NATCHAUG HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- NATCHAUG HOSPITAL INC (EIN 06-0966963)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-10
- IRS object ID
- 202202229349300925
- Schema version
- 2020v4.2
- 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 | 2022-08-10T11:21:14-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060966963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATC | BusinessNameControlTxt |
| Phone | 8604561311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul V Maloney | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 8604561311 | PhoneNum |
| Signature | 2022-08-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Paul | PersonFirstNm |
| Person Last | Maloney | 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 | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Patricia Rehmer | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,295,177 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NATCHAUG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | The mission of Natchaug Hospital is to provide a continuum of accessible, community-based services for those living with psychiatric illness and chemical dependency or emotional and related educational disabilities, with a commitment to the dignity and privacy of those needing service, empowering them to participate in their own care, education and recovery. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 623 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $45,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $84,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,352,335 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,170,399 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,632 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,167 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,564 | PYOtherRevenueAmt |
| CY Other Revenue | $24,692 | CYOtherRevenueAmt |
| PY Total Revenue | $46,468,531 | PYTotalRevenueAmt |
| CY Total Revenue | $49,290,258 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,189,281 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,473,772 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $12,214 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,833,062 | PYOtherExpensesAmt |
| CY Other Expenses | $15,832,785 | CYOtherExpensesAmt |
| PY Total Expenses | $55,022,343 | PYTotalExpensesAmt |
| CY Total Expenses | $53,309,557 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,553,812 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,019,299 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,707,935 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,289,350 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,368,350 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,632,226 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,339,585 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,657,124 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Natchaug Hospital is to provide a continuum of accessible, community-based services for those living with psychiatric illness and chemical dependency or emotional and related educational disabilities, with a commitment to the dignity and privacy of those needing service, empowering them to participate in their own care, education and recovery. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,143,421 | ExpenseAmt |
| Revenue | $18,127,807 | RevenueAmt |
| Desc | Inpatient Treatment:Natchaug Hospital provides a full range of inpatient psychiatric and substance-abuse treatment for children, adolescents and adults at our 57-bed Mansfield Center facility. The highly qualified, experienced and dedicated professional staff of Natchaug Hospital provides expert care in a supportive, therapeutic setting - helping people regain their stability and return as soon as possible to their own homes. The hospital serves Medicare and Medicaid subscribers and provides care without regard to ability to pay.Intermediate Care (ICC):This is an acute level of care for a longer length of stay for persons living with prolonged and severe mental illness. Historically, people from Eastern Connecticut who were in need of an extended length of stay were referred to Cedarcrest Hospital in Newington. Natchaug Hospital ICC provides this much-needed care for persons from the Eastern Region, closer to the communities where they live and work.United Services and the Southeastern Mental Health Authority are the Local Mental Health Authorities (LMHA's) responsible for authorizing admission to the Intermediate Care Program. The above includes the authorization of Department of Mental Health and Addiction Services (DMHAS) funds to pay for care in the event the patient is medically indigent, has exhausted his/her Medicare benefit, or has no Medicare hospitalization coverage. Patients are most likely to be referred from Eastern Region hospital inpatient units when it becomes clear that the patient will not be able to safely return to the community following an acute care stay. Upon admission, each patient is assessed by a psychiatrist, a registered nurse and a primary therapist. A treatment plan is developed for each patient. The treatment team works closely with the patient, their family and community providers to develop a discharge plan and ensure that community supports are in place.In-Patient Treatment Program:* Treats approximately 60 patients on a daily basis at the Mansfield locationInpatient Treatment includes:* Comprehensive bio-psycho-social assessment* Formulation of a treatment plan developed with the patient/family which may include the use of medications * Group therapy (a primary treatment approach)* Family therapy and individual therapy* Formulation of a discharge/aftercare plan* Case management servicesTypical patient experience: The majority of our patients arrive via ambulance through the ambulance entrance. All patients receive an initial assessment by a registered nurse and psychiatrist which is completed within 8 hours of admission. Patients are oriented to the unit, the milieu, and the schedule. Our patients are closely monitored for the first 24-48 hours, depending on presentation and symptoms. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,901,539 | ExpenseAmt |
| Revenue | $9,272,606 | RevenueAmt |
| Desc | Joshua Centers: The Joshua Centers provides various treatment programs including the following:Partial Hospital Program (PHP): The Partial Hospital Program provides four hours of intensive psychiatric support daily for up to five days per week. This is a morning program for adults and an after-school program for children and adolescents. The program can eliminate the need for a hospital stay, and/or help with the transition back to home and regular school after a period of inpatient care.Intensive Outpatient Program (IOP): The Intensive Outpatient Program is somewhat less intense than the PHP, providing three hours of intensive treatment each day for up to five days each week. This program is offered both in the morning and during the evening for adults and after-school for children and adolescents. The IOP program is designed to help continue progress with behavioral health stabilization and recovery.Extended Day Treatment (EDT):This special program, partially funded by the Connecticut Department of Children, supports children and adolescents who have emotional or behavioral health issues that put them at risk of needing psychiatric residential or inpatient care. The Extended Day Treatment program is particularly helpful for children with special needs who are in foster care.Child & Adolescent Treatment Program:* Treat about 250 children and adolescents daily in all programs/locations* May prevent hospitalization* Aids in transition back to the community following hospitalization* Transportation to Partial Hospital Program, Intensive Outpatient Program and Extended Day Program: Most of this transportation is provided by Natchaug Hospital staff, driving the Hospital vans that pick up patients from their school or home. * Average length of stay in PHP/IOP program, 6 - 8 weeks; EDT and Intensive In-Home Child & Adolescent Psychiatric Services, 6 months.Joshua Program treatment services include:* Comprehensive bio-psycho-social assessment* Group Therapy (the primary treatment approach)* Family and individual therapy* Medication management* Occupational and creative rehabilitation therapy* Comprehensive aftercare/discharge planningPartial Hospital Program (PHP): four hours of treatment for up to five days per week Intensive Outpatient program (IOP): three hours of treatment up to five days per week Extended Day Treatment (EDT) is a specialized therapeutic after-school support program that provides structured groups for three hours a day up to five days per week to learn and practice social skills such as group interaction, listening, cooperative leisure activities. Intensive In-Home Child & Adolescent Psychiatric Services(IICAPS): developed and monitored by the Yale University Child Study Center, provides in home services 2-3 times per week to help meet the needs of families with children with persistent psychiatric disorders. Client referral to a Child/Adolescent Treatment Program:* Referred from an inpatient program in Connecticut* Community providers (Child & Family Services; United Children & Families; Emergency Rooms)* School systems* Private providers (community psychiatrists or therapists)* Family and friendsIn a treatment day, clients arrive after being picked up from their school (or home) in one of Natchaug Hospital vans and will attend four groups in PHP and three groups in IOP. Groups include a psychotherapy group, educational groups and an activity group. The activity group is led by a Mental Health Worker or a CRS Staff member; all other groups are led by a masters level clinician. Education groups might include managing emotions, dangers of substance abuse, handling relationships, etc. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,848,750 | ExpenseAmt |
| Revenue | $9,714,350 | RevenueAmt |
| Desc | PHP Adult: Natchaug's Partial Hospitalization Program (PHP) for adults is a intensive outpatient day and evening program for adults. This program is offered four hours a day for five days a week. There are nine dedicated locations and transportation is also available. Approximately 3,200 children, adolescents and adults are treated each year. A comprehensive treatment is provided including measures of emotional and behavioral functioning. It is a more significant program than outpatient treatment which helps patients spending more time engaging in treatment therapies, providing them best ability to overcome their addictions. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,859,304 | ExpenseAmt |
| Grant | $3,000 | GrantAmt |
| Revenue | $12,055,636 | RevenueAmt |
| Desc | Natchaug Hospital is eastern Connecticut's leading provider of mental health and addiction services for children, adolescents and adults. Founded in 1954, Natchaug Hospital provides a wide range of mental health and addiction treatment services for children, adolescents and adults in eastern Connecticut. Natchaug offers inpatient services, including one of only six pediatric inpatient units in the state of Connecticut, residential treatment for court-involved teenage girls, clinical day treatment schools, and ambulatory services through its 10-site network of care.In addition to above, Natchaug provides the following services/programs:Child Services Adolescent ServicesYoung Adult ServicesAdult ServicesAlcohol AbuseOlder Adults ProgramAttention Deficit Hyperactivity Disorder Evaluations Autism Spectrum Disorder EvaluationsPsychological ServicesSchoolsExtended Day TreatmentInpatient TreatmentIntensive In-Home Child and Adolescent Psychiatric Services (IICAPS)Intensive Outpatient TreatmentJoshua Center ProgramsJourney House ProgramPartial HospitalizationResidential Treatment ProgramMedication Assisted Treatment Close to Home (MATCH) | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,859,304 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $3,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $12,055,636 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $46,753,014 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| 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 | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 623 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul V Maloney VP Finance Behavioral Health Network | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8604561311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| David Whitehead | ||||||||||
| Former President | 0.00 | 60.00 | Yes (X) | $0 | $1,147,749 | $79,658 | ||||
| Margaret Marchak | ||||||||||
| Former Secretary | 0.00 | 60.00 | Yes (X) | $0 | $923,811 | $44,292 | ||||
| Patricia Rehmer | ||||||||||
| President BHN | 30.00 | 30.00 | $0 | $854,533 | $49,962 | Yes (X) | ||||
| John Santopietro | ||||||||||
| SVP, Psychiatrist in Chief | 30.00 | 30.00 | $0 | $728,092 | $141,482 | Yes (X) | ||||
| Donna Handley | ||||||||||
| Director | 1.00 | 59.00 | $0 | $784,677 | $76,359 | Yes (X) | ||||
| Deborah Weidner | ||||||||||
| VP, Safety and Quality | 30.00 | 30.00 | $0 | $531,971 | $61,190 | Yes (X) | ||||
| Jonathan Allen | ||||||||||
| VP, Substance Abuse | 30.00 | 30.00 | $0 | $442,858 | $61,415 | Yes (X) | ||||
| Anthony Ng MD | ||||||||||
| Reg Medical Director BHN | 60.00 | $365,831 | $0 | $58,785 | Yes (X) | |||||
| James O'Dea | ||||||||||
| VP, Operations | 30.00 | 30.00 | $0 | $338,473 | $52,232 | Yes (X) | ||||
| Paul Maloney | ||||||||||
| VP, Finance | 30.00 | 30.00 | $0 | $310,262 | $52,852 | Yes (X) | ||||
| Joanne Chaurette MD | ||||||||||
| Director | 60.00 | $328,842 | $0 | $34,138 | Yes (X) | |||||
| Mark Tramontozzi MD | ||||||||||
| Director | 1.00 | 59.00 | $0 | $300,916 | $53,096 | Yes (X) | ||||
| Pamela Shuman MD | ||||||||||
| Associate Medical Director | 60.00 | $295,453 | $0 | $47,114 | Yes (X) | |||||
| Paul Weigle MD | ||||||||||
| Assoc Medical Director BHN | 60.00 | $278,039 | $0 | $64,153 | Yes (X) | |||||
| Manu Sharma MD | ||||||||||
| Psychiatrist Attending | 60.00 | $260,652 | $0 | $52,065 | Yes (X) | |||||
| Champakamala Rajanna MD | ||||||||||
| Psychiatric Attending | 60.00 | $235,963 | $0 | $55,753 | Yes (X) | |||||
| Mary Barry MD | ||||||||||
| Chair | 2.00 | 58.00 | $0 | $197,850 | $18,331 | Yes (X) | Yes (X) | |||
| Gregory Shangold MD | ||||||||||
| Director (Thru 10/20) | 1.00 | 2.00 | $0 | $77,961 | $5,288 | Yes (X) | ||||
| Henry Beck | ||||||||||
| Vice Chair | 2.00 | 4.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| Anita Lee | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Stephen Larcen MD | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Anthony Joyce III | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Carina Vora DDS | ||||||||||
| Director | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Carmen Cid | ||||||||||
| Director (Thru 06/21) | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,764,780 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,639,153 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,008,165 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Barton Associates Inc | |||||
| 300 Jubilee Drive | Peabody | MA | 01960 | Consulting Services | $1,124,366 |
| Morrison Management SP Inc Acute Care | |||||
| 400 Northridge Road | Sandy Springs | GA | 30350 | Food Services | $538,818 |
| Origin Incorporated | |||||
| 1800 SW 1st Street Suite 510 | Portland | OR | 97201 | Staffing Services | $301,668 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Staffing Services | $274,243 |
| Crothall Healthcare Inc | |||||
| 1500 Liberty Ridge Drive | Wayne | PA | 19087 | Transportation Services | $145,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $84,000 | AllOtherContributionsAmt |
| Total Contributions | $84,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $49,170,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,170,399 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,170,399 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,937 | TotalRevenueColumnAmt |
| Exclusion | $10,937 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,611 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,919 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,692 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,692 | TotalRevenueColumnAmt |
| Exclusion | $24,692 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $230 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $230 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $230 | TotalRevenueColumnAmt |
| Exclusion | $230 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,290,258 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,170,399 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $35,859 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,709 | TotalAmt |
| Management And General | $349,709 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,953,112 | TotalAmt |
| Program Services | $27,240,310 | ProgramServicesAmt |
| Management And General | $1,712,802 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,514,992 | TotalAmt |
| Program Services | $1,436,665 | ProgramServicesAmt |
| Management And General | $78,327 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,402,327 | TotalAmt |
| Program Services | $3,740,941 | ProgramServicesAmt |
| Management And General | $661,386 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,253,632 | TotalAmt |
| Program Services | $2,081,229 | ProgramServicesAmt |
| Management And General | $172,403 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,302 | TotalAmt |
| Management And General | $2,302 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,785 | TotalAmt |
| Management And General | $1,785 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,477,011 | TotalAmt |
| Program Services | $3,477,011 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,253 | TotalAmt |
| Program Services | $831 | ProgramServicesAmt |
| Management And General | $25,174 | ManagementAndGeneralAmt |
| Fundraising | $248 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,341 | TotalAmt |
| Program Services | $405,621 | ProgramServicesAmt |
| Management And General | $212,376 | ManagementAndGeneralAmt |
| Fundraising | $5,344 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,866,488 | TotalAmt |
| Program Services | $1,805,887 | ProgramServicesAmt |
| Management And General | $1,060,601 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,517,541 | TotalAmt |
| Program Services | $1,492,471 | ProgramServicesAmt |
| Management And General | $24,969 | ManagementAndGeneralAmt |
| Fundraising | $101 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,014 | TotalAmt |
| Program Services | $30,090 | ProgramServicesAmt |
| Management And General | $653 | ManagementAndGeneralAmt |
| Fundraising | $271 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,718 | TotalAmt |
| Program Services | $5,645 | ProgramServicesAmt |
| Management And General | $22,848 | ManagementAndGeneralAmt |
| Fundraising | $225 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142 | TotalAmt |
| Program Services | $84 | ProgramServicesAmt |
| Management And General | $58 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,842,310 | TotalAmt |
| Program Services | $2,498,662 | ProgramServicesAmt |
| Management And General | $1,343,648 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955,761 | TotalAmt |
| Program Services | $349,679 | ProgramServicesAmt |
| Management And General | $606,082 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,930 | TotalAmt |
| Program Services | $485,930 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Purchased Services | $906,545 | $713,350 | $190,995 | $2,200 |
| Medical Supplies | $571,629 | $571,629 | ||
| Repairs & Maintenance | $388,941 | $373,293 | $15,648 | |
| Dues & Licenses | $86,255 | $40,686 | $41,744 | $3,825 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,819 | TotalAmt |
| Management And General | $20,819 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,309,557 | TotalAmt |
| Program Services | $46,753,014 | ProgramServicesAmt |
| Management And General | $6,544,329 | ManagementAndGeneralAmt |
| Fundraising | $12,214 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,918,081 | BOYAmt |
| EOY | $7,013,985 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,125 | BOYAmt |
| EOY | $12,896 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,908,176 | BOYAmt |
| EOY | $2,837,462 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,757 | BOYAmt |
| EOY | $163,299 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $62,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,083,140 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,394,383 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,455,344 | BOYAmt |
| EOY | $9,688,757 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,850 | BOYAmt |
| EOY | $101,746 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,144,602 | BOYAmt |
| EOY | $2,408,641 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,707,935 | BOYAmt |
| EOY | $22,289,350 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,666,582 | BOYAmt |
| EOY | $2,964,038 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,867 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,697,901 | BOYAmt |
| EOY | $14,668,188 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,368,350 | BOYAmt |
| EOY | $17,632,226 | 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 | $5,914,305 | BOYAmt |
| EOY | $4,175,285 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,280 | BOYAmt |
| EOY | $481,839 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,339,585 | BOYAmt |
| EOY | $4,657,124 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,707,935 | BOYAmt |
| EOY | $22,289,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,019,299 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,896 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,317,942 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $440,040 | OtherCostOrOtherBasisAmt |
| Book Value | $440,040 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,504,629 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,104,271 | DepreciationAmt |
| Book Value | $7,400,358 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,587,394 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,652,612 | DepreciationAmt |
| Book Value | $934,782 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,401,975 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,637,500 | DepreciationAmt |
| Book Value | $764,475 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $149,102 | OtherCostOrOtherBasisAmt |
| Book Value | $149,102 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,688,757 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $2,364,565 |
| Security Deposits | $44,076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,408,641 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $9,511,777 |
| Professional Liability (Program) | $3,301,228 |
| Accrued Malpractice | $982,231 |
| Accrued Post Retirement Expenses | $872,952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,668,188 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,509 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $68,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,378,058 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,608,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,769,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,446,567 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,608,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,838,192 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12830 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $426,829 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $426,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,240,874 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,240,874 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $158,397 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $158,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,829,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,829,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,275,667 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,608,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,667,292 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16270 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,568,427 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,371,217 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,874,814 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$503,597 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Rd PO Box 260 | AddressLine1Txt |
| City | Mansfield Center | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.natchaug.org | WebsiteAddressTxt |
| State License | H0003 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Page 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Page 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Page 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Natchaug Hospital, Inc. | Part V, Section B, Line 5: Community health needs were identified by collecting and analyzing data from multiple sources. Statistics for numerous community health status, health care access, and related indicators were analyzed, including data provided by local, state, and federal government agencies, local community service organizations, and Hartford HealthCare. Comparisons to benchmarks were made where possible. Input from persons representing the broad interests of the community was taken into account through key informant interviews with ten (10) individuals. Interviews were conducted with another 66 individuals who were asked questions about community health needs in areas served by other Hartford HealthCare hospitals including questions regarding mental health and substance use issues. Stakeholders included: individuals with special knowledge of or expertise in public health; local public health departments; hospital staff and providers; representatives of social service organizations; and leaders, representatives, and members of medically underserved, low-income, and minority populations.Data from multiple sources were gathered and assessed, including secondary data published by others and primary data obtained through community input. Input from the community was received through key stakeholder interviews. Interviewees represented the broad interests of the community and included individuals with special knowledge of or expertise in public health as listed below;Access AgencyCenter for Healthy AgingConnecticut Alliance for Basic Human NeedsConnecticut Legal ServicesFoodShare/CT Food BankPerception Programs, Inc.United Services, Inc.United Way of Central and Northeastern Connecticut Windham Public Schools - Health ClinicCertain community health needs were determined to be "significant" if they were identified as problematic in at least two of the following three data sources: (1) the most recently available secondary data regarding the community's health and (2) input from community stakeholders who participated in the interview process. In addition, data were gathered to evaluate the impact of various services and programs identified in the hospital's previous CHNA process. Significant Community Health Needs were determined by analyzing secondary community health data and gathering input provided by community stakeholders.Individual key informant interviews were conducted from 3/26/21 thru 5/21/21 with representatives from Hartford HealthCare, the Hospital and numerous community-based organizations and social services agencies. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 6a: For this community health assessment, Natchaug Hospital collaborated with the following Hartford Healthcare hospitals: Backus Hospital, Charlotte Hungerford Hospital, Hartford Hospital, Hospital of Central Connecticut, MidState Medical Center, and Windham Hospital. These facilities collaborated by gathering and assessing secondary data together, scheduling and conducting interviews together, and by relying on shared methodologies, report formats, and staff to manage the CHNA process. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 7d: The needs assessment was published in September 2021 and is available on the hospital's website. In addition, electronic copies are available upon request. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 11: As determined by analyses of secondary community health data and of input provided by community stakeholders, significant health needs in the community served by Natchaug Hospital are:*Poor mental health status (e.g., high rates of depression and anxiety) and comparatively high rates of suicide.*Problematic access to mental health care and Substance Use Disorder (SUD) treatment services, which have been affected by an undersupply of providers in some geographic areas, limited transportation resources, gaps in insurance coverage, and overall affordability.*Connecticut's age-adjusted mortality rate due to opioids and deaths linked to fentanyl.*Poverty and other Social Determinants of Health, including affordable housing, levels of educational achievement, and food insecurity.*The COVID-19 pandemic, which has caused virus-related illness and death, increased isolation and mental health problems, and economic challenges and has exposed certain weaknesses in the area's public health infrastructure and preparedness.*Racial and ethnic mental health disparities, associated with systemic racism and language barriers, among other contributing factors.This CHIP is organized across four focus areas that are intended to address root causes of community health issues while recognizing where the East Region in partnership with the community can be most effective in impacting change. The plan for each of these areas is outlined on the following pages. The driving rationale for each of these can be summarized as follows:1. Promote Healthy Behaviors and Lifestyles:Research has repeatedly shown that good eating and exercise choices are critical to averting lost or unproductive time at school or work, growing and maintaining cognitive and physical functioning, promoting mental health, and preventing and managing many chronic diseases such as heart disease, cancer, stroke, diabetes, and osteoporosis.Rationale for Action: *Comparatively high prevalence of food insecurity *Comparatively high rates of mortality due to non-medical drug abuse and misuseCHIP addressed this need in the following manner: *Increase access to steady, healthy food supply *Increase knowledge around the importance of proper use and disposal of prescription medications and the dangers of using illegal substances *Increase knowledge around the dangers of alcohol abuse2. Reduce the Burden of Chronic Disease:Proven interventions can prevent and reduce the effects of chronic and infectious diseases and are aimed at the six most common and costly health conditions tobacco use, high blood pressure, healthcare-associated infections, asthma, unintended pregnancies, and diabetes these conditions can be countered by proven specific interventions as highlighted by the CDC.Rationale for Action:*Comparatively high rates of excessive drinking with 17.7 percent of adults reporting abuse*Poor mental health status and comparatively high rates of suicideCHIP addressed this need in the following manner:*Provide information on suicide prevention strategies*Provide resources in the community to help identify depression and provide support accessing services at the appropriate level of care3. Improve the Coordination of Services and Access to Care:Coordination of care is consistently identified as a key obstacle to achieving better access to care and services, as awareness of available resources, depth of patient and provider knowledge of community services, and tracking and follow-up of patients as they move from and between different provider organizations or points of care are challenged. Rationale for Action:*Problematic access to mental health care and Substance Use Disorder (SUD) treatment services, which have been affected by an undersupply of providers in some geographic areas, limited transportation resources, gaps in insurance coverage, and overall affordability.CHIP addressed this need in the following manner:*Assist in ensuring availability of prescriber services outside the Natchaug environment of care*Provide Narcan kits and training on how to dispense the drug4. Enhance Community-Based Behavioral Health ServicesMental health and substance abuse were also consistently identified as a top issue by the community and a root cause impacting all aspects of health. These services and interventions include more accessible screening, improved and timelier referrals, expanded programming and public awareness and empowerment.Rationale for Action:*Connecticut's age-adjusted mortality rate due to opioids and deaths linked to fentanyl;*Racial and ethnic mental health disparities, associated with systemic racism and language barriers, among other contributing factors.CHIP addressed this need in the following manner: *Promote access to behavioral health services by helping the community identify persons experiencing a behavioral health crisis through Mental Health First Aid (MHFA) training*Ensure clients and the community are able to connect as peersAll needs identified in the CHNA are currently being addressed. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of the health care expenses. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Office of Professional Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Sachem House | ||||
| 151 Storrs Road | Mansfield Center | CT | 06250 | Day Treatment Center |
| 2 - Joshua Center Thames Valley | ||||
| 11A Stott Avenue | Norwich | CT | 06360 | Day Treatment Center |
| 3 - Joshua Center Northeast | ||||
| 934 North Main Street | Killingly | CT | 06239 | Day Treatment Center |
| 4 - Joshua Center Enfield | ||||
| 72 Shaker Road | Enfield | CT | 06082 | Day Treatment Center |
| 5 - Joshua Center Shoreline | ||||
| 5 Research Parkway | Old Saybrook | CT | 06475 | Day Treatment Center |
| 6 - RiverEast Day Treatment Center | ||||
| 428 Hartford Tpke | Vernon | CT | 06066 | Day Treatment Center |
| 7 - Joshua Center SE & Care Plus | ||||
| 1353 Gold Star Highway | Groton | CT | 06340 | Day Treatment Center |
| 8 - Quinebaug Day Treatment Center | ||||
| 11 Dog Hill Road | Killingly | CT | 06241 | Day Treatment Center |
| 9 - Older Adult Program Windham Hospital | ||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | Day Treatment Center |
| 10 - Green Valley School | ||||
| 206 Pond Road | Franklin | CT | 06254 | Day Treatment Center |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Natchaug Hospital used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status, and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:The Organization submits quarterly reports to Connecticut Hospital Association and Form 990 is submitted to the Office of Health Strategy (OHS) annually. |
| Part I, Line 7: | The organization utilized an overall cost to charge ratio, (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare Cost Report and reduced for medicare costs previously reported on Part I Lines 7f and g. |
| Part I, Line 7g: | No physician clinic costs were included in the Subsidized Health Services cost calculations. |
| Part III, Line 3: | A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2021 would be immaterial. |
| Part III, Line 4: | Please see the text of the footnote that describes bad debt expense beginning on page 27 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 4. |
| Part III, Line 8: | Cost Reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, Hospitalist Programs, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The Hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 65% of unpaid amounts. The table reconciles the shortfall or surplus from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as Community Benefits. |
| Part III, Line 9b: | Natchaug Hospital has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: Patients who are deemed ineligible for financial assistance or who receive a partial discount and do not pay their bills may be subject to the following Extraordinary Collection Action (ECAs):*Wage Garnishments*Liens on primary and secondary residences, bank or investment accounts, or other assets*Legal actions and reporting the matter to one or more credit rating agencies*Other ECAs not listed aboveIf an individual has not submitted an application within the first 120 days from the date on which Hartford HealthCare first issues its first, post-discharge billing statement, then Hartford HealthCare may begin engaging in the ECAs described above.ECAs may begin after the first 120 days from the date on which Hartford HealthCare issues its first, post-discharge billing statement. If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, Hartford HealthCare will take all reasonable available measures to remove any collection actions such as negative reporting to a credit bureau or liens that have been filed.Before Hartford HealthCare initiates any collection actions, it will issue a written notice to the last known address of record for the patient (or his/her family) that describes the specific collection activities it intends to initiate (or resume), provides a deadline after which such action(s) will be initiated (or resumed), and includes a plain language summary of this Policy. ECAs can begin no sooner than 30 days from the date written notice is transmitted. Patients who are ineligible for financial assistance, or qualify for partial financial assistance and who are cooperating in good faith to resolve the outstanding accounts, may be offered extended payment plans. No further collection action will be taken as long as the patient continues to meet the terms of the payment plan. |
| Part VI, Line 2: | Natchaug Hospital periodically canvases our Social Work/Case Management staff as to what they are seeing and hearing about as they work with patients. We also track requests from other entities such as area non-profits, local government agencies and public schools. These requests often reflect growing needs and issues in our community. Data from health needs assessments conducted by Backus Hospital, Lawrence & Memorial Hospital, the United Way and regional health districts is also reviewed. Needs are also assessed by tracking waiting lists for admission to programs. |
| Part VI, Line 3: | Natchaug Hospital provides information about its Financial Assistance Policy as follows: (1) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication.(2) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail.(3) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page.(4) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients.(5) Includes the tag line 'Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications. |
| Part VI, Line 4: | As of 2019, the population of the Natchaug Hospital HSA is 81,407, including 6,397 residents (8%) who are foreign-born. Twenty-five percent of the Natchaug Hospital HSA's residents are people of color.16% of Natchaug Hospital HSA's residents are children under age 18, and 13% are adults ages 65 and up. As Connecticut's predominantly white Baby Boomers age, younger generations are driving the state's increased racial and ethnic diversity. Black and Latino populations in particular skew much younger than white populations. In Natchaug Hospital HSA, 28% of Black and Latino residents are children, compared to 14% of white residents.Linguistic isolation is characterized as speaking English less than "very well." People who struggle with English proficiency may have difficulty in school, seeking health care, accessing social services, or finding work in a largely English-speaking community. In the Natchaug Hospital HSA, 5,333 residents, or 7% of the population age 5 and older, are linguistically isolated. Latinos and Asian Americans are more likely to be linguistically isolated than other racial/ethnic groups.The region is a federally-designated medically underserved area. |
| Part VI, Line 5: | A Regional Board governs Natchaug, Windham, and Backus Hospitals. The Board is responsible for maintaining outstanding quality services and credentials its medical staff. All of the Directors either reside or work in our service area and are generally neither employees, family members, nor contractors of the Hospital. Natchaug Hospital staff actively contribute to the community. For example, Natchaug Hospital's Director of Pharmacy serves on the Experiential Education Advisory Board of UConn's School of Pharmacy, staffs a Migrant Farmers Clinic, serves on the Accreditation Council for Pharmacy Education, and more; a Program Director serves on the Eastern Connecticut Chamber of Commerce's Health Advisory Committee and as a Chamber Trustee; two Natchaug staff serve on their local Boards of Education; at least three Program Directors serve their region's Systems of Care; and the Human Services Advisory Board for the Mansfield Town Council includes a representative from Natchaug. Many professionals are continuing to benefit from Natchaug Hospital's Speaker's Bureau program which offers trainings on behavioral health topics for professionals working with school age youth (school nurses, guidance counselors, teachers, etc), for free. The goals of this community outreach are to 1) help identify treatable behavioral health conditions as early as possible and 2) to improve awareness of effective classroom. The Speakers Bureau makes Natchaug staff experts more accessible to the community. Schools, community groups, businesses and others can request a Natchaug expert to provide training, lead a school assembly or serve on a panel for free. |
| Part VI, Line 6: | Hartford Healthcare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Natchaug Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care." The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital, the largest of the system hospitals.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. |
| Part VI, Line 7, Reports Filed With States | CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Whitehead | ||||||||||||||
| Former President | $0 | $656,733 | $0 | $364,451 | $0 | $126,565 | $0 | $19,950 | $0 | $59,708 | $0 | $1,227,407 | $0 | $0 |
| Margaret Marchak | ||||||||||||||
| Former Secretary | $0 | $156,673 | $0 | $152,082 | $0 | $615,056 | $0 | $10,053 | $0 | $34,239 | $0 | $968,103 | $0 | $18,671 |
| Patricia Rehmer | ||||||||||||||
| President BHN | $0 | $394,537 | $0 | $181,477 | $0 | $278,519 | $0 | $19,950 | $0 | $30,012 | $0 | $904,495 | $0 | $210,360 |
| John Santopietro | ||||||||||||||
| SVP, Psychiatrist in Chief | $0 | $510,773 | $0 | $213,123 | $0 | $4,196 | $0 | $87,560 | $0 | $53,922 | $0 | $869,574 | $0 | $0 |
| Donna Handley | ||||||||||||||
| Director | $0 | $493,765 | $0 | $214,681 | $0 | $76,231 | $0 | $19,950 | $0 | $56,409 | $0 | $861,036 | $0 | $0 |
| Deborah Weidner | ||||||||||||||
| VP, Safety and Quality | $0 | $393,432 | $0 | $134,686 | $0 | $3,853 | $0 | $19,950 | $0 | $41,240 | $0 | $593,161 | $0 | $0 |
| Jonathan Allen | ||||||||||||||
| VP, Substance Abuse | $0 | $347,563 | $0 | $91,188 | $0 | $4,107 | $0 | $9,975 | $0 | $51,440 | $0 | $504,273 | $0 | $0 |
| Anthony Ng MD | ||||||||||||||
| Reg Medical Director BHN | $314,028 | $0 | $50,850 | $0 | $953 | $0 | $14,250 | $0 | $44,535 | $0 | $424,616 | $0 | $0 | $0 |
| James O'Dea | ||||||||||||||
| VP, Operations | $0 | $249,188 | $0 | $85,642 | $0 | $3,643 | $0 | $19,950 | $0 | $32,282 | $0 | $390,705 | $0 | $0 |
| Paul Maloney | ||||||||||||||
| VP, Finance | $0 | $229,402 | $0 | $77,622 | $0 | $3,238 | $0 | $36,416 | $0 | $16,436 | $0 | $363,114 | $0 | $0 |
| Joanne Chaurette MD | ||||||||||||||
| Director | $312,424 | $0 | $15,200 | $0 | $1,218 | $0 | $19,950 | $0 | $14,188 | $0 | $362,980 | $0 | $0 | $0 |
| Mark Tramontozzi MD | ||||||||||||||
| Director | $0 | $285,353 | $0 | $13,979 | $0 | $1,584 | $0 | $17,573 | $0 | $35,523 | $0 | $354,012 | $0 | $0 |
| Pamela Shuman MD | ||||||||||||||
| Associate Medical Director | $285,831 | $0 | $850 | $0 | $8,772 | $0 | $19,950 | $0 | $27,164 | $0 | $342,567 | $0 | $0 | $0 |
| Paul Weigle MD | ||||||||||||||
| Assoc Medical Director BHN | $273,781 | $0 | $3,350 | $0 | $908 | $0 | $19,950 | $0 | $44,203 | $0 | $342,192 | $0 | $0 | $0 |
| Manu Sharma MD | ||||||||||||||
| Psychiatrist Attending | $254,875 | $0 | $5,600 | $0 | $177 | $0 | $18,890 | $0 | $33,175 | $0 | $312,717 | $0 | $0 | $0 |
| Champakamala Rajanna MD | ||||||||||||||
| Psychiatric Attending | $225,031 | $0 | $10,150 | $0 | $782 | $0 | $17,270 | $0 | $38,483 | $0 | $291,716 | $0 | $0 | $0 |
| Mary Barry MD | ||||||||||||||
| Chair | $0 | $197,700 | $0 | $150 | $0 | $0 | $0 | $6,925 | $0 | $11,406 | $0 | $216,181 | $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 Natchaug Hospital, Inc., 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, Lines 4a-b | 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. In 2020, Margaret Marchak (Former Officer) received a lump sum severance payment in the amount of $583,803. 2020 SERP Accruals were made on behalf of the following individuals: David Mack $53,123 John Santopietro $67,610 2020 SERP Payouts were made on behalf of the following individuals: Margaret Marchak $18,671 Patricia Rehmer $84,476 * David Whitehead $27,270 * Donna Handley $19,577 * *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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Natchaug Hospital 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. It was then forwarded to the the VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The hospital'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 Natchaug Hospital, Inc., 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 Natchaug Hospital, Inc., 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 Hospital's Form 990, 990-T, Form 1023 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The Hospital'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 XI, line 9: | Change in Pension and Post-Retirement Funding Obligation 2,317,942. |
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 | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06102 | 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 PO Box 5037 | Hartford | CT | 06102 | 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) | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | 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 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 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 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 (21 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 | 0 |
| Ambulance Service of Manchester LLC | |||||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Service | CT | N/A | 0 | 0 |
| Central Connecticut Endoscopy Center | |||||||||
| 440 New Britain Avenue | Plainville | CT | 06062 | 141855010 | Endoscopy Svcs | CT | N/A | 0 | 0 |
| Connecticut Imaging Partners LLC | |||||||||
| c/o Jefferson Radiology 1500 Concor | Sunrise | FL | 33323 | 134298940 | Imaging Services | CT | N/A | 0 | 0 |
| Connecticut Orthopaedic Surgery Center LLC | |||||||||
| 205 Sub Way | Milford | CT | 06461 | 134298940 | Surgery Svcs | CT | N/A | 0 | 0 |
| Connecticut Proton Therapy Center LLC | |||||||||
| 789 Howard Ave Suite CB 230 | New Haven | CT | 06519 | Proton Therapy Services | CT | N/A | 0 | 0 | |
| Constitution Surgery Center East LLC | |||||||||
| 174 Cross Road | Waterford | CT | 06385 | 061574704 | Surgery Svcs | CT | N/A | 0 | 0 |
| CT GI Endoscopy Center LLC ( Bloomfield) | |||||||||
| 4 Northwestern Drive | Bloomfield | CT | 06002 | 061573358 | GI Services | CT | N/A | 0 | 0 |
| Glastonbury Endoscopy Center LLC | |||||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Svcs | CT | N/A | 0 | 0 |
| Glastonbury Surgery Center LLC | |||||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Svcs | CT | N/A | 0 | 0 |
| Hartford-Middlesex Clinical System LLC | |||||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A | 0 | 0 |
| HHC Hartford Surgery Center LLC | |||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 812637261 | Surgery Svcs | CT | N/A | 0 | 0 |
| HHC Southington Surgery Center LLC | |||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Svcs | CT | N/A | 0 | 0 |
| HHC Southington Surgery Center LLC | |||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Svcs | CT | N/A | 0 | 0 |
| Hartford HealthCare-GoHealth Urgent Care LLC | |||||||||
| 5555 Glenridge Connector Suite 700 | Atlanta | GA | 30342 | 815112698 | Urgent Care Services | DE | N/A | 0 | 0 |
| Med East Assoc LLC | |||||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A | 0 | 0 |
| MedConn Collection Agency | |||||||||
| 2049 Silas Deane Highway Suite 305 | Rocky Hill | CT | 06067 | 061408854 | Collections Services | CT | N/A | 0 | 0 |
| New Britain MRI Limited Partnership | |||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic resonance imaging | CT | N/A | 0 | 0 |
| Rocky Hill Surgery Center LLC | |||||||||
| 1111 Cromwell Avenue Building 1 | Rocky Hill | CT | 06067 | 833096156 | Surgery Svcs | CT | N/A | 0 | 0 |
| The Endoscopy Center of Northwest Connecticut LLC | |||||||||
| 245 Alvord Park Road | Torrington | CT | 06790 | 061609993 | Endoscopy Svcs | CT | N/A | 0 | 0 |
| Wallingford Endoscopy Center LLC | |||||||||
| 863 North Main Street Ext Suite 300 | Wallingford | CT | 06492 | 824601730 | Endoscopy Svcs | CT | N/A | 0 | 0 |
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 | 0 | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | N/A | C | 0 | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Billing Services | CT | N/A | C | 0 | ||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | N/A | C | 0 | ||||
| HHMOB Corporation | |||||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | 0 | ||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||
| Captive Insurance | N/A | C | 0 | 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 | 0 | ||||
| Litchfield County Healthcare Service Corporation | |||||||||||||
| 540 Litchfield Street | Torrington | CT | 06790 | 061227655 | Management Services | CT | N/A | C | 0 | ||||
| Meriden Imaging Center Inc | |||||||||||||
| 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | Imaging | CT | N/A | S | 0 | ||||
| Metro Wheelchair Service Inc | |||||||||||||
| PO Box 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | 0 | ||||
| Midstate Medical Group PC | |||||||||||||
| 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | Medical Services | CT | N/A | C | 0 | ||||
| The Cancer Care Fund Of The Litchfield Hills Inc | |||||||||||||
| 200 Kennedy Drive | Torrington | CT | 06790 | 510474072 | Cancer Care Fund | CT | N/A | C | 0 | ||||
| Windham Professional Office Condo Assoc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | 0 | ||||
| WWB Corporation | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094838 | Holding Company | CT | N/A | C | 0 | ||||
| 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | 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 (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hartford Hospital | ||
| O | $158,426 | FMV |
| Hartford Hospital | ||
| P | $144,933 | FMV |
| Hartford Hospital | ||
| M | $56,721 | FMV |
| Charlotte Hungerford Hospital | ||
| L | $68,920 | FMV |
| Charlotte Hungerford Hospital | ||
| O | $58,503 | FMV |
| Rushford Center Inc | ||
| R | $142,161 | FMV |
| The William Backus Hospital | ||
| S | $59,154 | FMV |
| The William Backus Hospital | ||
| A | $60,451 | FMV |
| The William Backus Hospital | ||
| O | $69,124 | FMV |
| The William Backus Hospital | ||
| R | $166,949 | FMV |