2023-05-12T15:22:09-05:00 2022-06-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2021-07-01 060897105 COMMUNITY HEALTH CENTER INC COMM 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 MARK MASSELLI PRESIDENT/CEO 8603476971 2023-05-11 1 MARK MASSELLI 999009999 MARY ANTONETTI P00431862 2037819600 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARK MASSELLI 635 MAIN STREET MIDDLETOWN CT 06457 172924172 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 1441 11 0 0 30436142 43672471 179406658 128896019 281306 302708 38849 52974 210162955 172924172 29950 43805 0 0 103783602 109987184 0 0 0 70386362 59062128 174199914 169093117 35963041 3831055 117152380 115442160 51629572 45983656 65522808 69458504 X COMMUNITY HEALTH CENTER (CHC) IS 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 65568757 73941801 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) FY 2022 MARKED THE COMMUNITY HEALTH CENTER'S TRANSITION FROM THE MOST INTENSELY DEMANDING FIRST FULL YEAR OF THE COVID PANDEMIC, FY 2021, AND A FOCUS ON RESUMING AND RESTORING THE FULL CLINICAL AND PROGRAMMATIC OPERATIONS OF CHCI WHILE STILL BEING A VITAL PARTNER IN OUR COMMUNITIES IN SUPPORTING ON-GOING COVID PREVENTION AND TREATMENT EFFORTS. THE END OF FY 2021 BROUGHT THE END OF CHCI'S STATE OF CT. FUNDED MASS VACCINE CLINICS WHICH PLAYED SUCH A VITAL PART IN CONNECTICUT'S OUTSTANDING VACCINATION RESPONSE, AND A TRANSITION TO MORE TARGETED VACCINE CLINICS IN COMMUNITIES THROUGHOUT OUR SERVICE AREA, AVERAGING MORE THAN 20 EVENTS PER WEEK IN DIFFERENT COMMUNITY LOCATIONS. IN FY 2022, THE DENTAL DEPARTMENT WAS ABLE TO RESUME FULL SERVICES AND THE MEDICAL DEPARTMENT TRANSITIONED THE MAJORITY OF CLINICAL SERVICES BACK TO IN-PERSON CARE, WHILE STILL ALLOWING FOR TELEHEALTH WHERE CLINICALLY APPROPRIATE. THE BEHAVIORAL HEALTH DEPARTMENT RECOGNIZED THAT PATIENTS OVERWHELMINGLY PREFERRED TO CONTINUE TO RECEIVE THEIR SERVICES VIA TELEHEALTH, AND CHCI RESPONDED TO THAT PREFERENCE THROUGHOUT THE YEAR.CHCI CONTINUED ITS FOCUS ON REACHING PATIENTS IN THE COMMUNITY THROUGH ITS W.Y.A. (WHEREVER YOU ARE) HEALTHCARE FOR THE HOMELESS PROGRAM, ITS NEW HORIZONS DOMESTIC VIOLENCE PROGRAM, AND ITS CENTER FOR KEY POPULATIONS ALL OF WHICH CONTINUED TO EXPAND THEIR RANGES OF SERVICES AND TARGETED POPULATIONS. SCHOOL BASED HEALTH CENTERS CONTINUED TO GROW IN NUMBER, AND AFTER THE FY 2021 SCHOOL CLOSURES DUE TO COVID, RESUMED NORMAL OPERATIONS WITH HEIGHTENED FOCUS ON THE INCREASED BEHAVIORAL HEALTH CHALLENGES DOCUMENTED IN YOUNG PEOPLE NOT JUST WITHIN CT. BUT ACROSS THE COUNTRY.CHCI CONTINUED ITS COMMITMENT TO EDUCATION OF THE HEALTHCARE WORKFORCE IN PRACTICE TODAY, AND TO TRAINING THE NEXT GENERATION OF HEALTH CARE PROVIDERS. THROUGH THE WEITZMAN INSTITUTE'S NATIONAL COOPERATIVE AGREEMENT WITH HRSA FOR CLINICAL WORKFORCE DEVELOPMENT, CHCI WORKED INTENSIVELY WITH HEALTH CENTERS AROUND THE COUNTRY ON ADVANCING THEIR CLINICAL MODELS OF TEAM BASED CARE AND HEALTH PROFESSIONS TRAINING PROGRAMS. THROUGH WI'S PROJECT ECHO SERVICES, CHCI REACHED THOUSANDS OF PRACTICING CLINICIANS WITH EDUCATION AND TRAINING SERIES RANGING FROM MANAGING SUBSTANCE ABUSE TREATMENT TO ADDRESSING PEDIATRIC TRAUMA IN THE PRIMARY CARE SETTING. CHCI CONTINUED TO SPONSOR POSTGRADUATE NURSE PRACTITIONER RESIDENCY TRAINING PROGRAMS IN PRIMARY CARE AND IN PSYCHIATRIC/MH SPECIALTIES AND CHCI SPONSORED A POSTDOCTORAL RESIDENCY TRAINING PROGRAM FOR CLINICAL PSYCHOLOGISTS. BOTH PROGRAMS ARE FULLY ACCREDITED. THE WEITZMAN INSTITUTE RESEARCH AND POLICY ARMS SIGNIFICANTLY INCREASED THEIR IMPACT IN THE AREAS OF RESEARCH, WITH A FOCUS ON HEALTH EQUITY, AND SCHOLARLY PUBLICATIONS. THEIR HEIGHTENED VISIBILITY WAS ALSO REFLECTED IN THE RETURN TO THE ANNUAL WEITZMAN SYMPOSIUM, NOW IN AN ENTIRELY VIRTUAL FORMAT, WHICH ATTRACTED A NATIONAL AUDIENCE.INNOVATIONS LAUNCHED YEARS AGO BY CHCI CONTINUED TO MATURE AND GROW IN IMPACT AS SEPARATELY INCORPORATED NON-PROFIT ORGANIZATIONS WITH CHCI SERVING AS THE SOLE CORPORATE MEMBER AND PROVIDING STRONG STRATEGIC INPUT AND GUIDANCE AS WELL AS ADMINISTRATIVE SUPPORT AND SERVICES. THE NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT (NIMAA) , FULLY ACCREDITED BY ABHES, CONTINUED TO GROW IN THE NUMBER OF STUDENTS ACCEPTED AND COMPLETING THE PROGRAM AND THE NUMBER OF STATES IN WHICH IT IS AUTHORIZED TO CONDUCT BUSINESS. CONFERMED/CECN CONTINUED TO GROW IN PROVIDING CLINICAL "ECONSULTS" TO HEALTHCARE PROFESSIONALS ACROSS THE COUNTRY VIA CONTRACTS WITH BOTH INSURERS AND PRACTICES, INCLUDING OTHER COMMUNITY HEALTH CENTERS. THE "CONSORTIUM" (NATIONAL NURSE PRACTITIONER RESIDENCY AND FELLOWSHIP TRAINING PROGRAM) CONTINUED TO GROW ITS ACCREDITATION BUSINESS AND RECEIVED LONG-AWAITED FORMAL RECOGNITION BY THE (FEDERAL) DEPARTMENT OF EDUCATION.THROUGHOUT ALL OF FY 2022, CHCI RECOGNIZED THAT THE INTENSE DISRUPTIONS OF THE COVID PANDEMIC HAD A VERY MAJOR IMPACT ON STAFF WHICH WILL LIKELY BE FELT FOR A LONG TIME. A SIGNIFICANT NUMBER OF STAFF WHO HAD ONCE WORKED EXCLUSIVELY ON-SITE AT CHCI, HAVING HAD THE OPPORTUNITY TO WORK REMOTELY, EXPRESSED PREFERENCE TO CONTINUE THAT, WHILE OTHERS RETURNED IN HYBRID FASHION. CHCI'S ABILITY TO MANAGE A REMOTE WORKFORCE ALLOWED IT TO RECRUIT NATIONALLY, PARTICULARLY FOR POSITIONS LIKE CALL CENTER STAFF, AND THIS HAD SIGNIFICANT POSITIVE IMPACT ON OUR ABILITY TO RECRUIT TALENT. 13941793 17466917 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. 16105062 18311070 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. 21968350 43805 19176231 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. 21968350 43805 19176231 117583962 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 1 192 0 1 1441 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 6.00 X X 0 0 0 ANGELA ANTHONY MEMBER 2.00 2.00 X 0 0 0 JILL MACONI MEMBER 2.00 2.00 X 0 0 0 ROSA VENTURA MEMBER 2.00 2.00 X 0 0 0 CAROL MAGNER MITCHELL MEMBER 2.00 2.00 X 0 0 0 SANDRA MICALIZZI MEMBER 2.00 2.00 X 0 0 0 TERRY DANAHER VICE CHAIRPERSON 2.00 2.00 X X 0 0 0 LES GORDON MEMBER 2.00 2.00 X 0 0 0 RICH OSTUW MEMBER 2.00 2.00 X 0 0 0 MARY GUZMAN MEMBER 2.00 2.00 X 0 0 0 JEFF NICKELL MEMBER (TO 12/2021) 2.00 2.00 X 0 0 0 DAISY BURGOS MEMBER (TO 4/2022) 2.00 2.00 X 0 0 0 ALYSSA CUNNINGHAM SECRETARY (FROM 1/2022) 40.00 X X 0 0 0 MARK MASSELLI PRESIDENT/CEO 40.00 12.10 X 752338 0 41629 MARGARET FLINTER VICE PRESIDENT 40.00 8.10 X 493012 0 36907 JENNIFER KNEBEL TREASURER (TO 7/2021) 40.00 11.10 X 229634 0 33756 MARK KEELEY CFO/TREASURER (FROM 8/2021) 40.00 12.10 X 105850 0 0 DAREN ANDERSON VP/CHIEF QUALITY 6.00 34.00 X 486222 0 6580 VEENA CHANNAMSETTY CMO 45.00 X 405388 0 48229 JOSEPH BLACKBURN VP/HUMAN RESOURCES 45.00 X 230433 0 11723 JASON SHAPLEN CHIEF STRATEGY&NEW VENTURE OFFICER 40.00 X 367971 0 49708 MEREDITH JOHNSON COO 40.00 X 345698 0 23636 HO-CHOONG CHANG CHIEF OF PEDIATRICS 45.00 X 285713 0 14190 TICHIANAA ARMAH CHIEF PSYCHIATRY OFFICER 40.00 X 337413 0 49101 AMY TAYLOR VP OF WEST REGION 40.00 X 305187 0 41214 MARWAN HADDAD MED. DIR.-CTR FOR KEY POPULATIONS 40.00 X 302943 0 16795 YVETTE HIGHSMITH FRANCIS VP OF EAST REGION 40.00 X 305023 0 44782 4952825 0 418250 171 0 1 0 ROTH STAFFING COMPANIES LP 450 N STATE COLLEGE BLVD ORANGE CA 92868 TEMP HELP STAFFING 4011360 FASTAFF LLC PO BOX 911452 DENVER CO 80291 TRAVELING NURSE TEMP STAFFING 3174556 EMPLOYER SOLUTIONS STAFFING GROUP II LL PO BOX 741383 ATLANTA GA 303741383 TEMP HELP STAFFING 2816560 NEWFIELD CONSTRUCTION INC 225 NEWFIELD AVENUE HARTFORD CT 06106 CONSTRUCTION GENERAL CONTRACTING 2534833 CONNECTICUT CHILDREN'S SPECIALTY GROUP I 282 WASHINGTON ST 2G HARTFORD CT 06106 PROVIDER STAFFING 2072951 64 43672471 3419545 43672471 PATIENT FEES 621400 105253359 105253359 PHARMACY 621400 17542443 17542443 COVID TESTING & VACCINE ADMINISTR 621400 2280203 2280203 CONSULTING 621400 2233336 2233336 1586678 1586678 128896019 301574 301574 52974 0 52974 52974 52974 1134 0 1134 1134 1134 172924172 128896019 0 355682 X 43805 43805 3252583 2471963 780620 84295355 64309344 19986011 4005327 3076214 929113 12008671 8891374 3117297 6425248 4663315 1761933 895973 16278 879695 299233 299233 36000 36000 8713 8713 16988677 9567766 7420911 1168100 83998 1084102 3828617 1140260 2688357 3898078 610069 3288009 2939181 1735120 1204061 447083 203058 244025 74171 15536 58635 1183817 1183817 3341330 1759000 1582330 975667 2596 973071 MEDICAL/DENTAL/SUPPLIES 7665387 7466981 198406 PHARMACY 6995538 6994691 847 BAD DEBT 2052527 2052527 0 REPAIRS & MAINTENANCE 1724927 790812 934115 4539109 1689255 2849854 169093117 117583962 51509155 0 31180031 30009656 34921 34980 14559009 7649760 8257937 8137773 20812050 20812050 2352012 3347667 74336328 43217195 26956328 31119133 4563538 3973412 545786 490688 7890768 9867041 117152380 115442160 22697248 19832555 2494885 370592 21397314 20663732 5040125 5116777 51629572 45983656 X 65522808 69458504 65522808 69458504 117152380 115442160 X 3831055 -729772 834413 X X 0 1 X 1 1 1 X 18933304 23712004 25412521 30436142 43672471 142166442 18933304 23712004 25412521 30436142 43672471 142166442 142166442 253058 124576 342470 320155 354548 1394807 143561249 597571184 0.99030 0.99010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36000 36000 117583962 117619962 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 36000 36000 36000 36000 144000 250000 250000 250000 250000 1000000 1500000 963043 963043 28494878 17047743 11447135 5722319 4213905 1508414 30344393 21723730 8620663 8811695 231817 8579878 31119133 DUE FROM RELATED 501(C)(3) ENTITIES 8967091 SECURITY DEPOSITS 136690 OTHER ASSETS 516609 INTEREST RATE SWAP 246651 9867041 OTHER LIABILITIES 686471 DUE TO RELATED 501(C)(3) ENTITIES 4430306 5116777 X 170967591 -729772 -1218096 -1947868 172915459 8713 8713 172924172 167031877 0 167031877 8713 2052527 2061240 169093117 PART X, LINE 2: EXCERPT FROM FOOTNOTE 1 FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY HEALTH CENTER, INC. - CHCI AND ITS 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 AS PROVIDED IN SECTION 170(B)(1)(A)(VI). THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX PROVISIONS 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -2,052,527. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 834,431. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 2,052,527. 1 HISPANIC ALLIANCE OF SOUTHEASTERN CONNECTICUT PO BOX 227 NEW LONDON CT 06320 020573328 501(C)(3) 10000 0 SCHOLARSHIP PROGRAM 1 0 PART I, LINE 2: THE ORGANIZATION IS NOT A GRANT MAKING ORGANIZATION BUT DOES MAKE DONATIONS TO 501(C)(3) ORGANIZATIONS FOR USE IN THEIR CHARITABLE PURPOSE. THE MISSION OF THE VARIOUS PUBLIC CHARITIES ALIGNS WITH THE MISSION OF CHC. X X X X 0 0 0 0 0 0 0 1 0 MARK MASSELLI PRESIDENT/CEO 589759 0 136425 0 26154 0 10661 0 30968 0 793967 0 0 0 MARGARET FLINTER VICE PRESIDENT 391416 0 76000 0 25596 0 16386 0 20521 0 529919 0 0 0 DAREN ANDERSON VP/CHIEF QUALITY 424618 0 41000 0 20604 0 6407 0 173 0 492802 0 0 0 VEENA CHANNAMSETTY CMO 384168 0 1000 0 20220 0 15119 0 33110 0 453617 0 0 0 JASON SHAPLEN CHIEF STRATEGY&NEW VENTURE OFFICER 270764 0 96000 0 1207 0 20080 0 29628 0 417679 0 0 0 TICHIANAA ARMAH CHIEF PSYCHIATRY OFFICER 335933 0 1000 0 480 0 14923 0 34178 0 386514 0 0 0 MEREDITH JOHNSON COO 229501 0 101000 0 15197 0 18117 0 5519 0 369334 0 0 0 YVETTE HIGHSMITH FRANCIS VP OF EAST REGION 248085 0 56000 0 938 0 19430 0 25352 0 349805 0 0 0 AMY TAYLOR VP OF WEST REGION 248575 0 56000 0 612 0 15969 0 25245 0 346401 0 0 0 MARWAN HADDAD MED. DIR.-CTR FOR KEY POPULATIONS 299839 0 2000 0 1104 0 16795 0 0 0 319738 0 0 0 HO-CHOONG CHANG CHIEF OF PEDIATRICS 277741 0 7361 0 611 0 14190 0 0 0 299903 0 0 0 JENNIFER KNEBEL TREASURER (TO 7/2021) 203026 0 25000 0 1608 0 10987 0 22769 0 263390 0 0 0 JOSEPH BLACKBURN VP/HUMAN RESOURCES 209116 0 21000 0 317 0 11723 0 0 0 242156 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 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 2021 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 3419545 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. 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 2021 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 IX, LINE 11G HEALTH FAIR EXPENSE: PROGRAM SERVICE EXPENSES 860. MANAGEMENT AND GENERAL EXPENSES 12,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,078. CONTRACTUAL: PROGRAM SERVICE EXPENSES 5,060,773. MANAGEMENT AND GENERAL EXPENSES 2,411,618. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,472,391. MEDICAL LABORATORY: PROGRAM SERVICE EXPENSES 3,746. MANAGEMENT AND GENERAL EXPENSES 31,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,237. DENTAL LABORATORY: PROGRAM SERVICE EXPENSES 289,155. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 289,155. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 172,805. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 172,805. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 2,891,189. MANAGEMENT AND GENERAL EXPENSES 1,251,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,142,799. TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 977,862. MANAGEMENT AND GENERAL EXPENSES 107,111. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,084,973. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 344,181. MANAGEMENT AND GENERAL EXPENSES 3,434,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,778,239. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 834,413. 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 33542 ACCRUAL NAT'L NURSE PRACT RESIDENCY & FELLOWSHIP TRAINING CONSORT S 33629 ACCRUAL CHC REALTY II INC R 116596 ACCRUAL COMMUNITY ECONSULT NETWORK INC S 619924 ACCRUAL NATIONAL INSTITUTE FOR MEDICAL ASST S 960553 ACCRUAL CHILD GUIDANCE CENTER OF SOUTHERN CT INC S 180183 ACCRUAL