2020-08-13T18:12:26-05:00 2019-09-30 990 2018-10-01 061490803 THE ORCHARDS AT SOUTHINGTON ORCH 8606285656 34 HOBART STREET SOUTHINGTON CT 064893350 David Baranik VP Finance 8606285656 2020-08-13 199.231.27.235 2020-08-13 18:12:19 ED P AB8BD5A88D4BA927D2DA994192B6818756100B67 B528C7C86D3B360A0A6E3BCE3B7EF14312B9CEBE 2018 2020-11-06 18:47:13Z Rita Parisi 34 HOBART STREET SOUTHINGTON CT 064893350 5423784 0 X WWW.SOUTHINGTONORCHARDS.ORG X 1997 CT The mission of The Orchards at Southington is to promote a lifestyle in which our residents can age gracefully in a place while supporting independence. 4 0 68 10 0 0 1073 389 4989086 5414378 3981 9017 0 0 4994140 5423784 0 0 0 0 2028964 2495521 0 0 0 2258148 2160861 4287112 4656382 707028 767402 10360168 11195401 9649364 9717195 710804 1478206 The mission of The Orchards at Southington is to promote a lifestyle, which allows our residents to age in place while supporting independence. 0 0 3221822 5415378 The Orchards is a 90 apartment senior living community. The assisted living program is designed to promote the independence and dignity of seniors by providing assistance with activities of daily living. These actives includes: bathing, dressing, ambulating and medication reminders in a residential setting. Other services include weekly housekeeping, meals, health promotion, exercise programs, cultural, educational and social activities. 3221822 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 24 0 1 68 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X David Baranik 8606962546 181 Patricia M Genova Drive Newington CT 06111 Tracy Church Chair 1.00 59.00 X X 0 895011 70098 Charles Johnson President 1.00 59.00 X X 0 1086335 162619 Rocco Orlando MD Secretary 1.00 59.00 X X 0 1019393 100318 Rita Parisi SVP, Community Network 10.00 50.00 X X 0 526582 66030 David Baranik VP Finance 10.00 50.00 X 0 323094 63504 Lisa Connolly VP, Community Network 60.00 X 0 281581 55197 Audrey Vinci-Mcnamara Exec. Dir., Assisted Living 60.00 X 149183 0 11864 Sandra Ingriselli Director Wellness 60.00 X 99580 0 16297 248763 4131996 545927 2 0 1 0 Morrison Management Specialists Inc 400 Northridge Road Sandy Springs GA 30350 Food Services 287643 Brown Roofing Co Inc PO Box 1171 Beacon Falls CT 06430 Construction Services 163775 2 389 389 Resident Income 623990 5414378 5414378 5414378 9017 9017 5423784 5414378 0 9017 1796963 1347319 449644 43605 32694 10911 526672 394886 131786 128281 93883 34398 1250 1250 30885 30885 18493 18493 161059 15654 145405 147516 88510 59006 469888 282002 187886 580 580 1872 413 1459 151551 30310 121241 162479 92613 69866 224432 112496 111936 27674 27674 Purchased Services 576481 494628 81853 Repairs and Maintenance 165810 165810 Medical Supplies 12045 12045 Dues, Subs and Licenses 8438 8438 408 408 4656382 3221822 1434560 0 941516 1492852 109470 108720 52166 53212 5472987 1435828 3934411 4037159 5322605 5503458 10360168 11195401 377641 402570 12178 22312 9259545 9292313 9649364 9717195 X 710804 1478206 710804 1478206 10360168 11195401 767402 0 X 0 1 X 1 0 X 3990 2057 2228 1073 389 9737 4992450 5011042 4857748 4989086 5414378 25264704 4996440 5013099 4859976 4990159 5414767 25274441 0 436722 203872 702484 604553 506591 2454222 436722 203872 702484 604553 506591 2454222 22820219 1022 963 28425 3981 9017 43408 13160 15130 28290 1022 14123 43555 3981 9017 71698 4997462 5027222 4903531 4994140 5423784 25346139 0.90030 0.89990 0.00280 0.00260 X 1372787 1372787 3478160 1025670 2452490 561789 410158 151631 60251 60251 4037159 Patient Refunds 7000 Due to Affiliates 5480715 Bond Billing 15743 5503458 Payable to HHC - Interco Bonds 8868006 Other Liabilities Program Related 424307 9292313 1 1 0 0 0 0 0 1 0 Tracy Church Chair 0 527724 0 279630 0 87657 0 19250 0 50848 0 965109 0 0 Charles Johnson President 0 640066 0 357729 0 88540 0 106613 0 56006 0 1248954 0 0 Rocco Orlando MD Secretary 0 598617 0 274050 0 146726 0 35750 0 64568 0 1119711 0 0 Rita Parisi SVP, Community Network 0 334314 0 143158 0 49110 0 33000 0 33030 0 592612 0 0 David Baranik VP Finance 0 233595 0 71009 0 18490 0 19250 0 44254 0 386598 0 0 Lisa Connolly VP, Community Network 0 203564 0 76094 0 1923 0 18775 0 36422 0 336778 0 0 Audrey Vinci-Mcnamara Exec. Dir., Assisted Living 112064 0 0 0 37119 0 0 0 11864 0 161047 0 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of The Orchards at Southington, 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, Audrey Vinci-Mcnamara (Highest Compensated Employee) received a lump sum severance payment in the amount of $42,215. 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 The Orchards at Southington 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 Accruals were made on behalf of the following individual: Charles Johnson $87,363 2018 SERP Payouts were made on behalf of the following individuals: Tracy Church $22,476* Rocco Orlando $24,390* Rita Parisi $13,128* *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. Form 990, Part VI, Section A, line 1 The organization is governed by a management Board comprised of four employed individuals. These individuals are compensated for their services by Hartford HealthCare Corporation (HHC). HHC is the parent of an integrated healthcare delivery system which includes multiple tax-exempt hospitals that have community boards. Form 990, Part VI, Section A, line 6 The Orchards at Southington 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 transactons such as mergers, acquisitions, dissolutions, etc. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then forwarded to the VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS. Form 990, Part VI, Section B, line 12c The Orchards at Southington'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 The Orchards of Southington, 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 Orchards of Southington, 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 Organization's Form 990, 990T and Form 1023 and its attachments are available upon request. Form 990, Part VI, Section C, line 19 The Organization's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. 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Hartford Hospital O 50364 FMV