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← COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC

Form 990 for tax year 2022

Filed by COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC.

Totals

Total revenue
$763,675
Total expenses
$765,730
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$765,730
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$765,730

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ARVIND SHAW

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2.5 related
  • DON THOMPSON

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • MICHAEL R TAYLOR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • MOLLIE MELBOURNE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • NICHELLE MULLINS

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • SUZANNE LAGARDE MD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • KAREN A DALEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • SYLVIA B KELLY MPA

    PRESIDENT & CEO

    Total calculated
    $626,816
    From this org
    $0
    From related orgs
    $611,690
    Other
    $15,126
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $495,273 related
    Bonus
    $0 + $69,969 related
    Other
    $0 + $46,448 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $4,451 related
    Filer's total
    $0 + $626,816 related
  • RICHARD ALBRECHT

    TELEHEALTH NETWORK DIRECTOR

    Total calculated
    $247,722
    From this org
    $205,909
    From related orgs
    $0
    Other
    $41,813
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,453
    Bonus
    $18,851
    Other
    $13,605
    Deferred
    $6,560
    Nontaxable benefits
    $35,253
    Filer's total
    $247,722

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
IN 2022, THE COMPANY ISSUED QUARTERLY INCENTIVE BONUS PAYMENTS TO ITS SOLE EMPLOYEE, THE TELEHEALTH DIRECTOR, AS PER THE INCENTIVE PLAN THAT WAS ESTABLISHED IN 2020 BY THE TELEHEALTH PROGRAM COMMITTEE, THE PERSONNEL AND COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE PURPOSE OF THE INCENTIVE PLAN IS TO ALIGN THE TELEHEALTH DIRECTOR'S WORK EFFORT WITH THE OBJECTIVES AND ACCOMPLISHMENTS OF THE TELEHEALTH PROGRAM. ON A QUARTERLY BASIS, THE TELEHEALTH PROGRAM COMMITTEE REVIEWS AND EVALUATES THE PROGRAM'S ACCOMPLISHMENTS AS COMPARED TO ITS OBJECTIVES AND DETERMINES THE ISSUANCE OF AN INCENTIVE BONUS PAYMENT FOR THE TELEHEALTH DIRECTOR VALUED AT 10% OF BASE SALARY. ON A QUARTERLY BASIS, THE TELEHEALTH PROGRAM COMMITTEE PRESENTS ITS FINDINGS AND RECOMMENDATION TO THE PERSONNEL AND COMPENSATION COMMITTEE FOR APPROVAL OF THE ISSUANCE OF THE INCENTIVE BONUS PAYMENT FOR THE TELEHEALTH DIRECTOR. THE MEMBERS OF THE TELEHEALTH PROGRAM COMMITTEE AND THE MEMBERS OF THE PERSONNEL AND COMPENSATION COMMITTEE ARE MEMBERS OF THE COMPANY'S BOARD OF DIRECTORS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
27 October 2023
IRS schema version
2022v5.0
Source object
202313009349300646

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