WINDHAM COMMUNITY MEMORIAL HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WINDHAM COMMUNITY MEMORIAL HOSPITAL INC (EIN 06-0646966)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-13
- IRS object ID
- 201932259349301218
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-13T09:12:38-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Ivan Allen Blvd Suite 1000 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646966 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windham Community Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WIND | BusinessNameControlTxt |
| Phone | 8604566821 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1Txt |
| City | Willimantic | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Keise | PersonNm |
| Person Title | VP, Finance | PersonTitleTxt |
| Phone | 8604566821 | PhoneNum |
| Signature | 2019-08-13 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Aerrial Orr | PreparerPersonNm |
| PTIN | P01598400 | PTIN |
| Phone | 4048748300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 199.231.28.240 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-13 | IPDt |
| IP Tm | 09:12:16 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 4869E5F49B9973F149F13A18DEB0F85868CD0247 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CD71869BFC494223FABD92E93AB0669CE7B22062 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Donna Handley | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1Txt |
| City | Willimantic | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $97,920,894 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.windhamhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1908 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 674 | TotalEmployeeCnt |
| Total Volunteers | 173 | TotalVolunteersCnt |
| Total Gross UBI | $82,556 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $590,123 | PYContributionsGrantsAmt |
| CY Contributions Grants | $218,991 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $81,000,188 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $95,798,858 | CYProgramServiceRevenueAmt |
| PY Investment Income | $187,611 | PYInvestmentIncomeAmt |
| CY Investment Income | $442,743 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,047,097 | PYOtherRevenueAmt |
| CY Other Revenue | $1,044,917 | CYOtherRevenueAmt |
| PY Total Revenue | $82,825,019 | PYTotalRevenueAmt |
| CY Total Revenue | $97,505,509 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,634,907 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,414,925 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $60,825 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,704,065 | PYOtherExpensesAmt |
| CY Other Expenses | $55,224,281 | CYOtherExpensesAmt |
| PY Total Expenses | $85,338,972 | PYTotalExpensesAmt |
| CY Total Expenses | $96,639,206 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,513,953 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $866,303 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $64,908,948 | TotalAssetsBOYAmt |
| Total Assets EOY | $67,289,632 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $110,384,280 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $94,652,946 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$45,475,332 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$27,363,314 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,687,703 | ExpenseAmt |
| Revenue | $13,058,474 | RevenueAmt |
| Desc | Bone & Joint (Orthopedics):The Orthopedics Department at Windham 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 injectionsWindham Hospital surgeons utilize the Robotic Arm Interactive Orthopedic System (RIO) 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 Hospital completed 877 total orthopedic cases in FY18 which was down by 36 cases from FY17. Of the 877 cases in FY18, 115 were Total Knee Replacements and 112 of those were performed with MAKO robotic surgery. Total Hip Replacement was 71 with 1 of those being performed with MAKO robotic surgery. Windham also performed 11 Globus Robotic Spine surgeries in FY18. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,845,739 | ExpenseAmt |
| Revenue | $9,578,051 | RevenueAmt |
| Desc | Hartford HealthCare Cancer Institute:Hartford HealthCare is Connecticut's most comprehensive healthcare network. Our fully integrated health system includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, two community hospitals. The Hartford HealthCare Cancer Institute encompasses comprehensive cancer centers at five hospitals across Connecticut - Hartford Hospital, The Hospital of Central Connecticut, Backus Hospital, Midstate Medical Center and Windham 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. And 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 FY18, the Institute had 5,598 new cases across the system were as follows:Hartford Hospital - 3,132Hospital of Central Connecticut - 1,013Backus Hospital - 765MidState Medical Center - 516Windham Hospital - 172The 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.1,101 Breast Cancer cases were treated across the system as follows:Hartford Hospital - 571Hospital of Central Connecticut - 251Backus Hospital - 123MidState Medical Center - 122Windham Hospital - 34726 Lung Cancer cases were treated across the system as follows:Hartford Hospital - 392Hospital of Central Connecticut - 142Backus Hospital - 109MidState Medical Center - 59Windham Hospital - 24676 Prostate Cancer cases were treated across the system as follows:Hartford Hospital - 386Hospital of Central Connecticut - 98Backus Hospital - 110MidState Medical Center - 62Windham Hospital - 20370 Bladder Cancer cases were treated across the system as follows:Hartford Hospital - 175Hospital of Central Connecticut - 79Backus Hospital - 57MidState Medical Center - 46 Windham Hospital - 13241 Colon Cancer cases were treated across the system as follows:Hartford Hospital - 137Hospital of Central Connecticut - 42Backus Hospital - 26MidState Medical Center - 36 Today, Hartford HealthCare is creating a better future for healthcare in Connecticut and beyond. We are a community of caregivers engaged in developing a coordinated, consistent high standard of care. We use research and education as partners in care delivery. We create and engage in meaningful alliances to enhance access to services. We invest in technology and training to develop new pathways to improve the timeliness, efficiency and accuracy of our services. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,618,153 | ExpenseAmt |
| Revenue | $10,445,627 | RevenueAmt |
| Desc | 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 Hospital 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)* MonitoringMore 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.At the completion of the Fiscal Year FY18 the, Division of Cardiology was comprised of three cardiologist and one Advanced Practice provider. Overall, cardiology services grew on average by 15% from FY17 to FY18. Echocardiography increased by 9% and cardiac stress testing increased 110% from FY17 to FY18, the large increase in volume correlates to a third provider being hired at Windham Hospital in FY18. The Hospital is now able to cardiac monitor patients with its remote telemetry capabilities.Our Congenital Heart Failure (CHF) readmission rate for Medicare patients was 13.6% 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $53,758,954 | ExpenseAmt |
| Revenue | $62,909,884 | RevenueAmt |
| Desc | 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 ServicesDiabetes & EndocrinologyEmergency CareFamily & Primary CareHeadache CenterHospital MedicineImaging & RadiologyIntegrative HealthMedical Weight LossMovement DisordersNeuroscience InstituteOrthopedicsPain ManagementParamedic ProgramPhysical TherapyPulmonary & Respiratory ServicesSenior ServicesSleep MedicineSpine CareSurgical Weight LossUrologyWomen's HealthWound Care & Surgical ClinicSupport Services | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $53,758,954 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $62,909,884 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $87,910,549 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 85 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 674 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Anthony Mastroianni | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8604566821 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1Txt |
| City | Willimantic | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mary Barry MD | ||||||||||
| Director | 2.00 | Yes (X) | $31,440 | $32,628 | $2,641 | |||||
| Henry Beck | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Carmen Cid PhD | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Carolyn Drescher Thru 218 | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Stephen Larcen PhD | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $5,976 | $0 | |||||
| Steve Lee MD Thru 1217 | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Lynne Quintal-Hill | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Mark Tramontozzi MD | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $67,297 | $0 | |||||
| James Watson MD | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Paul Weigle | ||||||||||
| Director | 2.00 | Yes (X) | $0 | $262,026 | $60,022 | 60.00 | ||||
| Donna Handley | ||||||||||
| Director and President | 2.00 | Yes (X) | $0 | $399,296 | $62,413 | 60.00 | Yes (X) | |||
| Diane Wishnafski | ||||||||||
| Chair | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Deborah Monahan | ||||||||||
| Vice Chair | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Margaret Marchak | ||||||||||
| Secretary | 2.00 | $0 | $691,694 | $136,350 | 60.00 | Yes (X) | ||||
| Anthony Mastroianni | ||||||||||
| VP, Finance | 30.00 | $0 | $275,534 | $57,868 | 30.00 | Yes (X) | ||||
| Robert Sidman MD | ||||||||||
| VP, Medical Affairs | 30.00 | $0 | $509,023 | $65,126 | 30.00 | Yes (X) | ||||
| Lester Temkin | ||||||||||
| VP, Operations | 30.00 | $0 | $316,741 | $53,744 | 30.00 | Yes (X) | ||||
| Kismatkumar Detroja MD | ||||||||||
| Physician | 60.00 | $335,491 | $0 | $58,248 | Yes (X) | |||||
| Jong Gil Oh MD | ||||||||||
| Hospitalist | 60.00 | $306,848 | $0 | $52,882 | Yes (X) | |||||
| Anne Lovejoy MD | ||||||||||
| Physician | 60.00 | $250,946 | $0 | $37,361 | Yes (X) | |||||
| Melisha Cumberland MD | ||||||||||
| Physician | 60.00 | $204,381 | $0 | $27,768 | Yes (X) | |||||
| Julian Munoz MD | ||||||||||
| Physician | 60.00 | $316,061 | $0 | $39,593 | Yes (X) | |||||
| David Whitehead | ||||||||||
| Former Director and Pres. | 0.00 | $0 | $1,005,456 | $74,886 | 60.00 | Yes (X) | ||||
| Daniel Lohr | ||||||||||
| Former Senior VP/CFO | 0.00 | $0 | $678,812 | $28,749 | 60.00 | Yes (X) | ||||
| Carolyn Trantalis | ||||||||||
| Former VP, Clinical Services & Op | 0.00 | $0 | $327,340 | $63,208 | 0.00 | Yes (X) | ||||
| Bimal Patel | ||||||||||
| Former Director & President | 0.00 | $0 | $703,901 | $105,710 | 60.00 | Yes (X) | ||||
| Gregory Makowski | ||||||||||
| Former VP, HHC Lab Services | 0.00 | $0 | $335,424 | $37,072 | 0.00 | Yes (X) | ||||
| Thomas Vaccarelli | ||||||||||
| Former VP, Facilities | 0.00 | $0 | $397,390 | $65,003 | 0.00 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,445,167 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,008,538 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,028,644 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Anesthesia Associates of Willimantic PC | |||||
| 1185 Main Street | Willimantic | CT | 06226 | Medical Services | $967,159 |
| Origin Incorporated | |||||
| 1800 SW 1St Suite 510 | Portland | OR | 97201 | Staffing Services | $596,183 |
| Morrison Management Specialist | |||||
| 400 Northridge Road | Sandy Springs | GA | 30350 | Food Services | $595,772 |
| Medpartners Locum Tenens Inc | |||||
| PO Box 405547 | Atlanta | GA | 30384 | Staffing Service | $530,975 |
| Connecticut Children's Specialty Group | |||||
| 282 Washington Street | Hartford | CT | 06106 | Medical Services | $476,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $22,230 | GovernmentGrantsAmt |
| All Other Contributions | $196,761 | AllOtherContributionsAmt |
| Total Contributions | $218,991 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Program Revenue | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $95,798,858 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,798,858 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $95,798,858 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $247,584 | TotalRevenueColumnAmt |
| Exclusion | $247,584 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,055,310 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $415,385 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $639,925 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $639,925 | TotalRevenueColumnAmt |
| Exclusion | $639,925 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $195,159 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $195,159 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $195,159 | TotalRevenueColumnAmt |
| Exclusion | $195,159 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| Cafeteria Revenue | 722514 | $211,814 | $211,814 | ||
| Other Operating Revenue | 900099 | $110,622 | $110,622 | ||
| Income (Loss) Pass Thru Entities | 900003 | $82,556 | $82,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $404,992 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $97,505,509 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,909,480 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $82,556 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,294,482 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,519,626 | TotalAmt |
| Program Services | $32,879,167 | ProgramServicesAmt |
| Management And General | $1,592,659 | ManagementAndGeneralAmt |
| Fundraising | $47,800 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,259 | TotalAmt |
| Program Services | $46,918 | ProgramServicesAmt |
| Management And General | $2,273 | ManagementAndGeneralAmt |
| Fundraising | $68 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,484,865 | TotalAmt |
| Program Services | $4,271,733 | ProgramServicesAmt |
| Management And General | $206,922 | ManagementAndGeneralAmt |
| Fundraising | $6,210 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,361,175 | TotalAmt |
| Program Services | $2,235,680 | ProgramServicesAmt |
| Management And General | $121,838 | ManagementAndGeneralAmt |
| Fundraising | $3,657 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,505 | TotalAmt |
| Management And General | $3,505 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,140 | TotalAmt |
| Management And General | $19,140 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,993 | TotalAmt |
| Program Services | $6,993 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,229,076 | TotalAmt |
| Program Services | $5,229,076 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750 | TotalAmt |
| Management And General | $750 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,226,303 | TotalAmt |
| Program Services | $1,037,153 | ProgramServicesAmt |
| Management And General | $188,277 | ManagementAndGeneralAmt |
| Fundraising | $873 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,779,830 | TotalAmt |
| Program Services | $2,915,696 | ProgramServicesAmt |
| Management And General | $1,864,134 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,876,274 | TotalAmt |
| Program Services | $1,779,521 | ProgramServicesAmt |
| Management And General | $96,753 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,048 | TotalAmt |
| Program Services | $25,804 | ProgramServicesAmt |
| Management And General | $2,244 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,244 | TotalAmt |
| Program Services | $63,154 | ProgramServicesAmt |
| Management And General | $18,913 | ManagementAndGeneralAmt |
| Fundraising | $1,177 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,580,232 | TotalAmt |
| Program Services | $1,563,597 | ProgramServicesAmt |
| Management And General | $16,635 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,637,612 | TotalAmt |
| Program Services | $9,351,833 | ProgramServicesAmt |
| Management And General | $3,285,779 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,454,525 | TotalAmt |
| Program Services | $3,454,525 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,962 | TotalAmt |
| Program Services | $651,962 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $14,993,533 | $14,993,533 | ||
| Purchased Services | $4,973,372 | $4,088,678 | $883,654 | $1,040 |
| Repairs & Maintenance | $2,016,913 | $1,886,069 | $130,844 | |
| Hospital Provider Tax | $1,307,141 | $1,307,141 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,828 | TotalAmt |
| Program Services | $122,316 | ProgramServicesAmt |
| Management And General | $233,512 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,639,206 | TotalAmt |
| Program Services | $87,910,549 | ProgramServicesAmt |
| Management And General | $8,667,832 | ManagementAndGeneralAmt |
| Fundraising | $60,825 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,415,907 | BOYAmt |
| EOY | $6,338,157 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,847 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,223,603 | BOYAmt |
| EOY | $9,053,659 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $831,497 | BOYAmt |
| EOY | $1,396,965 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,494 | BOYAmt |
| EOY | $715,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $129,166,817 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $91,546,222 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,446,481 | BOYAmt |
| EOY | $37,620,595 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,469 | BOYAmt |
| EOY | $63,907 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,626,645 | BOYAmt |
| EOY | $7,995,575 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,648,005 | BOYAmt |
| EOY | $4,105,145 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,908,948 | BOYAmt |
| EOY | $67,289,632 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,400,392 | BOYAmt |
| EOY | $7,125,014 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,488,283 | BOYAmt |
| EOY | $9,207,352 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,125 | BOYAmt |
| EOY | $217,725 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,266,480 | BOYAmt |
| EOY | $78,102,855 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,384,280 | BOYAmt |
| EOY | $94,652,946 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$53,438,110 | BOYAmt |
| EOY | -$35,712,018 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,811,030 | BOYAmt |
| EOY | $1,990,771 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,151,748 | BOYAmt |
| EOY | $6,357,933 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$45,475,332 | BOYAmt |
| EOY | -$27,363,314 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,908,948 | BOYAmt |
| EOY | $67,289,632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $866,303 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $812,473 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $16,433,242 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $19,140 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $19,140 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 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 FY18 was $19,140. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,608,147 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $187,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,795,147 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,256,147 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $352,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,608,147 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,088,147 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $168,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,256,147 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,134,823 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$37,021 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,655 | OtherExpendituresAmt |
| End Year Balance | $2,088,147 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,964,242 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $183,301 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,720 | OtherExpendituresAmt |
| End Year Balance | $2,134,823 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.45000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.55000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,246,331 | OtherCostOrOtherBasisAmt |
| Book Value | $6,246,331 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,363,498 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,012,566 | DepreciationAmt |
| Book Value | $21,350,932 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,283,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $860,259 | DepreciationAmt |
| Book Value | $423,176 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,929,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,673,397 | DepreciationAmt |
| Book Value | $7,256,493 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,343,663 | OtherCostOrOtherBasisAmt |
| Book Value | $2,343,663 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,620,595 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Assets Held In Trust | $5,089,620 | C |
| Invest. Endowment - TEMP | $1,493,206 | C |
| Invest. Endowment - PERM | $1,197,544 | C |
| Investment in Others JV | $215,205 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $7,995,575 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LT Malpractice Claims | $2,524,356 |
| Inter-Company Allocation Bond | $1,528,855 |
| SERP Assets | $51,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,105,145 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Post Retirement and Pension Liability | $32,073,652 |
| LT Debt HHC - Interco. Bonds | $29,779,500 |
| Due To Affiliates | $10,943,194 |
| Accrued Malpractice | $2,464,577 |
| Other Liabilities | $2,462,790 |
| Hospital Provider User Fee | $327,208 |
| SERP Liability | $51,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $78,102,855 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | The Hospital has adopted investment and spending policies for Endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Hospital must hold in perpetuity or for a donor-specific period(s). Under this policy, as approved by the Board of Directors, the Endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of a least 4% over the long term. Actual returns in any given year may vary from this amount. The Hospital's Endowment consists of hundreds of individual funds established for a variety of purposes. Net assets associated with Endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. The income generated by the funds are used mainly for capital expenses. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,388,561 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,388,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,700,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,808,056 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,892,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,088,781 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,808,056 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,280,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,015 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,290 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $668,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $173,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $495,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,502 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $772,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $174,532 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $598,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,861,424 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,982,588 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,878,836 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,693,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,463,272 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,177,166 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,713,894 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windham Community Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1Txt |
| City | Willimantic | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.wcmh.org | WebsiteAddressTxt |
| State License | 0061 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windham Community Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Page 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Page 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Page 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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:The Organization submits quarterly reports to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Strategy (OHS) annually. |
| Part I, Line 7: | The Organization utilized an overall cost to charge ratio, (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. |
| Part I, Line 7g: | No physician clinic costs were included in the Subsidized Health Services cost calculations. |
| Part III, Line 3: | A pre-bad debt financial assistance screening 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 FY18 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: | Windham Community Memorial Hospital has adopted the Financial Assistance Policy of it's parent company Hartford HealthCare Corporation. The Financial Assistance Policy states: In the event a patient fails to qualify for Financial Assistance or fails to pay their portion of discounted charges pursuant to this policy, and the patient does not pay timely their obligations to Windham Community Memorial Hospital, the Hospital reserves the right to begin collection actions, including but not limited to, imposing wage garnishments or liens on primary residences, instituting legal action and reporting the matter to one or more credit rating agencies. For those patients that qualify for Financial Assistance and who are cooperating in good faith to resolve the Hospital's outstanding accounts, the Hospital may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to outside collection agencies and will cease all collection efforts.No Extraordinary Collection Actions (ECA) will be initiated during the first 120 days following the first post discharge billing statement to a valid address or during the time that patient's Financial Assistance Application is processing. Before initiating any ECA, a notice will be provided to the patient 30 days prior to initiating such event.If the patient applies for assistance within 240 days from the first notification of the self pay balance, and is granted assistance, any ECA's such as negative reporting to a credit bureau or liens that have been filed will be removed. |
| 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: (i) provide signs regarding this Policy and written plain language summary information describing the Policy along with Financial Assistance contact information in the Emergency Department, Labor and Delivery areas and other patient registration areas; (ii) provide to each patient written plain language summary information describing the Policy along with Financial Assistance contact information in admission, patient registration, discharge, billing and collection written communications; (iii) make paper copies of the Policy, financial assistance application, and plain language summary of the Policy available upon request and without charge, both by mail and in public locations in the hospital facility, including the emergency room (if any) and admissions areas; (iv) post the Policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Windham Community Memorial Hospital's home page; (v) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy; and (vi) include the tag line "Please ask about our Financial Assistance Policy" in Windham Community Memorial Hospital's written publications. |
| Part VI, Line 4: | Windham Community Memorial Hospital services Eastern Connecticut. 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Paul Weigle | ||||||||||||||
| Director | $0 | $257,561 | $0 | $4,225 | $0 | $240 | $0 | $18,900 | $0 | $41,122 | $0 | $322,048 | $0 | $0 |
| Donna Handley | ||||||||||||||
| Director and President | $0 | $307,528 | $0 | $70,001 | $0 | $21,767 | $0 | $18,900 | $0 | $43,513 | $0 | $461,709 | $0 | $0 |
| Margaret Marchak | ||||||||||||||
| Secretary | $0 | $516,132 | $0 | $151,455 | $0 | $24,107 | $0 | $81,414 | $0 | $54,936 | $0 | $828,044 | $0 | $0 |
| Anthony Mastroianni | ||||||||||||||
| VP, Finance | $0 | $220,365 | $0 | $54,090 | $0 | $1,079 | $0 | $18,900 | $0 | $38,968 | $0 | $333,402 | $0 | $0 |
| Robert Sidman MD | ||||||||||||||
| VP, Medical Affairs | $0 | $410,139 | $0 | $96,839 | $0 | $2,045 | $0 | $18,900 | $0 | $46,226 | $0 | $574,149 | $0 | $0 |
| Lester Temkin | ||||||||||||||
| VP, Operations | $0 | $250,186 | $0 | $61,223 | $0 | $5,332 | $0 | $18,900 | $0 | $34,844 | $0 | $370,485 | $0 | $0 |
| Kismatkumar Detroja MD | ||||||||||||||
| Physician | $294,588 | $0 | $27,925 | $0 | $12,978 | $0 | $18,900 | $0 | $39,348 | $0 | $393,739 | $0 | $0 | $0 |
| Jong Gil Oh MD | ||||||||||||||
| Hospitalist | $256,821 | $0 | $45,700 | $0 | $4,327 | $0 | $18,900 | $0 | $33,982 | $0 | $359,730 | $0 | $0 | $0 |
| Anne Lovejoy MD | ||||||||||||||
| Physician | $226,750 | $0 | $22,950 | $0 | $1,246 | $0 | $17,680 | $0 | $19,681 | $0 | $288,307 | $0 | $0 | $0 |
| Melisha Cumberland MD | ||||||||||||||
| Physician | $195,442 | $0 | $8,783 | $0 | $156 | $0 | $14,367 | $0 | $13,401 | $0 | $232,149 | $0 | $0 | $0 |
| Julian Munoz MD | ||||||||||||||
| Physician | $294,362 | $0 | $19,510 | $0 | $2,189 | $0 | $18,900 | $0 | $20,693 | $0 | $355,654 | $0 | $0 | $0 |
| David Whitehead | ||||||||||||||
| Former Director and Pres. | $0 | $665,725 | $0 | $231,500 | $0 | $108,231 | $0 | $18,900 | $0 | $55,986 | $0 | $1,080,342 | $0 | $0 |
| Daniel Lohr | ||||||||||||||
| Former Senior VP/CFO | $0 | $37,715 | $0 | $0 | $0 | $641,097 | $0 | $2,690 | $0 | $26,059 | $0 | $707,561 | $0 | $640,899 |
| Carolyn Trantalis | ||||||||||||||
| Former VP, Clinical Services & Op | $0 | $259,228 | $0 | $66,842 | $0 | $1,270 | $0 | $18,900 | $0 | $44,308 | $0 | $390,548 | $0 | $0 |
| Bimal Patel | ||||||||||||||
| Former Director & President | $0 | $536,725 | $0 | $158,242 | $0 | $8,934 | $0 | $81,386 | $0 | $24,324 | $0 | $809,611 | $0 | $0 |
| Gregory Makowski | ||||||||||||||
| Former VP, HHC Lab Services | $0 | $258,466 | $0 | $73,252 | $0 | $3,706 | $0 | $18,900 | $0 | $18,172 | $0 | $372,496 | $0 | $0 |
| Thomas Vaccarelli | ||||||||||||||
| Former VP, Facilities | $0 | $228,952 | $0 | $65,032 | $0 | $103,406 | $0 | $24,300 | $0 | $40,703 | $0 | $462,393 | $0 | $102,272 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Windham Community Memorial Hospital, hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. |
| Part I, Line 4b | Hartford HealthCare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the CEO, President, Executive Vice President. Senior Vice President and Vice President levels that are reported by Windham Community Memorial Hospital on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurence of a change in control. Each participant ceases to be eligible for further contributions by Hartford HealthCare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2017 SERP accrual on behalf of the following individuals: Margaret Marchak $62,514 Bimal Patel $62,486 David Whitehead $75,587 Donna Handley $15,077 2017 SERP Payouts were made on behalf of the following individuals: Daniel Lohr $640,899 Thomas Vaccarelli $102,272 David Whitehead $28,467* Donna Handley $5,162* *For these individuals, vesting occurred, causing taxable income. The portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert Sidman | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Key Employee | RelationshipDescriptionTxt |
| Transaction | $442,515 | TransactionAmt |
| Transaction | 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 (an affiliated entity) 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 FY18 was $442,515. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 organization's top management including 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, Fiance 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 Conflict of Interest Committee ("COIC") (the Committee) which includes representation from the Medical Staff, the Legal Department, Human Services, Supply Chain Management and Compliance. The Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/Windham Community Memorial Hospital, 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, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., 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 XI, line 9: | Change In Pension and Post-Retirement Funding Status Obligation 8,676,058. Transfer to Affiliated Entities 7,843,869. K-1 Income (Loss) Pass Thru Entities -86,685. |
| Form 990, Part XII, Line 3b: | Although the organization was not required to undergo a-133 Federal Audit, the results were included in a Consolidated A-133 Audit performed at the parent level-Hartford HealthCare Corporation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 060646668 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(C)(3) | 12(A) | Windham Community Memorial Hospital | Yes (1) | |
| MidState Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Corporation | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 222672834 | Support & Management Svcs.to HH and Affiliates | CT | 501(C)(3) | 12(C) | 0 | N/A | |
| Natchaug Hospital Inc | |||||||||||
| 189 Storrs Road | Mansfield Ctr | CT | 06226 | 060966963 | Behavioral Health | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501(C)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(C)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06115 | 066040747 | Fundraising | CT | 501(C)(3) | 12(a) | Hartford Hospital | Yes (1) | |
| Hartford HealthCare Senior Services Inc | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(C)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Independence at Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Healthcare | CT | 501(C)(3) | 10 | Hartford HealthCare At Home Inc | Yes (1) | |
| WCMH Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(C)(3) | 12(a) | Windham Community Memorial Hospital | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 060646768 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(C)(3) | 12(a) | Rushford Center Inc | Yes (1) | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Care | CT | 501(C)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(C)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| MidState Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(C)(3) | 12(a) | MidState Medical Center | Yes (1) | |
| Hartford HealthCare Medical Group Inc | |||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 454456939 | Medical Services | CT | 501(C)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare ACO Inc | |||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(C)(3) | 7 | HHC PhysiciansCare Inc | Yes (1) | |
| The Charlotte Hungerford Hospital | |||||||||||
| 540 Litchfield Street | Torrington | CT | 06790 | 060646678 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Support Organization | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Support Organization | CT | 501(C)(3) | 12(a) | Hartford HealthCare Corporation | Yes (1) | |
| Caring for Colleagues Employee Crisis Fund | |||||||||||
| 100 Grand Street | New Britain | CT | 06052 | 224469178 | Employee Fund | CT | 501(C)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Endowment LLC | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Investment Management | CT | 501(C)(3) | 12(a) | Hartford HealthCare Corporation | Yes (1) | |
| Connecticut Health System Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Delivery | CT | 501(C)(3) | 12(c) | Hartford HealthCare Corporation | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| New Britain MRI Limited Partnership | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic Resonance Imaging | CT | N/A | ||||||
| Ambulance Service of Manchester LLC | |||||||||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Services | CT | N/A | ||||||
| Connecticut Imaging Partners LLC | |||||||||||||
| 111 Founders Plaza | East Hartford | CT | 06108 | 134298940 | Imaging Services | CT | N/A | ||||||
| Glastonbury Endoscopy Center LLC | |||||||||||||
| 300 Western Blvd Suite B | 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 | ||||||
| Med-East Assoc LLC | |||||||||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A | Related | -$47,898 | $134,038 | 0 | 0 | 0.50000 |
| Urology Center of NW CT LLC | |||||||||||||
| 538 Litchfield Street | Torrington | CT | 06790 | 582674029 | Equipment Rental | CT | N/A | ||||||
| HHC Southington Surgery Center LLC | |||||||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Services | CT | N/A | ||||||
| Constitution Surgery Center | |||||||||||||
| 174 Cross Road | Waterford | CT | 06385 | 061574704 | Surgery Services | CT | N/A | ||||||
| CT GI Endoscopy Center LLC | |||||||||||||
| 4 Northwestern Drive | Bloomfield | CT | 06002 | 061573358 | GI Services | CT | N/A | ||||||
| HHC Hartford Surgery Center LLC | |||||||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 812637261 | Surgery Services | CT | N/A | ||||||
| HHC Urgent Care Go Health LLC | |||||||||||||
| 2711 Centerville Road Suite 400 | Willmington | DE | 19808 | 815112698 | Urgent Care | DE | N/A | ||||||
| Wallingford Endoscopy Center LLC | |||||||||||||
| 85 Seymout Street Suite 1000 | Hartford | CT | 06106 | 824601730 | Endoscopy Services | CT | N/A | ||||||
| Central Connecticut Endoscopy Center | |||||||||||||
| 440 New Britain Avenue | Plainville | CT | 06062 | 141855010 | Endoscopy Services | CT | N/A | ||||||
| Advanced Medical Imaging of NW Ct LLC | |||||||||||||
| 57 Commercial Blvd | Torrington | CT | 06790 | 061594854 | 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 | ||||||
| Omni Home Health Services E CT LLC dba Backus Home HealthCare | |||||||||||||
| Case Street 317 | Norwich | CT | 06860 | 061458837 | Home Health Care | CT | N/A | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||||||
| FB Perry Blvd 40 Church Street | Hamilton | BD | Captive Insurance | BD | N/A | C | Yes (1) | ||||||||||
| CenConn Services Inc | |||||||||||||||||
| Holding Company | N/A | C | Yes (1) | 100 Grand Street | New Britain | CT | 06050 | 222836001 | CT | ||||||||
| Hartford Physician Services PC | |||||||||||||||||
| Medical Services | N/A | C | Yes (1) | 80 Seymour Street | Hartford | CT | 06102 | 061254082 | CT | ||||||||
| Meriden Imaging Center | |||||||||||||||||
| Imaging | N/A | S | Yes (1) | 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | CT | ||||||||
| Aetna Ambulance Service Inc | |||||||||||||||||
| Ambulance Services | N/A | C | Yes (1) | PO BOX 1150 | Manchester | CT | 06045 | 060795431 | CT | ||||||||
| Metro Wheelchair Service Inc | |||||||||||||||||
| Wheelchair Services | N/A | C | Yes (1) | PO BOX 300 | Manchester | CT | 06045 | 060878432 | CT | ||||||||
| WWB Corporation | |||||||||||||||||
| Holding Company | N/A | C | Yes (1) | 326 Washington Street | Norwich | CT | 06360 | 061094836 | CT | ||||||||
| ConnCare Inc | |||||||||||||||||
| Health Care Services | N/A | C | Yes (1) | 326 Washington Street | Norwich | CT | 06360 | 061387598 | CT | ||||||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||||||
| Condo Association | N/A | C | Yes (1) | 330 Washington Street | Norwich | CT | 06360 | 061542647 | CT | ||||||||
| Windham Professional Office Condominium Association Inc | |||||||||||||||||
| Condo Association | C | Yes (1) | 1120 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | CT | Windham Community Memorial Hospital | $36,000 | $328,613 | 0.60000 | |||||
| MidState Medical Group PC | |||||||||||||||||
| Medical Services | N/A | C | Yes (1) | 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | CT | ||||||||
| HHMOB Corporation | |||||||||||||||||
| Real Estate & Parking | N/A | C | Yes (1) | 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 061140244 | CT | ||||||||
| Litchfield County Healthcare | |||||||||||||||||
| Medical Services | N/A | C | Yes (1) | 540 Litchfield Street | Torrington | CT | 06790 | 061227655 | CT | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (23 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hartford Hospital | ||
| A | $6,759 | FMV |
| Hartford Hospital | ||
| M | $733,087 | FMV |
| Hartford Hospital | ||
| O | $256,377 | FMV |
| Hartford Hospital | ||
| P | $1,253,458 | FMV |
| Hartford Hospital | ||
| R | $66,480 | FMV |
| Hartford Hospital | ||
| S | $2,002,500 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| A | $566,758 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| M | $646,766 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| O | $649,983 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| Q | $65,307 | FMV |
| Hartford HealthCare Medical Group Inc | ||
| S | $1,011,394 | FMV |
| Natchaug Hospital | ||
| M | $82,569 | FMV |
| Natchaug Hospital | ||
| S | $422,152 | FMV |
| The William W Backus Hospital | ||
| L | $83,249 | FMV |
| The William W Backus Hospital | ||
| M | $189,142 | FMV |
| the William W Backus Hospital | ||
| O | $470,234 | FMV |
| The William W Backus Hospital | ||
| R | $133,806 | FMV |
| The William W Backus Hospital | ||
| S | $468,576 | FMV |
| Hartford Healthcare Rehab Ntwk | ||
| R | $124,726 | FMV |
| Hartford Healthcare Rehab Ntwk | ||
| S | $269,820 | FMV |
| Hartford HealthCare at Home Inc | ||
| O | $96,539 | FMV |
| Hartford HealthCare at Home Inc | ||
| S | $72,501 | FMV |
| Windham Hospital Foundation | ||
| Q | $162,717 | FMV |