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.
-
COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC
501(C)(3) · SUPPORTS NONPROFIT ACTIVITIES OF COMMUNITY HEALTH CENTERS AND NONPROFIT ORGS · CT
Directly controlled by COMMUNITY HEALTH NETWORK OF CONNECTICUT INC
-
COMMUNITY HEALTH NETWORK OF CONNECTICUT INC
501(C)(4) · TO ARRANGE HEALTH CARE FOR MEDICAID RECIPIENTS IN THE STATE OF CONNECTICUT · CT
Directly controlled by COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 27 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313009349300646
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