CHARLOTTE HUNGERFORD HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CHARLOTTE HUNGERFORD HOSPITAL (EIN 06-0646678)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202132249349301518
- Schema version
- 2019v5.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-12T10:06:19-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64106 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646678 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Charlotte Hungerford Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAR | BusinessNameControlTxt |
| Phone | 8604966728 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 540 Litchfield Street PO Box 988 | AddressLine1Txt |
| City | Torrington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 067900988 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Susan M Schapp | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 8604966728 | PhoneNum |
| Signature | 2021-08-12 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mike Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Susan Schapp | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 540 Litchfield Street PO Box 988 | AddressLine1Txt |
| City | Torrington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 067900988 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $166,278,758 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.charlottehungerford.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1917 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | To provide quality, compassionate and cost effective healthcare to the community of Northwestern Connecticut. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1284 | TotalEmployeeCnt |
| Total Volunteers | 149 | TotalVolunteersCnt |
| Total Gross UBI | $1,087,034 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $186,145 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,387,597 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $145,811,441 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $151,651,163 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,370,163 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,877,212 | CYInvestmentIncomeAmt |
| PY Other Revenue | $341,574 | PYOtherRevenueAmt |
| CY Other Revenue | $520,984 | CYOtherRevenueAmt |
| PY Total Revenue | $149,709,323 | PYTotalRevenueAmt |
| CY Total Revenue | $165,436,956 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $115,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $17,512 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $77,515,100 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $95,187,443 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $534,440 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,384,472 | PYOtherExpensesAmt |
| CY Other Expenses | $75,198,180 | CYOtherExpensesAmt |
| PY Total Expenses | $152,014,572 | PYTotalExpensesAmt |
| CY Total Expenses | $170,403,135 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,305,249 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,966,179 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $160,578,818 | TotalAssetsBOYAmt |
| Total Assets EOY | $188,994,381 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $69,392,921 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $105,195,621 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $91,185,897 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $83,798,760 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To improve the health and healing of the people and communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,998,400 | ExpenseAmt |
| Revenue | $13,375,342 | RevenueAmt |
| Desc | Charlotte 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 FY20, CHH provided behavioral health services to 19,971 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,477,525 | ExpenseAmt |
| Revenue | $11,975,078 | RevenueAmt |
| Desc | Our 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 FY20, CHH provided services to 7,948 patients. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,134,393 | ExpenseAmt |
| Revenue | $9,079,091 | RevenueAmt |
| Desc | Charlotte Hungerford Hospital offers among the most comprehensive orthopedic services available at a community hospital in Connecticut. From highly skilled, Board certified orthopedists and orthopedic specialists to advanced surgical Technologists, Northwest Connecticut residents have an alternative to urban hospitals for the diagnosis, treatment and rehabilitation of bone and joint injuries, diseases and age-related conditions at one of the best orthopedic hospitals in the world. Orthopedic patients at the hospital's orthopedic department can feel reassured they are receiving high quality care and personal attention in the accessible, welcoming environment that a community hospital provides.The orthopedists affiliated with CHH's orthopedic practice provide expert diagnosis, treatment and rehabilitation for adults and children with a wide range of bone, joint and connective tissue diseases, conditions and injuries associated with the musculoskeletal system. CHH use the most up-to-date diagnostic technology and procedures as well as the most innovative minimally-invasive surgical techniques. From arthroscopic surgery to joint fusion and total joint replacement, innovative surgical advancements are used at the hospital's orthopedic department. All of the hospital's orthopedic department orthopedists are Board-certified and have been educated and trained at some of the finest schools and institutions in the country, including Columbia, Duke, Howard and Georgetown universities, Hospital for Special Surgery in New York City, Beth Israel Hospital in Boston and New York University Hospital for Joint Diseases. They have taught at other universities such as Dartmouth and, published in highly respected medical journals on their research. Several of them have been chosen as the Best Orthopedists and orthopedic specialists in Connecticut by their peers.Residents in Northwest Connecticut have easy access to highly trained and educated orthopedic professionals who have received sub-specialty training in foot and ankle, spine, hand, upper extremities, shoulder, elbow and sports medicine. CHH's orthopedic practice provided services to 9,190 patients during FY20. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $122,219,895 | ExpenseAmt |
| Grant | $17,512 | GrantAmt |
| Revenue | $116,325,869 | RevenueAmt |
| Desc | Charlotte Hungerford Hospital is a 109-plus bed, acute care facility serving the regional health care needs of thirty towns in northwest Connecticut. There's something special about Charlotte Hungerford Hospital. In partnership with Hartford HealthCare, Charlotte Hungerford is providing more expertise and more access to residents across its service area. The Charlotte Hungerford Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping with the commitment to serve all members of the community, the Hospital offers the following programs: Free and/or Discounted Care; Care covered by Governmental Programs at below cost; & Health Activities and Programs that support the community. These activities will be considered when the need arises or as individual(s) are unable to pay. These programs may include: but are not limited to, wellness programs; community education programs; specialized programs for the elderly & handicapped; medically underserved; and variety of other broad community support activities.Today, CHH offers a comprehensive range of inpatient and outpatient services including general medicine and surgery, maternity and pediatrics, radiology, obstetrics, cardiology, urology, Orthopedics, and behavioral health. The Hospital is a not-for-profit organization, member of the American Hospital Association and the Connecticut Hospital Association, and accredited by the Joint Commission on Accreditation of Healthcare Organizations and by the American College of American Pathologists. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $122,219,895 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $17,512 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $116,325,869 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $158,830,213 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 99 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1284 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Susan M Schapp | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8604966728 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 540 Litchfield Street PO Box 988 | AddressLine1Txt |
| City | Torrington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 067900988 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Margaret Marchak | ||||||||||
| Secretary (Thru 6/2020) | 3.00 | 60.00 | Yes (X) | $0 | $850,753 | $77,083 | ||||
| Daniel McIntyre | ||||||||||
| Director, CEO & President | 60.00 | Yes (X) | $0 | $832,375 | $82,454 | Yes (X) | ||||
| Timothy Gostkowski MD | ||||||||||
| Physician | 60.00 | $733,759 | $0 | $27,257 | Yes (X) | |||||
| William McGeehin MD | ||||||||||
| Physician | 60.00 | $627,294 | $0 | $20,256 | Yes (X) | |||||
| Paul Scalise MD | ||||||||||
| VP, Medical Affairs | 60.00 | $0 | $505,845 | $66,984 | Yes (X) | |||||
| Mark Prete | ||||||||||
| Former VP, Medical Affairs | 0.00 | 60.00 | $0 | $528,976 | $42,270 | Yes (X) | ||||
| Yin F Hung MD | ||||||||||
| Physician | 60.00 | $545,058 | $0 | $23,143 | Yes (X) | |||||
| David Mack | ||||||||||
| Chief Legal Officer | 3.00 | 60.00 | Yes (X) | $0 | $470,090 | $37,908 | ||||
| Susan Schapp | ||||||||||
| VP, Finance | 60.00 | Yes (X) | $0 | $412,849 | $59,209 | |||||
| Elizabeth Whalen MD | ||||||||||
| Physician | 60.00 | $424,792 | $0 | $27,846 | Yes (X) | |||||
| John Capobianco | ||||||||||
| VP, OP Services | 60.00 | $0 | $374,058 | $64,898 | Yes (X) | |||||
| Brian Mattiello | ||||||||||
| Former VP, Human Resources | 0.00 | 60.00 | $0 | $314,554 | $63,908 | Yes (X) | ||||
| Clifford Kye MD | ||||||||||
| Physician | 40.00 | 20.00 | $238,220 | $88,967 | $43,277 | Yes (X) | ||||
| Teresa Calendrillo-Fuller | ||||||||||
| VP, Patient Care | 60.00 | $0 | $222,601 | $36,449 | Yes (X) | |||||
| Edward Arum | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Frank Buonocore Jr | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Gladys Cerruto | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Richard Dutton MD | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Stephanie Fowler MD | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Jamie Gregg | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| John Janco | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| John Lavieri | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Diane Libby | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Douglas O'Connell | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| James O'Leary | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Terrence Ryan MD | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Maria Countant Skinner | ||||||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Jeffrey Borghesi | ||||||||||
| Chair | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Edwin G Booth Jr | ||||||||||
| Vice Chair | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,569,123 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,601,068 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $672,942 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Quest Diagnostics LLC CT | |||||
| PO Box 844217 | Boston | MA | 02284 | Medical Services | $1,204,410 |
| Medical Solutions LLC | |||||
| PO Box 310737 | Des Moines | IA | 50331 | Staffing Services | $885,771 |
| Morrison Management SP Inc Acute Care | |||||
| 400 Northbridge Road | Sandy Springs | GA | 30350 | Food Services | $591,351 |
| Crothall HealthCare Inc (EVS Portion) | |||||
| 1500 Liberty Ridge Drive Ste 210 | Wayne | PA | 19087 | Transportation Services | $528,163 |
| Locumtenens Holdings LLC | |||||
| PO Box 405547 | Atlanta | GA | 30384 | Staffing Services | $498,462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,515,587 | GovernmentGrantsAmt |
| All Other Contributions | $872,010 | AllOtherContributionsAmt |
| Noncash Contributions | $32,047 | NoncashContributionsAmt |
| Total Contributions | $3,387,597 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Revenue | 900099 | $150,618,400 | $150,618,400 | |
| Laboratory Services | 621500 | $895,783 | $895,783 | |
| Income from JVs | 900003 | $136,980 | $136,980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $151,651,163 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,099,188 | TotalRevenueColumnAmt |
| Exclusion | $3,099,188 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $860,273 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $837,558 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,715 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,715 | TotalRevenueColumnAmt |
| Exclusion | $22,715 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $824,692 | SecuritiesAmt |
| Other | $5,957,576 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $4,244 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $824,692 | SecuritiesAmt |
| Other | $5,953,332 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,778,024 | TotalRevenueColumnAmt |
| Exclusion | $6,778,024 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Gain - Equity Method | 900001 | $307,018 | $307,018 | |
| MedConn | 561499 | $191,251 | $191,251 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $498,269 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,436,956 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $150,755,380 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,087,034 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,206,945 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,512 | TotalAmt |
| Program Services | $17,512 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,089,852 | TotalAmt |
| Program Services | $75,340,556 | ProgramServicesAmt |
| Management And General | $3,410,645 | ManagementAndGeneralAmt |
| Fundraising | $338,651 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,839,145 | TotalAmt |
| Program Services | $2,704,554 | ProgramServicesAmt |
| Management And General | $122,434 | ManagementAndGeneralAmt |
| Fundraising | $12,157 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,206,569 | TotalAmt |
| Program Services | $8,770,127 | ProgramServicesAmt |
| Management And General | $397,021 | ManagementAndGeneralAmt |
| Fundraising | $39,421 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,051,877 | TotalAmt |
| Program Services | $3,765,056 | ProgramServicesAmt |
| Management And General | $260,914 | ManagementAndGeneralAmt |
| Fundraising | $25,907 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,721 | TotalAmt |
| Management And General | $27,721 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,350 | TotalAmt |
| Management And General | $3,350 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,161 | TotalAmt |
| Management And General | $10,161 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,335 | TotalAmt |
| Management And General | $37,335 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,698,211 | TotalAmt |
| Program Services | $21,698,211 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,267 | TotalAmt |
| Program Services | $50 | ProgramServicesAmt |
| Management And General | $63,217 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,190,253 | TotalAmt |
| Program Services | $1,500,838 | ProgramServicesAmt |
| Management And General | $689,415 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $571,859 | TotalAmt |
| Program Services | $571,859 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,422,042 | TotalAmt |
| Program Services | $2,918,051 | ProgramServicesAmt |
| Management And General | $503,991 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,815 | TotalAmt |
| Program Services | $45,869 | ProgramServicesAmt |
| Management And General | $8,946 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,370 | TotalAmt |
| Program Services | $55,570 | ProgramServicesAmt |
| Management And General | $16,800 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,056 | TotalAmt |
| Program Services | $115,975 | ProgramServicesAmt |
| Management And General | $71,081 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,369,170 | TotalAmt |
| Program Services | $560,542 | ProgramServicesAmt |
| Management And General | $808,628 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,857,082 | TotalAmt |
| Program Services | $6,904,449 | ProgramServicesAmt |
| Management And General | $952,633 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,035,339 | TotalAmt |
| Program Services | $2,996,987 | ProgramServicesAmt |
| Management And General | $38,352 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $16,013,219 | $16,013,219 | |
| Hospital Provider Fee | $8,331,193 | $8,331,193 | |
| Purchased Services | $6,097,769 | $3,625,868 | $2,471,901 |
| Repairs Maintenance | $3,726,604 | $2,668,515 | $1,058,089 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,364 | TotalAmt |
| Program Services | $225,212 | ProgramServicesAmt |
| Management And General | $85,848 | ManagementAndGeneralAmt |
| Fundraising | $118,304 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,403,135 | TotalAmt |
| Program Services | $158,830,213 | ProgramServicesAmt |
| Management And General | $11,038,482 | ManagementAndGeneralAmt |
| Fundraising | $534,440 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,633 | BOYAmt |
| EOY | $52,165 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,100,294 | BOYAmt |
| EOY | $16,566,740 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,303,485 | BOYAmt |
| EOY | $13,918,340 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,244,043 | BOYAmt |
| EOY | $3,055,731 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,879 | BOYAmt |
| EOY | $614,760 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,064,139 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $125,344,076 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,951,349 | BOYAmt |
| EOY | $53,720,063 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,446,186 | BOYAmt |
| EOY | $2,540,455 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,726,310 | BOYAmt |
| EOY | $74,232,394 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,361,639 | BOYAmt |
| EOY | $24,293,733 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,578,818 | BOYAmt |
| EOY | $188,994,381 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,735,765 | BOYAmt |
| EOY | $12,724,177 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,628 | BOYAmt |
| EOY | $219,073 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,605,179 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,972,349 | BOYAmt |
| EOY | $92,252,371 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,392,921 | BOYAmt |
| EOY | $105,195,621 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,346,708 | BOYAmt |
| EOY | $50,024,658 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,839,189 | BOYAmt |
| EOY | $33,774,102 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,185,897 | BOYAmt |
| EOY | $83,798,760 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,578,818 | BOYAmt |
| EOY | $188,994,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,966,179 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,278,209 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,699,167 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,161 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,161 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Charlotte Hungerford Hospital paid annual dues 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 FY20 was $10,161. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $44,892,000 | BeginningYearBalanceAmt |
| Contributions | $16,632,000 | ContributionsAmt |
| Investment Earnings Or Losses | $4,574,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$7,211,000 | OtherExpendituresAmt |
| End Year Balance | $58,887,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,715,824 | BeginningYearBalanceAmt |
| Contributions | $9,470,172 | ContributionsAmt |
| Investment Earnings Or Losses | -$59,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $235,000 | OtherExpendituresAmt |
| End Year Balance | $44,892,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $28,374,011 | BeginningYearBalanceAmt |
| Contributions | $4,127,143 | ContributionsAmt |
| Investment Earnings Or Losses | $3,840,950 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $619,821 | OtherExpendituresAmt |
| Administrative Expenses | $6,459 | AdministrativeExpensesAmt |
| End Year Balance | $35,715,824 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,064,717 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,624,213 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $314,919 | OtherExpendituresAmt |
| End Year Balance | $28,374,011 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,396,887 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,839,701 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,171,871 | OtherExpendituresAmt |
| End Year Balance | $24,064,717 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.61370 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.33740 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.04890 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,560,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,560,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,997,889 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,768,398 | DepreciationAmt |
| Book Value | $31,229,491 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,128,147 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,729,388 | DepreciationAmt |
| Book Value | $2,398,759 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,441,189 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,846,290 | DepreciationAmt |
| Book Value | $14,594,899 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,936,914 | OtherCostOrOtherBasisAmt |
| Book Value | $1,936,914 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,720,063 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Endowment | $58,886,846 | F |
| Assets - Held in Trust by Others | $11,524,663 | F |
| Other Investments | $3,820,885 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $74,232,394 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Security Deposits | $19,595 |
| Patient Refunds | $216,449 |
| Other Non Current Assets | $1,732,372 |
| Other Assets | $12,263,226 |
| Due from Affiliates | $10,061,996 |
| Bond Billing | $95 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,293,733 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Post Retirement Expenses | $34,123,984 |
| Hospital Provider User Fee | $2,496,043 |
| Current Accrued Malpractice Claims | $221,418 |
| Tax Exempt Bonds/ Longterm | $9,765,870 |
| SERP Liability | $1,635,088 |
| Other Program Related Net Liabilities | $43,285,268 |
| Longterm Accrued Malpractice Claims | $724,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $92,252,371 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $695,552 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $695,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,700,413 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,397,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,302,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,395,965 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,397,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,998,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02930 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $191,137 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $191,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,980 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,000,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,000,000 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,202,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,000,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $202,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,598,550 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,397,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,200,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,656,221 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $35,446,922 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $38,584,471 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,137,549 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Charlotte Hungerford Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 540 Litchfield Street | AddressLine1Txt |
| City | Torrington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06790 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.charlottehungerford.org/ | WebsiteAddressTxt |
| State License | 0042 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Charlotte Hungerford Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Page 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Page 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Page 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| The Charlotte Hungerford Hospital | Part V, Section B, Line 5: To solicit input from key informants and individuals who have broad interest in the health of the community, the hospital performed surveys, community forums, focus groups and interviews with key informants. The key informants were selected by community leader(s) or liaison(s). Additionally, focus groups were used to identify any other resource.Focus group was conducted on February 16, 2018. Community forums, and individual key informant interviews were conducted between February and May 2018.Key informants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the overall community. They were asked to rate the degrees to which various health issues were of concern in the Northwest Region. Follow-up questions were asked to describe why they identified areas as such, and how these might be better addressed. The key informants included Physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following:Northwest Connecticut YMCAPrime Time House McCarthy Senior Center Sullivan Senior Center NWCT Community Foundation Winchester Schools Family Resource Center NWCT Chamber of Commerce Torrington Area Health District NW Hills Council of Governments NW Hills Credit Union Community Health and Wellness Center NW Connecticut Transitions Committee McCall Center for Behavioral Health NW Arts Council Litchfield Community Center Torrington Savings Bank City of Torrington Mayor's Office Brooker Memorial Visiting Nurse Services New Opportunities Waterbury NWCT Chamber of Commerce Town of Winchester Mayor's Office The NW United Way CHH Primary Care and PediatricsThe 2018 CHNA took a close look at social determinants of health such as poverty, housing, transportation, education, fresh food availability, and neighborhood safety. Social determinants of health have become a national priority for identifying and addressing health disparities, and Charlotte Hungerford Hospital is committed to addressing these disparities through the Community Health Improvement Plan that will follow this Assessment. Thru this process, input was gathered from individuals whose organizations can provide information for the following data elements:Medically Underserved AreasHealth Professional Shortage AreasDemographicsEthnicity DistributionsMedian Household IncomesHomeownership RatesPoverty MetricsUnemployment RatesEducational MetricsChildren in Poverty and Single Parent HouseholdsLinguistically Isolated PopulationsUninsured Population EstimatesClinical Provider RatiosPhysical Environment MetricsCrime RatesGeneral Health Status IndicatorsCancer Prevalence and Screening IndicatorsCardiovascular DiseaseRespiratory DiseaseDiabetesInfectious DiseasesSexually Transmitted DiseasesBirths and Prenatal CareHealth BehaviorsBenchmark Metrics (HealthyPeople 2020)Part V, Section B, Line 7a:https://charlottehungerford.org/community-health-needs-assessment |
| The Charlotte Hungerford Hospital | Part V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the hospital's website. In addition, electronic copies are available upon request.Part V, Section B, Line 10a:https://charlottehungerford.org/community-health-needs-assessment |
| The Charlotte Hungerford Hospital | Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the 2018 CHNA process, the community representatives met on May 31, 2018 to determine the health needs that will be prioritized for action. The review of the identified needs were followed by a wide ranging discussion, after which the representatives were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews, these are the top community health needs and priorities identified for the Charlotte Hungerford Hospital focus area: Greater Torrington Core Community Health Issues - include depth of poverty across the area, poor quality of older mill housing for lower-income residents, and low population density (lowest of any county in Connecticut) that contributes to areas of isolation and poor access to services. * Lack of resources compared to other Connecticut towns that get more attention: Torrington is the center of a dispersed population where there are issues with living wage and employment. Jobs are not competitive with other areas salary-wise. * Lack of broadband and poor or non-existent reception are big issues in the area and impacts ability to implement and leverage tele-health.Widespread Opioid and Substance Abuse Issues Across All Income Levels:* Limited access to treatment, including the need for timely intervention * Opioid crisis is widespread in the Northwest region. While there is not comparable data available, recent years have seen increases in opioid arrests, deaths, and treatment.Transportation Issues, Including Limited Hours and Services That Are Not Convenient to Bus Lines * Need for more in-home services for the senior population as their needs are impacted by transportation issues.* Funding, number of bus lines, hours of operation, access to providers.Access to Care: * Need for primary, specialty care, mental health services, and dental care. * Shortage of primary care physicians leads to emergency department overuse, often as a substitute for primary or urgent care, for care that could be delivered in lower cost settings.* Behavioral health wait times are long.* Designation of Litchfield County as a mental health shortage area. Access to Healthy Food, Especially for Children: * Teachers, school systems, and social services offer support for providing meals for children, but there are still not enough resources in the community. In the region, geographically Torrington and the Plymouth area scored significantly worse in physical and mental health indicators. Lack of Coordination Among and Between Providers and Community-Based Organizations Limits the Overall Effectiveness of the Programs That Are Going To Help Serve The Populations Most in Need. * Communication, education, and awareness: especially between providers * Fragmented services and too many silos * Need more community educational events as part of preventive care, including education of parents for children's health issues - Need comprehensive and dynamic asset mapping of available servicesThe results were then grouped into 4 Areas of Concern that were addressed in Community Health Improvement Plan (CHIP):1. Enhance Coordination of Services: this category includes Access to Care and Lack of Coordination Among and Between Providers and Community-Based Organizations.CHIP addressed this need in the following manner:a. Evaluate and use information exchange portal resources, linking healthcare providers with community-based organizations.b. Improve IT resources to enable community focus and better measurement of outcomes.c. Develop a playbook for infrastructure, dashboard of health, governance, and community workflows.d. Enable dynamic and up-to-date asset mapping.e. Develop innovation network for learning, research, co-creation, and rapid knowledge dissemination (bi-directional communication platform).f. Implement new or increased use of Community Health Workers (CHW).g. Evaluate and use adaptive technology (e.g., geo-fencing, GIS mapping, artificial intelligence, biometric risk assessment, Epic tie-ins.2. Promote Healthy Behaviors and Lifestyle: this category includes Food Concerns and Chronic Disease and Poor Physical and Mental Health. CHIP addresses this need in the following manner:a. Screen for healthy food need identification in community population and provide assessment at points of care.b. Enhance Promotion and Marketing, including continuing the 5-2-1-0 initiative, at schools, workplaces, public spaces, faith communities, and healthcare events.c. Provide voucher/prescription programs for fruits and vegetables.d. Promote and improve healthy food donation.e. Screen for healthy food need identification in community population and provide assessment at points of care.3. Improve Community Behavioral Health: CHIP addresses this need in the following manner: a. Embed behavioral health services in primary care.b. Recruit more mental health providers, with focus on community outpatient services (e.g., family therapists).c. Implement Recovery Coach program in ED.d. Provide more depression screening growth and at more points of care with referrals (including at public schools) and integrate into Epic.e. Further Mental Health First Aid training and grow community behavioral health training at the local level.f. Enhance services in virtual mental health, including tele-psychiatry.g. Build on tobacco prevention and cessation programs.h. Continue development of Opioid Task Force.4. Reduce the Burden of Chronic DiseaseCHIP addresses this need in the following manner:a. Congestive Heart Failure discharge programs and CHF clinic.b. Growth in diabetes programs, including Diabetes Center at CHH with specialists and prevention program at YMCA (Measurable Progress Unlimited Support Diabetes Prevention Program).c. Leverage CHW dietician (see Coordination of Services initiative).d. Case management, self-management (including access to self-measure devices or monitors), at-home programs, and support groups. |
| The Charlotte Hungerford Hospital | Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of the health care expenses. |
| The Charlotte Hungerford Hospital | Part 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 Hospital | Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Northwest Connecticut Medical Walk-In | ||||
| 1598 East Main Street | Torrington | CT | 06790 | Walk-in Medical Clinic |
| 2 - The Hungerford Center | ||||
| 780 Litchfield Street | Torrington | CT | 06790 | Cardiac and Pulmonary Rehab Serices |
| 3 - The Center for Cancer Care | ||||
| 200 Kennedy Drive | Torrington | CT | 06790 | Cancer Treatment Center |
| 4 - Hungerford Diagnostic Center | ||||
| 220 Kennedy Drive | Torrington | CT | 06790 | Radiology Services |
| 5 - The Center for Youth and Families | ||||
| 50 Litchfield Street | Torrington | CT | 06790 | Psych Services for Children and Families |
| 6 - Winsted Behavioral Health Center | ||||
| 294 Main Street | Torrington | CT | 06790 | Psych Services |
| 7 - Surgical Associates of CHH | ||||
| 538 Litchfield Street | Torrington | CT | 06790 | Surgical Physicians Practice |
| 8 - Neurology PBC | ||||
| 780 Litchfield Street | Torrington | CT | 06790 | Neurology Physcians Practice |
| 9 - CHH Primary Care | ||||
| 780 Litchfield Street | Torrington | CT | 06790 | Primary Care Physicians Practice |
| 10 - CHH Cardiovascular Medicine Service | ||||
| 1215 New Litchfield Street | Torrington | CT | 06790 | Cardiovascular Physicians Practice |
| 11 - CHH Wound Care and Hyperbaric Medicine | ||||
| 7 Felicity Lane | Torrington | CT | 06790 | Wound Care Physicians Practice |
| 12 - CHH Urology Medicine | ||||
| 538 Litchfield Street | Torrington | CT | 06790 | Adult and Pediatric Urology Physicians Practice |
| 13 - Hungerford Emergency and Medical Care | ||||
| 115 Spencer Street | Winsted | CT | 06098 | Emergency Services |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2020 would be immaterial. |
| Part III, Line 4: | Please see the text of the footnote that describes bad debt expense beginning on page 30 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: | The Charlotte Hungerford Hospital (CHH) is located in the northwest region of Connecticut (Litchfield County) in the town of Torrington. The service area of the hospital is comprised of thirteen towns with a total population in excess of 100,000. In recent years, the area has become more racially and ethnically diverse. In the past decade, the number of White residents Increased at a slower rate compared to African American, Asian, and Hispanic residents. The local population is also aging, and has a lower percentage of persons under age 18 and a higher percentage of persons age 65 and older. Out of all the towns that are served by the CHH, the towns of Torrington and Cornwall historically had the highest poverty levels. In addition to the high poverty rates, both towns have historically lower median household incomes than other towns served by the hospital. |
| 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 States | CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Margaret Marchak | ||||||||||||||
| Secretary (Thru 6/2020) | $0 | $503,824 | $0 | $259,612 | $0 | $87,317 | $0 | $19,600 | $0 | $57,483 | $0 | $927,836 | $0 | $0 |
| Daniel McIntyre | ||||||||||||||
| Director, CEO & President | $0 | $500,641 | $0 | $240,489 | $0 | $91,245 | $0 | $19,600 | $0 | $62,854 | $0 | $914,829 | $0 | $0 |
| Timothy Gostkowski MD | ||||||||||||||
| Physician | $626,798 | $0 | $106,508 | $0 | $453 | $0 | $0 | $0 | $27,257 | $0 | $761,016 | $0 | $0 | $0 |
| William McGeehin MD | ||||||||||||||
| Physician | $557,155 | $0 | $69,444 | $0 | $695 | $0 | $0 | $0 | $20,256 | $0 | $647,550 | $0 | $0 | $0 |
| Paul Scalise MD | ||||||||||||||
| VP, Medical Affairs | $0 | $373,503 | $0 | $126,822 | $0 | $5,520 | $0 | $19,600 | $0 | $47,384 | $0 | $572,829 | $0 | $0 |
| Mark Prete | ||||||||||||||
| Former VP, Medical Affairs | $0 | $400,000 | $0 | $123,036 | $0 | $5,940 | $0 | $19,600 | $0 | $22,670 | $0 | $571,246 | $0 | $0 |
| Yin F Hung MD | ||||||||||||||
| Physician | $491,621 | $0 | $53,176 | $0 | $261 | $0 | $7,000 | $0 | $16,143 | $0 | $568,201 | $0 | $0 | $0 |
| David Mack | ||||||||||||||
| Chief Legal Officer | $0 | $327,019 | $0 | $142,033 | $0 | $1,038 | $0 | $19,600 | $0 | $18,308 | $0 | $507,998 | $0 | $0 |
| Susan Schapp | ||||||||||||||
| VP, Finance | $0 | $298,802 | $0 | $111,137 | $0 | $2,910 | $0 | $19,600 | $0 | $39,609 | $0 | $472,058 | $0 | $0 |
| Elizabeth Whalen MD | ||||||||||||||
| Physician | $357,575 | $0 | $66,814 | $0 | $403 | $0 | $7,000 | $0 | $20,846 | $0 | $452,638 | $0 | $0 | $0 |
| John Capobianco | ||||||||||||||
| VP, OP Services | $0 | $271,847 | $0 | $99,631 | $0 | $2,580 | $0 | $19,600 | $0 | $45,298 | $0 | $438,956 | $0 | $0 |
| Brian Mattiello | ||||||||||||||
| Former VP, Human Resources | $0 | $229,571 | $0 | $83,794 | $0 | $1,189 | $0 | $19,600 | $0 | $44,308 | $0 | $378,462 | $0 | $0 |
| Clifford Kye MD | ||||||||||||||
| Physician | $222,262 | $88,967 | $15,900 | $0 | $58 | $0 | $12,387 | $0 | $30,890 | $0 | $281,497 | $88,967 | $0 | $0 |
| Teresa Calendrillo-Fuller | ||||||||||||||
| VP, Patient Care | $0 | $168,735 | $0 | $53,560 | $0 | $306 | $0 | $0 | $0 | $36,449 | $0 | $259,050 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of 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, Line 4b | Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by Charlotte Hungerford Hospital 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. 2019 SERP Payouts were made on behalf of the following individuals: Margaret Marchak $ 21,554 * Daniel McIntyre $ 21,961 * *For these individuals, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | COV19 Supplies | Desc |
| Contribution | 1073 | ContributionCnt |
| Noncash Contributions Rpt F990 | $32,047 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | The number reflected in this section represents the number of non-cash contributions. The number of non-cash contributions include 15 boxes of commercial grade masks, 144 face shields, 100 procedure masks, 200 face masks, 100 cloth masks, 200 KN95 face masks, 10 N19 masks, 4 tyvec suits and 300 surgical masks. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The 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 7a | The sole member of the organization has the authority to approve/remove members of the governing body. |
| Form 990, Part VI, Section A, line 7b | The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc. |
| Form 990, Part VI, Section B, line 11b | The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee. The Conflict of Interest Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Oversight review of physician disclosures is provided by the HHC Physician Conflict Resolution Committee. The Physician Conflict Resolution Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. |
| Form 990, Part VI, Section B, line 15 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher, to determine best practices in governing executive compensation for the President & CEO and Senior Executives of Hartford HealthCare Corporation. All compensation reported on this tax return follows Hartford HealthCare's compensation policy as outlined below: -The use of Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare 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 group are selected for comparative purpose based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market performed by independent third party compensation consulting firm, reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - President & CEO compensation determined by Committee is based on comparative market information and organizational performance and is approved by the HHC Board; - All changes are reviewed and approved by Executive Compensation Committee; The compensation determination process for the President & CEO and other Senior Executives is reviewed on an annual basis. |
| Form 990, Part VI, Section C, line 18 | The Hospital's Form 990, 990T, Form 1023 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Hospital's address. |
| Form 990, Part IX, line 11g | Medical Professional Fees: Program service expenses 21,698,211. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,698,211. |
| Form 990, Part XI, line 9: | Change in Pension and Post-Retirement Funding Obligation -2,070,176. Transfer to Affiliated Entity -3,106,106. Net Unrestricted Other Changes in Joint Ventures -331,634. Other Investment (JV) -191,251. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Caring for Colleagues Employee Crisis Fund | |||||||||||
| 100 Grand Street | New Britian | CT | 06052 | 264469178 | Employee Fund | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Center for Hospice Care Southeast Connecticut Inc | |||||||||||
| 227 Dunham Street | Norwich | CT | 06360 | 222667260 | Hospice | CT | 501(c)(3) | 7 | HHC Independence at Home | Yes (1) | |
| Connecticut Health System Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Care Delivery | CT | 501(c)(3) | 12 (c) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare ACO Inc | |||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(c)(3) | 7 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Corporation | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06102 | 222672834 | Support & Management Svcs. To HH and Affiliates | CT | 501(c)(3) | 12 (c) | 0 | N/A | |
| Hartford HealthCare Endowment LLC | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Investment Management | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Independence At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare At Home Inc | Yes (1) | |
| Hartford Healthcare Medical Group Specialists PLLC | |||||||||||
| 1290 Silas Dean Highway 2nd Floor | Wethersfield | CT | 06109 | 371911194 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare Medical Group Inc | |||||||||||
| 1290 Silas Deane Highway 2nd Floor | Wethersfield | CT | 06109 | 454456939 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Senior Services Inc | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital | |||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 060646668 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 066040747 | Fundraising | CT | 501(c)(3) | 12 (a) | Hartford Hospital | Yes (1) | |
| Midstate Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Midstate Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(c)(3) | 12 (a) | Midstate Medical Center | Yes (1) | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| Natchaug Hospital Inc | |||||||||||
| 189 Storrs Road | Mansfield Center | CT | 06226 | 060966963 | Behavioral Health | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Rushford Center Inc | Yes (1) | |
| St Vincent's Development Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 222554128 | Holding Company | CT | 501(c)(25) | St Vincent's Health Services Corp | Yes (1) | ||
| St Vincent's Health Services Corp | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 222558134 | Supporting Organization | CT | 501(c)(3) | 12 (a) | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Multispecialty Group Inc | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 800458769 | Healthcare Services | CT | 501(c)(3) | 12 (a) | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Special Needs Center Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 060702617 | Residential Services for Handicapped | CT | 501(c)(3) | 10 | St Vincent's Health Services Corp | Yes (1) | |
| SVMC Holdings Inc dba St Vincent's Medical Center | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 832550272 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britian | CT | 06052 | 060646768 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Citizens | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Visiting Nurse Services of CT Inc | |||||||||||
| 765 Fairfield Avenue | Bridgeport | CT | 06604 | 060665196 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare At Home Inc | Yes (1) | |
| WCMH Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
| Windham Community Memorial Hospital | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Advanced Medical Imaging of NW CT LLC | ||||||||||||||
| 57 Commercial Blvd | Torrington | CT | 06790 | 061594854 | Magnetic Resonance Imaging | CT | The Charlotte Hungerford Hospital | Related | $357,974 | $213,404 | 0 | 0 | 0.50000 | |
| Ambulance Service of Manchester LLC | ||||||||||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Service | CT | N/A | |||||||
| Central Connecticut Endoscopy Center | ||||||||||||||
| 440 New Britain Avenue | Plainville | CT | 06062 | 141855010 | Endoscopy Svcs | CT | N/A | |||||||
| Connecticut Imaging Partners LLC | ||||||||||||||
| c/o Jefferson Radiology 1500 Concor | Sunrise | FL | 33323 | 134298940 | Imaging Services | CT | N/A | |||||||
| Connecticut Orthopaedic Surgery Center LLC | ||||||||||||||
| 205 Sub Way | Milford | CT | 06461 | 134298940 | Surgery Svcs | CT | N/A | |||||||
| Constitution Surgery Center East LLC | ||||||||||||||
| 174 Cross Road | Waterford | CT | 06385 | 061574704 | Surgery Svcs | CT | N/A | |||||||
| CT GI Endoscopy Center LLC ( Bloomfield) | ||||||||||||||
| 4 Northwestern Drive | Bloomfield | CT | 06002 | 061573358 | GI Services | CT | N/A | |||||||
| Glastonbury Endoscopy Center LLC | ||||||||||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Svcs | CT | N/A | |||||||
| Glastonbury Surgery Center LLC | ||||||||||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Svcs | CT | N/A | |||||||
| Hartford-Middlesex Clinical System LLC | ||||||||||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A | |||||||
| HHC Hartford Surgery Center LLC | ||||||||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 812637261 | Surgery Svcs | CT | N/A | |||||||
| HHC Southington Surgery Center LLC | ||||||||||||||
| 100 Avon Meadow Lane PO Box 1281 | Avon | CT | 06001 | 465500829 | Surgery Svcs | CT | N/A | |||||||
| HHC Urgent Care Go Health LLC | ||||||||||||||
| 2711 Centerville Road Suite 400 | Avon | CT | 06001 | 815112698 | Urgent Care Services | DE | N/A | |||||||
| Med East Assoc LLC | ||||||||||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A | |||||||
| MedConn Collection Agency | ||||||||||||||
| 2049 Silas Deane Highway Suite 305 | Rocky Hill | CT | 06067 | 061408854 | Collections Services | CT | The Charlotte Hungerford Hospital | Related | $191,119 | $57,675 | 0 | 0 | 0.33000 | |
| New Britain MRI Limited Partnership | ||||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic resonance imaging | CT | N/A | |||||||
| Rocky Hill Surgery Center LLC | ||||||||||||||
| 1111 Cromwell Avenue Building 1 | Rocky Hill | CT | 06067 | 833096156 | Surgery Svcs | CT | N/A | |||||||
| The Endoscopy Center of Northwest Connecticut LLC | ||||||||||||||
| 245 Alvord Park Road | Torrington | CT | 06790 | 061609993 | Endoscopy Svcs | CT | The Charlotte Hungerford Hospital | Related | $302,473 | $3,050,659 | 0 | 0 | 0.51000 | |
| Wallingford Endoscopy Center LLC | ||||||||||||||
| 85 Seymour Street Suite 1000 | Hartford | CT | 06106 | 824601730 | Endoscopy Svcs | CT | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Ambulance Service Inc | |||||||||||||
| PO Box 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | N/A | C | Yes (1) | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | N/A | C | Yes (1) | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Billing Services | CT | N/A | C | Yes (1) | ||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | N/A | C | Yes (1) | ||||
| HHMOB Corporation | |||||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||
| Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church Street | Hamilton | BD | BD | ||||||
| Hartford Physician Services PC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Litchfield County Healthcare Service Corporation | |||||||||||||
| 540 Litchfield Street | Torrington | CT | 06790 | 061227655 | Management Services | CT | N/A | C | Yes (1) | ||||
| Meriden Imaging Center | |||||||||||||
| 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | Imaging | CT | N/A | S | Yes (1) | ||||
| Metro Wheelchair Service Inc | |||||||||||||
| PO Box 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | Yes (1) | ||||
| Midstate Medical Group PC | |||||||||||||
| 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Windham Professional Office Condo Assoc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hartford Hospital | ||
| A | $726 | FMV |
| Hartford Hospital | ||
| M | $1,001,858 | FMV |
| Hartford Hospital | ||
| O | $187,516 | FMV |
| Hartford Hospital | ||
| P | $226,331 | FMV |
| Hartford Hospital | ||
| R | $191,999 | FMV |
| Hartford Hospital | ||
| S | $973,737 | FMV |
| HHC Medical Group Inc | ||
| A | $218,403 | FMV |
| HHC Medical Group Inc | ||
| Q | $80,064 | FMV |
| HHC Medical Group Inc | ||
| R | $460,468 | FMV |
| HHC Medical Group Inc | ||
| S | $155,763 | FMV |
| HHCMG Specialists PLLC | ||
| M | $12,433,006 | FMV |
| HHCMG Specialists PLLC | ||
| O | $595,718 | FMV |
| HHCMG Specialists PLLC | ||
| R | $504,339 | FMV |
| HHCMG Specialists PLLC | ||
| S | $9,095,178 | FMV |
| Hospital of Central Connecticut | ||
| O | $114,680 | FMV |
| Hospital of Central Connecticut | ||
| S | $113,521 | FMV |
| Endoscopy Center of Northwest Connecticut LLC | ||
| S | $339,398 | FMV |
| Advanced Medical Imaging of NW CT LLC | ||
| S | $425,000 | FMV |