2020-04-13T12:06:13-05:00 2019-06-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2018-07-01 060897105 COMMUNITY HEALTH CENTER INC COMM 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 ROBERT BLOCK CFO/TREASURER 8603476971 2020-04-08 1 MARY-EVELYN ANTONETTI P00431862 2037819600 47.19.127.190 2020-04-08 10:43:48 ED P 183E7C488A98A9CD22D5E89AA7E1E9711B99B226 04DC45234ACA7FC46FC69F653C1951DD105C433F 2018 2020-11-06 18:47:13Z MARK MASSELLI 635 MAIN STREET MIDDLETOWN CT 06457 121129278 0 X WWW.CHC1.COM X 1972 CT IMPROVING HEALTHCARE OUTCOMES AND BUILDING HEALTHIER COMMUNITIES (SEE SCHEDULE O)COMMUNITY HEALTH CENTER, INC. ("CHC") IS BUILDING A WORLD CLASS PRIMARY CARE ORGANIZATION, COMMITTED TO SPECIAL POPULATIONS, 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; AS SUCH, IT STRIVES TO BE A VOICE AND VEHICLE FOR SOCIAL CHANGE. 9 9 1003 9 0 0 18933304 23712004 88935668 97103118 253058 230682 0 34921 108122030 121080725 0 17590 0 0 72595377 76673913 0 0 3100 37355999 40066003 109951376 116757506 -1829346 4323219 73799280 71182251 39363023 39263704 34436257 31918547 X COMMUNITY HEALTH CENTER (CHC) IS A PRIVATE, NON-PROFIT AGENCY PROVIDING ACCESS TO AND ENCOURAGING PARTICIPATION IN COMPREHENSIVE PRIMARY HEALTH CARE AND SOCIAL SERVICES. (SEE SCHEDULE O)ITS QUALITY SERVICES ARE AVAILABLE TO ALL, AND PARTICULARLY TO THOSE WHO CANNOT GAIN ACCESS TO SUCH SERVICES ELSEWHERE. CHC TAKES LEADERSHIP IN PROMOTING INTERAGENCY COOPERATION. IT IS BASED ON CONSUMER CONTROL AND IS COMMITTED TO ENSURING HUMAN RIGHTS AND RESPECTING HUMAN DIGNITY; AS SUCH, IT STRIVES TO BE A VOICE AND VEHICLE FOR SOCIAL CHANGE. 0 0 50587456 65306110 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 AS WELL AS IN SCHOOL BASED HEALTH CENTERS, HOMELESS SHELTERS, AND DOMESTIC VIOLENCE 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 HIV/AIDS, PODIATRY, DIABETES EDUCATION, NUTRITION, AND PHARMACY CONSULTATION. CHC IS ACTIVELY INVOLVED IN TRAINING THE NEXT GENERATION OF MEDICAL HEALTHCARE (SEE SCHEDULE O) PROFESSIONALS AND WELCOMES STUDENTS AND RESIDENTS FROM MULTIPLE UNIVERSITIES AND COLLEGES OF NURSING, MEDICINE, AND PHARMACY AS WELL AS OPERATING THE COUNTRY'S FIRST RESIDENCY PROGRAM FOR FAMILY NURSE PRACTITIONERS. 11605862 16185374 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. 9483095 14127932 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 DISTURBANCES. 14704938 17590 1483702 ALL OTHER PROGRAMS: COMMUNITY HEALTH CENTER, INC. (CHC) IS CONCERNED WITH THE INTERFACE OF PERSONAL HEALTH WITH POPULATION HEALTH AND COMMUNITY HEALTH AS A COMMUNITY HEALTH CENTER. 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, AND PROVIDES EXTENSIVE SUPPORT SERVICES TO SPECIAL POPULATIONS SUCH AS HOUSING SERVICES FOR PERSONS LIVING WITH HIV/AIDS. 14704938 17590 1483702 86381351 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 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 194 0 1 1003 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X COMMUNITY HEALTH CENTER INC 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 GARY REID CHAIRPERSON 1.00 0.00 X 0 0 0 ANGELA ANTHONY DIRECTOR 2.00 0.00 X 0 0 0 JILL MACONI DIRECTOR 2.00 0.00 X 0 0 0 MARY GUZMAN DIRECTOR 2.00 0.00 X 0 0 0 ROSA VENTURA DIRECTOR 2.00 0.00 X 0 0 0 JOSEPH VINCENT DIRECTOR 2.00 0.00 X 0 0 0 CAROL MAGNER MITCHELL DIRECTOR 2.00 0.00 X 0 0 0 SANDRA MICALIZZI DIRECTOR 2.00 0.00 X 0 0 0 TERRY DANAHER VICE CHAIR 2.00 0.00 X 0 0 0 MARK MASSELLI PRESIDENT/CEO 40.00 10.00 X 577944 0 68654 MARGARET FLINTER VP/CLINICAL DIR 40.00 10.00 X 392936 0 60229 ROBERT BLOCK CFO/TREASURER 40.00 10.00 X 234833 0 64916 NICOLE LAKE SECRETARY 40.00 0.00 X 168129 0 35270 DAREN ANDERSON VP/CHIEF QUALITY 5.00 45.00 X 448854 0 72051 VEENA CHANNAMSETTY CMO 45.00 0.00 X 322312 0 62735 TICHIANAA ARMAH DIR-BEHAVIORAL HEALTH 45.00 0.00 X 285651 0 66410 EDWARD BIANCO CIO 45.00 0.00 X 311419 0 34873 JOSEPH BLACKBURN VP/HUMAN RESOURCES 45.00 0.00 X 228254 0 20327 DOREEN BENTSON CHIEF OPERATIONS OFFICER (TO 09/18) 40.00 0.00 X 23575 0 2253 DIPAK PATEL PHYSICIAN 45.00 0.00 X 279948 0 35064 DAVID MELMAN PSYCHIATRIST 45.00 0.00 X 264145 0 58467 FARAJ GHABAG PHYSICIAN 45.00 0.00 X 244563 0 61185 ANDY CASIMIR PSYCHIATRIST 45.00 0.00 X 249243 0 40894 CARL LECCE PHYSICIAN 45.00 0.00 X 247083 0 58331 HARTMUT DOERWALDT PHYSICIAN 45.00 0.00 X 174398 0 37396 4453287 0 779055 112 0 1 0 BUILDING ONE FACILITY SERVICES 57 OZICK DRIVE SUITE A DURHAM CT 06422 JANITORIAL SERVICES 581414 BENEFIT STRATEGIES 967 ELM STREET MANCHESTER NH 03101 BENEFIT PLANS ADMINISTRATOR 261987 EXECUTIVE CONSULTING GROUP LLC 3 LAKE AVENUE BROOKLYN NY 11235 STAFFING 248586 CHARLES HELM & THOMAS HELM 455 LEWIS AVENUE MERIDEN CT 06451 MEDICAL STAFF 220500 BRIDGE TECHNICAL TALENT LLC 650 TEN ROAD STE 1 NORTH KINGSTON RI 02852 STAFFING 195281 10 23579488 132516 3684777 23712004 PATIENT FEES 621400 86191542 86191542 PHARMACY 621400 8066274 8066274 CONSULTING 621400 1121828 1121828 MEANINGFUL USE INCOME 621400 255000 255000 MEDICAL RECORDS 621400 64929 64929 1403545 1403545 97103118 89655 89655 34921 0 34921 34921 34921 189480 100 48553 0 140927 100 141027 141027 121080725 97103118 0 265603 17590 17590 3326574 2666718 659856 59695732 45390165 14305567 2018704 1445813 572891 7361546 5711138 1650408 4271357 3297889 973468 200239 11369 188870 86400 86400 36000 36000 6863 6863 9933852 6274262 3659590 126639 6599 120040 1871602 1146545 725057 1958551 170664 1787887 3859982 3303884 556098 593107 274800 318307 444030 109267 334763 401577 103325 298252 2753769 2104186 649583 460208 460208 PHARMACY 7985320 7981797 3523 REPAIRS & MAINTENANCE 2599809 1713049 886760 MEDICAL/DENTAL/SUPPLIES 2207340 1990989 216351 BAD DEBT 1157897 1157897 3382818 1503405 1876313 3100 116757506 86381351 30373055 3100 18486677 6746705 870181 1216860 22676828 2996937 5412708 6033651 0 20812050 1797519 1721092 56849477 33538369 18027984 23311108 2784355 2991766 452513 458884 3290515 4893198 73799280 71182251 13755415 15780199 280838 33170 22946674 23449524 2380096 811 39363023 39263704 X 34436257 31918547 34436257 31918547 73799280 71182251 X 4323219 -6840929 X X 0 1 X 1 1 1 X 14661287 17802671 27926396 18933304 23712004 103035662 14661287 17802671 27926396 18933304 23712004 103035662 103035662 74746 34866 228535 253058 124576 715781 103751443 403894529 0.99310 0.99270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36000 36000 86626348 86662348 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 41783 36000 36000 36000 149783 250000 250000 250000 250000 1000000 1500000 643527 643527 24059206 13627661 10431545 5450734 3274624 2176110 20776989 16523349 4253640 5919021 112735 5806286 23311108 DUE FROM RELATED 501(C)(3) ENTITIES 4783120 SECURITY DEPOSITS 110078 4893198 DUE TO RELATED 501(C)(3) ENTITIES 811 811 X 119922828 -1157897 -1157897 121080725 0 121080725 115599609 0 115599609 1157897 1157897 116757506 PART X, LINE 2: EXCERPT FROM FOOTNOTE 1 FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY HEALTH CENTER, INC. - THE ORGANIZATION HAS RECEIVED EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS ALSO BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170(B)(1)(A)(VI). MANAGEMENT HAS REVIEWED THE ORGANIZATION'S REPORTING AND BELIEVE THEY HAVE NOT TAKEN TAX POSITIONS THAT ARE MORE LIKELY THAN NOT TO BE DETERMINED TO BE INCORRECT BY THE INTERNAL REVENUE SERVICE AND THEREFORE, NO ADJUSTMENTS OR DISCLOSURES ARE REQUIRED. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -1,157,897. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 1,157,897. 1 MIDDLESEX UNITED WAY INC 060665170 501(C)(3) 7290 FOR USE IN EXEMPT MISSION 1 PART I, LINE 2: CHC ONLY GIVES DONATIONS TO 501(C)(3) ORGANIZATIONS FOR USE IN THEIR EXEMPT PURPOSE. X X X X 0 0 0 0 0 0 0 0 0 MARK MASSELLI PRESIDENT/CEO 484648 0 68700 0 24596 0 33552 0 35102 0 646598 0 0 0 MARGARET FLINTER VP/CLINICAL DIR 312149 0 50000 0 30787 0 33867 0 26362 0 453165 0 0 0 ROBERT BLOCK CFO/TREASURER 203388 0 20000 0 11445 0 29662 0 35254 0 299749 0 0 0 NICOLE LAKE SECRETARY 151990 0 16000 0 139 0 9120 0 26150 0 203399 0 0 0 DAREN ANDERSON VP/CHIEF QUALITY 389250 0 40000 0 19604 0 37574 0 34477 0 520905 0 0 0 VEENA CHANNAMSETTY CMO 311596 0 0 0 10716 0 31266 0 31469 0 385047 0 0 0 TICHIANAA ARMAH DIR-BEHAVIORAL HEALTH 267705 0 17500 0 446 0 29833 0 36577 0 352061 0 0 0 EDWARD BIANCO CIO 209265 0 100724 0 1430 0 33258 0 1615 0 346292 0 0 0 JOSEPH BLACKBURN VP/HUMAN RESOURCES 190000 0 38000 0 254 0 20327 0 0 0 248581 0 0 0 DOREEN BENTSON CHIEF OPERATIONS OFFICER (TO 09/18) 23541 0 0 0 34 0 0 0 2253 0 25828 0 0 0 DIPAK PATEL PHYSICIAN 251317 0 28277 0 354 0 30064 0 5000 0 315012 0 0 0 DAVID MELMAN PSYCHIATRIST 243735 0 20000 0 410 0 31540 0 26927 0 322612 0 0 0 FARAJ GHABAG PHYSICIAN 218524 0 25785 0 254 0 28181 0 33004 0 305748 0 0 0 ANDY CASIMIR PSYCHIATRIST 238681 0 10000 0 562 0 5317 0 35577 0 290137 0 0 0 CARL LECCE PHYSICIAN 225872 0 16715 0 4496 0 30300 0 28031 0 305414 0 0 0 HARTMUT DOERWALDT PHYSICIAN 145128 0 16793 0 12477 0 17207 0 20189 0 211794 0 0 0 PART III - OTHER ADDITIONAL INFORMATION COMMUNITY HEALTH CENTER, INC. ENGAGED AON HEWITT IN 2018 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 3684777 COST 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 EACH MEMBER OF THE BOARD RECEIVES A 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. 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. 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 2018 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: COMPENSATION PROCESS FOR OFFICERS THE PRESIDENT/CEO AND VP/CLINICAL DIRECTOR ALONG WITH INPUT FROM THE CFO AND HR DIRECTOR REVIEW SALARY SURVEYS TO ENSURE THE ORGANIZATION'S SALARIES ARE COMPETITIVE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST WITHIN A REASONABLE AMOUNT OF TIME. FORM 990, PART XI, LINE 9: TRANSFER TO CHC REALTY II, INC. -6,809,337. TRANSFER FROM CHC REALTY, INC. 3,101. TRANSFER TO COMMUNITY ECONSULT NETWORK, INC. -45,753. TRANSFER FROM NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT, INC. 10,730. TRANSFER FROM NATIONAL NURSE PRACTITIONER RESIDENCY & FELLOWSHIP TRAINING 330. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CHC REALTY INC 635 MAIN STREET MIDDLETOWN CT 06457 274296337 SUPPORT CT 501(C)(3) LINE 12A, I CHC 1 CHC1 MEDIA INC 635 MAIN STREET MIDDLETOWN CT 06457 453784467 SUPPORT CT 501(C)(3) LINE 12A, I CHC 1 NATIONAL NURSE PRACTITIONER 635 MAIN STREET MIDDLETOWN CT 06457 475041001 TRAINING CT 501(C)(3) LINE 10 CHC 1 COMMUNITY ECONSULT NETWORK INC 635 MAIN STREET MIDDLETOWN CT 06457 810690892 INFORMATION CT 501(C)(3) LINE 10 CHC 1 NATIONAL INSTITUTE FOR MEDICAL ASST 635 MAIN STREET MIDDLETOWN CT 06457 813293048 TRAINING CT 501(C)(3) LINE 2 CHC 1 CHC REALTY II INC 635 MAIN STREET MIDDLETOWN CT 06457 821653914 SUPPORT CT 501(C)(3) LINE 12A, I CHC 1 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 1 1 CHC REALTY INC K 437463 BOOK CHC REALTY INC E 800648 BOOK NATIONAL NURSE PRACTITIONER RESIDENCY & FELLOWSHIP TRAINING CONSORTIUM INC D 465901 BOOK CHC REALTY II INC R 6809337 BOOK COMMUNITY ECONSULT NETWORK INC D 3235188 BOOK NATIONAL INSTITUTE FOR MEDICAL ASST D 1882679 BOOK