WILLIAM W BACKUS HOSPITAL: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- WILLIAM W BACKUS HOSPITAL (EIN 06-0250773)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-13
- IRS object ID
- 202002269349302440
- Schema version
- 2018v3.2
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-13T17:35:07-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | 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 LLP | 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 | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060250773 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The William W Backus Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILL | BusinessNameControlTxt |
| Phone | 8608898331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 Washington Street | AddressLine1Txt |
| City | Norwich | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Keise | PersonNm |
| Person Title | VP, Finance | PersonTitleTxt |
| Phone | 8608898331 | PhoneNum |
| Signature | 2020-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 199.231.27.235 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-13 | IPDt |
| IP Tm | 17:34:59 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B528C7C86D3B360A0A6E3BCE3B7EF14312B9CEBE | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Donna Handley | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 Washington Street | AddressLine1Txt |
| City | Norwich | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $419,998,200 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.Backushospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1891 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | The William W. Backus Hospital delivers and coordinates a continuum of high-quality health care that is sensitive to the needs of individuals in Eastern Connecticut. The Hospital is committed to being responsive and accountable to those for whose benefit it exists, and to improving the health of its communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1918 | TotalEmployeeCnt |
| Total Volunteers | 365 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,010,953 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,409,368 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $336,843,434 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $404,626,420 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,553,068 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,634,685 | CYInvestmentIncomeAmt |
| PY Other Revenue | $659,395 | PYOtherRevenueAmt |
| CY Other Revenue | $667,135 | CYOtherRevenueAmt |
| PY Total Revenue | $369,066,850 | PYTotalRevenueAmt |
| CY Total Revenue | $416,337,608 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $30,545 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $21,450 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $140,535,069 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $143,980,654 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $751,204 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $193,671,498 | PYOtherExpensesAmt |
| CY Other Expenses | $241,203,303 | CYOtherExpensesAmt |
| PY Total Expenses | $334,237,112 | PYTotalExpensesAmt |
| CY Total Expenses | $385,205,407 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $34,829,738 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $31,132,201 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $600,185,993 | TotalAssetsBOYAmt |
| Total Assets EOY | $635,645,137 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $159,824,195 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $193,645,448 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $440,361,798 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $441,999,689 | 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 | $43,702,069 | ExpenseAmt |
| Revenue | $57,587,330 | RevenueAmt |
| Desc | Hartford HealthCare Cancer Institute:Hartford HealthCare is Connecticut's most comprehensive healthcare network. Our fully integrated health system includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, two community hospitals. The Hartford HealthCare Cancer Institute encompasses comprehensive cancer centers at six hospitals across Connecticut - Hartford Hospital, The Hospital of Central Connecticut, Backus Hospital, MidState Medical Center, Windham Hospital and Charlotte Hungerford Hospital. Collectively, the cancer programs within the Cancer Institute treat more than 5,000 new cancer patients per year while caring for tens of thousands of existing patients, offering a full range of innovative, evidence-based and personalized treatments designed to meet the needs of each individual patient. Our innovative Institute approach is unlike any other in the state and is among the most highly regarded in the nation. Through our Institute, which is organized around a specific disease and not necessarily location, we can apply best practices throughout our system so that patients receive the same high standards of care no matter where they live or which Hartford HealthCare cancer center they choose. For all of our patients, a dedicated team of oncologists, surgeons, radiologists, pathologists, nurses, clinical researchers, technicians and others collaborate to provide the exact course of care they need. The Institute's multidisciplinary disease management teams meet and collaborate regularly to lend expertise and insight on numerous cancer types, translating into exceptional coordinated care. The Institute's accomplished, fellowship-trained physicians are nationally recognized for their level of sophisticated care in areas such as radiation oncology, medical oncology and surgical oncology. Patients are also cared for in an environment that emphasizes compassion and personal connections, with a team of trained nurse navigators who provide guidance and support to patients and families, from diagnosis to recovery. The Institute also boasts a thriving survivorship program. In 2013, the Hartford HealthCare Cancer Institute became the first community-based cancer program to become a member of the Memorial Sloan Kettering Cancer Alliance, establishing a relationship with one of the world's premier cancer centers. The Institute's membership in the Alliance provides patients in Connecticut access to the most advanced, leading-edge treatments available anywhere. In 2017, the Institute was accredited as a network by the American College of Surgeons Commission on Cancer, one of a select few institutes nationwide to be recognized as a system, rather than individual cancer centers. For patients coming through our doors with a cancer diagnosis, that means three things: standardized care, more options and more hope.More than four years after the Hartford HealthCare Cancer Institute became the charter member of the Memorial Sloan Kettering (MSK) Cancer Alliance, cancer patients now have unprecedented access to the world's most advanced clinical trials. Now, more than ever before, physicians, nurses, pharmacists and researchers are working collaboratively to implement cancer treatment standards and protocols developed at MSK, the premier cancer treatment center in the country. This distinctive cancer care and clinical research partnership means the Hartford HealthCare Cancer Institute brings the most innovative, evidence-based cancer care directly into community settings.During FY19, the Institute had approximately 5,870 new cases across the system were as follows:Hartford Hospital - 3,187Hospital of Central Connecticut - 1,082Backus Hospital - 748MidState Medical Center - 483Windham Hospital - 163Charlotte Hungerford Hospital - 208The five most common types of cancer diagnosed by teams of specialists at the Hartford HealthCare Cancer Institute are cancers of the bladder, breast, colon, lung and prostate. Each patient has a unique scenario requiring a personalized plan.Approximately 1,158 Breast Cancer cases were treated across the system as follows:Hartford Hospital - 613Hospital of Central Connecticut - 217Backus Hospital - 127MidState Medical Center - 120Windham Hospital - 10Charlotte Hungerford Hospital -71Approximately 709 Lung Cancer cases were treated across the system as follows:Hartford Hospital - 438Hospital of Central Connecticut - 115Backus Hospital - 75MidState Medical Center - 56Windham Hospital - 12Charlotte Hungerford Hospital - 13Approximately 876 Prostate Cancer cases were treated across the system as follows:Hartford Hospital - 349Hospital of Central Connecticut - 90Backus Hospital - 121MidState Medical Center - 88Windham Hospital - 20Charlotte Hungerford Hospital - 208Approximately 367 Bladder Cancer cases were treated across the system as follows:Hartford Hospital - 139Hospital of Central Connecticut - 54Backus Hospital - 94MidState Medical Center - 55 Windham Hospital - 9Charlotte Hungerford Hospital - 16Approximately 331 Colon Cancer cases were treated across the system as follows:Hartford Hospital - 159Hospital of Central Connecticut - 51Backus Hospital - 14MidState Medical Center - 28Windham Hospital - 8Charlotte Hungerford Hospital - 71Today, Hartford HealthCare is creating a better future for healthcare in Connecticut and beyond. We are a community of caregivers engaged in developing a coordinated, consistent high standard of care. We use research and education as partners in care delivery. We create and engage in meaningful alliances to enhance access to services. We invest in technology and training to develop new pathways to improve the timeliness, efficiency and accuracy of our services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $33,921,244 | ExpenseAmt |
| Revenue | $38,142,680 | RevenueAmt |
| Desc | Bone & Joint (Orthopedics):The Orthopedics Department at Backus Hospital offers a full range of services to the communities it serves. As a member of Hartford HealthCare Corporation's network, the Hospital has access to the integrated health network's recognized expertise, ongoing research studies that evaluate new treatments and one of the nation's top training centers for robot-assisted surgery.Backus Hospital offers the latest robotic surgery techniques for hip and knee procedures - Mako technology. Mako is a treatment option for patients that have early to mid-stage degeneration of the hip or knee. With smaller incisions, the robotic arm-assisted technology allows the surgeon to more precisely place the implant for faster recovery and more effective results. This technology is also available at Windham Community Memorial Hospital.At the completion of FY19, the Division of Orthopedics was comprised of nine orthopedic surgeons and ten advanced practice providers. The Hospital maintains its Disease Specific Certification through the Joint Commission for its Total Hip and Total Knee programs.Backus Hospital completed 1,570 total orthopedic cases in FY19 which was down 76 from FY18. Of the 1,570, 251 were total knee replacements and 209 of those were performed with MAKO robotic surgery. Total hip replacement was 160 with 95 of those being performed with MAKO robotic surgery.Backus Hospital performed 24 Globus Robotic Spine surgeries in FY19. The Hospital continues to be part of the Comprehensive Joint Replacement Bundle through CMS and received no payment for the work accomplished in the prior three years of the program. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,602,741 | ExpenseAmt |
| Grant | $21,450 | GrantAmt |
| Revenue | $35,124,214 | RevenueAmt |
| Desc | Heart and Vascular:As a member of Hartford HealthCare, Cardiology services at Backus Hospital are provided through the Hartford HealthCare Heart and Vascular Institute. While some of the symptoms of congestive heart failure (CHF) can be managed, patients often need advanced care as the disease progresses. The stress of driving long distances for care and assessment can have a serious impact on the patient's quality of life. The Hartford HealthCare Heart & Vascular Institute advanced CHF patients in the Norwich area now have the option of receiving some of their care close to home. The care provided at Backus location works seamlessly with the Heart & Vascular Institute's Center for Advanced Heart Failure at Hartford Hospital. The program enables patients who have been diagnosed with congestive heart disease to manage their health and improve the quality of their lives through early symptom recognition, continuity of care, diet planning and medication management.At the completion of the Fiscal Year FY19 the, Division of Cardiology was comprised of eight cardiologist and one Advanced Practice provider. Overall, cardiology services grew on average by 11% from FY17 to FY18. Cardiac diagnostic catheterization lab volume decreased by 9%, Echocardiography and cardiac stress testing increased 15%, and Electrophysiology services decreased by 10% from prior year.The Hospital is able to cardiac monitor more than 60 patients with using its remote telemetry capabilities. In addition, our Congenital Heart Failure (CHF) readmission rate for Medicare patients was 11.2%; well below the national average. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $245,190,728 | ExpenseAmt |
| Revenue | $273,772,196 | RevenueAmt |
| Desc | Other program services include EHR revenue, purchase discounts, contract services and other miscellaneous income. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $245,190,728 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $273,772,196 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $352,416,782 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 143 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1918 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Anthony Mastroianni | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8608898331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 Washington Street | AddressLine1Txt |
| City | Norwich | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Henry Beck MD | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carmen Cid | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Coletti MD | ||||||||||
| Director | 58.00 | 2.00 | Yes (X) | $200,833 | $0 | $0 | ||||
| Stephen Larcen PHD | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $5,358 | $0 | ||||
| Lynne Quintal-Hill Thru 619 | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Tramontozzi MD | ||||||||||
| Director | 1.00 | 59.00 | Yes (X) | $0 | $313,350 | $51,649 | ||||
| James Watson MD | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Paul Weigle Thru 1218 | ||||||||||
| Director | 1.00 | 59.00 | Yes (X) | $0 | $263,917 | $63,229 | ||||
| Diane Wishnafski | ||||||||||
| Director & Chair | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Mary Barry MD | ||||||||||
| Director & Vice Chair | 2.00 | 58.00 | Yes (X) | $0 | $211,275 | $10,524 | Yes (X) | |||
| Deborah Monahan Thru 619 | ||||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Donna Handley | ||||||||||
| Director & President | 20.00 | 40.00 | Yes (X) | $0 | $541,449 | $66,930 | Yes (X) | |||
| Margaret Marchak | ||||||||||
| Secretary | 2.00 | 58.00 | $0 | $1,116,829 | $82,271 | Yes (X) | ||||
| Anthony Mastroianni | ||||||||||
| VP, Finance | 30.00 | 30.00 | $0 | $284,624 | $58,875 | Yes (X) | ||||
| Robert Sidman MD | ||||||||||
| VP, Medical Affairs | 30.00 | 30.00 | $0 | $533,052 | $70,098 | Yes (X) | ||||
| Lester Temkin | ||||||||||
| VP, Operations | 30.00 | 30.00 | $0 | $341,670 | $56,440 | Yes (X) | ||||
| Laura Currie | ||||||||||
| VP, Patient Care | 30.00 | 30.00 | $0 | $147,890 | $33,217 | Yes (X) | ||||
| Zhenxiang Liu MD | ||||||||||
| Physician | 60.00 | $588,288 | $0 | $68,664 | Yes (X) | |||||
| Mariano Librojo MD | ||||||||||
| Hospitalist | 60.00 | $520,280 | $0 | $47,303 | Yes (X) | |||||
| Rukevwe Ehwarieme MD | ||||||||||
| Hospitalist | 60.00 | $359,038 | $0 | $43,415 | Yes (X) | |||||
| Nader Bahadory MD | ||||||||||
| Medical Director | 60.00 | $358,674 | $0 | $49,590 | Yes (X) | |||||
| Andrzej Porebski MD | ||||||||||
| Hospitalist | 30.00 | 30.00 | $398,066 | $7,920 | $66,520 | Yes (X) | ||||
| David Whitehead Thru 1215 | ||||||||||
| Former Director (ER), Pres. & CEO | 0.00 | 60.00 | $0 | $1,077,816 | $71,686 | Yes (X) | ||||
| Bimal Patel Thru 917 | ||||||||||
| Former Director (ER) & President | 0.00 | 60.00 | $0 | $856,593 | $121,689 | Yes (X) | ||||
| Carolyn Trantalis | ||||||||||
| Former VP, Clinical Svcs. & Ops. | 0.00 | 60.00 | $0 | $316,490 | $20,622 | Yes (X) | ||||
| Thomas Vaccarelli | ||||||||||
| Former VP Facilities | 0.00 | 60.00 | $0 | $333,712 | $66,898 | Yes (X) | ||||
| Gregory Makowski | ||||||||||
| Former VP, Clinical Laboratory Svcs. | 0.00 | 60.00 | $0 | $342,853 | $37,312 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,425,179 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,694,798 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,086,932 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 95 | 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 |
|---|---|---|---|---|---|
| Origin Incorporated | |||||
| 1800 SW 1ST Street STE 510 | Portland | OR | 97201 | Staffing Services | $2,755,449 |
| Morrison Management Services | |||||
| 400 Northridge Road | Sandy Springs | GA | 30350 | Food Services | $2,054,430 |
| Locumtenes Holdings LLC | |||||
| 2655 Northwinds Parkway | Alpharetta | GA | 30009 | Staffing Services | $1,098,510 |
| Carlin Construction Company LLC | |||||
| 5 Shaws Cove STE 103 | New London | CT | 06320 | Construction Services | $948,110 |
| CHG Companies Inc | |||||
| PO Box 972651 | Dallas | TX | 75397 | Medical Services | $802,814 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 52 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $135,574 | FundraisingAmt |
| All Other Contributions | $1,273,794 | AllOtherContributionsAmt |
| Total Contributions | $1,409,368 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $404,626,420 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $404,626,420 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $404,626,420 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,131,285 | TotalRevenueColumnAmt |
| Exclusion | $1,131,285 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,091,617 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,584,396 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$492,779 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$492,779 | TotalRevenueColumnAmt |
| Exclusion | -$492,779 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,503,400 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,503,400 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,503,400 | TotalRevenueColumnAmt |
| Exclusion | $8,503,400 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $26,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $135,574 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $76,196 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$50,196 | TotalRevenueColumnAmt |
| Exclusion | -$50,196 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $1,210,110 | TotalRevenueColumnAmt |
| Exclusion | $1,210,110 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,210,110 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $416,337,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $404,626,420 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,301,820 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,450 | TotalAmt |
| Program Services | $21,450 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,167 | TotalAmt |
| Program Services | $69,167 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,644,053 | TotalAmt |
| Program Services | $114,941,115 | ProgramServicesAmt |
| Management And General | $6,590,225 | ManagementAndGeneralAmt |
| Fundraising | $112,713 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,324,253 | TotalAmt |
| Program Services | $5,031,038 | ProgramServicesAmt |
| Management And General | $288,284 | ManagementAndGeneralAmt |
| Fundraising | $4,931 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,988,554 | TotalAmt |
| Program Services | $8,493,540 | ProgramServicesAmt |
| Management And General | $486,690 | ManagementAndGeneralAmt |
| Fundraising | $8,324 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,954,627 | TotalAmt |
| Program Services | $7,516,554 | ProgramServicesAmt |
| Management And General | $430,707 | ManagementAndGeneralAmt |
| Fundraising | $7,366 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,774 | TotalAmt |
| Management And General | $4,774 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,527 | TotalAmt |
| Management And General | $28,527 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,214 | TotalAmt |
| Management And General | $471,214 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,318,022 | TotalAmt |
| Program Services | $33,361,064 | ProgramServicesAmt |
| Management And General | $2,956,958 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,731 | TotalAmt |
| Program Services | $6,533 | ProgramServicesAmt |
| Management And General | $21,342 | ManagementAndGeneralAmt |
| Fundraising | $63,856 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,370,366 | TotalAmt |
| Program Services | $2,249,430 | ProgramServicesAmt |
| Management And General | $1,020,715 | ManagementAndGeneralAmt |
| Fundraising | $100,221 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,610,931 | TotalAmt |
| Program Services | $12,160,449 | ProgramServicesAmt |
| Management And General | $8,450,482 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,113,736 | TotalAmt |
| Program Services | $6,616,574 | ProgramServicesAmt |
| Management And General | $497,162 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,786 | TotalAmt |
| Program Services | $117,840 | ProgramServicesAmt |
| Management And General | $13,946 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,814 | TotalAmt |
| Program Services | $203,934 | ProgramServicesAmt |
| Management And General | $95,880 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,602,160 | TotalAmt |
| Program Services | $920,432 | ProgramServicesAmt |
| Management And General | $3,681,728 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,473,155 | TotalAmt |
| Program Services | $30,861,645 | ProgramServicesAmt |
| Management And General | $4,611,510 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,714,118 | TotalAmt |
| Program Services | $9,512,847 | ProgramServicesAmt |
| Management And General | $201,271 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,090,557 | TotalAmt |
| Program Services | $3,090,557 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $63,856,117 | $63,856,117 | ||
| Hospital Provider Tax | $29,993,740 | $29,993,740 | ||
| Purchased Services | $17,279,547 | $15,594,479 | $1,610,273 | $74,795 |
| Repairs and Maintenance | $6,270,627 | $6,132,860 | $137,767 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,482,381 | TotalAmt |
| Program Services | $1,665,417 | ProgramServicesAmt |
| Management And General | $437,966 | ManagementAndGeneralAmt |
| Fundraising | $378,998 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,205,407 | TotalAmt |
| Program Services | $352,416,782 | ProgramServicesAmt |
| Management And General | $32,037,421 | ManagementAndGeneralAmt |
| Fundraising | $751,204 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,812,049 | BOYAmt |
| EOY | $21,303,547 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,670 | BOYAmt |
| EOY | $53,165 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,696,943 | BOYAmt |
| EOY | $42,491,110 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,047,083 | BOYAmt |
| EOY | $5,269,155 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,489,299 | BOYAmt |
| EOY | $1,910,268 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $338,817,488 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $209,268,926 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,024,451 | BOYAmt |
| EOY | $129,548,562 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,403,979 | BOYAmt |
| EOY | $363,604 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,012,330 | BOYAmt |
| EOY | $378,123,947 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,919,217 | BOYAmt |
| EOY | $14,919,217 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,624,972 | BOYAmt |
| EOY | $41,662,562 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,185,993 | BOYAmt |
| EOY | $635,645,137 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,429,730 | BOYAmt |
| EOY | $23,174,830 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,948 | BOYAmt |
| EOY | $313,978 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,075,164 | BOYAmt |
| EOY | $982,031 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,987,353 | BOYAmt |
| EOY | $169,174,609 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,824,195 | BOYAmt |
| EOY | $193,645,448 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,429,715 | BOYAmt |
| EOY | $429,955,430 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,152,408 | BOYAmt |
| EOY | $3,340,619 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,779,675 | BOYAmt |
| EOY | $8,703,640 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,361,798 | BOYAmt |
| EOY | $441,999,689 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,185,993 | BOYAmt |
| EOY | $635,645,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $31,132,201 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,077,897 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$33,572,207 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $28,527 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $28,527 | 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 Backus 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. In addition, 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 all dues allocated for lobbying expenses for FY19 was $28,527. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,212,072 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $193,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,405,072 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,405,072 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $757,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,950,000 | OtherExpendituresAmt |
| End Year Balance | $6,212,072 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,849,631 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $555,441 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,405,072 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,465,627 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $384,004 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,849,631 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,558,064 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$92,437 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,465,627 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.94000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.06000 | 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 | $8,299,067 | OtherCostOrOtherBasisAmt |
| Book Value | $8,299,067 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $169,226,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $110,467,090 | DepreciationAmt |
| Book Value | $58,758,954 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,930,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,744,983 | DepreciationAmt |
| Book Value | $2,185,414 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,585,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,056,853 | DepreciationAmt |
| Book Value | $26,528,297 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,776,830 | OtherCostOrOtherBasisAmt |
| Book Value | $33,776,830 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $129,548,562 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment In Endowment LLC | $375,460,028 | F |
| Assets Held In Trust By Others | $2,663,919 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $378,123,947 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due From Affiliates | $27,496,271 |
| Other Assets | $4,849 |
| SERP Asset | $3,436,359 |
| Malpractice Claims | $9,928,943 |
| Workers Comp | $776,801 |
| Patient Refunds | $19,339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $41,662,562 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Tax Exempt Bonds | $75,910,926 |
| Accrued Post Retirement Expenses | $52,152,337 |
| Other Liabilities | $20,648,805 |
| Hospital Provider User Fee | $7,097,239 |
| Accrued Malpractice | $9,928,943 |
| SERP Liability | $3,436,359 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $169,174,609 | 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, as approved by the Board of Directors, the Endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of a 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. Net assets associated with Endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. The income generated by the funds are used mainly for capital expenses. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $110,700 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $94,300 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $16,400 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,686 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $22,806 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $22,331 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,295 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $1,272 | OtherDirectExpensesEvent1Amt |
| Event2 | Seder Golf Tournatment | Event2Nm |
| Gross Receipts Event2 | $50,874 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $41,274 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $9,600 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $2,241 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $8,840 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $13,595 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,130 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $161,574 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $135,574 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $26,000 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $3,927 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $31,646 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $35,926 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,295 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,402 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $76,196 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$50,196 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 | $2,039,587 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,039,587 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,935,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,150,714 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,784,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,974,951 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,150,714 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,824,237 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06700 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $784,510 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $784,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $238,763 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $238,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $633,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $622,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,658,659 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $622,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,036,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,633,610 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,772,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,860,895 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06970 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,942 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36,942 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $672 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $672 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,614 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,571,797 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $73,955,912 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $88,348,204 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,392,292 | 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 William W Backus Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 Washington Street | AddressLine1Txt |
| City | Norwich | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | Backushospital.org | WebsiteAddressTxt |
| State License | 0037 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The William W Backus 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 William W. Backus 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 January 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 Eastern 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:Center for Healthy Aging Connecticut Legal Services Eastern Connecticut Health Insurance Program (ECHIP) Eastern Connecticut Workforce Board Eastern Highlands Health District Generations Mansfield Youth Services NCDHD Northeast District Department of Health St. Joseph's Living Town of Mansfield UConn Student Health Services United Services, Inc. Willimantic DCF office Willimantic Fire Department Willimantic Police Windham Hospital Windham Public Schools Windham Region Transit District The 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 Backus Hospital is committed to addressing these disparities through the Community Health Improvement Plan. Through this process, input was gathered from individuals whose organizations were able to provide information for the following data elements: * Medically Underserved Areas* Health Professional Shortage Areas* Demographics* Ethnicity Distributions* Median Household Incomes* Homeownership Rates* Poverty Metrics* Unemployment Rates* Educational Metrics* Children in Poverty and Single-Parent Households* Linguistically Isolated Populations* Uninsured Population Estimates* Clinical Provider Ratios* Physical Environment Metrics* Crime Rates* General Health Status Indicators* Cancer Prevalence and Screening Indicators* Cardiovascular Disease* Respiratory Disease* Diabetes* Infectious Diseases* Sexually Transmitted Diseases* Births and Prenatal Care* Health Behaviors* Benchmark Metrics (HealthyPeople 2020)Part V, Section B, Line 7ahttps://backushospital.org/about-us/community-health-needs-assessment |
| The William W. Backus Hospital | Part V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the Hospitals website. In addition, electronic copies are available upon request.Part V, Section B, Line 10a:https://backushospital.org/about-us/community-health-needs-assessment |
| The William W. Backus Hospital | Part V, Section B, Line 11: After reviewing the Community Health Needs Assessment findings, the community representatives met on May 24, 2018 to determine the health needs to be prioritized for action. There was a review of the identified needs followed by a wide ranging discussion after which the participants were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews performed, the top community health needs and priorities for the Backus Hospital focus area are listed below:Transportation:Transportation was identified as an issue for both accessing health care and for getting to work. * No public buses after 5 p.m.* Lack of transportation is a social determinant issue, and there is no funding to fix public transportation In Norwich, the Rose City Senior Center is a membership program for seniors. It offers extensive transportation services, including shopping trips, medical transport, coordination of out-of-town (or even state) medical transport. The organization often works directly with physician practices to make sure patients get there.Access to Care:* Need for bilingual health counselors in community organizations. In the casino community, people have trouble communicating due to language and cultural barriers. * Overuse of the ED - need to address high-risk patients with better care coordination * Gaps in primary care, including behavioral health services and vaccinations * Need to create a higher value health care system: burden of care is high due to the cost of duplication of services, dislocation of service and poor coordination. The high cost of healthcare expenses reduces the ability to provide other necessary services.* Cost of insuring employees has increased significantly. Individuals are paying more for health insurance and are facing high out of pocket costs * Lack of family services Substance Abuse: * Smoking is still difficult to overcome and there is a need to provide more smoking cessation programs and awareness * Need more treatment options for opioid abuse (as opposed to criminalization) * Need detox centers * Not enough data on the opioid and Mental health issues * Need for more youth based mental health programs * Mental health patients get dumped in the ED -- more and more are not able to be medically and behaviorally handled * Shortage of psychiatrists - difficult to recruit based on comparatively lower pay Access to Healthy Food:* Identified as a top issue is the need for better access to and greater consumption of fruits and vegetables * Inconsistent funding for programs * High cost of healthy food, need for more voucher programs and food donation * Better food educationIn the region, Norwich and Griswold scored significantly worse in healthy weight indicators. In addition, most cities in the region also had higher rates of arthritis. 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.The results were then grouped into 3 Areas of Concern that were addressed in the Community Health Improvement Plan (CHIP):1. Enhance Coordination of Services. This category includes Access to Care and Transportation. CHIP addressed this need in the following manner:a. Evaluate and use information exchange portal resources, linking healthcare providers with community-based organizationsb. Improve IT resources to enable community focus and better measurement of outcomesc. Develop a playbook for infrastructure, dashboard of health, governance, and community workflowsd. Enable dynamic and up-to-date asset mappinge. 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 Access to Healthy Food and 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 c. Provide voucher/prescription programs for fruits and vegetablesd. Promote and improve healthy food donation e. Further partnerships with food pantries/banks and food providers and suppliersf. Create more access points for healthy foodsg. Develop urban gardens, community gardens, hospital campus gardens, farmer's markets (fresh food)h. Evaluate and use mobile food programsi. Create and support food policy councils3. Improve community Behavioral Health. This category includes Mental Health and Substance Abuse. CHIP addresses this need in the following manner: a. Embed behavioral health services in primary care (ongoing)b. Recruit more mental health providers, with focus on community outpatient services (e.g., family therapists)c. Implement Recovery Coach program in EDd. Provide more depression screening growth and at more points of care with referrals (including at public schools). e. Further Mental Health First Aid training and grow community behavioral health training at the local levelf. Enhance services in virtual mental health, including tele-psychiatry |
| The William W. Backus 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 William W. Backus 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://backushospital.org/patients-visitors/patients/billing-insurance/financial-assistancePart V, Section B, Line 16b: FAP Application Website:https://backushospital.org/patients-visitors/patients/billing-insurance/financial-assistancePart V, Section B, Line 16c: FAP Plain Language Summary:https://backushospital.org/patients-visitors/patients/billing-insurance/financial-assistance |
| The William W. Backus 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 | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Backus Outpatient Care Center | ||||
| 111 Salem Turnpike | Norwich | CT | 06360 | Outpatient Services |
| 2 - Medical Office Building | ||||
| 330 Washington Street | Norwich | CT | 06360 | Medical Office |
| 3 - Colchester Backus Health Center | ||||
| 163 Broadway | Colchester | CT | 06415 | Primary Care |
| 4 - Harford HealthCare Health Center | ||||
| 350 Liberty Street | Pawcatuck | CT | 06379 | Primary Care |
| 5 - Backus Outpatient Care Center | ||||
| 42 Town Street | Norwich | CT | 06360 | Outpatient Services |
| 6 - Family Health Center at Crossroads | ||||
| 196 Parkway South | Waterford | CT | 06385 | Primary Care/Rehab/Outpatient |
| 7 - Infectious Disease Clinic | ||||
| 107 Lafayette Street | Norwich | CT | 06360 | Outpatient Services |
| 8 - Plainfield Medical Office | ||||
| 584 Norwich Road | Plainfield | CT | 06374 | Medical Office |
| 9 - Plainfield Emergency Center | ||||
| 582 Norwich Road | Plainfield | CT | 06374 | Emergency Services |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The Organization uses Federal Poverty Guidelines (FPG) 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:Although the Organization does not prepare a formal Community Benefits Reports, it does submit a quarterly report to The 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, Line 7a & b. 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 to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported in Part I, Lines 7f &g. |
| Part I, Line 7g: | No physician clinic costs were included in the Subsidized Health Services cost calculations. |
| Part II, Community Building Activities: | Backus Hospital interacts with the community to address needs and facilitate appropriate responses. For FY 2019, Backus expended $37,614 on community building activities. |
| 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 2019 would be immaterial. |
| Part III, Line 4: | Please see the text of the footnote that describes bad debt expense beginning on page 26 of the Audited Financial Statement. |
| 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: | The William W. Backus 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: | Backus Hospital uses Emergency Room data to track medical conditions such as falls, flu, drug overdoses, etc. and the same approach is taken in our outpatient clinics. Periodically information is surveyed to determine additional patient needs. Information is also tracked from other entities such as area non profits, governmental agencies and public schools. |
| Part VI, Line 3: | Backus Hospital provides information about its financial assistance policy as follows: (1) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication.(2) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail.(3) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page.(4) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients.(5) Includes the tag line 'Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications. |
| Part VI, Line 4: | In 2018, the total population of the Backus Hospital primary service area is 273,115. 72.1% of the population is white with 6.8% black. People of Hispanic origin make up 12.9% and 8.2% are identified as other. Children age 0-17 make up 20.6%, 18-64 64.1% and seniors account for 15.4% of the population. The population living in poverty is 9.9%. The unemployment rate is 7.7% in New London County. 10.6% do not have a high school diploma and 14.8% do have a Bachelor's Degree.The region is a federally designated medically underserved area. |
| Part VI, Line 5: | A Regional Board governs Backus, Windham and Natchaug Hospitals. The board is responsible for maintaining outstanding quality services and credentials its medical staff. All of the directors either reside or work in our service area. |
| 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 William W Backus 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 it's affiliates including all supported organizations, develop and implement programs to improve the 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 the small communities easy and expedient access to the more extensive and specialized services the hospital is 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 hospitals' 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 containment strategies. |
| Part VI, Line 7, Reports Filed With States | CT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | American Heart Association | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 4002012 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50340 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 135613797 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $20,000 | CashGrantAmt |
| Purpose Of Grant | To support the mission of The American Heart Association. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Upon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Coletti MD | ||||||||||||||
| Director | $200,833 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $200,833 | $0 | $0 | $0 |
| Mark Tramontozzi MD | ||||||||||||||
| Director | $0 | $311,766 | $0 | $0 | $0 | $1,584 | $0 | $17,384 | $0 | $34,265 | $0 | $364,999 | $0 | $0 |
| Paul Weigle Thru 1218 | ||||||||||||||
| Director | $0 | $254,280 | $0 | $1,508 | $0 | $8,129 | $0 | $19,250 | $0 | $43,979 | $0 | $327,146 | $0 | $0 |
| Mary Barry MD | ||||||||||||||
| Director & Vice Chair | $0 | $211,275 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,524 | $0 | $221,799 | $0 | $0 |
| Donna Handley | ||||||||||||||
| Director & President | $0 | $358,758 | $0 | $129,097 | $0 | $53,594 | $0 | $19,250 | $0 | $47,680 | $0 | $608,379 | $0 | $0 |
| Margaret Marchak | ||||||||||||||
| Secretary | $0 | $492,829 | $0 | $228,567 | $0 | $395,433 | $0 | $19,250 | $0 | $63,021 | $0 | $1,199,100 | $0 | $276,628 |
| Anthony Mastroianni | ||||||||||||||
| VP, Finance | $0 | $216,180 | $0 | $67,337 | $0 | $1,107 | $0 | $19,067 | $0 | $39,808 | $0 | $343,499 | $0 | $0 |
| Robert Sidman MD | ||||||||||||||
| VP, Medical Affairs | $0 | $395,308 | $0 | $135,644 | $0 | $2,100 | $0 | $19,250 | $0 | $50,848 | $0 | $603,150 | $0 | $0 |
| Lester Temkin | ||||||||||||||
| VP, Operations | $0 | $251,975 | $0 | $84,204 | $0 | $5,491 | $0 | $19,250 | $0 | $37,190 | $0 | $398,110 | $0 | $0 |
| Zhenxiang Liu MD | ||||||||||||||
| Physician | $552,932 | $0 | $34,508 | $0 | $848 | $0 | $19,250 | $0 | $49,414 | $0 | $656,952 | $0 | $0 | $0 |
| Mariano Librojo MD | ||||||||||||||
| Hospitalist | $489,176 | $0 | $30,907 | $0 | $197 | $0 | $19,250 | $0 | $28,053 | $0 | $567,583 | $0 | $0 | $0 |
| Rukevwe Ehwarieme MD | ||||||||||||||
| Hospitalist | $317,489 | $0 | $41,392 | $0 | $157 | $0 | $19,250 | $0 | $24,165 | $0 | $402,453 | $0 | $0 | $0 |
| Nader Bahadory MD | ||||||||||||||
| Medical Director | $341,426 | $0 | $16,107 | $0 | $1,141 | $0 | $19,250 | $0 | $30,340 | $0 | $408,264 | $0 | $0 | $0 |
| Andrzej Porebski MD | ||||||||||||||
| Hospitalist | $357,197 | $7,920 | $40,020 | $0 | $849 | $0 | $19,250 | $0 | $47,270 | $0 | $464,586 | $7,920 | $0 | $0 |
| David Whitehead Thru 1215 | ||||||||||||||
| Former Director (ER), Pres. & CEO | $0 | $622,184 | $0 | $340,914 | $0 | $114,718 | $0 | $19,250 | $0 | $52,436 | $0 | $1,149,502 | $0 | $0 |
| Bimal Patel Thru 917 | ||||||||||||||
| Former Director (ER) & President | $0 | $588,312 | $0 | $256,454 | $0 | $11,827 | $0 | $94,832 | $0 | $26,857 | $0 | $978,282 | $0 | $0 |
| Carolyn Trantalis | ||||||||||||||
| Former VP, Clinical Svcs. & Ops. | $0 | $38,236 | $0 | $0 | $0 | $278,254 | $0 | $2,009 | $0 | $18,613 | $0 | $337,112 | $0 | $0 |
| Thomas Vaccarelli | ||||||||||||||
| Former VP Facilities | $0 | $231,956 | $0 | $81,077 | $0 | $20,679 | $0 | $24,750 | $0 | $42,148 | $0 | $400,610 | $0 | $0 |
| Gregory Makowski | ||||||||||||||
| Former VP, Clinical Laboratory Svcs. | $0 | $263,956 | $0 | $75,112 | $0 | $3,785 | $0 | $19,250 | $0 | $18,062 | $0 | $380,165 | $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 Backus Hospital, hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. |
| Part I, Lines 4a-b | In 2018, Carolyn Trantalis, Former VP, Clinical Services & Operations, received a lump sum severance payment in the amount of $278,024. 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 Windham Community Memorial 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 occurence 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. 2018 SERP accrual on behalf of the following individuals: Bimal Patel $75,582 2018 SERP Payouts were made on behalf of the following individuals: David Whitehead $26,618* Donna Handley $14,312* Margaret Marchak $117,856* *For these individuals, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Backus 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, 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 Respective Network or Region Executive Leadership Team (ELT). The ELT assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. |
| Form 990, Part VI, Section B, line 15 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Backus Hospital, hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of The William W. Backus Hospital, established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; -The CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. |
| Form 990, Part VI, Section C, line 18 | The Hospital's Form 990, 990T and form 1023 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. |
| Form 990, Part XI, line 9: | Transfer To/From Affiliates -7,190,617. Change In Pension and Post-Retirement Funding Obligations -27,403,360. Joint Venture Beginning Fund Balance 1,021,768. Rounding 2. |
| Form 990 Part XII, Line 3a & 3b | Although the Organization was not required to undergo A-133 Federal Auidt, the results were included in a consolidated A-133 performed at the parent level Hartford HealthCare Corporation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Support Organization | CT | 501(C)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Caring for Colleagues Employee Crisis Fund | |||||||||||
| 100 Grand Street | New Britain | 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 | Hartford HealthCare Independence At Home Inc | 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 Accountable Care Org Inc | |||||||||||
| 1290 Silas Deane Hwy | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(C)(3) | 7 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare At HomeInc | |||||||||||
| 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 | 06103 | 222672834 | Support and Management Services to Hartford Hospital 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 LLC | |||||||||||
| 1290 Silas Deane Hwy | 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 Hwy | Wethersfield | CT | 06109 | 454456939 | Medical Services | CT | 501(C)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Senior Services Inc | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(C)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 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 | 06115 | 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) | |
| Partners In Care Inc | |||||||||||
| 46 Lindeman Road | Trumbull | CT | 06111 | 061142867 | Home Healthcare | CT | 501(C)(3) | 10 | Hartford HealthCare Independence At Home Inc | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(C)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Support Organization | CT | 501(C)(3) | 12 (a) | Rushford Center Inc | Yes (1) | |
| The Charlotte Hungerford Hospital | |||||||||||
| 540 Litchfield Street | Torrington | CT | 06790 | 060646678 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 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 Care | CT | 501(C)(3) | 10 | Hartford HealthCare Senior Services Inc | 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) | |
| VNA Corporation Inc | |||||||||||
| 765 Fairfield Avenue | Bridgeport | CT | 06604 | 061142892 | Supporting Organization | CT | 501(C)(3) | 12 (a) | Hartford HealthCare At Home Inc | 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 Community Memorial Hospital 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 Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(C)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
| SVMC Holdings dba St Vincents Medical Center | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 832550272 | Hospital | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ambulance Service of Manchester LLC | ||||||||||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Services | CT | N/A | |||||||
| Central Connecticut Endoscopy Center | ||||||||||||||
| 440 New Britain Avenue | Plainville | CT | 06062 | 141855010 | Endoscopy Services | CT | N/A | |||||||
| Connecticut Imaging Partners LLC | ||||||||||||||
| 1500 Concord Terrace | Sunrise | FL | 33323 | 134298940 | Imaging Service | CT | N/A | |||||||
| Constitution Surgery Center East LLC | ||||||||||||||
| 174 Cross Road | Waterford | CT | 06385 | 061574704 | Surgery Services | CT | The William W Backus Hospital | Related | $4,542,984 | $14,857,565 | Yes (1) | 0 | 0.51000 | |
| CT GI Endoscopy Center LLC (Bloomfield) | ||||||||||||||
| 4 Northwestern Drive | Bloomfield | CT | 06002 | 061573358 | GI Services | CT | N/A | |||||||
| Glastonbury Endoscopy Center LLC | ||||||||||||||
| 300 Western Boulevard | Glastonbury | CT | 06033 | 261721234 | Endoscopy Services | CT | N/A | |||||||
| Glastonbury Surgery Center LLC | ||||||||||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Services | 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 Services | CT | N/A | |||||||
| HHC Southington Surgery Center LLC | ||||||||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Services | CT | N/A | |||||||
| HHC Urgent Care Go Health LLC | ||||||||||||||
| 2711 Centerville Road Suite 400 | Wilmington | DE | 19808 | 815112698 | Urgent Care Services | DE | N/A | |||||||
| MedConn Collection Agency | ||||||||||||||
| 2049 Silas Deane Highway Suite 305 | Rocky Hill | CT | 06067 | 061408854 | Collection Services | CT | N/A | |||||||
| Med-East Assoc LLC | ||||||||||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A | |||||||
| New Britain MRI Limited Partnership | ||||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic Resonance Imaging | CT | N/A | |||||||
| The Endoscopy Center of Northwest Connecticut LLC | ||||||||||||||
| 245 Alvord Park Road | Torrington | CT | 06790 | 061609993 | Endoscopy Services | CT | N/A | |||||||
| Wallingford Endoscopy Center LLC | ||||||||||||||
| 85 Seymour Street Suite 1000 | Hartford | CT | 06106 | 824601730 | Endoscopy Services | CT | N/A | |||||||
| Advanced Medical Imaging of NW CT LLC | ||||||||||||||
| 57 Commercial Blvd | Torrington | CT | 06790 | 061594854 | Imaging Service | CT | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Ambulance Service Inc | |||||||||||||||||
| POBox 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 | C | Yes (1) | The William WBackus Hospital | $385,522 | $43,248 | 0.69000 | |||||
| CenConn Services Inc | |||||||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Holding Company | 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 | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||||||
| 981476697 | Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church St | 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 | |||||||||||||||||
| POBOX 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 Condominium Association Inc | |||||||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | Yes (1) | ||||||||
| WWB Corporation | |||||||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094838 | Holding Company | CT | N/A | C | Yes (1) | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (30 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Backus Medical Center Condominium | ||
| P | $137,124 | FMV |
| Backus Medical Center Condominium | ||
| Q | $462,861 | FMV |
| Backus Medical Center Condominium | ||
| R | $350,915 | FMV |
| CONNCare Inc | ||
| R | $983,382 | FMV |
| Hartford HealthCare At Home Inc | ||
| O | $270,099 | FMV |
| Hartford HealthCare At Home Inc | ||
| R | $142,579 | FMV |
| Hartford HealthCare Medical Group Specialist Inc | ||
| S | $509,661 | FMV |
| Hartford HealthCare Medical Group Specialist Inc | ||
| M | $645,191 | FMV |
| Hartford HealthCare Medical Group Specialist Inc | ||
| O | $335,298 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| S | $1,750,821 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| O | $1,218,545 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| M | $3,404,039 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| A | $2,492,686 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| Q | $51,899 | FMV |
| Hartford Hospital | ||
| O | $248,765 | FMV |
| Hartford Hospital | ||
| P | $1,851,606 | FMV |
| Hartford Hospital | ||
| S | $4,185,972 | FMV |
| Hartford Hospital | ||
| M | $2,869,480 | FMV |
| Hartford Hospital | ||
| R | $143,426 | FMV |
| MidState Medical Center | ||
| S | $115,921 | FMV |
| MidState Medical Center | ||
| R | $134,859 | FMV |
| Natchaug Hospital | ||
| Q | $71,358 | FMV |
| Natchaug Hospital | ||
| S | $446,083 | FMV |
| Natchaug Hospital | ||
| A | $57,799 | FMV |
| Natchaug Hospital | ||
| M | $675,140 | FMV |
| The Hospital of Central Connecticut | ||
| R | $75,100 | FMV |
| The Windham Community Memorial Hospital | ||
| R | $675,076 | FMV |
| The Windham Community Memorial Hospital | ||
| P | $209,701 | FMV |
| The Windham Community Memorial Hospital | ||
| S | $220,741 | FMV |
| The Windham Community Memorial Hospital | ||
| O | $144,547 | FMV |