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CHARLOTTE HUNGERFORD HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHARLOTTE HUNGERFORD HOSPITAL (EIN 06-0646678)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-10
IRS object ID
202222229349301132
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

FieldValueIRS element (for citing)
Return2022-08-10T11:57:11-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646678EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Charlotte Hungerford HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHARBusinessNameControlTxt
Phone8604966728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield Street PO Box 988AddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP067900988ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSusan M SchappPersonNm
Person TitleVP FinancePersonTitleTxt
Phone8604966728PhoneNum
Signature2022-08-10SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSusanPersonFirstNm
Person LastSchappPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSusan SchappPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield Street PO Box 988AddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP067900988ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$190,152,836GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.charlottehungerford.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1917FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTo provide quality, compassionate and cost effective healthcare to the community of Northwestern Connecticut.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1185TotalEmployeeCnt
Total Volunteers96TotalVolunteersCnt
Total Gross UBI-$6,293TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$6,293NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,387,597PYContributionsGrantsAmt
CY Contributions Grants$3,181,257CYContributionsGrantsAmt
PY Program Service Revenue$151,651,163PYProgramServiceRevenueAmt
CY Program Service Revenue$181,629,384CYProgramServiceRevenueAmt
PY Investment Income$9,877,212PYInvestmentIncomeAmt
CY Investment Income$4,708,576CYInvestmentIncomeAmt
PY Other Revenue$520,984PYOtherRevenueAmt
CY Other Revenue$66,741CYOtherRevenueAmt
PY Total Revenue$165,436,956PYTotalRevenueAmt
CY Total Revenue$189,585,958CYTotalRevenueAmt
PY Grants And Similar Paid$17,512PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$95,187,443PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$93,645,066CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$340,452CYTotalFundraisingExpenseAmt
PY Other Expenses$75,198,180PYOtherExpensesAmt
CY Other Expenses$85,414,664CYOtherExpensesAmt
PY Total Expenses$170,403,135PYTotalExpensesAmt
CY Total Expenses$179,061,730CYTotalExpensesAmt
PY Revenues Less Expenses-$4,966,179PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,524,228CYRevenuesLessExpensesAmt
Total Assets BOY$188,994,381TotalAssetsBOYAmt
Total Assets EOY$194,929,840TotalAssetsEOYAmt
Total Liabilities BOY$105,195,621TotalLiabilitiesBOYAmt
Total Liabilities EOY$65,379,831TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$83,798,760NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$129,550,009NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo improve the health and healing of the people and communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,542,356ExpenseAmt
Revenue$15,009,529RevenueAmt
DescCharlotte Hungerford Hospital (CHH) offers a variety of behavioral health services for adults, adolescents, children, and families.The Adult Behavioral Health Center (BHC) at Charlotte Hungerford Hospital (CHH) provides comprehensive behavioral health services to adults ages 18 years and older and their families based on individual need and stage of recovery. Treatment can include medication services, as well as group, individual, couples, and family therapy. Treatment interventions include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), motivational enhancement, medication evaluation and management, and relapse prevention. Our goals to manage psychiatric, behavioral, emotional, and substance use symptoms including:Assist in developing successful coping and stress management skills.Provide medication evaluation and monitoring as needed.Assist in the transition to and from higher levels of care, such as Partial Hospital and Intensive Outpatient Programs.Help in developing communication, leisure, and relational skills to improve overall quality of life and functioning. The Hospital's outstanding substance abuse program caters to the treatment of teenage and adolescent. Our substance abuse treatment centers treat psychiatric, behavioral and emotional symptoms. CHH's substance abuse treatment centers offer an Intensive Outpatient Program that provides a confidential, highly structured, intensive intermediate level of care between inpatient and outpatient programs.The Adolescent Partial Hospital Program (PHP) is a highly-structured, intensive group program that offers treatment to adolescent's ages 13 to 18 seeking help with acute emotional and behavioral disorders. The program offers treatment for adolescents with psychiatric and co-occurring psychiatric and substance abuse disorders. Our staff utilizes evidenced based treatment approaches including: Group Therapy, Individual Therapy (as needed), Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy, Solutions Focused Brief Therapy, art therapy and narrative therapy.Together with the individual and the parents/guardians, we develop an individualized treatment plan to address their unique areas of concern, which can help manage psychiatric, behavioral, emotional, and substance use symptoms.The Center for Youth and Families is a Child Advocacy Center and professional mental health service that assists children, adolescents and their families with emotional, behavioral, developmental, and family difficulties. The Center's approach is wide-ranging, beginning with a thorough and sensitive evaluation of the "whole" child in the context of the family, school and the community. To further this understanding, the Center staff work closely with schools, guidance counselors, local area pediatricians and other community providers. The Center's interdisciplinary team includes professionals from the following disciplines:Licensed TherapistsChild and Adolescent PsychiatristAdvanced Practice NurseStudent interns from the above areas of studyDuring FY21, CHH provided behavioral health services to approximately 536 inpatients with an average length of stay of 8.14 days. The department had 47 Providers and saw 6,157 inpatient days. The department had approximately 35,536 outpatient visits and saw approximately 3,237 patients. The CHH Center for Youth and Families has been an accredited member of the National Children's Alliance since 1999 and services children and families throughout Northwest Connecticut.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,681,178ExpenseAmt
Revenue$13,390,600RevenueAmt
DescOur affiliated gastroenterologists are board-certified and perform all major endoscopic procedures including colonoscopy, EGD, GRCP and Capsule Endoscopy.Pediatric Gastroenterology services at Charlotte Hungerford Hospital such as liver cirrhosis treatment and treatment of jaundice provide a wide range of services to diagnose and treat disorders of the colon, intestines, gall bladder, liver, pancreas and esophagus, and stomach.Among the most frequent gastroenterology services and gastroenterological disease conditions they treat and diagnose are the following:Cancers of the colon and rectum, esophagus, gallbladder, pancreasCirrhosis of the LiverCrohn's Disease and Ulcerative ColitisJaundiceDiverticulosis and DiverticulitisGall StonesGastroesophageal Reflux Disease and Barrett's EsophagusHepatitis, acute and chronicHiatal HerniaIrritable Bowel SyndromeLactose IntolerancePancreatitisPeptic UlcerColonoscopies utilizing advanced imaging technology can be performed as an outpatient procedure at CHH. Every attention to detail is paid by our staff to ensure that our gastroenterology services patients have a safe, comfortable screening procedure as part of our colon cancer prevention effort. In addition, radiofrequency Ablation Therapy to destroy pre-cancerous tissue of the esophagus is one of the newer outpatient procedures performed at CHH. During FY21, the department was made up of 8 Endoscopists and 1 Surgeon. There were 894 cases and 759 patients during the year.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,714,028ExpenseAmt
Revenue$12,035,361RevenueAmt
DescHartford HealthCare Corporation (HHC) is a national leader in heart disease prevention, treatment, surgery and research. As a patient or family member, there are many reasons to choose the Hartford HealthCare Heart and Vascular Institute. Whether you enter our system through one of our board-certified cardiologist in an outpatient setting, in an emergency by way of LIFE STAR helicopter, or at one of our seven hospitals, including a tertiary care level teaching hospital, we provide the coordinated, evidence-based care that you need to get back on your feet again. Charlotte Hungerford Hospital (CHH) is one of the seven hospitals in the HHC System. CHH provides Heart & Vascular services to patients in the Northwest Connecticut region.The Hartford HealthCare Heart & Vascular Institute offers the latest in high-tech treatments such as robotic surgery and the following procedures in a comfortable and caring setting:Clinical CardiologyA cardiologist is your first stop for a specialist who treats a full range of heart issues, from aortic disease to a heart attack.. Our cardiologists treat common heart problems like angina, and also help stabilize high cholesterol and high blood pressure. We also perform the most cardiac surgeries in Connecticut.ElectrophysiologyThe average human heart beats about 100,000 times a day, pumping almost 2,000 gallons of blood through the body. We treat irregularities of the electrical system that controls the heart rate and rhythm, whether with a nonsurgical procedure (catheter ablation), heat ablation or cryoablation. We also implant, program and monitor pacemakers, cardioverter defibrillators and loop recorders.Center for Advanced Heart Failure & Pulmonary Vascular DiseaseThe Heart & Vascular Institute's Center for Advanced Heart Failure & Pulmonary Vascular Disease has developed extraordinary resources to help patients with advanced heart failure, whether it's with life-support ECMO (extracorporeal membrane oxygenation) technology during cardiac or respiratory failure, heart pumps that restore normal blood flow or a heart transplant.Interventional CardiologyAn interventional cardiologist treats cardiovascular disease with procedures that use a catheter, like angioplasty and stenting. The Heart & Vascular Institute's cardiac catheterization program, with more than 4,500 procedures each year, ranks among the most substantial in the Northeast.Other services include: Preventive Cardiology; Structural Heart Disease program; Vascular and Endovascular Surgery; and Women's Heart Wellness ProgramResidents in Northwest Connecticut have easy access to highly trained and educated cardiology experts. CHH's Heart & Vascular department had approximately 19,360 visits with an average length of stay of 3.5 days during FY21.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$129,703,443ExpenseAmt
Grant$2,000GrantAmt
Revenue$141,193,894RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$129,703,443TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$2,000TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$141,193,894TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$168,641,005TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document110IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1185EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Susan M SchappBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8604966728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield Street PO Box 988AddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06790ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Margaret Marchak
Former Secretary0.0060.00Yes (X)$0$923,811$44,292
Daniel McIntyre
Director, CEO & President60.000.00$0$851,642$92,167Yes (X)Yes (X)
Mark Prete
Former VP, Medical Affairs0.0060.00Yes (X)$0$665,823$109,743
Paul Scalise MD
VP, Medical Affairs60.000.00$0$527,148$67,054Yes (X)
Sami El Hamwi MD
Physician60.000.00$517,184$0$48,346Yes (X)
Richard Krinsky MD
Physician60.000.00$460,551$0$66,800Yes (X)
Susan Schapp
VP, Finance60.000.00$0$415,971$62,060Yes (X)
Lisa Diamond MD
Dir. Behavioral Health60.00$426,400$0$45,089Yes (X)
John Capobianco
VP, OP Services60.000.00$0$368,529$68,302Yes (X)
Misbahul Hafeez Siddiqi MD
Physician60.000.00$345,233$0$75,757Yes (X)
Clifford Kye MD
Physician60.000.00$346,047$0$58,977Yes (X)
Brian Mattiello
Former VP, HR0.0060.00Yes (X)$0$319,682$65,525
Teresa Calendrillo-Fuller
VP, Patient Care60.000.00$0$223,617$54,614Yes (X)
Edward Arum
Director (Thru 12/20)2.00$0$0$0Yes (X)
Frank Buonocore Jr
Director2.00$0$0$0Yes (X)
Gladys Cerruto
Director (Thru 12/20)2.00$0$0$0Yes (X)
Richard Dutton MD
Director2.00$0$0$0Yes (X)
Stephanie Fowler MD
Director2.00$0$0$0Yes (X)
Jamie Gregg
Director (Thru 12/20)2.00$0$0$0Yes (X)
John Janco
Director2.00$0$0$0Yes (X)
John Lavieri
Director2.00$0$0$0Yes (X)
Diane Libby
Director2.00$0$0$0Yes (X)
Douglas O'Connell
Director2.00$0$0$0Yes (X)
James O'Leary
Director2.00$0$0$0Yes (X)
Terrence Ryan MD
Director (Thru 9/21)2.00$0$0$0Yes (X)
Maria Countant Skinner
Director2.00$0$0$0Yes (X)
Jeffrey Borghesi
Chair3.00$0$0$0Yes (X)Yes (X)
Edwin Booth Jr
Vice Chair3.00$0$0$0Yes (X)Yes (X)
Cathy-Lynne Coyle
Director2.00$0$0$0Yes (X)
Maria Gonzalez
Director2.00$0$0$0Yes (X)
Neal Mandell MD
Director2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,095,415TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,296,223TotReportableCompRltdOrgAmt
Total Other Compensation$858,726TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K118IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medical Solutions LLC
PO Box 310737Des MoinesIA50331Staffing Services$4,380,405
Morrison Management SP Inc Acute Care
400 Northbridge RoadSandy SpringsGA30350Food Services$2,180,857
Crothall HealthCare Inc
1500 Liberty Ridge Drive Ste 210WaynePA19087Environmental Services$1,511,275
Adult & Pediatric Urology PC
538 Litchfield StreetTorringtonCT06790Medical Services$1,354,391
Quest Diagnostics Nichols Institute Inc
PO Box 844217BostonMA02284Medical Services$784,649
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Government Grants$2,571,392GovernmentGrantsAmt
All Other Contributions$609,865AllOtherContributionsAmt
Total Contributions$3,181,257TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Revenue900099$180,661,386$180,661,386
Income from JVs900003$967,998$967,998
FieldValueIRS element (for citing)
Total Program Service Revenue$181,629,384TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$864,157TotalRevenueColumnAmt
Exclusion$864,157ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$610,783RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$537,749RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$73,034RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,034TotalRevenueColumnAmt
Exclusion$73,034ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,873,548SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$29,129OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,873,548SecuritiesAmt
Other-$29,129OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,844,419TotalRevenueColumnAmt
Exclusion$3,844,419ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMedConnDesc
Business561499BusinessCd
Total Revenue Column-$6,293TotalRevenueColumnAmt
Unrelated Business Revenue-$6,293UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total-$6,293OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$189,585,958TotalRevenueColumnAmt
Related Or Exempt Func Income$181,629,384RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$6,293UnrelatedBusinessRevenueAmt
Exclusion$4,781,610ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$2,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$80,184,133TotalAmt
Program Services$77,167,209ProgramServicesAmt
Management And General$2,755,830ManagementAndGeneralAmt
Fundraising$261,094FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,390,044TotalAmt
Program Services$1,337,744ProgramServicesAmt
Management And General$47,774ManagementAndGeneralAmt
Fundraising$4,526FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,867,223TotalAmt
Program Services$7,571,219ProgramServicesAmt
Management And General$270,387ManagementAndGeneralAmt
Fundraising$25,617FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,203,666TotalAmt
Program Services$3,972,871ProgramServicesAmt
Management And General$210,821ManagementAndGeneralAmt
Fundraising$19,974FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$121,806TotalAmt
Management And General$121,806ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$25,921TotalAmt
Management And General$25,921ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$57,146TotalAmt
Management And General$57,146ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,888,617TotalAmt
Program Services$20,888,617ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$72,081TotalAmt
Program Services$550ProgramServicesAmt
Management And General$71,531ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,846,527TotalAmt
Program Services$1,112,533ProgramServicesAmt
Management And General$733,994ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,993,947TotalAmt
Program Services$2,931,720ProgramServicesAmt
Management And General$1,062,227ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,539,167TotalAmt
Program Services$2,906,279ProgramServicesAmt
Management And General$632,888ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,673TotalAmt
Program Services$17,971ProgramServicesAmt
Management And General$1,702ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$98,664TotalAmt
Program Services$68,480ProgramServicesAmt
Management And General$30,184ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$146,447TotalAmt
Program Services$86,404ProgramServicesAmt
Management And General$60,043ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$8,249,720TotalAmt
Program Services$7,588,211ProgramServicesAmt
Management And General$661,509ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,488,575TotalAmt
Program Services$6,718,973ProgramServicesAmt
Management And General$769,602ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,892,748TotalAmt
Program Services$1,848,421ProgramServicesAmt
Management And General$44,327ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$18,316,595$18,316,595
Hospital Provider Fee$9,987,104$9,987,104
Purchased Services$4,853,300$3,121,868$1,731,432
Repairs Maintenance$2,956,931$2,622,369$334,562

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$859,695TotalAmt
Program Services$373,867ProgramServicesAmt
Management And General$456,587ManagementAndGeneralAmt
Fundraising$29,241FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$179,061,730TotalAmt
Program Services$168,641,005ProgramServicesAmt
Management And General$10,080,273ManagementAndGeneralAmt
Fundraising$340,452FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$52,165BOYAmt
EOY$94,531EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,566,740BOYAmt
EOY$6,230,318EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$8,018EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,918,340BOYAmt
EOY$16,740,140EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,055,731BOYAmt
EOY$3,327,858EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$614,760BOYAmt
EOY$702,112EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$184,558,546LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$131,150,734LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$53,720,063BOYAmt
EOY$53,407,812EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,540,455BOYAmt
EOY$2,607,618EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$74,232,394BOYAmt
EOY$92,147,067EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,293,733BOYAmt
EOY$19,664,366EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$188,994,381BOYAmt
EOY$194,929,840EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,724,177BOYAmt
EOY$9,852,057EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$219,073BOYAmt
EOY$1,375EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$92,252,371BOYAmt
EOY$55,526,399EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,195,621BOYAmt
EOY$65,379,831EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,024,658BOYAmt
EOY$92,988,995EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,774,102BOYAmt
EOY$36,561,014EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$83,798,760BOYAmt
EOY$129,550,009EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$188,994,381BOYAmt
EOY$194,929,840EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,524,228ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$14,359,176NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$20,867,845OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$25,918OtherActivitiesAmt
Total Lobbying Expenditures$25,918TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Charlotte Hungerford Hospital paid annual dues to CT Community Nonprofit Alliance and to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. The Organization occasionally asks its employees to volunteer their time to contact state legislators in an effort to lobby on its behalf. The total amount of dues allocated for lobbying expenses for FY21 was $25,918.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$58,887,000BeginningYearBalanceAmt
Investment Earnings Or Losses$16,198,000InvestmentEarningsOrLossesAmt
End Year Balance$75,085,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$44,892,000BeginningYearBalanceAmt
Contributions$16,632,000ContributionsAmt
Investment Earnings Or Losses$4,574,000InvestmentEarningsOrLossesAmt
Other Expenditures-$7,211,000OtherExpendituresAmt
End Year Balance$58,887,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$35,715,824BeginningYearBalanceAmt
Contributions$9,470,172ContributionsAmt
Investment Earnings Or Losses-$59,000InvestmentEarningsOrLossesAmt
Other Expenditures$235,000OtherExpendituresAmt
End Year Balance$44,892,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,374,011BeginningYearBalanceAmt
Contributions$4,127,143ContributionsAmt
Investment Earnings Or Losses$3,840,950InvestmentEarningsOrLossesAmt
Other Expenditures$619,821OtherExpendituresAmt
Administrative Expenses$6,459AdministrativeExpensesAmt
End Year Balance$35,715,824EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,064,717BeginningYearBalanceAmt
Investment Earnings Or Losses$4,624,213InvestmentEarningsOrLossesAmt
Other Expenditures$314,919OtherExpendituresAmt
End Year Balance$28,374,011EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.69400BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.26460PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04140TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,560,000OtherCostOrOtherBasisAmt
Book Value$3,560,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,234,328OtherCostOrOtherBasisAmt
Depreciation$78,450,241DepreciationAmt
Book Value$28,784,087BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,222,119OtherCostOrOtherBasisAmt
Depreciation$2,051,999DepreciationAmt
Book Value$3,170,120BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,050,922OtherCostOrOtherBasisAmt
Depreciation$50,648,494DepreciationAmt
Book Value$14,402,428BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,491,177OtherCostOrOtherBasisAmt
Book Value$3,491,177BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$53,407,812TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Endowment$75,488,381F
Assets - Held in Trust by Others$13,347,758F
Other Investments$3,310,928F
FieldValueIRS element (for citing)
Total Book Value Securities$92,147,067TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Other Assets$13,729,837
Due from Affiliates$3,339,915
Other Non Current Assets$2,232,754
Patient Refunds$348,515
Security Deposits$13,345
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,664,366TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Other Program Related Net Liabilities$31,194,694
Tax Exempt Bonds/ Long-Term$9,507,758
Accrued Post Retirement Expenses$8,215,034
Hospital Provider User Fee$2,393,058
SERP Liability$2,144,131
LT Accrued Malpractice Claims$1,657,923
Current Accrued Malpractice Claims$411,832
Bond Accrued Liabilities$1,969
FieldValueIRS element (for citing)
Total Liability$55,526,399TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe Hospital has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Hospital must hold in perpetuity or for a donor-specific period(s). Under this policy, the endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of at least 4% over the long term. Actual returns in any given year may vary from this amount. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes including but not limited to patient care, research and capital needs. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$697,815TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$697,815NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,230,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,832,274DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,397,940NetCommunityBenefitExpnsAmt
Total Expense0.04130TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,928,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,832,274DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,095,755NetCommunityBenefitExpnsAmt
Total Expense0.04520TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$646,457TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$646,457NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,547TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,547NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,282,149TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,621,297DirectOffsettingRevenueAmt
Net Community Benefit Expns$660,852NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,347TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,347NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,072,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,621,297DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,451,203NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,000,529TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,453,571DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,546,958NetCommunityBenefitExpnsAmt
Total Expense0.05330TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$5,673,073BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$35,781,423ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$35,984,975CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$203,552MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Charlotte Hungerford HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield StreetAddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06790ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://www.charlottehungerford.org/WebsiteAddressTxt
State License0042StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Charlotte Hungerford HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Page 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Page 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Page 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
The Charlotte Hungerford HospitalPart 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 sixteen (16) individuals. 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;Brooker MemorialCenter for Healthy AgingCharlotte Hungerford Hospital Emergency DepartmentCommunity Health & Wellness Center (CHWC)Connecticut Alliance for Basic Human NeedsDepartment of Social Services, Town of WinchesterFoodShare/CT Food BankMcCall Center for Behavioral HealthNew Opportunities, Inc.Northwestern Connecticut YMCAOur Culture is BeautifulPrime Time HouseSullivan Senior CenterTorrington Area Health DistrictUnited Way of Central and Northeastern Connecticut 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.
The Charlotte Hungerford HospitalPart V, Section B, Line 6a: For this community health assessment, Charlotte Hungerford Hospital collaborated with the following Hartford Healthcare hospitals: Backus Hospital, Hartford Hospital, Hospital of Central Connecticut, MidState Medical Center, Natchaug Hospital, 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.Part V, Section B, Line 7a;https://charlottehungerford.org/community-health-needs-assessment
The Charlotte Hungerford HospitalPart 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.
The Charlotte Hungerford HospitalPart 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 Charlotte Hungerford Hospital are:*Mental health status in Torrington and for racial and ethnic minorities across the Charlotte Hungerford HSA and the state:- Above average age-adjusted suicide rate- Impacts of the COVID-19 pandemic on mental health of children and adults*Social Determinants of Health, which are most problematic for racial and ethnic minorities, including:- Poverty- Unemployment- Levels of educational achievement- Access to affordable housing- Food insecurity in Torrington *Transportation challenges, particularly for low-income, rural, and elderly populations*Health disparities and outcomes for low-income, Black, Hispanic (or Latino), migrant and undocumented worker, and immigrant populations:*Mental health status in Torrington and for racial and ethnic minorities across the Charlotte Hungerford HSA and the state:- Above average age-adjusted suicide rate- Impacts of the COVID-19 pandemic on mental health of children and adults*Social Determinants of Health, which are most problematic for racial and ethnic minorities, including:- Poverty- Unemployment- Levels of educational achievement- Access to affordable housing- Food insecurity in Torrington*Transportation challenges, particularly for low-income, rural, and elderly populations*Health disparities and outcomes for low-income, Black, Hispanic (or Latino), migrant and undocumented worker, and immigrant populations:- Systemic racism and a lack of trust in the healthcare system among minority populations- Language barriers- The cost of health services and gaps in health insurance coverage (particularly for Latino populations)- A comparatively high Black maternal mortality rate in Connecticut*Comparatively few primary care physicians, dentists, and mental health professionals per-capita in Litchfield County*Substance abuse (particularly opioids including fentanyl)*Comparatively high rates of smoking in Torrington area*In Torrington, a comparatively percentage of women who receive late or no prenatal care*Comparatively high prevalence of obesity in Torrington and in Litchfield County*The COVID-19 pandemic, which has caused virus-related illness and death, increased isolation and mental health problems, and economic challengesThis CHIP is organized across four focus areas that are intended to address root causes of community health issues while recognizing where the Northwest 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 osteoporosisRationale for Action ;*Comparatively high prevalence of obesity in Litchfield County*Comparatively high rates of smoking in Torrington*One of the most problematic Social Determinant of Health is Food Insecurity , especially for minorities in Torrington*Area residents more frequently reported heavy drinking and current smoking vs. state residentsCHIP addressed this need in the following manner: *Increase participation in evidence-based tobacco cessation treatments *Promote the Habits, Activities and Principles of 5210 *Improve access to healthy foods (population-based initiatives)*Promote Oral Health as part of Overall Health2. Improve Access to Care by addressing Health Equity, Social Determinants of Health, and Care Coordination:There are many factors that shape and confine health outcomes including obstacles related to accessing care and services, awareness of available resources, and tracking patients as they move to and from points of care. More systemically, racial and economic inequities and other unfavorable environmental conditions provide powerful influencers in limiting individuals and communities from reaching their health potential. Rationale for Action; *Thirty-two percent of the Charlotte Hungerford HSA's households are cost-burdened, meaning they spend at least 30 percent of their total income on housing costs.*In the Charlotte Hungerford HSA, 3,013 residents, or 3 percent of the population age 5 and older, are linguistically isolated and qualitatively systemic racism and a lack of trust in the healthcare system among minorities was cited. *Throughout the state, people of color face greater rates and earlier onset of many chronic diseases and risk factors, particularly those that are linked to socioeconomic status and access to resources. For example - Diabetes is much more common among older adults than younger ones, yet middle-aged Black adults in Connecticut have higher diabetes rates than white seniors.- Black residents ages 13 and up were more than 10 times more likely to be diagnosed with HIV than white residents.*Comparatively high percentage of women who receive late or no prenatal care*Comparatively fewer primary care physicians and dentists per-capita in Litchfield County*Comparatively high Black maternal mortality rate in CTCHIP addressed this need in the following manner: *Assure Equitable access to Vaccines*Expand SDOH Screening and Utilization of Connections that Matter *Provide for Health Clinics and Health Fairs throughout service area and in partnership with others*Promote Health Education Opportunities*Integrate DEIB work and activities with community members*Increase direct involvement of HHC Leadership in Community Boards/Commissions and activities*Assess and plan for gaps in timely and convenient transportation *Provider Recruitment*Assure adequacy and sufficiency of Medical Interpretation options for patients/consumers*Nurture role of Community Health Alliance and ensure they are meaningfully engaged and all sectors are represented and partnering*Improve access to healthy foods (target population-based initiatives)*Improve access to prenatal care and address any known inequities to the service3. 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;*68.2% of deaths in NW related to chronic disease vs. 61.2% in CT*6.9% COPD in NW with mortality rate of 33.6% vs. 5.5% and 15.9% respectively in state overall*ED visit rates for selected diagnoses show rates for heart disease and stroke were higher in Litchfield County vs. state overallCHIP addressed this need in the following manner:*Provide Support Groups with resources to assure they are optimally functioning*Increase Participation in Chronic Disease Management Programs4. 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*Above average age-adjusted suicide rate in Torrington*Qualitative concerns expressed about the impacts of COVID-19 on mental health of adults and children and substance use disorders, particularly opioids including fentanyl *Comparatively fewer mental health professionals per-capita in Litchfield CountyCHIP addressed this need in the following manner: *Assure the adequacy and sufficiency of Harm Reduction activities*Establish and develop Community Care Team in the NW Region*MAT Provider education and network development*Support for Recovery Coach and CCAR referrals*Community and Mobile Service DevelopmentAll needs identified in the CHNA are currently being addressed.
The Charlotte Hungerford HospitalPart 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.
The Charlotte Hungerford HospitalPart V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Section B, Line 16a: FAP Website:https://charlottehungerford.org/patients-visitors/billing-insurance/financial-assistance-billingPart V, Section B, Line 16b: FAP Application Website:https://charlottehungerford.org/patients-visitors/billing-insurance/financial-assistance-billingPart V, Section B, Line 16c: FAP Plain Language Summary:https://charlottehungerford.org/patients-visitors/billing-insurance/financial-assistance-billing
The Charlotte Hungerford HospitalPart V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy.
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - The Hungerford Center
780 Litchfield StreetTorringtonCT06790Cardiac and Pulmonary Rehab Serices
2 - The Center for Cancer Care
200 Kennedy DriveTorringtonCT06790Cancer Treatment Center
3 - Hungerford Diagnostic Center
220 Kennedy DriveTorringtonCT06790Radiology Services
4 - The Center for Youth and Families
50 Litchfield StreetTorringtonCT06790Psych Services for Children and Families
5 - Winsted Behavioral Health Center
294 Main StreetTorringtonCT06790Psych Services
6 - Surgical Associates of CHH
538 Litchfield StreetTorringtonCT06790Surgical Physicians Practice
7 - Neurology PBC
780 Litchfield StreetTorringtonCT06790Neurology Physcians Practice
8 - CHH Cardiovascular Medicine Service
1215 New Litchfield StreetTorringtonCT06790Cardiovascular Physicians Practice
9 - CHH Wound Care and Hyperbaric Medicine
7 Felicity LaneTorringtonCT06790Wound Care Physicians Practice
10 - CHH Urology Medicine
538 Litchfield StreetTorringtonCT06790Adult and Pediatric Urology Physicians Practice
11 - Hungerford Emergency and Medical Care
115 Spencer StreetWinstedCT06098Emergency Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The Charlotte Hungerford 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 Connecticut 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:Charlotte Hungerford 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:The Charlotte Hungerford Hospital uses Emergency Room data to track increases in medical conditions such as falls, flu, drug overdoses, etc. Periodically information is surveyed to determine additional patients needs. Information is also tracked from other entities such as local area non-profits, government agencies and public schools.
Part VI, Line 3:Charlotte Hungerford Hospital provides information about its Financial Assistance Policy as follows: (i) 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; (ii) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail; (iii) 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; (iv) 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; (v) 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 Charlotte Hungerford HSA is 99,685, including 7,039 residents (7%) who are foreign-born. 12% of the Charlotte Hungerford HSA's residents are people of color.19% of Charlotte Hungerford HSA's residents are children under age 18, and 20 percent 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 Charlotte Hungerford HSA, 32% of Black and Latino residents are children, compared to 17% 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 Charlotte Hungerford HSA, 3,013 residents, or 3% 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.
Part VI, Line 5:The mission of Charlotte Hungerford Hospital is to improve the health and healing of the people and communities we serve. Charlotte Hungerford Hospital is committed and focused on efforts to promote health and wellness.Majority of Charlotte Hungerford Hospital's regional governing board is comprised of persons who either reside or work in its primary service area, and they are neither employees nor contractors of the Hospital. Charlotte Hungerford Hospital extends medical staff privileges to all qualified physicians in its community. The Hospital has partnered with the Community Health Center to provide health services to the underserved in the community. In addition, the Hospital participates in Community Vision to improve community health and well-being.The Hospital has contracted to use the services of an organization to assist its patients in determining eligibility and applying for state and federal means-tested programs, as well as for the Hospital's Financial Assistance Program. Additionally, Charlotte Hungerford Hospital provides medical care regardless of patient's ability to pay for services.Charlotte Hungerford Hospital provides specialized services not available at other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O.
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 The Charlotte Hungerford 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 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 StatesCT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
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
Daniel McIntyre
Director, CEO & President$0$508,128$0$241,502$0$102,012$0$19,950$0$72,217$0$943,809$0$0
Mark Prete
Former VP, Medical Affairs$0$479,038$0$180,845$0$5,940$0$77,258$0$32,485$0$775,566$0$0
Paul Scalise MD
VP, Medical Affairs$0$392,703$0$128,830$0$5,615$0$19,950$0$47,104$0$594,202$0$0
Sami El Hamwi MD
Physician$488,688$0$28,317$0$179$0$19,950$0$28,396$0$565,530$0$0$0
Richard Krinsky MD
Physician$381,224$0$78,295$0$1,032$0$19,950$0$46,850$0$527,351$0$0$0
Susan Schapp
VP, Finance$0$306,293$0$106,686$0$2,992$0$19,950$0$42,110$0$478,031$0$0
Lisa Diamond MD
Dir. Behavioral Health$387,256$0$37,560$0$1,584$0$19,950$0$25,139$0$471,489$0$0$0
John Capobianco
VP, OP Services$0$263,843$0$102,106$0$2,580$0$19,950$0$48,352$0$436,831$0$0
Misbahul Hafeez Siddiqi MD
Physician$323,666$0$21,356$0$211$0$19,950$0$55,807$0$420,990$0$0$0
Clifford Kye MD
Physician$335,264$0$10,600$0$183$0$19,950$0$39,027$0$405,024$0$0$0
Brian Mattiello
Former VP, HR$0$234,339$0$83,069$0$2,274$0$19,950$0$45,575$0$385,207$0$0
Teresa Calendrillo-Fuller
VP, Patient Care$0$170,226$0$53,026$0$365$0$15,096$0$39,518$0$278,231$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of The Charlotte Hungerford Hospital 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-bHartford 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 Payouts were made on behalf of the following individuals: Margaret Marchak $18,671 Daniel McIntyre $21,003* *For this individual, 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 7Hartford 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMaria CapobiancoPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSee Part VRelationshipDescriptionTxt
Transaction$85,237TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSch L, Part V, Business Transactions Involving Interested PersonsFormAndLineReferenceDesc
ExplanationMR John Capobianco is a Key Employee of Charlotte Hungerford Hospital (CHH). His wife, Maria is an employee of CHH. For calendar year 2020, Maria's compensation from CHH totalled $85,237.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The Charlotte Hungerford 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 7aThe sole member of the organization has the authority to approve/remove members of the governing body.
Form 990, Part VI, Section A, line 7bThe 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 11bThe 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 12cThe 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 15The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of the Charlotte Hungerford Hospital, 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 the Charlotte Hungerford Hospital, 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 18The Hospital's Form 990, 990T, Form 1023 and its attachments are available upon request.
Form 990, Part VI, Section C, line 19The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Hospital's address.
Form 990, Part IX, line 11gMedical Professional Fees: Program service expenses 20,888,617. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,888,617.
Form 990, Part XI, line 9:Change in Pension and Post-Retirement Funding Obligation 21,985,118. Transfer to Affiliated Entity 420,909. Net Unrestricted Other Changes in Joint Ventures -611,940. Other Investment (JV) -961,705. Adjustment for additional amount from prior yesr's Auxiliary 35,463.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Backus HealthCare Inc
326 Washington StreetNorwichCT06360222481794Supporting OrganizationCT501(c)(3)12 (a)Hartford HealthCare CorporationYes (1)
Connecticut Health System Inc
80 Seymour StreetHartfordCT06102222779421Coordination of Health Care DeliveryCT501(c)(3)12 (c)Hartford HealthCare CorporationYes (1)
Hartford HealthCare ACO Inc
1290 Silas Deane Hwy 2nd FloorWethersfieldCT06109460886367Government ContractsCT501(c)(3)7Hartford HealthCare Medical Group IncYes (1)
Hartford HealthCare at Home Inc
1290 Silas Deane Hwy Suite 4BWethersfieldCT06109060646938Home HealthcareCT501(c)(3)10Hartford HealthCare CorporationYes (1)
Hartford HealthCare Corporation
One State Street Suite 19HartfordCT06102222672834Support & Management Svcs. To HH and AffiliatesCT501(c)(3)12 (c)0N/A
Hartford HealthCare Endowment LLC
80 Seymour StreetHartfordCT06102454181103Investment ManagementCT501(c)(3)12 (a)Hartford HealthCare CorporationYes (1)
Hartford HealthCare Independence at Home Inc
1290 Silas Deane Hwy Suite 4BWethersfieldCT06109061161422Home HealthcareCT501(c)(3)10Hartford HealthCare at Home IncYes (1)
Hartford Healthcare Medical Group Specialists PLLC
1290 Silas Deane Highway 2nd FloorWethersfieldCT06109371911194Medical ServicesCT501(c)(3)10Hartford HealthCare Medical Group IncYes (1)
Hartford HealthCare Medical Group Inc
1290 Silas Deane Highway 2nd FloorWethersfieldCT06109454456939Medical ServicesCT501(c)(3)10Hartford HealthCare CorporationYes (1)
Hartford HealthCare Senior Services Inc
45 Meriden AvenueSouthingtonCT06489222635676Sub-Acute & Long Term HealthcareCT501(c)(3)10Hartford HealthCare CorporationYes (1)
Hartford Hospital
80 Seymour Street PO Box 5037HartfordCT06102060646668Healthcare ServicesCT501(c)(3)3Hartford HealthCare CorporationYes (1)
Hartford Hospital Auxiliary co Hartford Hospital
80 Seymour StreetHartfordCT06102066040747FundraisingCT501(c)(3)10Hartford HospitalYes (1)
Midstate Medical Center
435 Lewis AvenueMeridenCT06451060646715Healthcare ServicesCT501(c)(3)3Hartford HealthCare CorporationYes (1)
Midstate Medical Center Auxiliary
435 Lewis AvenueMeridenCT06451066063082FundraisingCT501(c)(3)12 (a)Midstate Medical CenterYes (1)
Mulberry Gardens of Southington LLC
58 Mulberry StreetPlantsvilleCT06479820586577Assisted Living & Adult Day Care FacilityCT501(c)(3)10Hartford HealthCare Senior Services IncYes (1)
Natchaug Hospital Inc
189 Storrs RoadMansfield CenterCT06226060966963Behavioral HealthCT501(c)(3)3Hartford HealthCare CorporationYes (1)
Rushford Center Inc
883 Paddock AvenueMeridenCT06450060932875Substance Abuse Healthcare ServicesCT501(c)(3)7Hartford HealthCare CorporationYes (1)
Rushford Foundation Inc
883 Paddock AvenueMeridenCT06450061432692Supporting OrganizationCT501(c)(3)12 (a)Rushford Center IncYes (1)
St Vincent's Development Inc
95 Merritt BoulevardTrumbullCT06611222554128Holding CompanyCT501(c)(25)St Vincent's Health Services CorpYes (1)
St Vincent's Health Services Corp
2800 Main StreetBridgeportCT06606222558134Supporting OrganizationCT501(c)(3)12 (a)SVMC Holdings Inc dba St Vincent's Medical CenterYes (1)
St Vincent's Multispecialty Group Inc
2800 Main StreetBridgeportCT06606800458769Healthcare ServicesCT501(c)(3)12 (a)SVMC Holdings Inc dba St Vincent's Medical CenterYes (1)
St Vincent's Medical Center Foundation Inc
2800 Main StreetBridgeportCT06606222558132FundraisingCT501(c)(3)7SVMC Holdings Inc dba St Vincent's Medical CenterYes (1)
St Vincent's Special Needs Center Inc
95 Merritt BoulevardTrumbullCT06611060702617Residential Services for HandicappedCT501(c)(3)10St Vincent's Health Services CorpYes (1)
SVMC Holdings Inc dba St Vincent's Medical Center
2800 Main StreetBridgeportCT06606832550272HospitalCT501(c)(3)3Hartford HealthCare CorporationYes (1)
The Hospital of Central CT and Bradley Memorial
100 Grand StreetNew BritianCT06052060646768Healthcare ServicesCT501(c)(3)3Hartford HealthCare CorporationYes (1)
The Orchards of Southington
34 Hobart StreetSouthingtonCT06489061490803Residential Services for Senior CitizensCT501(c)(3)10Hartford HealthCare Senior Services IncYes (1)
The William W Backus Hospital
326 Washington StreetNorwichCT06360060250773HospitalCT501(c)(3)3Hartford HealthCare CorporationYes (1)
WCMH Women's Auxiliary Inc
112 Mansfield AvenueWillimanticCT06226060677728FundraisingCT501(c)(3)12 (a)Windham Community Memorial HospitalYes (1)
Windham Community Memorial Hospital
112 Mansfield AvenueWillimanticCT06226060646966Healthcare ServicesCT501(c)(3)3Hartford HealthCare CorporationYes (1)
Windham Hospital Foundation Inc
112 Mansfield AvenueWillimanticCT06226562546632Supporting OrganizationCT501(c)(3)12 (a)Windham Community Memorial HospitalYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
Advanced Medical Imaging of NW CT LLC
57 Commercial BlvdTorringtonCT06790061594854Magnetic Resonance ImagingCTThe Charlotte Hungerford HospitalRelated$232,141$221,545000.50000
Ambulance Service of Manchester LLC
PO Box 300ManchesterCT06450061557358Ambulatory ServiceCT00N/A
Central Connecticut Endoscopy Center
440 New Britain AvenuePlainvilleCT06062141855010Endoscopy SvcsCT00N/A
Connecticut Imaging Partners LLC
c/o Jefferson Radiology 1500 ConcorSunriseFL33323134298940Imaging ServicesCT00N/A
Connecticut Orthopaedic Surgery Center LLC
205 Sub WayMilfordCT06461134298940Surgery SvcsCT00N/A
Connecticut Proton Therapy Center LLC
789 Howard Ave Suite CB 230New HavenCT06519Proton Therapy ServicesCT00N/A
Constitution Surgery Center East LLC
174 Cross RoadWaterfordCT06385061574704Surgery SvcsCT00N/A
CT GI Endoscopy Center LLC ( Bloomfield)
4 Northwestern DriveBloomfieldCT06002061573358GI ServicesCT00N/A
Glastonbury Endoscopy Center LLC
300 Western Blvd Suite BGlastonburyCT06033261721234Endoscopy SvcsCT00N/A
Glastonbury Surgery Center LLC
195 Eastern BoulevardGlastonburyCT06033262600828Surgery SvcsCT00N/A
Hartford-Middlesex Clinical System LLC
80 Seymour StreetHartfordCT06110061543605Affiliate Support ServicesCT00N/A
HHC Hartford Surgery Center LLC
100 Avon Meadow LaneAvonCT06001812637261Surgery SvcsCT00N/A
HHC Southington Surgery Center LLC
100 Avon Meadow LaneAvonCT06001465500829Surgery SvcsCT00N/A
HHC Southington Surgery Center LLC
100 Avon Meadow LaneAvonCT06001465500829Surgery SvcsCT00N/A
Hartford HealthCare-GoHealth Urgent Care LLC
5555 Glenridge Connector Suite 700AtlantaGA30342815112698Urgent Care ServicesDE00N/A
Med East Assoc LLC
1703 West Main StreetWillimanticCT06226061469575Outpatient Care ClinicCT00N/A
MedConn Collection Agency
2049 Silas Deane Highway Suite 305Rocky HillCT06067061408854Collections ServicesCTThe Charlotte Hungerford HospitalRelated-$6,293$9,481000.33330
New Britain MRI Limited Partnership
100 Grand StreetNew BritainCT06050061271349Magnetic resonance imagingCT00N/A
Rocky Hill Surgery Center LLC
1111 Cromwell Avenue Building 1Rocky HillCT06067833096156Surgery SvcsCT00N/A
The Endoscopy Center of Northwest Connecticut LLC
245 Alvord Park RoadTorringtonCT06790061609993Endoscopy SvcsCTThe Charlotte Hungerford HospitalRelated$722,482$215,997000.51000
Wallingford Endoscopy Center LLC
863 North Main Street Ext Suite 300WallingfordCT06492824601730Endoscopy SvcsCT00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Aetna Ambulance Service Inc
PO Box 1150ManchesterCT06045060795431Ambulance ServicesCTN/AC0
Backus Medical Center Condo Assoc Inc
330 Washington StreetNorwichCT06360061542647Condo AssociationCTN/AC0
CenConn Services Inc
100 Grand StreetNew BritainCT06050222836001Billing ServicesCTN/AC0
ConnCare Inc
326 Washington StreetNorwichCT06360061387598Health Care ServicesCTN/AC0
HHMOB Corporation
80 Seymour Street PO Box 5037HartfordCT06102061140244Real Estate & ParkingCTN/AC0
Hartford HealthCare Indemnity Services Ltd
Captive InsuranceN/AC0FB Perry Bld 40 Church StreetHamiltonBDBD
Hartford Physician Services PC
80 Seymour StreetHartfordCT06102061254082Medical ServicesCTN/AC0
Litchfield County Healthcare Service Corporation
540 Litchfield StreetTorringtonCT06790061227655Management ServicesCTN/AC0
Meriden Imaging Center Inc
101 North Plains Industrial RoadMeridenCT06429061541468ImagingCTN/AS0
Metro Wheelchair Service Inc
PO Box 300ManchesterCT06045060878432Wheelchair ServicesCTN/AC0
Midstate Medical Group PC
435 Lewis AvenueMeridenCT06450204327968Medical ServicesCTN/AC0
The Cancer Care Fund Of The Litchfield Hills Inc
200 Kennedy DriveTorringtonCT06790510474072Cancer Care FundCTN/AC0
Windham Professional Office Condo Assoc
112 Mansfield AvenueWillimanticCT06226061090041Condo AssociationCTN/AC0
WWB Corporation
326 Washington StreetNorwichCT06360061094838Holding CompanyCTN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Hartford Hospital
O$170,847FMV
Hartford Hospital
P$357,506FMV
Hartford Hospital
R$134,729FMV
Hartford Hospital
S$1,671,917FMV
Hartford Hospital
Q$69,341FMV
Hartford Hospital
M$133,074FMV
HHC Medical Group Inc
A$342,702FMV
HHC Medical Group Inc
O$111,723FMV
HHCMG Specialists PLLC
A$226,564FMV
HHCMG Specialists PLLC
O$18,398,358FMV
HHCMG Specialists PLLC
R$66,228FMV
HHCMG Specialists PLLC
S$15,053,039FMV
St Vincent's Medical Center
R$716,436FMV
St Vincent's Medical Center
S$716,160FMV
Hospital of Central Connecticut
Q$70,365FMV
Hospital of Central Connecticut
S$93,444FMV
Hospital of Central Connecticut
R$1,702,342FMV
Natchaug Hospital
O$58,503FMV
Natchaug Hospital
M$68,920FMV