE INDIVIDUAL. THUS, NO FURTHER MONITORING IS NECESSARY ONCE ELIGIBILITY IS DETERMINED. X X X 0 0 0 0 0 0 0 1 0 MARK MASSELLI PRESIDENT/CEO 691281 0 162101 0 29007 0 27600 0 34465 0 944454 0 0 0 MARGARET FLINTER VICE PRESIDENT 442167 0 0 0 29007 0 27427 0 23639 0 522240 0 0 0 VEENA CHANNAMSETTY CMO - UNTIL 12/2024 404381 0 0 0 23558 0 23000 0 37821 0 488760 0 0 0 DAREN ANDERSON VP/CHIEF QUALITY 436663 0 0 0 17064 0 29435 0 1922 0 485084 0 0 0 TICHIANAA ARMAH CHIEF PSYCHIATRY OFFICER 402365 0 0 0 10666 0 18800 0 37890 0 469721 0 0 0 DAVID MELMAN PHYSICIAN 336204 0 0 0 720 0 8564 0 16744 0 362232 0 0 0 JASON PNIEWSKI CFO 0 294454 0 0 0 11250 0 22941 0 22770 0 351415 0 0 ROBERT DUDLEY PEDIATRICIAN 299979 0 0 0 1987 0 24416 0 21643 0 348025 0 0 0 MARWAN HADDAD MED. DIR.-CTR FOR KEY POPULATION 322026 0 0 0 2064 0 20063 0 0 0 344153 0 0 0 SHEELA TUMMALA CHIEF DENTAL OFFICER 269327 0 0 0 19414 0 22107 0 32465 0 343313 0 0 0 MARY BLANKSON CHIEF NURSING OFFICER 249308 0 40000 0 18116 0 0 0 0 0 307424 0 0 0 MARTIN ACEVEDO SECRETARY 0 250339 0 0 0 1032 0 7404 0 0 0 258775 0 0 PART I, LINE 7 THE ORGANIZATION MADE NON-FIXED BONUS PAYMENTS BASED ON AN ANALYSIS OF PERFORMANCE. THE DETERMINATION OF BONUS AMOUNTS FOR THE CEO IS APPROVED BY THE BOARD. THE DETERMINATION OF BONUS AMOUNTS FOR OTHER INDIVIDUALS IS APPROVED BY THE CEO. PART III - OTHER ADDITIONAL INFORMATION COMMUNITY HEALTH CENTER, INC. ENGAGED AON HEWITT IN 2023 TO CONDUCT AN INDEPENDENT SURVEY OF CEO COMPENSATION AT COMPARABLE ORGANIZATIONS. THE CONSULTING FIRM CONTACTED SEVERAL ORGANIZATIONS, SENT INTERVIEW GUIDES, AND GATHERED COMPENSATION THROUGH PHONE INTERVIEWS WITH SURVEY ORGANIZATION PRINCIPALS. THE INFORMATION OBTAINED THROUGH THESE INTERVIEWS WAS SUPPLEMENTED WITH FORM 990 INFORMATION FROM OTHER IDENTIFIED COMPARABLE ORGANIZATIONS. AFTER THIS REVIEW WAS COMPLETE, THE BOARD DISCUSSED AND APPROVED THE COMPENSATION. X 1 4327468 COST 0 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS A SINGLE MEMBER, MOSES-WEITZMAN HEALTH SYSTEM, INC., A CONNECTICUT NONSTOCK CORPORATION EXEMPT FROM TAXATION UNDER CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN CODE SECTION 501(C)(3). FORM 990, PART VI, SECTION B, LINE 11B THE MANAGEMENT OF CHC PREPARES FORM 990 WITH THE ASSISTANCE OF AN INDEPENDENT ACCOUNTING FIRM. EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE 990 FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH EMPLOYEE OF CHC HAS A DUTY TO MAKE FULL DISCLOSURE OF ANY SITUATION IN WHICH HIS OR HER PRIVATE INTERESTS CREATE A CONFLICT OR POTENTIAL CONFLICT WITH THOSE OF CHC. IT IS IMPORTANT TO REMEMBER THAT AN APPEARANCE OF CONFLICT MAY BE JUST AS DAMAGING TO CHC'S REPUTATION AS A REAL CONFLICT. IN ORDER THAT THERE IS A COMMON UNDERSTANDING OF THE IMPORTANCE OF THESE MATTERS, EACH EMPLOYEE SHALL BE REQUESTED TO SIGN A COMPLIANCE FORM AS AN INDICATION OF UNDERSTANDING AND COMPLIANCE. THE COMPLIANCE FORM IS PART OF THE EMPLOYEE HANDBOOK AND EACH EMPLOYEE RECEIVES AND ACKNOWLEDGES FOLLOWING ALL OF THE POLICIES WITHIN THE HANDBOOK INCLUDING THE COMPLIANCE FORM. ACTIVITIES PROHIBITED TO AN EMPLOYEE SHALL NOT BE DONE, OR KNOWINGLY PERMITTED TO BE DONE, INDIRECTLY THROUGH RELATIVES, FRIENDS OR OTHERWISE. CHC HAS ADOPTED CONFLICTS OF INTEREST POLICIES APPLICABLE TO ITS BOARD OF DIRECTORS AND ITS EMPLOYEES WHICH ARE FULLY INCORPORATED INTO, AND MADE A PART OF ITS COMPLIANCE PROGRAM. ON AN ANNUAL BASIS CONFLICT OF INTEREST FORMS ARE COMPLETED BY OFFICERS, DIRECTORS AND TRUSTEES AND REVIEWED BY THE LEGAL DEPARTMENT OF CHC AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. 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 LINE 15A: COMPENSATION PROCESS FOR TOP OFFICIAL- COMMUNITY HEALTH CENTER, INC. ENGAGED AON HEWITT IN 2023 TO CONDUCT AN INDEPENDENT SURVEY OF CEO COMPENSATION AT COMPARABLE ORGANIZATIONS. THE CONSULTING FIRM CONTACTED SEVERAL ORGANIZATIONS, SENT INTERVIEW GUIDES, AND GATHERED COMPENSATION THROUGH PHONE INTERVIEWS WITH SURVEY ORGANIZATION PRINCIPALS. THE INFORMATION OBTAINED THROUGH THESE INTERVIEWS WAS SUPPLEMENTED WITH FORM 990 INFORMATION FROM OTHER IDENTIFIED COMPARABLE ORGANIZATIONS. AFTER THIS REVIEW WAS COMPLETE, THE BOARD DISCUSSED AND APPROVED THE COMPENSATION. LINE 15B: THE PROCESS TO DETERMINE THE COMPENSATION FOR OTHER OFFICERS IS FOR SALARY SURVEYS TO BE PERFORMED BY HR DIRECTOR AND COMPENSATION MANAGER TO ENSURE THE ORGANIZATION'S SALARIES ARE COMPETITIVE. USING THIS INPUT THE PRESIDENT/CEO AND VP/CLINICAL DIRECTOR EVALUATE THE PERFORMANCE OF THE INDIVIDUALS DURING THE YEAR AND APPROVE THE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST WITHIN A REASONABLE AMOUNT OF TIME. FORM 990, PART IX, LINE 11G CONTRACTUAL - SPECIALIST: PROGRAM SERVICE EXPENSES 3,812,534. MANAGEMENT AND GENERAL EXPENSES 1,557,968. TOTAL EXPENSES 5,370,502. CONTRACTUAL - OTHER: PROGRAM SERVICE EXPENSES 187,276. TOTAL EXPENSES 187,276. MEDICAL LABORATORY: PROGRAM SERVICE EXPENSES 1,025. MANAGEMENT AND GENERAL EXPENSES 1,757. TOTAL EXPENSES 2,782. DENTAL LABORATORY: PROGRAM SERVICE EXPENSES 319,905. TOTAL EXPENSES 319,905. PAYROLL SERVICES: MANAGEMENT AND GENERAL EXPENSES 229,425. TOTAL EXPENSES 229,425. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 948,917. TOTAL EXPENSES 948,917. TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 885,787. MANAGEMENT AND GENERAL EXPENSES 76,376. TOTAL EXPENSES 962,163. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 241,139. MANAGEMENT AND GENERAL EXPENSES 2,830,897. TOTAL EXPENSES 3,072,036. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -147,356. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CHC REALTY INC 19 GRAND STREET MIDDLETOWN CT 06457 274296337 SUPPORT CT 501(C)(3) LINE 12A, I CHC 1 CHC1 MEDIA INC 19 GRAND STREET MIDDLETOWN CT 06457 453784467 SUPPORT CT 501(C)(3) LINE 12A, I CHC 1 NATIONAL NURSE PRACTITIONER 19 GRAND STREET MIDDLETOWN CT 06457 475041001 TRAINING CT 501(C)(3) LINE 10 MWHS 0 COMMUNITY ECONSULT NETWORK INC 19 GRAND STREET MIDDLETOWN CT 06457 810690892 INFORMATION CT 501(C)(3) LINE 7 MWHS 0 NATIONAL INSTITUTE FOR MEDICAL ASST 19 GRAND STREET MIDDLETOWN CT 06457 813293048 TRAINING CT 501(C)(3) LINE 2 MWHS 0 CHC REALTY II INC 19 GRAND STREET MIDDLETOWN CT 06457 821653914 SUPPORT CT 501(C)(3) LINE 12A, I CHC 1 MOSES-WEITZMAN HEALTH SYSTEM INC 19 GRAND STREET MIDDLETOWN CT 06457 850521893 SUPPORT CT 501(C)(3) LINE 12C, III-FI N/A 0 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT INC 19 GRAND STREET MIDDLETOWN CT 06457 060712058 SUPPORT CT 501(C)(3) LINE 7 CHC 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 1 CHC REALTY INC S 459187 COST CHC REALTY INC R 2290431 COST CHC REALTY II INC R 1125160 COST CHC REALTY II INC S 476563 COST