MULBERRY GARDENS AT SOUTHINGTON LLC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MULBERRY GARDENS AT SOUTHINGTON LLC (EIN 82-0586577)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-10
- IRS object ID
- 202302229349301550
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-10T11:34:17-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820586577 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MULBERRY GARDENS OF SOUTHINGTON LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MULB | BusinessNameControlTxt |
| Phone | 8602761020 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 58 MULBERRY STREET | AddressLine1Txt |
| City | PLANTSVILLE | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06479 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Keise | PersonNm |
| Person Title | Authorized Signer | PersonTitleTxt |
| Phone | 8606966296 | PhoneNum |
| Signature | 2023-08-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Mark | PersonFirstNm |
| Person Last | Keise | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Eric Smullen | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 58 MULBERRY STREET | AddressLine1Txt |
| City | PLANTSVILLE | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06479 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,113,301 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MULBERRYGARDENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | Assisted living facility and adult day care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 114 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,776 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,573 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,441,783 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,105,707 | CYProgramServiceRevenueAmt |
| PY Investment Income | $77 | PYInvestmentIncomeAmt |
| CY Investment Income | $21 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,449,636 | PYTotalRevenueAmt |
| CY Total Revenue | $6,113,301 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,555,681 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,716,372 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,327,591 | PYOtherExpensesAmt |
| CY Other Expenses | $2,512,846 | CYOtherExpensesAmt |
| PY Total Expenses | $5,883,272 | PYTotalExpensesAmt |
| CY Total Expenses | $6,229,218 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$433,636 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$115,917 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,196,066 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,669,905 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,094,675 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,684,430 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,101,391 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,985,475 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our mission is to provide the highest quality community-based program in a safe and positive environment. We provide care to individuals with a variety of socialization and cognitive needs. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,966,964 | ExpenseAmt |
| Revenue | $6,105,707 | RevenueAmt |
| Desc | Mulberry Gardens is a 95 apartment senior living community. The assisted living program is designed to promote the independence and dignity of seniors by providing assistance with activities of daily living. These actives includes: bathing, dressing, ambulating and medication reminders in a residential setting. Other services include weekly housekeeping, meals, health promotion, exercise programs, cultural, educational and social activities. Mulberry Gardens also offers Adult Day Care services. | Desc |
| Total Program Service Expenses | $4,966,964 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 114 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Baranik | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8606962546 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 181 Patricia M Genova Dr | AddressLine1Txt |
| City | Newington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Tracy Church | |||||||||
| Director/Chair | 2.00 | 58.00 | Yes (X) | Yes (X) | $0 | $1,309,986 | $82,012 | ||
| Rocco Orlando MD | |||||||||
| Director/Secretary | 2.00 | 58.00 | Yes (X) | Yes (X) | $0 | $1,115,795 | $92,036 | ||
| Eric Smullen | |||||||||
| Director | 1.00 | 59.00 | Yes (X) | $0 | $496,755 | $118,489 | |||
| Rita Parisi | |||||||||
| Director (Thru 12/21) | 1.00 | 59.00 | Yes (X) | $0 | $460,901 | $51,728 | |||
| David Baranik | |||||||||
| VP, Finance | 10.00 | 50.00 | Yes (X) | $0 | $406,097 | $74,940 | |||
| Lisa Connolly | |||||||||
| VP, Community Network Services | 10.00 | 50.00 | $0 | $338,503 | $60,010 | Yes (X) | |||
| Laurie St John | |||||||||
| VP, Clinical Services | 10.00 | 50.00 | $0 | $332,066 | $59,783 | Yes (X) | |||
| Chibueze Agba | |||||||||
| Director/President | 2.00 | 58.00 | Yes (X) | Yes (X) | $0 | $304,938 | $41,030 | ||
| Heather DePaolo | |||||||||
| VP, Human Resources | 10.00 | 50.00 | $0 | $289,218 | $34,446 | Yes (X) | |||
| Jacquelyn Gaulin | |||||||||
| Exec Dir Assisted Living | 60.00 | 0.00 | $138,608 | $0 | $45,084 | Yes (X) | |||
| Ingrid Kausyla | |||||||||
| Dir Resident Care | 60.00 | 0.00 | $137,876 | $0 | $34,059 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $276,484 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,054,259 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $693,617 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morrison Management Specialists Inc | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 Northbridge Road | AddressLine1Txt |
| City | Sandy Springs | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30350 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Food Services | ServicesDesc |
| Compensation | $315,058 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $7,573 | AllOtherContributionsAmt |
| Total Contributions | $7,573 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Services | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $6,105,707 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,105,707 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,105,707 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21 | TotalRevenueColumnAmt |
| Exclusion | $21 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,113,301 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,105,707 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,847,371 | TotalAmt |
| Program Services | $2,369,823 | ProgramServicesAmt |
| Management And General | $477,548 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,062 | TotalAmt |
| Program Services | $57,479 | ProgramServicesAmt |
| Management And General | $11,583 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,814 | TotalAmt |
| Program Services | $505,042 | ProgramServicesAmt |
| Management And General | $101,772 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,125 | TotalAmt |
| Program Services | $156,593 | ProgramServicesAmt |
| Management And General | $36,532 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,169 | TotalAmt |
| Program Services | $201,169 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,132 | TotalAmt |
| Program Services | $30 | ProgramServicesAmt |
| Management And General | $5,102 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,796 | TotalAmt |
| Program Services | $50,204 | ProgramServicesAmt |
| Management And General | $69,592 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,492 | TotalAmt |
| Program Services | $159,492 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,150 | TotalAmt |
| Program Services | $261,730 | ProgramServicesAmt |
| Management And General | $173,420 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,021 | TotalAmt |
| Management And General | $1,021 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,336 | TotalAmt |
| Program Services | $185 | ProgramServicesAmt |
| Management And General | $6,151 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,812 | TotalAmt |
| Program Services | $26,424 | ProgramServicesAmt |
| Management And General | $25,388 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,612 | TotalAmt |
| Program Services | $4,032 | ProgramServicesAmt |
| Management And General | $197,580 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,782 | TotalAmt |
| Program Services | $222,675 | ProgramServicesAmt |
| Management And General | $87,107 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,864 | TotalAmt |
| Program Services | $45,864 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $497,293 | $443,919 | $53,374 |
| Repairs & Maintentance | $412,475 | $412,427 | $48 |
| Medical Supplies | $47,886 | $47,886 | |
| Dues Subs and Licenses | $18,026 | $1,990 | $16,036 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,229,218 | TotalAmt |
| Program Services | $4,966,964 | ProgramServicesAmt |
| Management And General | $1,262,254 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,318 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,041 | BOYAmt |
| EOY | $58,924 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,938 | BOYAmt |
| EOY | $40,186 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,282,035 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,816,987 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,331,959 | BOYAmt |
| EOY | $5,465,048 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,328,810 | BOYAmt |
| EOY | $3,105,747 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,196,066 | BOYAmt |
| EOY | $8,669,905 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,219 | BOYAmt |
| EOY | $845,981 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,510 | BOYAmt |
| EOY | $103,933 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,679,946 | BOYAmt |
| EOY | $4,734,516 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,094,675 | BOYAmt |
| EOY | $5,684,430 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,101,391 | BOYAmt |
| EOY | $2,985,475 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,101,391 | BOYAmt |
| EOY | $2,985,475 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,196,066 | BOYAmt |
| EOY | $8,669,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$115,917 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $82,826 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,701 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,531 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,776 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,573 | CurrentTaxYearAmt |
| Total | $119,407 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,817,260 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,085,710 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,316,658 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,441,784 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,105,707 | CurrentTaxYearAmt |
| Total | $31,767,119 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,900,086 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,098,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,325,189 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,449,560 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,113,280 | CurrentTaxYearAmt |
| Total | $31,886,526 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $365,393 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,105,104 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $600,838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $683,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $695,570 | CurrentTaxYearAmt |
| Total | $4,450,698 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $365,393 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,105,104 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $600,838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $683,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $695,570 | CurrentTaxYearAmt |
| Total | $4,450,698 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $27,435,828 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,991 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,775 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,478 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $77 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21 | CurrentTaxYearAmt |
| Total | $12,342 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,991 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,775 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,478 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $77 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21 | CurrentTaxYearAmt |
| Total | $12,342 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,903,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,105,186 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,327,667 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,449,637 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,113,301 | CurrentTaxYearAmt |
| Total | $31,898,868 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.86010 | PublicSupportCY509Pct |
| Public Support PY509 | 0.87460 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00100 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,973,947 | OtherCostOrOtherBasisAmt |
| Book Value | $1,973,947 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,321,001 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,234,506 | DepreciationAmt |
| Book Value | $3,086,495 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $987,087 | OtherCostOrOtherBasisAmt |
| Depreciation | $582,481 | DepreciationAmt |
| Book Value | $404,606 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,465,048 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $3,021,677 |
| Other Assets | $72,381 |
| Patient Refunds | $11,689 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,105,747 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Payable to HHC - Interco Bonds | $4,135,553 |
| Program Related Liability | $598,963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,734,516 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tracy Church | ||||||||||||||
| Director/Chair | $0 | $697,239 | $0 | $469,975 | $0 | $142,772 | $0 | $20,300 | $0 | $61,712 | $0 | $1,391,998 | $0 | $0 |
| Rocco Orlando MD | ||||||||||||||
| Director/Secretary | $0 | $632,570 | $0 | $325,170 | $0 | $158,055 | $0 | $20,300 | $0 | $71,736 | $0 | $1,207,831 | $0 | $0 |
| Eric Smullen | ||||||||||||||
| Director | $0 | $283,821 | $0 | $211,508 | $0 | $1,426 | $0 | $67,073 | $0 | $51,416 | $0 | $615,244 | $0 | $0 |
| Rita Parisi | ||||||||||||||
| Director (Thru 12/21) | $0 | $204,123 | $0 | $179,063 | $0 | $77,715 | $0 | $20,300 | $0 | $31,428 | $0 | $512,629 | $0 | $0 |
| David Baranik | ||||||||||||||
| VP, Finance | $0 | $244,746 | $0 | $157,620 | $0 | $3,731 | $0 | $20,300 | $0 | $54,640 | $0 | $481,037 | $0 | $0 |
| Lisa Connolly | ||||||||||||||
| VP, Community Network Services | $0 | $239,118 | $0 | $97,092 | $0 | $2,293 | $0 | $20,300 | $0 | $39,710 | $0 | $398,513 | $0 | $0 |
| Laurie St John | ||||||||||||||
| VP, Clinical Services | $0 | $231,336 | $0 | $95,447 | $0 | $5,283 | $0 | $20,300 | $0 | $39,483 | $0 | $391,849 | $0 | $0 |
| Chibueze Agba | ||||||||||||||
| Director/President | $0 | $229,779 | $0 | $75,000 | $0 | $159 | $0 | $23,077 | $0 | $17,953 | $0 | $345,968 | $0 | $0 |
| Heather DePaolo | ||||||||||||||
| VP, Human Resources | $0 | $216,158 | $0 | $71,667 | $0 | $1,393 | $0 | $19,646 | $0 | $14,800 | $0 | $323,664 | $0 | $0 |
| Jacquelyn Gaulin | ||||||||||||||
| Exec Dir Assisted Living | $119,359 | $0 | $19,164 | $0 | $85 | $0 | $4,619 | $0 | $40,465 | $0 | $183,692 | $0 | $0 | $0 |
| Ingrid Kausyla | ||||||||||||||
| Dir Resident Care | $126,185 | $0 | $11,600 | $0 | $91 | $0 | $4,979 | $0 | $29,080 | $0 | $171,935 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Mulberry Gardens of Southington, LLC, hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher, to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. |
| Part I, Line 4b | Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by Natchaug Hospital, Inc. on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2021 SERP Accrual was made on behalf of the following individual: Eric Smullen $46,773 Chibueze Agba $23,077 2021 SERP Payouts were made on behalf of the following individuals: Rita Parisi $67,326* Tracy Church $44,526* Rocco Orlando $26,303* *For these individuals, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1a | The Organization is member managed by its member Hartford Healthcare Senior Services, Inc. (HHCSS). HHCSS does not have any independent board members as all board members are compensated for their services by the Parent, Hartford Healthcare Corporation (HHC). HHCS is a member of an integrated healthcare delivery system which includes multiple tax-exempt hospitals that have community boards. |
| Form 990, Part VI, Section A, line 6 | Mulberry Gardens of Southington, LLC is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. |
| Form 990, Part VI, Section A, line 7a | The sole member of the Organization has the authority to approve/remove members of the governing body. |
| Form 990, Part VI, Section A, line 7b | The sole member of the Organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions, etc. |
| Form 990, Part VI, Section B, line 11b | The Form 990 was prepared by Hartford HealthCare's Tax Department. The final Form was provided to the entire Board prior to submission to the Internal Revenue Service (IRS). Once the entire review process was completed, the Form was signed and then filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The Mulberry Gardens of Southington, LLC's Board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee. The Conflict of Interest Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Oversight review of physician disclosures is provided by the HHC Physician Conflict Resolution Committee. The Physician Conflict Resolution Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. |
| Form 990, Part VI, Section B, line 15 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Mulberry Gardens of Southington, LLC, hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher, to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Mulberry Gardens of Southington, LLC, established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; -The President & CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the President & CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. |
| Form 990, Part VI, Section C, line 18 | The Organization's Form 990, 990T and Form 1023 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The Organization's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. |
| Form 990, Part XII, Line 2c | The activity of Mulberry Gardens of Southington, LLC is included in the consolidated financial statements of Hartford HealthCare Corporation and Subsidiaries. The finance and audit committee of Hartford HealthCare Corporation's board assumes responsibility for the consolidated organization as a whole. |
| Form 990, Part XII, Line 3a & b: | Although the organization was not required to undergo A-133 Federal Audit, the results were included in a consolidated A-133 audit performed at the parent level Hartford HealthCare Corporation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Connecticut Health System Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Care Delivery | CT | 501(c)(3) | 12 (c) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare ACO Inc | |||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(c)(3) | 7 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare at Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Corporation | |||||||||||
| 100 Pearl Street | Hartford | CT | 06103 | 222672834 | Support & Management Svcs. To HH and Affiliates | CT | 501(c)(3) | 12 (c) | 0 | N/A | |
| Hartford HealthCare Endowment LLC | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Investment Management | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Independence at Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare at Home Inc | Yes (1) | |
| Hartford Healthcare Medical Group Specialists PLLC | |||||||||||
| 1290 Silas Deane Highway 2nd Floor | Wethersfield | CT | 06109 | 371911194 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare Medical Group Inc | |||||||||||
| 1290 Silas Deane Highway 2nd Floor | Wethersfield | CT | 06109 | 454456939 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Senior Services Inc | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06106 | 060646668 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 066040747 | Fundraising | CT | 501(c)(3) | 10 | Hartford Hospital | Yes (1) | |
| Midstate Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Midstate Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(c)(3) | 12 (a) | Midstate Medical Center | Yes (1) | |
| Natchaug Hospital Inc | |||||||||||
| 189 Storrs Road | Mansfield Center | CT | 06226 | 060966963 | Behavioral Health | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Rushford Center Inc | Yes (1) | |
| St Vincent's Development Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 222554128 | Holding Company | CT | 501(c)(25) | St Vincent's Health Services Corp | Yes (1) | ||
| St Vincent's Health Services Corp | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 222558134 | Supporting Organization | CT | 501(c)(3) | 12 (a) | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Multispecialty Group Inc | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 800458769 | Healthcare Services | CT | 501(c)(3) | 12 (a) | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Medical Center Foundation Inc | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 222558132 | Fundraising | CT | 501(c)(3) | 7 | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Special Needs Center Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 060702617 | Residential Services for Handicapped | CT | 501(c)(3) | 10 | St Vincent's Health Services Corp | Yes (1) | |
| SVMC Holdings Inc dba St Vincent's Medical Center | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 832550272 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Charlotte Hungerford Hospital | |||||||||||
| 540 Litchfield Street PO Box 988 | Torrington | CT | 06790 | 060646678 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britian | CT | 06052 | 060646768 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Citizens | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| WCMH Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
| Windham Community Memorial Hospital | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Advanced Medical Imaging of NW CT LLC | |||||||||
| 57 Commercial Blvd | Torrington | CT | 06790 | 061594854 | Magnetic Resonance Imaging | CT | N/A | 0 | Yes (1) |
| Ambulance Service of Manchester LLC | |||||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Service | CT | N/A | 0 | Yes (1) |
| Central Connecticut Endoscopy Center | |||||||||
| 440 New Britain Avenue | Plainville | CT | 06062 | 141855010 | Endoscopy Svcs | CT | N/A | 0 | Yes (1) |
| Connecticut Imaging Partners LLC | |||||||||
| 1500 Concord Terrace | Sunrise | FL | 33323 | 134298940 | Imaging Services | CT | N/A | 0 | Yes (1) |
| Connecticut Orthopaedic Surgery Center LLC | |||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 832570191 | Surgery Svcs | CT | N/A | 0 | Yes (1) |
| Connecticut Proton Therapy Center LLC | |||||||||
| 789 Howard Ave Suite CB 230 | New Haven | CT | 06519 | Proton Therapy Services | CT | N/A | 0 | Yes (1) | |
| Constitution Surgery Center East LLC | |||||||||
| 174 Cross Road | Waterford | CT | 06385 | 061574704 | Surgery Svcs | CT | N/A | 0 | Yes (1) |
| CT GI Endoscopy Center LLC ( Bloomfield) | |||||||||
| 4 Northwestern Drive | Bloomfield | CT | 06002 | 061573358 | GI Services | CT | N/A | 0 | Yes (1) |
| Glastonbury Endoscopy Center LLC | |||||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Svcs | CT | N/A | 0 | Yes (1) |
| Glastonbury Surgery Center LLC | |||||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Svcs | CT | N/A | 0 | Yes (1) |
| Hartford-Middlesex Clinical System LLC | |||||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A | 0 | Yes (1) |
| HHC Hartford Surgery Center LLC | |||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 812637261 | Surgery Svcs | CT | N/A | 0 | Yes (1) |
| HHC Southington Surgery Center LLC | |||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Svcs | CT | N/A | 0 | Yes (1) |
| Hartford HealthCare-GoHealth Urgent Care LLC | |||||||||
| 5555 Glenridge Connector Suite 700 | Atlanta | GA | 30342 | 815112698 | Urgent Care Services | DE | N/A | 0 | Yes (1) |
| Med East Assoc LLC | |||||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A | 0 | Yes (1) |
| New Britain MRI Limited Partnership | |||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic resonance imaging | CT | N/A | 0 | Yes (1) |
| Rocky Hill Surgery Center LLC | |||||||||
| 1111 Cromwell Avenue Building 1 | Rocky Hill | CT | 06067 | 833096156 | Surgery Svcs | CT | N/A | 0 | Yes (1) |
| The Endoscopy Center of Northwest Connecticut LLC | |||||||||
| 245 Alvord Park Road | Torrington | CT | 06790 | 061609993 | Endoscopy Svcs | CT | N/A | 0 | Yes (1) |
| Wallingford Endoscopy Center LLC | |||||||||
| 863 North Main Street Ext Suite 300 | Wallingford | CT | 06492 | 824601730 | Endoscopy Svcs | CT | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Ambulance Service Inc | |||||||||||||
| PO Box 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | N/A | C | Yes (1) | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | N/A | C | Yes (1) | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Billing Services | CT | N/A | C | Yes (1) | ||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | N/A | C | Yes (1) | ||||
| HHMOB Corporation | |||||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||
| Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church Street | Hamilton | BD | BD | ||||||
| Hartford Physician Services PC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Hunter's Ambulance Service Inc | |||||||||||||
| 450 West Main Street | Meriden | CT | 06451 | 060789464 | Ambulance Services | CT | N/A | S | Yes (1) | ||||
| Meriden Imaging Center Inc | |||||||||||||
| 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | Imaging | CT | N/A | S | Yes (1) | ||||
| Metro Wheelchair Service Inc | |||||||||||||
| PO Box 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | Yes (1) | ||||
| Midstate Medical Group PC | |||||||||||||
| 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | Medical Services | CT | N/A | C | Yes (1) | ||||
| The Cancer Care Fund Of The Litchfield Hills Inc | |||||||||||||
| 200 Kennedy Drive | Torrington | CT | 06790 | 510474072 | Cancer Care Fund | CT | N/A | C | Yes (1) | ||||
| Windham Professional Office Condo Assoc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | Yes (1) | ||||
| WWB Corporation | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094838 | Holding Company | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Southington Care Center | ||
| P | $51,246 | FMV |
| Southington Care Center | ||
| R | $134,282 | FMV |
| Southington Care Center | ||
| S | $134,282 | FMV |
| Hartford Hospital | ||
| R | $336,129 | FMV |
| Hartford Hospital | ||
| S | $337,137 | FMV |
| Orchards at Southington | ||
| R | $243,081 | FMV |
| Orchards at Southington | ||
| S | $202,231 | FMV |