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      <MissionDesc>HOSPITAL FOR SPECIAL CARE IS A 228 BED REHABILITATION AND CHRONIC DISEASE HOSPITAL, SERVING PATIENTS IN THESE PRIMARY AREAS: INPATIENT AND OUTPATIENT REHABILITATION</MissionDesc>
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      <Desc>INPATIENT CARE: RESPIRATORY SERVICES INCLUDE CARING FOR PEOPLE WHO HAVE MADE CONSCIOUS DECISIONS TO LIVE ON LIFE SUPPORT. THESE PATIENTS REQUIRE SIGNIFICANT MEDICAL ATTENTION ALONG WITH SERVICES TO ENHANCE QUALITY OF LIFE. OUR GOAL IS TO LIBERATE PATIENTS FROM VENTILATOR DEPENDENCY SO THAT THEY CAN RESUME THEIR LIVES. HOSPITAL FOR SPECIAL CARE IS RECOGNIZED FOR HAVING THE HIGHEST VENTILATOR-WEANING RATE IN CONNECTICUT AND CONSISTENTLY EXCEEDS THE NATIONAL AVERAGE. SERVICES FOR THE CLINICAL MANAGEMENT OF PATIENTS WITH SERIOUS RESPIRATORY CONDITIONS ARE PROVIDED ON THREE DISTINCT UNITS. HSC'S 36-BED LAURIE COLEMAN PUGLISI RESPIRATORY CARE UNIT AND THE 38-BED RESPIRATORY STEP-DOWN UNIT PROVIDE CARE FOR PATIENTS WITH MULTI-SYSTEM PROBLEMS AND VENTILATOR ASSISTANCE. THE CLOSE OBSERVATION UNIT IS AN 11 BED UNIT PROVIDING TECHNOLOGICALLY ADVANCES CLINICAL MANAGEMENT OF ADULT PATIENTS WHO REQUIRE MECHANICAL VENTILATION, AND WHO HAVE POTENTIAL TO BE REMOVED FROM THE VENTILATOR. HOSPITAL FOR SPECIAL CARE IS CERTIFIED BY AMERICAN ASSOCIATION FOR RESPIRATORY CARE(AARC). (29,424 PATIENT DAYS)</Desc>
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        <Desc>INPATIENT CARE: REHABILITATION SERVICES INCLUDE PROGRAMS FOR THOSE RECOVERING FROM A LIFE-THREATENING CONDITION, DEBILITATING INJURY OR SUFFERING FROM ACUTE CHRONIC ILLNESS. HSC PROVIDES INTERDISCIPLINARY CARE FOR PATIENTS WITH AMPUTATIONS, NEUROLOGICAL CONDITIONS, ORTHOPEDIC DIAGNOSES, MUSCULOSKELETAL DIAGNOSES, MULTIPLE TRAUMA, AND COMPLICATIONS FROM PROLONGED HOSPITALIZATIONS. COMPLEX MEDICAL AND COMPLEX REHABILITATION PROGRAMS LED BY A BOARD-CERTIFIED INTERNIST PROVIDES A WIDE RANGE OF SERVICES DESIGNED TO MAXIMIZE THE OUTCOMES OF PATIENTS WHO NO LONGER NEED INVASIVE OR ACUTE DIAGNOSTIC PROCEDURES, BUT WHO CONTINUE TO REQUIRE 24-HOUR NURSING CARE AND/OR MONITORING. WE ALSO PROVIDE COMPREHENSIVE CARE FOR INDIVIDUALS WHO REQUIRE COMPLEX WOUND MANAGEMENT. HSC TREATS ALL LEVELS OF SPINAL CORD DYSFUNCTION. THROUGH ITS CONTINUUM OF CARE AND INTERDISCIPLINARY THERAPIES TO PAIN MANAGEMENT AND COMMUNITY RE-ENTRY. A COMPREHENSIVE TREATMENT PLAN IS TAILORED TO EACH INDIVIDUAL BY A DEDICATED REHABILITATION TEAM LED BY THE MEDICAL DIRECTOR. THE ACQUIRED BRAIN INJURY (ABI) PROGRAM TREATS INDVIDUALS WITH TRAUMATIC BRAIN INJURIES(I.E. ANEURYSM, ANOXIA, TUMORS) WITH THE GOAL TO MAXIMIZE PATIENTS'FUNCTIONAL STATUS, INDEPENDANCE, PSYCHOSOCIAL ADJUSTMENT AND VOCATIONAL AND LEISURE SKILLS. INCLUDING COMMUNITY REINTERGRATION. CURRENTLY OUR BRAIN INJURY PROGRAM IS ACCREDITATED BY COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). THE NEUROBEHAVIORAL PROGRAM(NBP) IS A LONG-TERM, 25 BED INPATIENT REHABILITATION PROGRAM THAT SPECIALIZES IN THE TREATMENT OF INDVIDUALS WHO HAVE SUSTAINED AN ACQUIRED BRAIN INJURY AND HAVE BEEN UNSUCCESSFUL LIVING IN THE COMMUNITY OR IN OTHER FACILITIES. THE PURPOSE OF THE NBP IS TO ASSIST THESE INDIVIDUALS IN MANAGING THEIR INDEPENDENCE AND TO IMPROVE THEIR OVERALL QUALITY OF LIFE. HSC'S CARDIAC MEDICAL UNITS CONSISTS OF TREATMENT, THERAPY AND EDUCATION FOR PATIENTS WHO ARE STRIVING TO REGAIN, OR MAINTAIN THEIR FUNCTIONAL ABILITY WHILE DEALING WITH THE COMPLICATIONS FROM HEART FAILURE.(29,131 PATIENT DAYS)</Desc>
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        <Desc>INPATIENT CARE: SATELLITE UNIT/HARTFORD LOCATION IS A 23-BED UNIT LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IN HARTFORD. THE SATELLITE UNIT IS SPECIFICALLY FOT PATIENTS NEEDING COMPREHENSIVE WOUND MANAGEMENT, VENTILATOR-WEANING, COMPLEX RESPIRATORY CARE, OR MANAGEMENT OF COMPLEX MEDICAL ISSUES. (7,748 PATIENT DAYS)</Desc>
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        <Desc>INPATIENT AUTISM SERVICES: Is an 10 bed Unit The Autism Inpatient Unit is established to reduce instances of Emergency Room visits for individuals ages 10 to 21 experiencing the most acute complex Autism Spectrum disorders and co-occurring psychiatric disorders.(Patient Days 3,091)</Desc>
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        <Desc>The Maximilian E. &amp; Marion O. Hoffman Foundation Outpatient Center is designed to meet the needs of patients that require assistance but do not require hospitalization. Whether from illness, surgery or injury, therapy may be needed to improve muscle strength, coordination and mobility. The Center offers a comprehensive team approach provided by our highly-skilled physical and occupational therapists, and speech-language pathologists Outpatient Programs include Asthma Disease Management, Aquatic Therapy, Autism Services, Body Weight Support Elliptical Trainer, Concussion Management, Physical Therapy, Psychology and Neuropsychology Services, Occupational Therapy, Orthotics Program, Pulmonary Rehab, Speech Therapy, Swallowing Disorders Center, Neuromuscular Clinic and Parkinson's Clinic (48,512 visits)</Desc>
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        <PersonNm>MICHAEL GENOVESI MD</PersonNm>
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        <PersonNm>TED GAWLICKI</PersonNm>
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        <PersonNm>JOHN C KING ESQ</PersonNm>
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        <PersonNm>JOSEPH G LAFFIN CCP</PersonNm>
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        <PersonNm>TRACY MCKAVENEY CPA</PersonNm>
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        <PersonNm>DAVID KELLY</PersonNm>
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        <PersonNm>LYNN RICCI</PersonNm>
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        <PersonNm>NANCY MARTONE</PersonNm>
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        <PersonNm>JOHN J VOTTO DO</PersonNm>
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        <PersonNm>LAURIE A WHELAN</PersonNm>
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        <PersonNm>J KEVIN SHUSHTARI MD</PersonNm>
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        <PersonNm>DONALD CYR</PersonNm>
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        <PersonNm>VICTORIA GOLAB</PersonNm>
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        <PersonNm>DENISE ANDERSON</PersonNm>
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        <PersonNm>STANISLAW JANKOWSKI</PersonNm>
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        <PersonNm>NATHAN NARTEY MD</PersonNm>
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        <PersonNm>MARK WATSON MD</PersonNm>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
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      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
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        <BusinessName>
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        <USAddress>
          <AddressLine1Txt>2150 Corbin Ave</AddressLine1Txt>
          <CityNm>New Britain</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06053</ZIPCd>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
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        <ResearchFacilityInd>X</ResearchFacilityInd>
        <OtherDesc>Long Term Acute Care Fac</OtherDesc>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Hospital For Special Care Pt V Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The HSC "community" was defined as individuals living with chronic conditions or physical disabilities, statewide. Primary sources of data included: United States Census Bureau, State of Connecticut Department of Public Health, DataHaven (New Haven, CT), American Lung Association ,Centers for Disease Control and Prevention (CDC), Disability and Health Data Systems (DHDS),CDC National Center for Health Statistics(NCHS), AARP Public Policy Institute, American Community Survey (ACS) Indicators 2016, Health and Behavioral Risk Factors Surveillance System (BRFSS) Indicators. The 2019 assesment used the 2016 online survey, adding clarifying questions and timely topics. Telephone surveys and paper surveys were also offered along with translation services. The survey was distributed throughtout the state using email, postal mail to 3,000 partcipants in HSC programs including aquatic fitness center members, therapeutic horseback riding partcipants, adaptive sports and inclusive recreation attendees and HSC volunteers. Paper surveys and the link to the online survey was distributed to outpatients in our physician clinic, therapy services,Autism Center and several support groups.The survey availabilty was promoted on the multiple HSC social media channels.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Hospital For Special Care Pt V Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The identified significant health needs were prioritized, and HSC is addressing these needs with an implementation strategy created after the CHNA was accepted by the Board in March 2019. The implementation strategy was accepted by the Board in July 2019, and projects have begun. Some identified health needs are beyond of the scope of services offered at HSC, a long term acute care hospital (LTACH). These include mental health, substance abuse, weight loss and healthy food choice programs. HSC patients and program participants in need of such services are referred to existing community services with expertise in these areas.</ExplanationTxt>
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      <FacilityNum>0</FacilityNum>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Unreimbursed Medicaid Cost: Our cost was based on using worksheet 2 cost to charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7 col(f)</FormAndLineReferenceDesc>
        <ExplanationTxt>Percent of Total Expense: The percentage was calculated using PartIX, Line 25, Column (A) total expenses divided by the net community benefit expense Line 7 column (E)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Building Activities: HSC is committed to being ever-ready when disaster or emergency strike. Through partnering with the state and regional HealthCare Coalitions, including DPH (Department of Public Health) and DEMHS (Department of Emergency Management and Homeland Security) and by following National Incident Management System (NIMS) preparedness training, the hospital can serve as a community stronghold in the event of natural or manmade disaster. The hospital coordinates training, resources, planning, and response using community responders and a state and regional network of support to run a unified command system that best serves the community. The grant funding received as part of the Hospital Preparedness Program (HPP) allows for the hospital to be reimbursed for a very small portion of our total emergency preparedness activities annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital For Special Care (HSC) is a member of the regional emergency support plan, designated as a member of Emergency Function 8 along with all area acute care, long term care, medical offices, community health services and medical emergency response entities. In total, there are 20 emergency functions that are a part of the regional emergency support plan that includes transportation, public works, engineering and firefighting for example. Regional ESF 8 members meet quarterly, coordinated by The Department of Public Health and Emergency Management Services, to work on shared projects such as an alternate care facilities policies, evacuation plans, paramedic flu planning and statewide drill planning, HSC partcipates in The Warn Communication System that allows immediate communication amongst ESF 8 members throughout The State of Connecticut.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>Workforce development: The New Britain Academy for Health Professions (Health Academy) was established December 7, 2009. The Health Academy educates and prepares high school students for careers in the healthcare service industry in New Britain and is collaborative effort between the business community, The Consolidated School District of New Britain and New Britain's two hospitals, Hospital For Special Care and The Hospital of Central Connecticut. The comprehensive curriculum provides students with opportunities to explore the healthcare service industry and to develop up-to-date skills and the knowledge-base needed for certification in a variety of healthcare occupations upon graduation from high school. In addition, students can start earning credits toward a two-year and/or a four-year college degree and be prepared for a 21st century career while still in high school. The target population is New Britain High School students. Many are economically disadvantaged and underrepresented in the health professions, and so they have the potential to benefit greatly from the Academy's work-based skills and career competency-building strategies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable are considered delinquent and written off when all attempts to collect from individuals or other Payor sources have been exhausted. As described in note 1 Summary of Significant Accounting Policies on page 7 of the audited financial statement. It is also the Hospital's practice to review patient accounts regularly and reserve for any potential bad debts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization uses a cost to charge ratio as reported on the Medicare Cost Report to determine Medicare costs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>Collection Policies are the same for all patients. Our Hospital does not pursue collection of amounts from patients determined to qualify for Financial Assistance. Our policy provides that we will not refer any accounts for collection until we can determine whether the individual is insured and therefore not eligible for financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients are notified that financial assistance is available at the time of registration. A statement is included on the financial disclosure paperwork which is completed at the time of admission and on each patient bill and subsequent statement. Financial counseling appointments are available upon request and interpreter services are available for patients needing information in languages other than English. The Hospital's Financial Assistance program is also available on the Hospital's website.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital For Special Care(HSC) is licensed by the State of Connecticut as a Chronic-Disease Hospital and Certified by Medicare as a Long term Acute Care Hospital. Unlike acute care facilities that serve their surrounding towns, HSC patients are admitted from throughout Connecticut and Southern New England. Hospital For Special Care is the only long term acute care hospital in the Country that provides a continuum of care from pediatrics through adulthood. It is nationally renowned for treatment in the areas of Pulmonary Disease, Acquired Brain Injuries, Autism, Complex pediatrics, neuromuscular disease and spinal cord injuries. In addition to its 205-bed inpatient facility in New Britain, Connecticut, HSC operates a 23-bed Satellite serving the Greater Hartford Area. Hospital For Special Care offers a full spectrum of medical treatment for complex rehabilitation and chronic disease. Inpatient Services are augmented by a full array of outpatient services including a full fitness center specifically designed for those living with physical disabilities as well as those recovering from various injuries and illnesses. HSC does not target any specific neighborhood, income level, or minority or immigrant populations. The diseases and injuries that its patients have experienced strike anyone, anytime, anywhere. HSC's community efforts extend throughout the city of New Britain and surronding towns.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors is made up of medical and business professionals, almost all of whom reside in the Hospital's primary service area. These volunteers give countless hours of service to the Hospital in their oversight role. They are involved in strategic planning for the Hospital and its sister entities in fundraising and in general stewardship. Medical staff privledges are offered to all qualified physicians in the community. The Hospital utilizes surplus funds to maintain and expand access to the following: Inpatient respiratory services, rehabilitation services, including brain injury, autism and spinal cord injury, specialized pediatric care and a complement of outpatient services for the chronic conditions HSC treats.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital's sole corporate member is the Center of Special Care, INC. a 501(c)(3) corporation (The "Center"). The Center provides governance oversight and strategic planning for its several wholly owned subsidiaries. These subsidiaries include the Hospital, and its sister entities, HSC Community Services, INC. and Hospital For Special Care Foundation, INC. All of these entities are 501(c)(3) corporations whose collective focus is to provide exemplary care that assists patients and their families to improve the quality of life and to respond and be accountable to the needs of the community they serve. Specific examples of the affiliated entities' service to these communities include the operation of a multi-faceted sports &amp; training leadership program for disabled children and adults, which provides a summer sports camp for disabled children and sports teams that enable wheelchair-bound atheletes to partcipate in training and competition in track &amp; field, soccer, swimming and basketball; and the funding of scholarships for nursing and respiratory care students. In addition, HSC Community Services, Inc. is a corporate member of two other 501(c)(3) corporations, CSI Residential, Inc., and Manes and Motions Therapeutic Riding Center, Inc. CSI Residential provides HUD-Subsidized housing for disabled individuals in the community. Manes and Motions operates a therapeutic horseback riding program that services children with cognitive and physical disabilities, including Autism, and adults affected by traumatic brain injury or post traumatic stress disorder, including combat veterans.</ExplanationTxt>
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        <GrantTypeTxt>Scholarship</GrantTypeTxt>
        <RecipientCnt>6</RecipientCnt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Scholarship Funds are distributed directly to the institution which the recipient attends</ExplanationTxt>
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        <PersonNm>JOHN PELEGANO MD</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM PESCE DO</PersonNm>
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        <PersonNm>MAGDELINA MAURIELLO MD</PersonNm>
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        <PersonNm>JENNIFER FARLEY</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain officers and highly paid employees are enrolled in a non qualified benefit plan (SERP). Payments of $297,093 were made to the plan this year.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for determining the compensation for the organizations CEO, Officers, and key employees is as follows. The organization utilizes a compensation committee consisting entirely of independent members of the Board of Director. Annually, the committee is given recommendations from an independent consultant regarding the compensation of those employees indentified above. The committee has the sole discretion to accept or revise the recommendations of the consultant in setting the compensation of the previously identified employees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Discretionary Bonuses are awarded based on performace</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Vicki Golab former VP of Nursing received $65,972 in severance payments</ExplanationTxt>
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        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
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        <ExplanationTxt>PART II LINE 11 COLUMN A OTHER SPENT PROCEEDS WERE USED TO DEFEASE PRIOR BOND ISSUE</ExplanationTxt>
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        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center of Special Care, Inc. is the parent and sole member of the Hospital for Special Care. As such, it approves the appointment of all new members of the Hospital's Board</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center of Special Care, Inc. is the parent and sole member of the Hospital for Special Care. As such, it has final approval over all strategic and Financial Decisions made by the Hospitals Board.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for determining the compensation for the organization's CEO, Officers, and key employees is as follows. The organization utilizes a compensation committee consisting entirely of independent members of the Board of Directors. Annually, the committee reviews recommendations from an independent consultant regarding the compensation of those employees identified above. The committee has the sole discretion to accept or revise the recommendations of the consultant in setting the compensation of the previously identified employees.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The organization makes its governing documents and conflict of interest policies available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for determinig the compensation for the organization's CEO, Officers, and key employees is as follows. The organization utilizes a compensation committee consisting entirely of independent members of the Board of Directors. Annually, the committee reviews recommendations from an idependent consultant regarding the compensation of those employees indentified above. The committee has the sole discretion to accept or revise the recommendations of the consultant in setting the compensation of the previously identified employees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL FOR SPECIAL CARE'S SOLE MEMBER IS THE CENTER OF SPEACIAL CARE, INC. CENTER OF SPECIAL CARE, INC. IS THE PARENT ORGANIZATION OF HOSPITAL FOR SPECIAL CARE, AND ALL ITS RELATED SUBSIDIARIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 9 change in Equity to affiliates 563,832 unrealized gain on interest rate swap -1,060,909 transfer to affiliates -702,432</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>INPATIENT CARE: SATELLITE UNIT/HARTFORD LOCATION IS A 23-BED UNIT 6069519. 0. 9764850.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>INPATIENT AUTISM SERVICES: Is an 10 bed Unit 4617071. 0. 4543856.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maximilian E. &amp; Marion O. Hoffman Foundation Outpatient Center is designed to meet the needs of 12282410. 0. 8108991.</ExplanationTxt>
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