2020-08-13T17:01:19-05:00 2019-09-30 346565596 Ernst & Young US LLP 55 Ivan Allen Blvd Suite 1000 Atlanta GA 30308 990 2018-10-01 060646966 Windham Community Memorial Hospital Inc WIND 8604566821 112 Mansfield Avenue Willimantic CT 06226 Mark Keise VP, Finance 8604566821 2020-08-13 0 Aerrial Orr P01598400 4048748300 199.231.27.235 2020-08-13 17:01:09 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B528C7C86D3B360A0A6E3BCE3B7EF14312B9CEBE 2018 2020-09-22 18:59:49Z Donna Handley 112 Mansfield Avenue Willimantic CT 06226 110395483 0 X www.windhamhospital.org X 1908 CT The mission of Windham Community Memorial Hospital is to offer comprehensive services in an environment where innovation and teaching are integral to care; where we are proud to serve patients and one another; where meeting the challenge of complex medical needs is viewed as a defining competency; and where quality and safety of care are a constant. 9 5 719 142 28023 0 218991 657229 95798858 108144618 442743 375428 1044917 768145 97505509 109945420 0 0 0 0 41414925 43192878 0 0 62605 55224281 63473794 96639206 106666672 866303 3278748 67289632 60017455 94652946 105617852 -27363314 -45600397 X The mission of Windham Community Memorial Hospital is to offer comprehensive services in an environment where innovation and teaching are integral to care; where we are proud to serve patients and one another; where meeting the challenge of complex medical needs is viewed as a defining competency; and where quality and safety of care are a constant. 0 0 14111387 11213379 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. 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 5,871 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. 12533193 15181700 Bone & Joint (Orthopedics):The Orthopedics Department at Windham Hospital (the 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.Orthopedics services provided by the Hospital include:Advanced ImagingOur radiology services target disorders of the bones, joints and soft tissues, including:* MRI* Multi-slice CT* Nuclear Scintigraph* Minimally-invasive needle biopsies under image guidance using ultrasound, fluoroscope or CT* Spinal injectionsRobotic Arm Interactive Orthopedic System (RIO):Windham Hospital surgeons utilize the RIO system which allows them to personalize partial and total joint replacement surgery more accurately than with conventional instruments.Mako Technology:Mako is a treatment option if you have early to mid-stage degeneration of your hip or knee. With smaller incisions, the robotic arm-assisted technology allows the surgeon to more precisely place your implant for faster recovery and more effective results. This technology is available at Windham Hospital.In addition, the Hospital also serves patients with issues in the following areas:* Hand & Upper Extremity* Hip* Knee* Osteoporosis* Shoulder* Spine* Sports Medicine* Total ReplacementsWindham completed 866 total orthopedic cases in FY19. Of the 866 cases, 145 were total knee replacements and 144 of those were performed with MAKO robotic surgery. Total hip replacement was 63 with 61 of those being performed with MAKO robotic surgery.Windham performed 60 Globus Robotic Spine surgeries in FY19. The hospital continues to maintain its Disease Specific Certification through the Joint Commission for its Total Hip and Total Knee program. 9556800 11264330 Heart and Vascular: As a member of Hartford HealthCare, Cardiology services at Windham Hospital are provided through the Hartford HealthCare Heart and Vascular Institute. This arrangement brings advanced, coordinated and evidence-based care close to home for the residents of eastern Connecticut. Cardiologists are board-certified to help patients with high cholesterol, high blood pressure, ischemia, peripheral arterial disease of the legs, mitral valve issues or other cardiac-related disease. Services and physician staffing at Windham has grown and the team currently offers:* General cardiology care * Full cardiac testing at the hospital (including stress testing, cardiopulmonary testing, cardiac MRI, carotid artery duplex scan, vascular studies, myocardial viability studies, transesophageal echocardiogram and electrophysiology studies)* A focus on non-invasive imaging (including myocardial perfusion imaging and cardiac blood pool scans)* Monitoring* More advanced care including the state's only Atrial Fibrillation Center, bypass surgery, cardiac catheterization and angioplasty, robotic ablation and minimally invasive mitral valve repair is available at Hartford Hospital, a member of the Hartford HealthCare integrated network.Our Congenital Heart Failure (CHF) readmission rate for Medicare patients was below the national average. The hospital has a CHF bridge clinic which provides extra support to patients with CHF who are discharged from the hospital and may need additional support with their diagnosis. 61027663 70485209 Committed to excellence in quality and service for the region, Windham Community Memorial Hospital boasts a state-of-the-art Emergency Department that consistently ranks in the highest percentiles of customer satisfaction. The Hospital also offers convenient and modern satellite services including two Physical Therapy and Rehabilitation Clinics and a Center for Women's Health offering mammography, bone density, and integrative health.There are on-campus support services for patients of Windham Community Memorial Hospital including a Cardiac Rehabilitation Center and Lipid Clinic, Pulmonary Rehabilitation and Pain Management Services. Community education is an important component of Windham Community Memorial Hospital's vision to improve the health of the community. To achieve this goal - diabetes education, childbirth education, integrative health services, cancer support groups, and ongoing community health forums are offered. In addition to the programs referred to above, the Hospital provides services/programs including but not limited to the following:* Cardiology Services* Diabetes & Endocrinology* Emergency Care* Family & Primary Care* Headache Center* Hospital Medicine* Imaging & Radiology* Integrative Health* Medical Weight Loss* Movement Disorders* Neuroscience Institute* Orthopedics* Pain Management* Paramedic Program* Physical Therapy* Pulmonary & Respiratory Services* Senior Services* Sleep Medicine* Spine Care* Surgical Weight Loss* Urology* Women's Health* Wound Care & Surgical Clinic* Support Services 61027663 70485209 97229043 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 81 0 1 719 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CT X Anthony Mastroianni 8604566821 112 Mansfield Avenue Willimantic CT 06226 Stephen Larcen PhD Director 1.00 2.00 X 0 5358 0 Mark Tramontozzi MD Director 1.00 59.00 X 0 313350 51649 James Watson MD Director 1.00 2.00 X 0 0 0 David Coletti MD Director 1.00 2.00 X 0 200833 0 Carmen Cid PhD Director 1.00 2.00 X 0 0 0 Henry Beck Director 1.00 2.00 X 0 0 0 Deborah Monahan Thru 619 Director 1.00 2.00 X 0 0 0 Lynne Quintal-Hill Thru 619 Director 1.00 2.00 X 0 0 0 Paul Weigle Thru 1218 Director 1.00 59.00 X 0 263917 63229 Diane Wishnafski Director and Chair 1.00 2.00 X X 0 0 0 Mary Barry MD Director and Vice Chair 2.00 58.00 X X 47520 163755 10524 Donna Handley Director and President 20.00 40.00 X X 0 541449 66930 Margaret Marchak Secretary 2.00 58.00 X 0 1116829 82271 Anthony Mastroianni VP, Finance 30.00 30.00 X 0 284624 58875 Robert Sidman MD VP, Medical Affairs 30.00 30.00 X 0 533052 70098 Lester Temkin VP, Operations 30.00 30.00 X 0 341670 56440 Laura Currie VP, Pat. Care Services 30.00 30.00 X 0 147890 33217 Jennifer Bellino Assoc. Chief Hospitalist 60.00 X 377678 0 59146 Kismatkumar Detroja MD Physician 60.00 X 359390 0 34663 Julian Munoz MD Physician 60.00 X 345365 0 41467 Melisha Cumberland MD Physician 60.00 X 279900 0 35618 Jong Gil Oh MD Hospitalist 60.00 X 271036 0 57165 David Whitehead Former Director and Pres. 0.00 60.00 X 0 1077816 71686 Bimal Patel Former Director & President 0.00 60.00 X 0 856593 121689 Carolyn Trantalis Former VP, Clinical Serv. & Ops. 0.00 60.00 X 0 316490 20622 Thomas Vaccarelli Former VP, Facilities 0.00 60.00 X 0 333712 66898 Gregory Makowski Former VP, HHC Lab Service 0.00 60.00 X 0 342853 37312 1680889 6840191 1039499 60 1 1 0 Anesthesia Associates of Willimantic PC 1185 Main Street Willimantic CT 06226 Medical Services 1240077 Origin Incorporated 1800 SW 1St Suite 510 Portland OR 97201 Staffing Services 1050261 Morrison Management Specialist 400 Northridge Road Sandy Springs GA 30350 Food Services 579608 OB-GYN Services PC 17 Case Street Norwich CT 06360 Medical Services 436140 Connecticut Children's Specialty Group 282 Washington Street Hartford CT 06106 Medical Services 428732 26 657229 657229 Net Inpatient-Outpatient Revenue 621400 106769432 106769432 Other Patient Revenue 621400 1375186 1375186 108144618 373234 373234 902567 449784 452783 452783 452783 2473 0 279 2473 -279 2194 2194 Cafeteria Revenue 722514 287339 287339 Income (Loss) Pass Thru Entities 900003 28023 28023 315362 109945420 108144618 28023 1115550 X 47520 47520 36744000 33826241 2868446 49313 1003263 923699 78219 1345 2900724 2670681 226155 3888 2497371 2299317 194707 3347 3438 3438 26888 26888 3613 3613 14467686 14467686 1257322 994837 261431 1054 5734771 5734771 2149584 2018653 130931 25927 20209 5718 66228 41824 23966 438 1510327 302065 1208262 7895028 6631824 1263204 3449612 1259711 2189901 641605 641605 Medical Supplies 18498083 18498083 Purchased Services 3735184 3110230 622294 2660 Repairs & Maintenance 2344661 2224702 119959 Hospital Provider Tax 1308825 1308825 355012 206560 147892 560 106666672 97229043 9375024 62605 6338157 3580826 9053659 8446959 1396965 1345101 715629 773229 109534623 73062326 37620595 36472297 63907 60465 7995575 7929842 4105145 1408736 67289632 60017455 7125014 7788200 9207352 10778759 217725 205586 78102855 86845307 94652946 105617852 X -35712018 -53889245 1990771 2110243 6357933 6178605 -27363314 -45600397 67289632 60017455 X 3278748 -2361022 -19154809 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 1 26888 0 0 26888 0 Part II-B, Line 1: Windham Community Memorial 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 $26,888. 2795147 72000 2867147 2608147 187000 2795147 2256147 352000 2608147 2088147 168000 2256147 2134823 -37021 9655 2088147 0.43000 0.57000 0 1 1 6256306 6256306 59864902 40266768 19598134 1280865 974238 306627 38720182 31821320 6898862 3412368 3412368 36472297 Assets Held In Trust 4931343 C Invest. Endowment - TEMP 1576566 C Invest. Endowment - PERM 1206728 C Investment in Others JV 215205 C 7929842 Accrued Post Retirement Pension 46983781 LT Debt HHC - Interco. Bonds 28033547 Due To Affiliates 8272668 Accrued Malpractice 1094422 Other Liabilities 2051221 Hospital Provider User Fee 327206 SERP Liability 82462 86845307 Part V, Line 4: 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. 1 1 1 X 250.000000000000 1 X 1 1 1 0 0 857732 857732 0.00800 26663065 17305651 9357414 0.08770 27520797 17305651 10215146 0.09570 118898 5790 113108 0.00110 210564 210564 0.00200 584994 150869 434125 0.00410 7472 7472 0.00010 921928 156659 765269 0.00730 28442725 17462310 10980415 0.10300 0 2612601 19503934 29593788 -10089854 X 1 1 1 1 Windham Community Memorial Hospital 112 Mansfield Avenue Willimantic CT 06226 www.wcmh.org 0061 X X X Windham Community Memorial Hospital 1 0 0 1 X X X X X X X X X 17 1 1 0 1 X See Part V, Page 8 X X 1 17 1 See Part V, Page 8 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 Windham Community Memorial Hospital Part V, Section B, Line 5: To solicit input from key informants and individuals who have broad interest in the health of the community, the Hospital performed surveys, community forums, focus groups and interviews with key informants. The key informants were selected by community leader(s) or liaison(s). Additionally, focus groups were used to identify any other resource. Focus group was conducted on February 14, 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 AgingConnecticut Legal ServicesEastern Connecticut Health Insurance Program (ECHIP)Eastern Connecticut Workforce BoardEastern Highlands Health DistrictGenerationsMansfield Youth ServicesNCDHDNortheast District Department of HealthSt. Joseph's LivingTown of MansfieldUConn Student Health ServicesUnited Services, Inc.Willimantic DCF officeWillimantic Fire DepartmentWillimantic PoliceWindham HospitalWindham Public SchoolsWindham 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 Windham Hospital is committed to addressing these disparities through the Community Health Improvement Plan that will follow this Assessment. Through this process, input was gathered from individuals whose organizations can 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) Windham Community Memorial Hospital Part V, Section B, Line 6a: Natchaug Hospital.Part V, Section B, Line 7a:https://windhamhospital.org/about-us/community-health-needs-assessment Windham Community Memorial Hospital Part V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the Hospital's website. In addition, electronic copies are available upon request.Part V, Section B, Line 10:https://windhamhospital.org/about-us/community-health-needs-assessment Windham Community Memorial Hospital Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the 2018 CHNA process, the community representatives met on May 16, 2018 to determine the health needs that will be prioritized for action. The review of the identified needs were followed by a wide ranging discussion, after which the representatives were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews performed, the top community health needs and priorities for the Windham Hospital focus area are listed below:Transportation:Transportation was identified as a top social determinant issue in Windham service area. Community members can't get to appointments, including specialists that are far away.* Local transit municipal grant funding is inadequate and requires capping services* No Medicaid funds available* Dial A Ride has a 30 mile radius* Med Cab can't bring kids with them, which is a big issue for many families * EMS fills the gaps and is over stressed with transportation issuesAccess to Care:* Leads to overuse of the ED* Need for bilingual health counselors in community organizations* Need for more smoking cessation programs and awareness* Access to dental care, many have to leave the area* Need for community educational events as part of preventive care* Lack of women's health services and postpartum servicesSubstance Abuse:* Improvements have been made in the last few years* Willimantic continues to be challenged with the stigma of heroin availability and use* The number of drug exposed infants is very high in the areaMental Health:* Undocumented citizens not seeking or accepting care for fear of losing other services* The stigma of mental health difficult to overcome* School based healthcare is the only place that black and Latino males seek behavioral health assistance* Availability of services for children* Home behavioral health services can be 6 - 8 weeks on the waiting list* Need for more providers and more screening servicesAccess to Healthy Food:* High density and proportionality of fast food in the area* Schools have high BMI, poor nutrition, and need for more education and dedicated community dietician* The high cost of healthy food and need for more voucher programs and increasing focus on food donationIn the region, geographically Windham and Killingly/Plainfield scored significantly worse in physical and mental health indicators. In addition, Windham, Killingly/Plainfield, and Brooklyn/Hampton/Canterbury all had higher than state average rates in the following chronic conditions: asthma, arthritis, and diabetes.Lack of coordination among and between providers and community based organizations limits the overall effectiveness of the programs and the funding that is going to help serve the populations most in need. The results were then grouped into 3 Areas of Concern that were addressed in 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 Poor Physical and Mental Health. CHIP addresses this need in the following manner:a. Screen for healthy food need identification in community population and provide assessment at points of care b. Enhance Promotion and Marketing, including adopting 5-2-1-0 initiative, at schools, workplaces, public spaces, faith communities, and healthcare events 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 screeninge. 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 Windham Community Memorial 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 health care expenses. Windham Community Memorial 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, Line 16a, FAP website:https://windhamhospital.org/patients-visitors/for-patients/financial-assistancePart V, Line 16b, FAP Application website:https://windhamhospital.org/patients-visitors/for-patients/financial-assistancePart V, Line 16c, FAP Plain Language Summary website:https://windhamhospital.org/patients-visitors/for-patients/financial-assistance Windham Community Memorial Hospital Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. 7 1 - Windham Middle School Health Center 123 Quarry Street Willimantic CT 06226 In-Depth Health and Mental Health Assessment 2 - Windham High School Wellness Center 355 High Street Willimantic CT 06226 In-Depth Health and Mental Health Assessment 3 - Charles H Barrows STEM Academy 141 Tuckie Road North Windham CT 06256 School Based Health Center 4 - Windham Hospital Family Health Center 5 Founders Avenue Suite 201 Willimantic CT 06226 Patient Rehabilitation 5 - WCMH Medical Offices 1776 Boston Turnpike Coventry CT 06238 Medical Offices 6 - The Center for Women's Health 7 Ledgebrook Drive Mansfield CT 06250 Women's Health Services 7 - Storrs Physical Therapy Clinic 1244 Storrs Road Mansfield CT 06250 Patient Rehabilitation Part I, Line 3c: The Organization uses Federal Poverty Guidelines (FPG) to determine eligibility. In addition to the FPG, the Hospital also utilizes other eligibility criteria, such as asset level, medical indigence and insurance status. Part I, Line 6a:Although the Organization does not prepare a formal Community Benefit Report, it submits 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 lines 7a, b & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations. Part III, Line 3: A pre-bad debt financial assistance screening was put 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 as charity care prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY19 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 Windham Community Memorial 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: A variety of methods are used to assess needs for programs that we offer to the community. Informal methods to assess needs include feedback from Advisory Councils and support groups. We coordinate closely with the federally qualified health center in Willimantic, which serves the healthcare needs of low income residents, as well as numerous other organizations including the public schools, other non profit organizations, senior centers, and government agencies in our region. Secondary data from other organizations is also utilized to take advantage of other resources such as the United Way, Eastern Highlands Health District, Visiting Nurses, and partner organizations. Part VI, Line 3: Windham Community Memorial 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: Windham Community Memorial Hospital services Eastern Connecticut. In 2018, The total population is 152,842. 73.7% of the population is White with 5.5% Black. People of Hispanic origin make up 12.8% and 7.9% are identified as other. Children age 0-17 make up 18.6%, 18-64 make up 66.8% and seniors account for 14.6% of the population. The population living in poverty is 11.2%. Windham County has an 8.4% unemployment rate. 9.6% do not have a high school diploma and 16.9% do have a Bachelor's Degree.The region is a federally designated as medically underserved area. Part VI, Line 5: Windham Community Memorial Hospital was formed to serve its community in 1933 and has been an important resource for nearly 85 years. A regional board governs Windham, Backus, and Natchaug Hospitals. The Board is responsible for maintaining outstanding quality services and credentials its medical staff. All of the Directors reside in our service area and are neither employees, family members, nor contractors of the Hospital. The Windham Hospital Foundation, a related organization, raises funds to assure that the latest advancements in technology are available to our patients, as well as a range of community benefit programs that are not funded by other sources. We are a true community resource as we offer space for other community groups to meet at no charge, bring together other health providers for health fairs and educational sessions for the community, and encourage the involvement of our staff on various boards and councils that promote the overall health of the community. 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 Windham Community Memorial Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care. The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. Part VI, Line 7, Reports Filed With States CT 1 1 0 0 0 0 0 1 0 Mark Tramontozzi MD Director 0 311766 0 0 0 1584 0 17384 0 34265 0 364999 0 0 David Coletti MD Director 0 200833 0 0 0 0 0 0 0 0 0 200833 0 0 Paul Weigle Thru 1218 Director 0 254280 0 1508 0 8129 0 19250 0 43979 0 327146 0 0 Mary Barry MD Director and Vice Chair 47520 163755 0 0 0 0 0 0 0 10524 47520 174279 0 0 Donna Handley Director and President 0 358758 0 129097 0 53594 0 19250 0 47680 0 608379 0 0 Margaret Marchak Secretary 0 492829 0 228567 0 395433 0 19250 0 63021 0 1199100 0 276628 Anthony Mastroianni VP, Finance 0 216181 0 67337 0 1106 0 19067 0 39808 0 343499 0 0 Robert Sidman MD VP, Medical Affairs 0 395308 0 135644 0 2100 0 19250 0 50848 0 603150 0 0 Lester Temkin VP, Operations 0 251975 0 84204 0 5491 0 19250 0 37190 0 398110 0 0 Laura Currie VP, Pat. Care Services 0 127557 0 20000 0 333 0 10597 0 22620 0 181107 0 0 Jennifer Bellino Assoc. Chief Hospitalist 336291 0 41027 0 360 0 19250 0 39896 0 436824 0 0 0 Kismatkumar Detroja MD Physician 328164 0 26996 0 4230 0 19250 0 15413 0 394053 0 0 0 Julian Munoz MD Physician 316291 0 24823 0 4251 0 19250 0 22217 0 386832 0 0 0 Melisha Cumberland MD Physician 242064 0 33828 0 4008 0 19250 0 16368 0 315518 0 0 0 Jong Gil Oh MD Hospitalist 229092 0 37616 0 4328 0 19250 0 37915 0 328201 0 0 0 David Whitehead Former Director and Pres. 0 622184 0 340914 0 114718 0 19250 0 52436 0 1149502 0 0 Bimal Patel Former Director & President 0 588312 0 256454 0 11827 0 94832 0 26857 0 978282 0 0 Carolyn Trantalis Former VP, Clinical Serv. & Ops. 0 38236 0 0 0 278254 0 2009 0 18613 0 337112 0 0 Thomas Vaccarelli Former VP, Facilities 0 231956 0 81077 0 20679 0 24750 0 42148 0 400610 0 0 Gregory Makowski Former VP, HHC Lab Service 0 263955 0 75112 0 3786 0 19250 0 18062 0 380165 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Windham Community Memorial 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 Trantali, Former Officer, 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 occurrence of a change in control. Each participant ceases to be eligible for further contributions by Hartford HealthCare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2018 SERP accrual was made on behalf of the following individual: 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. Robert Sidman Key Employee 838538 Dr. Sidman is the Vice President of Medical Affairs at the East Region which includes Windham Community Memorial Hospital (WCMH). In addition, Dr. Sidman provides medical professional services to WCMH and other affiliated entities in its Emergency Department (ED). The ED is staffed by Northeast Emergency Medicine Specialists (NEMS), a local group of doctors. His services are provided to the hospital through NEMS. Total transaction between NEMS and Hartford Healthcare System for FY19 was $838,538. 0 Form 990, Part VI, Section A, line 6 Windham Community Memorial Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. Form 990, Part VI, Section A, line 7a The sole member of the organization has the authority to approve/remove members of the governing body. Form 990, Part VI, Section A, line 7b The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS. Form 990, Part VI, Section B, line 12c The Hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the 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 Windham Community Memorial 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 Windham Community Memorial 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 IX, line 11g Medical Professional Fees: Program service expenses 14,467,686. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,467,686. Form 990, Part XI, line 9: Change In Pension and Post-Retirement Funding Status Obligation -20,965,912. Transfer to Affiliated Entities 1,839,126. K-1 Income (Loss) Pass Thru Entities -28,023. Form 990, Part XII, Line 3b: Although the Organization was not required to undergo the A-133 Federal Audit, the results were included in a consolidated A-133 Audit performed at the parent level Hartford HealthCare Corporation. Backus HealthCare Inc 326 Washington Street Norwich CT 06360 222481794 Support Organization CT 501(C)(3) 12 (a) Hartford HealthCare Corporation 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 1 Center for Hospice Care Southeasten CT Inc 227 Dunham Street Norwich CT 06360 222667260 Hospice CT 501(C)(3) 7 Hartford HealthCare Independence At Home Inc 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 1 Hartford HealthCare ACO Inc 1290 Silas Deane Hwy Wethersfield CT 06109 460886367 Government Contracts CT 501(C)(3) 7 Hartford HealthCare Medical Group Inc 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 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) N/A 0 Hartford Healthcare Endowment LLC 80 Seymour Street Hartford CT 06102 454181103 Investment Management CT 501(C)(3) 12 (a) Hartford HealthCare Corporation 1 Hartford HealthCare Ind 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 1 Hartford Healthcare Medical Group Specialist LLC 1290 Silas Deane Hwy Wethersfield CT 06109 371911194 Medical Services CT 501(C)(3) 10 Hartford HealthCare Medical Group Inc 1 Hartford HealthCare Medical Group Inc 1290 Silas Deane Hwy Wethersfield CT 06109 454456939 Medical Services CT 501(C)(3) 10 Hartford HealthCare Corporation 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 1 Hartford Hospital 80 Seymour Street Hartford CT 06102 060646668 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Hartford Hospital Auxiliary co Hartford Hospital 80 Seymour Street Hartford CT 06115 066040747 Fundraising CT 501(C)(3) 12 (a) Hartford Hospital 1 Midstate Medical Center 435 Lewis Avenue Meriden CT 06451 060646715 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Midstate Medical Center Auxiliary 435 Lewis Avenue Meriden CT 06451 066063082 Fundraising CT 501(C)(3) 12 (a) MidState Medical Center 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 1 Natchaug Hospital Inc 189 Storrs Road Mansfield Center CT 06226 060966963 Behavioral Health CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Partners In Care Inc 46 Lindeman Road Trumbull CT 06111 061142867 Home Healthcare CT 501(C)(3) 10 Hartford HealthCare Independence At Home 1 Rushford Center Inc 883 Paddock Avenue Meriden CT 06450 060932875 Substance Abuse Healthcare Services CT 501(C)(3) 7 Hartford HealthCare Corporation 1 Rushford Foundation Inc 883 Paddock Avenue Meriden CT 06450 061432692 Support Organization CT 501(C)(3) 12 (a) Rushford Center Inc 1 The Charlotte Hungerford Hospital 540 Litchfield Street Torrington CT 06790 060646678 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 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 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 1 The William W Backus Hospital 326 Washington Street Norwich CT 06360 060250773 Hospital CT 501(C)(3) 3 Hartford HealthCare Corporation 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 1 VNA Corporation Inc 765 Fairfield Avenue Bridgeport CT 06604 061142892 Supporting Organization CT 501(C)(3) 12 (a) Hartford HealthCare Corporation 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 1 Windham Hospital Foundation Inc 112 Mansfield Avenue Willimantic CT 06226 562546632 Supporting Organization CT 501(C)(3) 12 (a) Windham Community Memorial Hospital 1 SVMC Holdings Inc dba St Vincent's Medical Center One State Street Suite 19 Hartford CT 06103 832550272 Hospital CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Advanced Medical Imaging of NW CT LLC 57 Commercial Blvd Torrington CT 06790 061594854 Magnetic Resonance Imaging CT N/A 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 111 Founders Plaza East Hartford CT 06108 134298940 Imaging Service CT N/A Constitution Surgery Center East LLC 174 Cross Road Waterford CT 06385 061574704 Surgery Services CT N/A CT GI Endoscopy Center LLC (Bloomfield) 4 Northwestern Drive Bloomfield CT 06002 061573358 GI Services CT N/A Glastonbury Endoscopy Center LLC 300 Western 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 Related 21239 155078 0 0 0.50000 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 Aetna Ambulance Service Inc POBox 1150 Manchester CT 06045 060795431 Ambulance Services CT N/A C 1 Backus Medical Center Condo Assoc Inc 330 Washington Street Norwich CT 06360 061542647 Condo Association CT N/A C 1 CenConn Services Inc 100 Grand Street New Britain CT 06050 222836001 Holding Company CT N/A C 1 ConnCare Inc 326 Washington Street Norwich CT 06360 061387598 Health Care Services CT N/A C 1 HHMOB Corporation 80 Seymour Street Hartford CT 06102 061140244 Real Estate & Parking CT N/A C 1 Hartford HealthCare Indemnity Services Ltd FB Perry Bld 40 Church St Hamilton BD 981476697 Captive Insurance BD N/A C 1 Hartford Physician Services PC 80 Seymour Street Hartford CT 06102 061254082 Medical Services CT N/A C 1 Litchfield County Healthcare Service Corporation 540 Litchfield Street Torrington CT 06790 061227655 Management Services CT N/A C 1 Meriden Imaging Center 101 North Plains Industrial Road Meriden CT 06429 061541468 Imaging CT N/A S 1 Metro Wheelchair Service Inc POBOX 300 Manchester CT 06045 060878432 Wheelchair Services CT N/A C 1 MidState Medical Group PC 435 Lewis Avenue Meriden CT 06450 204327968 Medical Services CT N/A C 1 Windham Professional Office Condominium Association Inc 112 Mansfield Avenue Willimantic CT 06226 061090041 Condo Association CT Windham Community Memorial Hospital C 4282 102725 0.60000 1 WWB Corporation 326 Washington Street Norwich CT 06360 061094838 Holding Company CT N/A C 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 Hartford Hospital A 10987 FMV Hartford Hospital M 775867 FMV Hartford Hospital O 323956 FMV Hartford Hospital P 569226 FMV Hartford Hospital R 163374 FMV Hartford Hospital S 1007706 FMV Midstate Medical Center Q 131022 FMV Hartford HealthCare Medical Group Inc A 465976 FMV Hartford HealthCare Medical Group Inc M 607348 FMV Hartford HealthCare Medical Group Inc O 674017 FMV Hartford HealthCare Medical Group Inc Q 132746 FMV Hartford HealthCare Medical Group Inc S 431515 FMV Hartford HealthCare at Home Inc O 88842 FMV The William W Backus Hospital O 144547 FMV The William W Backus Hospital Q 209701 FMV the William W Backus Hospital R 220741 FMV The William W Backus Hospital S 675076 FMV Hartford HealthCare Medical Group Specialists M 154043 FMV Hartford HealthCare Medical Group Specialists O 72682 FMV Hartford HealthCare Medical Group Specialists S 128162 FMV Natchaug Hospital M 85223 FMV Windham Hospital Foundation O 114380 FMV