2024-07-24T09:09:25-05:00 2023-09-30 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2022-10-01 061446900 CONNECTICUT CHILDREN'S SPECIALTY GROUP INC % BRIDGETT FEAGIN CONN 8605459000 282 WASHINGTON STREET HARTFORD CT 06106 BRIDGETT FEAGIN EVP/CFO 8608375987 2024-02-15 true BRIDGETT FEAGIN 000000000 SCOTT J MARIANI P00642486 9738989494 2 2022 2023-04-26 12:10:37Z JAMES E MOORE MD PHD 282 WASHINGTON STREET HARTFORD CT 06106 132185800 false X WWW.CONNECTICUTCHILDRENS.ORG X 1997 CT CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. PROVIDES PRIMARY CARE AND SPECIALTY CARE PHYSICIAN SERVICES TO THE CHILDREN OF CONNECTICUT AND THE SURROUNDING AREA. 15 0 1052 0 0 0 2389881 516125 115097748 131585771 48213 23695 66996 60209 117602838 132185800 0 0 0 0 116460222 137156599 0 0 0 19129190 21329306 135589412 158485905 -17986574 -26300105 26291947 33428202 29039483 35673819 -2747536 -2245617 X CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CONNECTICUT CHILDREN'S SPECIALTY GROUP SUPPORTS THE MISSION OF CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CONNECTICUT CHILDREN'S IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN THROUGH FAMILY-CENTERED CARE, RESEARCH, EDUCATION AND ADVOCACY. CONNECTICUT CHILDREN'S EMBRACES DISCOVERY, TEAMWORK, INTEGRITY AND EXCELLENCE IN ALL THEY DO. CONNECTICUT CHILDREN'S SPECIALTY GROUP ACHIEVES ITS MISSION THROUGH PRIMARY AND SPECIALTY PHYSICIAN HEALTHCARE SERVICES. false false 112651282 0 131585771 EXPENSES INCURRED TO PROVIDE PRIMARY AND SPECIALTY PHYSICIAN HEALTHCARE SERVICES TO THE CHILDREN OF CONNECTICUT AND THE SURROUNDING AREA. 112651282 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false true false false false false false false true false false false true 33 0 true 1052 true false false false false false false false false false false false false X 15 0 false false false false true true true true true false false true true true true true true true true false X BRIDGETT FEAGIN 8608375987 282 WASHINGTON STREET HARTFORD CT 06106 X JAMES E SHMERLINGDHAFACHE DIRECTOR; EX-OFFICIO 55.0 0.0 X 0 2077281 44189 CHRISTINE M FINCK MD FACS DIRECTOR; EX-OFFICIO 55.0 0.0 X 1187647 0 138299 DENNIS M MELLO MD CARDIOVASCULAR SURGEON 55.0 0.0 X 1044151 0 84436 JAMES E MOORE MD PHD DIRECTOR - PRESIDENT 55.0 0.0 X X 936316 0 142940 JONATHAN E MARTIN MD DIVISION HEAD, NEUROSURGERY 55.0 0.0 X 901751 0 82267 JUAN C SALAZAR MD MPH DIRECTOR; EX-OFFICIO 55.0 0.0 X 0 832943 117542 BRIDGETT FEAGIN MBA TREASURER 55.0 0.0 X 0 750688 131290 ROBERT E DUNCAN EVP CHIEF OPERATING OFFICER 55.0 0.0 X 0 735206 144238 BRENDAN CAMPBELL MD SURGEON, TRAUMA DIRECTOR 55.0 0.0 X 721360 0 71097 MARKUS J BOOKLAND MD NEUROSURGEON 55.0 0.0 X 704402 0 73393 MARK C LEE MD ORTHOPEDIC SURGEON 55.0 0.0 X 628145 0 71457 SCOTT R SCHOEM MD DIRECTOR 55.0 0.0 X 639307 0 47215 R MOSES VARGAS ESQ SECRETARY 55.0 0.0 X 0 528192 97435 CHRISTINE M RADER MD DIRECTOR 55.0 0.0 X 584734 0 37165 CHRISTOPHER GRINDLE MD DIRECTOR 55.0 0.0 X 479947 0 65398 Sarah Matney MSOL BSN RN CPON Former Key Employee 55.0 0.0 X 0 442980 77747 ANNE G DUDLEY MD DIRECTOR 55.0 0.0 X 488760 0 27563 Annmarie Golioto MD Director 55.0 0.0 X 404502 0 60421 ANAND SEKARAN MD DIRECTOR (TERM 9/15/2023) 55.0 0.0 X 400894 0 60105 DAVID W SINK MD DIRECTOR 55.0 0.0 X 396310 0 60281 BETH C NATT MD DIRECTOR 55.0 0.0 X 326414 0 49160 BARBARA EDELHEIT MD CHAIR - DIRECTOR 55.0 0.0 X 270271 0 41760 HAYLEY C WOLFGRUBER MD DIRECTOR 55.0 0.0 X 206219 0 42581 NATALIE BEZLER MD DIRECTOR (TERM 9/15/2023) 55.0 0.0 X 193937 0 49136 GARRY LAPIDUS PA-C DIRECTOR (TERM 3/17/2023) 55.0 0.0 X 0 183601 33346 Basia Adams APRN Director (EFF 4/21/2023) 55.0 0.0 X 184633 0 11171 MACDARA G TYNAN MD MBA VP,PROV ENGAGE'T(term 3/28/23) 55.0 0.0 X 161030 0 27058 10515067 5550891 1850461 387 true true false HARTFORD HOSPITAL PO BOX 310911 NEWINGTON CT 061310911 MEDICAL 1046077 UNIVERSITY OF CONNECTICUT HEALTH CE 263 FARMINGTON AVENUE FARMINGTON CT 06032 MEDICAL 912347 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 RECRUITING 887335 VISION ASSOCIATES PO BOX 816227 DALLAS TX 753815519 MEDICAL 363782 CAREERPHYSICIAN LLC 914 TURNBERRY LANE SUITE 101 SOUTHLAKE TX 76092 RECRUITING 204459 8 516125 516125 NET PATIENT SERVICE REVENUE 621111 96540944 96540944 PHYSICIAN PRACTICE SUPPORT 621111 21688316 21688316 OTHER HEALTHCARE RELATED REVENUE 621111 13356511 13356511 131585771 23695 23695 0 0 60209 60209 0 60209 60209 0 0 0 0 0 0 0 0 0 0 0 132185800 131585771 0 83904 0 0 0 0 7060447 7060447 0 105225796 79252481 25973315 9253884 6900586 2353298 7686914 5701514 1985400 7929558 5636330 2293228 0 10709 7612 3097 0 0 0 0 8282825 5887239 2395586 27846 19792 8054 516761 367302 149459 316973 225297 91676 0 4248974 3020071 1228903 112001 79608 32393 0 697013 495420 201593 0 0 299604 212951 86653 2142862 1523096 619766 MEDICAL SUPPLIES 969732 689263 280469 DUES, LICENSES & FEES 798668 567674 230994 GRANT EXPENDITURES 461432 327975 133457 REPAIRS AND MAINTENANCE 100496 71430 29066 2343410 1665641 677769 158485905 112651282 45834623 0 X 4522429 2528646 0 0 0 0 9523059 10142207 0 0 0 0 0 346572 0 0 204339 203543 7575384 5005318 2090975 2570066 0 0 0 0 609805 681056 36668 36668 9304672 16919444 26291947 33428202 15277797 26038246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13761686 9635573 29039483 35673819 X -2709211 -2131020 -38325 -114597 -2747536 -2245617 26291947 33428202 X -26300105 67893 26734131 X X false true X true false X 378628 3173233 2859419 2389881 516125 9317286 93382191 88939193 99273939 115097748 131585771 528278842 0 0 0 93760819 92112426 102133358 117487629 132101896 537596128 0 0 0 537596128 78605 67565 84125 90618 83904 404817 0 78605 67565 84125 90618 83904 404817 0 0 93839424 92179991 102217483 117578247 132185800 538000945 0.99925 0.99927 0.00075 0.00073 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2917630 2565783 351847 3575781 2439535 1136246 1081973 1081973 2570066 DUE FROM AFFILIATED ENTITIES 7269418 OTHER RECEIVABLES 7171954 RIGHT-OF-USE ASSETS 2453633 OTHER ASSETS 24439 16919444 0 DUE TO AFFILIATED ENTITIES 247372 DUE TO THIRD PARTIES 4849502 LEASE LIABILITY OPERATING 2498180 OTHER LIABILITIES 2040519 9635573 X SCHEDULE D, PART X, QUESTION 2 AN INDEPENDENT FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S MEDICAL CENTER AND SUBSIDIARIES FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2023 AND SEPTEMBER 30, 2022; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): "THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO MATERIAL TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 AND 2022." IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2023 AND SEPTEMBER 30, 2022 THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): "THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO MATERIAL TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 AND 2022." X X X X false true false false false true true true false JAMES E SHMERLINGDHAFACHE DIRECTOR; EX-OFFICIO 0 1029079 0 823800 0 224402 0 18000 0 26189 0 2121470 0 207533 CHRISTINE M FINCK MD FACS DIRECTOR; EX-OFFICIO 883836 0 201385 0 102426 0 109977 0 28322 0 1325946 0 101008 0 DENNIS M MELLO MD CARDIOVASCULAR SURGEON 935289 0 51400 0 57462 0 48814 0 35622 0 1128587 0 34321 0 JAMES E MOORE MD PHD DIRECTOR - PRESIDENT 625844 0 265999 0 44473 0 121025 0 21915 0 1079256 0 21341 0 JONATHAN E MARTIN MD DIVISION HEAD, NEUROSURGERY 847544 0 2400 0 51807 0 47972 0 34295 0 984018 0 29772 0 JUAN C SALAZAR MD MPH DIRECTOR; EX-OFFICIO 0 600440 0 154858 0 77645 0 84562 0 32980 0 950485 0 60096 BRIDGETT FEAGIN MBA TREASURER 0 585061 0 143719 0 21908 0 112488 0 18802 0 881978 0 0 ROBERT E DUNCAN EVP CHIEF OPERATING OFFICER 0 547564 0 175000 0 12642 0 114012 0 30226 0 879444 0 0 BRENDAN CAMPBELL MD SURGEON, TRAUMA DIRECTOR 580164 0 105089 0 36107 0 36400 0 34697 0 792457 0 18072 0 MARKUS J BOOKLAND MD NEUROSURGEON 681168 0 2400 0 20834 0 39143 0 34250 0 777795 0 20212 0 MARK C LEE MD ORTHOPEDIC SURGEON 561010 0 31470 0 35665 0 36760 0 34697 0 699602 0 18160 0 SCOTT R SCHOEM MD DIRECTOR 595134 0 3050 0 41123 0 18000 0 29215 0 686522 0 18870 0 R MOSES VARGAS ESQ SECRETARY 0 403851 0 81012 0 43329 0 62813 0 34622 0 625627 0 42411 CHRISTINE M RADER MD DIRECTOR 542407 0 23163 0 19164 0 18000 0 19165 0 621899 0 17746 0 CHRISTOPHER GRINDLE MD DIRECTOR 457184 0 8501 0 14262 0 30876 0 34522 0 545345 0 0 0 Sarah Matney MSOL BSN RN CPON Former Key Employee 0 334513 0 83000 0 25467 0 43125 0 34622 0 520727 0 24549 ANNE G DUDLEY MD DIRECTOR 470928 0 3055 0 14777 0 27563 0 0 0 516323 0 0 0 Annmarie Golioto MD Director 350331 0 26148 0 28023 0 25799 0 34622 0 464923 0 0 0 ANAND SEKARAN MD DIRECTOR (TERM 9/15/2023) 346136 0 44098 0 10660 0 27400 0 32705 0 460999 0 7901 0 DAVID W SINK MD DIRECTOR 340289 0 25498 0 30523 0 25659 0 34622 0 456591 0 0 0 BETH C NATT MD DIRECTOR 299935 0 19936 0 6543 0 19538 0 29622 0 375574 0 5780 0 BARBARA EDELHEIT MD CHAIR - DIRECTOR 263856 0 3843 0 2572 0 21817 0 19943 0 312031 0 0 0 HAYLEY C WOLFGRUBER MD DIRECTOR 190457 0 15400 0 362 0 14366 0 28215 0 248800 0 0 0 NATALIE BEZLER MD DIRECTOR (TERM 9/15/2023) 159112 0 34471 0 354 0 15814 0 33322 0 243073 0 0 0 GARRY LAPIDUS PA-C DIRECTOR (TERM 3/17/2023) 0 159488 0 13851 0 10262 0 10007 0 23339 0 216947 0 0 Basia Adams APRN Director (EFF 4/21/2023) 184501 0 0 0 132 0 10671 0 500 0 195804 0 0 0 MACDARA G TYNAN MD MBA VP,PROV ENGAGE'T(term 3/28/23) 132746 0 0 0 28284 0 4277 0 22781 0 188088 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2022 FORMS W-2. SCHEDULE J, PART I; QUESTION 3 EACH YEAR, AN INDEPENDENT COMPENSATION CONSULTANT CONDUCTS A MARKET ANALYSIS OF CONNECTICUT CHILDREN'S MEDICAL CENTER'S ("CONNECTICUT CHILDREN'S") PRESIDENT/CHIEF EXECUTIVE OFFICER, OFFICERS AND OTHER KEY EMPLOYEES. TO AUGMENT THEIR PROPRIETARY AND OTHER DATA TO WHICH THEY HAVE ACCESS, CONNECTICUT CHILDREN'S PROVIDES THE DATA RESULTS FROM SALARY SURVEYS IN WHICH CONNECTICUT CHILDREN'S PARTICIPATES. THE ANALYSIS AND PRESENTATION OF THE DATA IS PRESENTED BY THE INDEPENDENT COMPENSATION CONSULTANT TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE CONNECTICUT CHILDREN'S BOARD OF DIRECTORS. ANNUALLY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE BOARD OF DIRECTORS THEN REVIEW AND DISCUSS SALARY RECOMMENDATIONS FOR THE OFFICERS AND OTHER KEY EMPLOYEES AND SIGN OFF ON THE FINAL RECOMMENDATIONS. CONNECTICUT CHILDREN'S EXECUTIVE COMMITTEE MEETS INDEPENDENTLY WITH THE PRESIDENT/CHIEF EXECUTIVE OFFICER TO DISCUSS HIS INDIVIDUAL PERFORMANCE. FOLLOWING THE PERFORMANCE EVALUATION, A SALARY RECOMMENDATION IS MADE AND COMMUNICATED TO THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES TO AUTHORIZE PROCESSING. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN), AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. SHMERLING, DHA, FACHE, $207,533; CHRISTINE M. FINCK, M.D., FACS, $60,096; DENNIS M. MELLO, M.D., $34,321; JAMES E. MOORE, M.D., PH.D., $21,341; JONATHAN E. MARTIN, M.D., $29,772; JUAN C. SALAZAR, M.D., MPH, $60,096; BRENDAN CAMPBELL, M.D., $18,072; MARKUS J. BOOKLAND, M.D., $20,212; MARK C. LEE, $18,160; SCOTT R. SCHOEM, M.D., $18,870; R. MOSES VARGAS, ESQ., $42,411; CHRISTINE M. RADER, M.D., $17,746; CHRISTOPHER GRINDLE, M.D., $13,334; SARAH MATNEY MSOL, BSN, RN, CPON, CENP, $24,549; ANNE G. DUDLEY, M.D., $14,216; ANNMARIE GOLIOTO, M.D., $8,605; ANAND SEKARAN, M.D., $7,901; DAVID W. SINK, M.D., $8,605 AND BETH C. NATT, M.D., $5,780. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHRISTINE M. FINCK, M.D., FACS, $91,977; DENNIS M. MELLO, M.D., $33,714; JAMES E. MOORE, M.D., PH.D., $103,025; JONATHAN E. MARTIN, M.D., $29,972; JUAN C. SALAZAR, M.D., MPH, $66,562; BRIDGETT FEAGIN, MBA, $97,388; ROBERT DUNCAN, $99,843; BRENDAN CAMPBELL, M.D., $18,400; R. MOSES VARGAS, ESQ., $44,813; MARKUS J. BOOKLAND, M.D., $21,143; CHRISTOPHER GRINDLE, M.D., $12,876; SARAH MATNEY MSOL, BSN, RN, CPON, CENP, $37,325; ANNE G. DUDLEY, M.D., $12,463; ANNMARIE GOLIOTO, M.D., $7,799; ANAND SEKARAN, M.D., $9,400; DAVID W. SINK, M.D., $7,659; BETH C. NATT, M.D., $4,866; BARBARA EDELHEIT, M.D., $5,462; HAYLEY C. WOLFGRUBER, M.D., $3,905 AND NATALIE BEZLER, M.D., $3,557. WOLFGRUBER, M.D., $3,905 AND NATALIE BEZLER, M.D., $3,557. SCHEDULE J, PART I; QUESTIONS 6A & 6B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). ACCORDINGLY, THE ORGANIZATION'S COMMITTEE MAY ELECT TO MAKE INCENTIVE AWARDS IN ITS SOLE DISCRETION. IF THE COMMITTEE ELECTS TO MAKE SUCH INCENTIVE AWARDS, THE AMOUNT OF AN ELIGIBLE EMPLOYEE'S INCENTIVE AWARD IS BASED GENERALLY UPON THE FOLLOWING CRITERIA: - CCMC CORPORATION ACHIEVING THRESHOLD FOR THE FINANCIAL GOALS, OTHERWISE NO INCENTIVE WILL BE PAID; - INDIVIDUAL AND CORPORATION PERFORMANCE AND WHETHER THE LEVEL OF PERFORMANCE ACHIEVED IS AT THRESHOLD, TARGET, OR STRETCH; AND - THE PERCENTAGE OF THE AWARD COMPRISED OF CORPORATION VERSUS INDIVIDUAL PERFORMANCE. THE COMPENSATION FOR CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II OF THIS FORM 990 CONSIST OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK INCENTIVE COMPENSATION. SCHEDULE J, PART I; QUESTION 7 IF THE COMPENSATION COMMITTEE ELECTS TO MAKE INCENTIVE AWARDS, THESE AWARDS ARE TO BE PAID NO LATER THAN TWO AND ONE-HALF MONTHS AFTER THE END OF THE FISCAL OR CALENDAR YEAR, WHICHEVER IS LATER, AFTER WHICH THE AMOUNT OF SUCH AWARDS ARE DETERMINED. THEREFORE, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, RULES AND REGULATIONS, CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED INCENTIVE AWARDS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE EMPLOYEE INCENTIVE AWARDS AND/OR VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. OLGA TORO-SALAZAR MD FAMILY MEMBER - DIRECTOR 360173 EMPLOYEE false PART I, LINES 3 & 4 AND PART VI, SECTION A, QUESTIONS 1A & 1B CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CCMC CORPORATION IS THE TAX-EXEMPT PARENT OF THE SYSTEM. THIS ORGANIZATION SUPPORTS CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ALTHOUGH THIS FEDERAL FORM 990 SHOWS NO INDEPENDENT BOARD OF DIRECTOR MEMBERS, UNDER THE INTERNAL REVENUE SERVICE DEFINITIONS, THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CONTROLLED BY CCMC CORPORATION; WHICH IS GOVERNED BY A BOARD WHOSE MAJORITY IS COMPRISED OF INDEPENDENT VOTING MEMBERS. CORE FORM, PART V; QUESTION 15 JAMES E. SHMERLING, DHA, FACHE IS A VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF DIRECTORS; AN UNCOMPENSATED POSITION. MR. SHMERLING IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF A RELATED ORGANIZATION ON A FULL TIME BASIS. ADDITIONALLY, MR. SHMERLING IS EMPLOYED AND RECEIVES A FORM W-2 FROM A RELATED ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER (EIN: 06-0646755). ACCORDINGLY, CONNECTICUT CHILDREN'S MEDICAL CENTER FILED A 2022 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SHMERLING'S COMPENSATION IN EXCESS OF $1M. CHRISTINE M. FINCK, M.D., FACS IS A VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF DIRECTORS; AN UNCOMPENSATED POSITION. DR. FINCK IS AN EMPLOYED PHYSICIAN AND THE EXECUTIVE VICE PRESIDENT, SURGEON IN CHIEF OF CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. ACCORDINGLY, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER. DR. FINCK PROVIDES LICENSED MEDICAL SERVICES, AS WELL AS, NON-CLINICAL SERVICES. CONNECTICUT CHILDREN'S MEDICAL CENTER WAS NOT REQUIRED TO FILE A FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. FINCK BECAUSE THE PORTION OF HER REPORTABLE COMPENSATION ATTRIBUTABLE TO NON-CLINICAL SERVICES WAS NOT IN EXCESS OF $1M AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. DENNIS M. MELLO M.D. IS A VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF DIRECTORS; AN UNCOMPENSATED POSITION. DR. MELLO IS AN EMPLOYED PHYSICIAN AND CARDIOVASCULAR SURGEON AT CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER. DR. MELLO PROVIDES LICENSED MEDICAL SERVICES, AS WELL AS, NON-CLINICAL SERVICES. CONNECTICUT CHILDREN'S MEDICAL CENTER WAS NOT REQUIRED TO FILE A FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. MELLO BECAUSE THE PORTION OF HIS REPORTABLE COMPENSATION ATTRIBUTABLE TO NON-CLINICAL SERVICES WAS NOT IN EXCESS OF $1M AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S") IS THE SOLE MEMBER OF THIS ORGANIZATION. CCMC CORPORATION IS THE SOLE MEMBER OF CONNECTICUT CHILDREN'S. CCMC CORPORATION HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM("SYSTEM") WHICH INCLUDES CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, CONNECTICUT CHILDREN'S FINANCE AND AUDIT COMMITTEE ASSUMES THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEM'S FINANCE PERSONNEL INCLUDING THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, CORPORATE CONTROLLER, ACCOUNTING MANAGER AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR REVIEW. THE SYSTEM'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE SYSTEM'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THE FORM 990 WAS THEN PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE CONNECTICUT CHILDREN'S MEDICAL CENTER CORPORATE COMPLIANCE/CONFLICT OF INTEREST COMMITTEE ("COMMITTEE") HAS OVERSIGHT OVER THE MANAGEMENT OF IDENTIFIED OR REPORTED CASES OF CONFLICTS OF INTEREST. THE COMMITTEE IS ALSO RESPONSIBLE FOR DEVELOPING, APPROVING, AND IMPLEMENTING, AS APPROPRIATE, POLICIES AND EDUCATION RELATING TO VARIOUS TYPES OF CONFLICTS OF INTEREST. THE COMMITTEE HAS DELEGATED THE DAY TO DAY INVESTIGATION OF DISCLOSURES TO THE SYSTEM'S GENERAL COUNSEL AND DIRECTOR OF COMPLIANCE. COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S GENERAL COUNSEL, WHO PERFORMS AN INITIAL SCREENING OF THE CONFLICT OF INTEREST DISCLOSURES. IF POTENTIAL CONFLICTS OF INTERESTS ARE REPORTED, GENERAL COUNSEL COMPLETES FURTHER INVESTIGATION AND RECOMMENDS A MANAGEMENT PLAN OR OTHER CORRECTIVE ACTIONS TO THE COMMITTEE. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S"). CONNECTICUT CHILDREN'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF CONNECTICUT CHILDREN'S SENIOR MANAGEMENT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE, INCLUDING COMPLEXITY OF SERVICES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S SENIOR VICE PRESIDENT OF HUMAN RESOURCES AND THE HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. PLEASE ALSO REFER TO OUR RESPONSE INCLUDED IN SCHEDULE J, PART III, QUESTION 3 FOR FURTHER INFORMATION ON HOW CONNECTICUT CHILDREN'S MEDICAL CENTER SATISFIES THE CRITERIA TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO EXECUTIVE COMPENSATION REVIEW AND APPROVAL. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE CONNECTICUT SECRETARY OF STATE. ADDITIONALLY, THE ORGANIZATION'S GOVERNING POLICIES AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - TRANSFER FROM CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION - $26,734,131. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S MEDICAL CENTER AND SUBSIDIARIES, FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2023 AND SEPTEMBER 30, 2022; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, CCMC CORPORATION AND SUBSIDIARIES ALSO RECEIVED AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2023 AND SEPTEMBER 30, 2022; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. CONNECTICUT CHILDREN'S MEDICAL CENTER'S FINANCE AND AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON STREET HARTFORD CT 06106 060646755 HLTHCARE SVCS CT 501(C)(3) HOSPITAL CCMC CORP false CCMC CORPORATION 282 WASHINGTON STREET HARTFORD CT 06106 222619876 HLTHCARE SVCS CT 501(C)(3) 509(A)(3) NA false CONNECTICUT CHILDREN'S FOUNDATION INC 282 WASHINGTON STREET HARTFORD CT 06106 222619869 FUNDRAISING CT 501(C)(3) 509(A)(1) CCMC CORP false CCMC AFFILIATES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619870 INACTIVE CT 501(C)(3) 509(A)(2) CCMC CORP false CHILDREN'S FUND OF CONNECTICUT INC 270 FARMINGTON AVENUE FARMINGTON CT 06032 061364513 HLTHCARE SVCS CT 501(C)(3) 509(A)(3) CT CHILDRENS false CHILD HEALTH AND DEV INSTITUTE OF CT 270 FARMINGTON AVENUE FARMINGTON CT 06032 061504725 HLTHCARE SVCS CT 501(C)(3) 509(A)(1) CFCT false CCMC VENTURES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619873 INACTIVE CT NA C CORP. false NEW ENGLAND PEDIATRICS INDEMNITY LTD 50 CEDAR AVENUE HAMILTON BERMUDA BD HM 11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false NY CHILDREN'S MEDICAL PROVIDER SVCS PC 282 WASHINGTON STREET HARTFORD CT 06106 853381942 HEALTH SERVICES NY NA C CORP. false false false false true true false false false false false false false false false true true true true true SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE CCMC CORPORATION ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.