2021-05-17T11:50:50-05:00 2020-06-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2019-07-01 060897105 COMMUNITY HEALTH CENTER INC COMM 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 MARK MASSELLI PRESIDENT/CEO 8603476971 2021-05-14 1 MARY ANTONETTI P00431862 2037819600 2019 2022-09-23 18:48:47Z MARK MASSELLI 635 MAIN STREET MIDDLETOWN CT 06457 130105376 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. 10 10 1086 11 0 0 23712004 25412521 97103118 103229721 230682 445013 34921 38396 121080725 129125651 17590 9092 0 0 76673913 89162677 0 0 0 40066003 44534988 116757506 133706757 4323219 -4581106 71182251 86410701 39263704 57817064 31918547 28593637 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 50889608 57823595 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.(SEE SCHEDULE O) CHC IS ACTIVELY INVOLVED IN TRAINING THE NEXT GENERATION OF MEDICAL HEALTHCARE 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.COVID-19 BECAME THE OVERWHELMING FOCUS IN EARLY 2020, AND REQUIRED CHCI TO MAKE RAPID CHANGES TO THE WAY IT TRADITIONALLY PROVIDED CARE THROUGH IN-PERSON VISITS. THE PANDEMIC DEEPLY IMPACTED ITS PATIENT POPULATION, MANY FROM THE POOREST COMMUNITIES WHERE THE RISK OF COMPLICATIONS AND DEATH FROM CORONAVIRUS IS HIGHEST. MOVING TO TELEHEALTH REQUIRED A SIGNIFICANT INVESTMENT IN TECHNOLOGY AND PEOPLE POWER TO DELIVER SERVICES IN A NEW WAY, KEEPING PATIENTS CONNECTED TO MEDICAL AND BEHAVIORAL HEALTH PROVIDERS WHILE STAYING SAFELY AT HOME.THE SHIFT TO TELEHEALTH BEGAN EARLY IN MARCH 2020; CHCI DEPLOYED ZOOM TECHNOLOGY, INCLUDING VIDEO AND PHONE, AND TRAINED PROVIDERS IN ITS USE. PLAYBOOKS WERE COMPILED, PATIENTS AND PROVIDERS WERE GIVEN SUPPORT FOR THIS NEW WAY OF DELIVERING AND RECEIVING CARE, AND RESULTS WERE TRACKED AND EVALUATED. THE FIRST PATIENT VISIT VIA TELEHEALTH WAS CONDUCTED ON MARCH 9, 2020, AND MOST PATIENT APPOINTMENTS WERE SUBSEQUENTLY BOOKED ON THE TELEHEALTH PLATFORM. FROM THE START, PATIENT AND PROVIDER FEEDBACK WAS OVERWHELMINGLY POSITIVE. CHCI'S MODEL RECEIVED NATIONAL, STATE AND LOCAL MEDIA ATTENTION, INCLUDING USA TODAY AND THE WALL ST. JOURNAL. WHILE SOME PATIENTS STRUGGLED WITH VIDEO, EARLY FEEDBACK PROVED THE SWITCH TO TELEHEALTH WAS THE RIGHT THING TO DO, AND TELEHEALTH WILL CONTINUE TO BE PART OF THE CHCI PATIENT CARE MODEL EVEN AFTER THE PANDEMIC ENDS.FAST ON THE HEELS OF THE AGENCY-WIDE TRANSITION TO TELEHEALTH, CHCI STOOD UP COVID-19 TESTING FOR PATIENTS AND THE PUBLIC AT ITS SITES ACROSS THE STATE. CHCI TRULY BECAME "CONNECTICUT'S HEALTH CENTER" IN ITS RESPONSE TO THE PANDEMIC, AS A TRUSTED AND EFFICIENT PROVIDER OF TESTING TO TENS OF THOUSANDS OF PEOPLE MOST OF WHOM HAD NEVER USED THE HEALTH CENTER IN THE PAST, AND MANY OF WHOM RETURNED TIME AND TIME AGAIN FOR TESTING. CHCI'S VISIBILITY INCREASED BY MULTIPLES DURING THIS TIME, WITH NEARLY DAILY REPORTS IN NATIONAL, STATE AND LOCAL MEDIA, INCLUDING ABC'S GOOD MORNING AMERICA AND THE NEW YORK TIMES. BY MID-2020, THE AGENCY HAD ALREADY BEGUN PREPARING TO ADMINISTER THE COVID-19 VACCINE WHEN DOSES BECAME AVAILABLE.AS A NATIONAL LEADER IN EDUCATION THROUGH ITS WEITZMAN INSTITUTE, CHCI BEGAN IN MARCH TO SHARE ITS COVID-19 LEARNINGS AND EXPERTISE FREELY WITH PRIMARY CARE PRACTICES IN ALL 50 STATES VIA WEEKLY PROJECT ECHO WEBINARS. WEBINARS ROUTINELY ATTRACTED MORE THAN 1,000 PARTICIPANTS, WITH EXPERT FACULTY ADDRESSING TOPICS SUCH AS EMERGENCY PREPAREDNESS, ANXIETY AND BEST PRACTICES. 12938575 12095055 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.AS PART OF OUR RESPONSE TO THE COVID-19 CRISIS, THE WEITZMAN INSTITUTE ALSO TEAMED WITH THE SCHOOL-BASED HEALTH ALLIANCE FOR A NATIONAL WEBINAR SERIES ON LEADERSHIP, EXPERIENCE, AND TELEHEALTH STRATEGIES TO SUPPORT A VIRTUAL SCHOOL-BASED HEALTH CENTER MODEL. 11957623 18694543 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 CGG 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. 21911416 9092 14616528 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: 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. 21911416 9092 14616528 97697222 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 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 175 0 1 1086 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X COMMUNITY HEALTH CENTER INC 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 GARY REID CHAIRPERSON 2.00 4.00 X 0 0 0 ANGELA ANTHONY MEMBER 2.00 X 0 0 0 JILL MACONI MEMBER 2.00 X 0 0 0 ROSA VENTURA MEMBER 2.00 X 0 0 0 CAROL MAGNER MITCHELL MEMBER 2.00 X 0 0 0 SANDRA MICALIZZI MEMBER 2.00 X 0 0 0 TERRY DANAHER VICE CHAIRPERSON 2.00 X 0 0 0 LES GORDON MEMBER (FROM 12/2019) 2.00 X 0 0 0 RICH OSTUW MEMBER (FROM 1/2020) 2.00 X 0 0 0 JOSEPH VINCENT DIRECTOR (TO 12/2019) 2.00 X 0 0 0 MARY GUZMAN MEMBER 2.00 X 0 0 0 MARK MASSELLI PRESIDENT/CEO 40.00 10.00 X 606330 0 40611 MARGARET FLINTER VICE PRESIDENT 40.00 8.00 X 390109 0 28447 ROBERT BLOCK CFO/TREASURER (TO 7/2020) 40.00 10.00 X 265382 0 47386 TRACY GUARNIERI SECRETARY (FROM 10/2019) 40.00 X 130201 0 0 DAREN ANDERSON VP/CHIEF QUALITY 40.00 10.00 X 431131 0 44195 VEENA CHANNAMSETTY CMO 45.00 X 362893 0 41534 EDWARD BIANCO CIO 45.00 X 204562 0 27535 JOSEPH BLACKBURN VP/HUMAN RESOURCES 45.00 X 198668 0 8338 DIPAK PATEL PHYSICIAN 45.00 X 266977 0 0 DAVID MELMAN PSYCHIATRIST 45.00 X 254910 0 30014 FARAJ GHABAG PHYSICIAN 45.00 X 232845 0 29564 ANDY CASIMIR PHYCHIATRIST 45.00 X 240275 0 29014 CARL LECCE PHYSICIAN 45.00 X 251906 0 23014 3836189 0 349652 109 0 1 0 PAC GROUP 126 SOUTH MAIN STREET TORRINGTON CT 06790 CONSTRUCTION 2939747 BUILDING ONE FACILITY SERVICES LLC 57 OZICK DRIVE SUITE A DURHAM CT 06422 JANITORIAL SERVICES 634176 SONOTROL 65 INWOOD ROAD ROCKY HILL CT 06067 SECURITY CONTROLS AND SERVICES 305606 BENEFIT STRATEGIES LLC PO BOX 1660 MANCHESTER NH 03105 BENEFIT PLANS ADMINISTRATOR 269813 CHARLES HELM MD & THOMAS HELM MD 303 LINCOLN DRIVE CHESHIRE CT 06410 MEDICAL SERVICES 220500 9 25412521 3215769 25412521 PATIENT FEES 621400 90344038 90344038 PHARMACY 621400 10680823 10680823 CONSULTING 621400 773937 773937 COVID TESTING 621400 640400 640400 790523 790523 103229721 304074 304074 38396 0 38396 38396 38396 1120664 979725 140939 140939 140939 129125651 103229721 0 483409 9092 9092 3003225 2271042 732183 71621507 56953615 14667892 2725446 2111383 614063 6588285 5072979 1515306 5224214 4066085 1158129 408492 10193 398299 184888 184888 36000 36000 7067 7067 11374662 6759585 4615077 298918 101182 197736 3143586 1233021 1910565 3143679 879627 2264052 2800362 2110450 689912 637701 354653 283048 123915 51749 72166 1305154 1305154 3121826 2054273 1067553 858844 2921 855923 MEDICAL/DENTAL/SUPPLIES 6279197 6117538 161659 PHARMACY 3713653 3712817 836 BAD DEBT 1740043 1740043 0 REPAIRS & MAINTENANCE 1134134 575007 559127 4222867 1509967 2712900 133706757 97697222 36009535 0 6746705 14359275 1216860 1099948 2996937 4405499 6033651 6641274 20812050 20812050 1721092 2179466 63390861 36658963 23311108 26731898 2991766 2944001 458884 455185 4893198 6782105 71182251 86410701 15780199 17082143 33170 11651120 23449524 22090084 811 6993717 39263704 57817064 X 31918547 28593637 31918547 28593637 71182251 86410701 X -4581106 -28706 1284902 X X 0 1 X 1 1 1 X 17802671 27926396 18933304 23712004 25412521 113786896 17802671 27926396 18933304 23712004 25412521 113786896 113786896 34866 228535 253058 124576 342470 983505 114770401 443007367 0.99140 0.99310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36000 36000 98184739 98220739 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 36000 36000 36000 36000 144000 250000 250000 250000 250000 1000000 1500000 963043 963043 27004650 14735724 12268926 5708238 3666124 2042114 25946211 18254884 7691327 3768719 2231 3766488 26731898 DUE FROM RELATED 501(C)(3) ENTITIES 6164012 SECURITY DEPOSITS 178734 OTHER ASSETS 439359 6782105 LINE OF CREDIT 701250 INTEREST RATE SWAPS 973994 OTHER LIABILITIES 568983 DUE TO RELATED 501(C)(3) ENTITIES 4749490 6993717 X 128634737 -28705 -455142 -483847 129118584 7067 7067 129125651 131959647 0 131959647 7067 1740043 1747110 133706757 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 -1,740,043. INHERENT CONTRIBUTION RELATED TO ACQUISITION OF CGC (SEE BELOW) 2,258,896. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -973,995. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 1,740,043. PART XI, LINE 2D ON JANUARY 5, 2020, COMMUNITY HEALTH CENTER, INC. SIGNED A MEMBER SUBSTITUTION AGREEMENT WITH THE CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. (CGC). IN CONNECTION WITH THIS MEMBER SUBSTITUTION AGREEMENT, CHCI BECAME SOLE MEMBER OF CGC EFFECTIVE JANUARY 5, 2020 (TRANSACTION DATE). THE DETERMINATION TO ACQUIRE CGC WAS PREDICATED ON THE SIMILARITIES OF THEIR MISSION. CGC OPERATES AND MANAGES OUTPATIENT MENTAL HEALTH CENTER FOR CHILDREN AND ADOLESCENTS WHO EXPERIENCE PSYCHOLOGICAL, EMOTIONAL, BEHAVIORAL, DEVELOPMENTAL, SOCIAL OR FAMILY PROBLEMS WITHIN THE PRIMARY SERVICE AREA OF STAMFORD, CONNECTICUT. THE $2,258,896 INHERENT CONTRIBUTION RELATED TO ACQUSITION RELATES TO THE ASSETS TRANSFERRED FROM CGC. X X X X 0 0 0 0 0 0 0 1 0 MARK MASSELLI PRESIDENT/CEO 513842 0 67892 0 24596 0 12219 0 28392 0 646941 0 0 0 MARGARET FLINTER VICE PRESIDENT 325513 0 40000 0 24596 0 9773 0 18674 0 418556 0 0 0 ROBERT BLOCK CFO/TREASURER (TO 7/2020) 253696 0 0 0 11686 0 15383 0 32003 0 312768 0 0 0 DAREN ANDERSON VP/CHIEF QUALITY 411527 0 0 0 19604 0 15277 0 28918 0 475326 0 0 0 VEENA CHANNAMSETTY CMO 327173 0 25000 0 10720 0 13315 0 28219 0 404427 0 0 0 EDWARD BIANCO CIO 202459 0 0 0 2103 0 9496 0 18039 0 232097 0 0 0 JOSEPH BLACKBURN VP/HUMAN RESOURCES 198377 0 0 0 291 0 8338 0 0 0 207006 0 0 0 DIPAK PATEL PHYSICIAN 266651 0 0 0 326 0 0 0 0 0 266977 0 0 0 DAVID MELMAN PSYCHIATRIST 254483 0 0 0 427 0 0 0 30014 0 284924 0 0 0 FARAJ GHABAG PHYSICIAN 232845 0 0 0 0 0 0 0 29564 0 262409 0 0 0 ANDY CASIMIR PHYCHIATRIST 239875 0 0 0 400 0 0 0 29014 0 269289 0 0 0 CARL LECCE PHYSICIAN 247118 0 0 0 4788 0 0 0 23014 0 274920 0 0 0 PART I, LINE 7 THE ORGANIZATION MADE NON-FIXED BONUS PAYMENTS BASED ON AN ANALYSIS OF PERFORMANCE. THE DETERMINATION OF BONUS AMOUNTS ARE APPROVED BY THE BOARD. 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 3215769 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 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. 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 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: 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 EVALUATES THE PERFORMANCE OF THE INDIVIDUALS DURING THE YEAR AND APPROVES THE SALARIES. 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: INHERENT CONTRIBUTION RELATED TO ACQUISITION 2,258,897. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -973,995. 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 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 MOSES-WEITZMAN HEALTH SYSTEM INC 635 MAIN STREET MIDDLETOWN CT 06457 850521893 SUPPORT CT 501(C)(3) LINE 12A, I 0 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT INC 103 WEST BROAD STREET STAMFORD CT 06902 060712058 SUPPORT CT 501(C)(3) LINE 12A, I CHC 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 1 CHC REALTY INC R 436574 ACCRUAL NAT'L NURSE PRACT RESIDENCY & FELLOWSHIP TRAINING CONSORT S 30152 ACCRUAL CHC REALTY II INC R 6809337 ACCRUAL CHC REALTY II INC R 3634292 ACCRUAL COMMUNITY ECONSULT NETWORK INC R 271910 ACCRUAL NATIONAL INSTITUTE FOR MEDICAL ASST R 608602 ACCRUAL CHC REALTY INC S 365373 ACCRUAL CHC REALTY II INC S 1181355 ACCRUAL CHILD GUIDANCE CENTER OF SOUTHERN CT INC S 5900 ACCRUAL CHILD GUIDANCE CENTER OF SOUTHERN CT INC S 2258896 FAIR MARKET VALUE