CHARLOTTE HUNGERFORD HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CHARLOTTE HUNGERFORD HOSPITAL (EIN 06-0646678)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-13
IRS object ID: 201802259349302005
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-13T17:00:07-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	175 Powder Forest Drive	AddressLine1Txt
City	Simsbury	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	060897902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646678	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Charlotte Hungerford Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHAR	BusinessNameControlTxt
Phone	8604966728	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET PO BOX 988	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	067900988	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUSAN M SCHAPP	PersonNm
Person Title	VP FINANCE/TREASURER	PersonTitleTxt
Signature	2018-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KRISTIN ANDERSON	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	8606789200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN M SCHAPP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET PO BOX 988	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	067900988	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$134,433,555	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHARLOTTEHUNGERFORD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1917	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE QUALITY, COMPASSIONATE AND COST EFFECTIVE HEALTHCARE TO THE COMMUNITY OF NORTHWESTERN CONNECTICUT.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	1182	TotalEmployeeCnt
Total Volunteers	158	TotalVolunteersCnt
Total Gross UBI	$964,566	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$81,207	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,407,167	PYContributionsGrantsAmt
CY Contributions Grants	$2,636,637	CYContributionsGrantsAmt
PY Program Service Revenue	$113,594,092	PYProgramServiceRevenueAmt
CY Program Service Revenue	$116,969,824	CYProgramServiceRevenueAmt
PY Investment Income	$3,373,388	PYInvestmentIncomeAmt
CY Investment Income	$2,091,058	CYInvestmentIncomeAmt
PY Other Revenue	$443,813	PYOtherRevenueAmt
CY Other Revenue	$250,415	CYOtherRevenueAmt
PY Total Revenue	$120,818,460	PYTotalRevenueAmt
CY Total Revenue	$121,947,934	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$12,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,849,166	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,031,643	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$345,023	CYTotalFundraisingExpenseAmt
PY Other Expenses	$55,493,992	PYOtherExpensesAmt
CY Other Expenses	$56,099,026	CYOtherExpensesAmt
PY Total Expenses	$125,356,158	PYTotalExpensesAmt
CY Total Expenses	$125,142,669	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,537,698	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,194,735	CYRevenuesLessExpensesAmt
Total Assets BOY	$143,816,112	TotalAssetsBOYAmt
Total Assets EOY	$149,068,856	TotalAssetsEOYAmt
Total Liabilities BOY	$87,951,626	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$81,120,257	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$55,864,486	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$67,948,599	NetAssetsOrFundBalancesEOYAmt
Mission	THE CHARLOTTE HUNGERFORD HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGAMS FOR THE ELDERLY, HANDICAPPED, THE MEDICALLY UNDERSERVED AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$109,517,742	ExpenseAmt
Grant	$12,000	GrantAmt
Revenue	$116,162,845	RevenueAmt
Desc	During FY 2017, the hospital has contributed over 13,000 hours toward the common purpose of servicing the healthcare of the community. The value of this contribution is approximately $134,000, which is given back to the community through lower costs in both patient services and other "wellness" programs. The Charlotte Hungerford Hospital rendered the following services during FY 2017. INPATIENT SERVICES: Discharges 5,557 Patient Days 23,600 SPECIAL SERVICES: Ambulatory Medical Cases 2,360 Ambulatory Surgery Cases 2,657 C.A.T. Scan Exams 15,537 Cardiac Rehab Treatments 3,263 Cardio Diagnostic Exams 11,620 Delivery Room Deliveries 384 Diagnostic Radiology Exams 23,357 EEG Exams 375 Emergency Department Visits 32,736 Endoscopy Cases 959 Laboratory Tests 529,519 M.R.I. Exams 1,482 Mammograpy Exams 8,975 Nuclear Medicine Exams 721 Occupational Therapy Treatments 4,604 Operating Room Cases 3,426 P.E.T. Scan Exams 339 Partial Hospitalization 4,628 Physical Therapy Treatments 37,362 Post Anesthesia Care Unit Cases 1,832 Professional Service Consults 131,310 Psychiatric Clinic Visits 35,763 Pulmonary Function Lab Tests 1,586 Pulmonary Rehab Tests 4,572 Radiation Therapy Treatments 6,566 Renal Dialysis Visits 256 Respiratory Therapy Treatments 37,653 Sleep Study Tests 584 Special Procedures (Radiology) Exams 1,449 Speech Therapy Treatments 701 Ultrasound Exams 9,166 Walk In Center Visits 14,823 Wound Care Cases 5,564 Hungerford Emergency Medical Center Cardiac Rehab Visits 1,497 Diagnostic Radiology Exams 3,205 Emergency Department Visits 5,763 Laboratory Tests 15,671 Pulmonary Rehab Tests 1,516	Desc
Total Program Service Expenses	$109,517,742	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	234	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1182	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	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	SUSAN M SCHAPP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8604966728	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06790	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
James O'Leary
Governor	2.0	Yes (X)	$0	$0	$0
Edward Arum
Governor	2.0	Yes (X)	$0	$0	$0
Jeff Borghesi
Governor	2.0	Yes (X)	$0	$0	$0
Debra Brandt
Governor	2.0	Yes (X)	$0	$0	$0
Frank Buonocore Jr
Governor	2.0	Yes (X)	$0	$0	$0
Gladys Cerruto
Governor	2.0	Yes (X)	$0	$0	$0
Richard Dutton MD
Governor	2.0	Yes (X)	$0	$0	$0
Stephanie Fowler MD
Governor	2.0	Yes (X)	$0	$0	$0
Kenrick Hom MD
Governor	2.0	Yes (X)	$0	$0	$0
Jamie Gregg
Governor	2.0	Yes (X)	$0	$0	$0
Maria Countant Skinner
Governor	2.0	Yes (X)	$0	$0	$0
John N Lavieri
Governor	2.0	Yes (X)	$0	$0	$0
Charles W Roraback
Governor	2.0	Yes (X)	$0	$0	$0
Douglas O'Connell
Governor	2.0	Yes (X)	$0	$0	$0
Edwin G Booth
Governor	2.0	Yes (X)	$0	$0	$0
Michael Patterson
Governor	2.0	Yes (X)	$0	$0	$0
Mark Prete MD
VP Medical Affairs through October 2016	50.0		$241,117	$0	$32,436	Yes (X)
Susan M Schapp
VP Finanace	50.0		$296,619	$0	$68,423	Yes (X)
John J Capobianco
VP OP Services	50.0		$272,355	$0	$68,911	Yes (X)
Brian Mattiello
VP Human Resources	50.0		$239,721	$0	$36,351	Yes (X)
John Janco
Chairman	4.0		$0	$0	$0	Yes (X)
David J Frauenhofer
Secretary	2.0		$0	$0	$0	Yes (X)
Daniel J McIntyre
CEO / President	50.0		$461,474	$0	$110,068	Yes (X)
Diane Libby CPA
Vice Chairman	4.0		$0	$0	$0	Yes (X)
Timothy Gostkowski MD
Physician	40.0		$484,792	$0	$72,372		Yes (X)
William McGeehin MD
Physician	40.0		$465,826	$0	$70,033		Yes (X)
Ofer Sagiv MD
Physician	40.0		$348,446	$0	$50,059		Yes (X)
Robert Kahan MD
Physician	40.0		$345,528	$0	$49,514		Yes (X)
Carie Wolfberg MD
Physician	40.0		$342,248	$0	$49,089		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,498,126	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$607,256	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	78	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Quest Diagnostics Inc
12436 Collections Center Drive	Chicago	IL	606932436	Laboratory services/tests	$5,125,793
Saint Francis Medical Group
114 Woodland Street	Hartford	CT	06105	Medical	$2,384,070
PAC Group LLC
126 South Main St Suite 200	Torrington	CT	06790	Construction management	$1,956,785
Morrison Health Care Inc
PO Box 102289	Atlanta	GA	303682289	Food services	$1,733,811
Adult & Pediatric Urology of NWCT PC
538 Litchfield St	Torrington	CT	06790	Urology services	$1,654,002

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Membership Dues	$695	MembershipDuesAmt
Fundraising	$92,171	FundraisingAmt
Government Grants	$2,282,032	GovernmentGrantsAmt
All Other Contributions	$261,739	AllOtherContributionsAmt
Total Contributions	$2,636,637	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$105,772,063	$105,772,063
LABORATORY SERVICES	621500	$8,772,618	$7,849,739	$922,879
OTHER HOSPITAL SERVICES	900099	$2,425,143	$2,425,143

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$116,969,824	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,820,401	TotalRevenueColumnAmt
Exclusion	$1,820,401	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$488,067	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$372,167	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$115,900	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,900	TotalRevenueColumnAmt
Related Or Exempt Func Income	$115,900	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,213,276	SecuritiesAmt
Other	$50,761	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$11,934,600	SecuritiesAmt
Other	$58,780	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$278,676	SecuritiesAmt
Other	-$8,019	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$270,657	TotalRevenueColumnAmt
Exclusion	$270,657	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$42,170	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$92,171	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$42,170	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$159,417	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$77,904	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$81,513	TotalRevenueColumnAmt
Exclusion	$81,513	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INCOME FROM JOINT VENTURES	900001	$11,315	$11,315
MEDCONN	561499	$41,687		$41,687

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$53,002	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$121,947,934	TotalRevenueColumnAmt
Related Or Exempt Func Income	$116,162,845	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$964,566	UnrelatedBusinessRevenueAmt
Exclusion	$2,183,886	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$12,000	TotalAmt
Program Services	$12,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,430,967	TotalAmt
Program Services	$1,073,225	ProgramServicesAmt
Management And General	$357,742	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,713,704	TotalAmt
Program Services	$48,588,915	ProgramServicesAmt
Management And General	$5,957,542	ManagementAndGeneralAmt
Fundraising	$167,247	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,792,097	TotalAmt
Program Services	$1,585,180	ProgramServicesAmt
Management And General	$201,579	ManagementAndGeneralAmt
Fundraising	$5,338	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,312,958	TotalAmt
Program Services	$6,468,595	ProgramServicesAmt
Management And General	$822,579	ManagementAndGeneralAmt
Fundraising	$21,784	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,781,917	TotalAmt
Program Services	$3,345,252	ProgramServicesAmt
Management And General	$425,399	ManagementAndGeneralAmt
Fundraising	$11,266	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,819,883	TotalAmt
Program Services	$8,686,068	ProgramServicesAmt
Management And General	$1,104,563	ManagementAndGeneralAmt
Fundraising	$29,252	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$283,032	TotalAmt
Program Services	$250,353	ProgramServicesAmt
Management And General	$31,836	ManagementAndGeneralAmt
Fundraising	$843	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$131,445	TotalAmt
Program Services	$116,268	ProgramServicesAmt
Management And General	$14,785	ManagementAndGeneralAmt
Fundraising	$392	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,823,313	TotalAmt
Program Services	$5,150,946	ProgramServicesAmt
Management And General	$655,020	ManagementAndGeneralAmt
Fundraising	$17,347	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$339,901	TotalAmt
Program Services	$300,656	ProgramServicesAmt
Management And General	$38,232	ManagementAndGeneralAmt
Fundraising	$1,013	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$341,452	TotalAmt
Program Services	$302,028	ProgramServicesAmt
Management And General	$38,407	ManagementAndGeneralAmt
Fundraising	$1,017	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,782,978	TotalAmt
Program Services	$1,577,113	ProgramServicesAmt
Management And General	$200,554	ManagementAndGeneralAmt
Fundraising	$5,311	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,173,686	TotalAmt
Program Services	$2,807,248	ProgramServicesAmt
Management And General	$356,984	ManagementAndGeneralAmt
Fundraising	$9,454	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,025	TotalAmt
Program Services	$16,828	ProgramServicesAmt
Management And General	$2,140	ManagementAndGeneralAmt
Fundraising	$57	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$87,175	TotalAmt
Program Services	$77,109	ProgramServicesAmt
Management And General	$9,806	ManagementAndGeneralAmt
Fundraising	$260	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,565,841	TotalAmt
Program Services	$5,807,741	ProgramServicesAmt
Management And General	$738,541	ManagementAndGeneralAmt
Fundraising	$19,559	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,423,739	TotalAmt
Program Services	$2,143,891	ProgramServicesAmt
Management And General	$272,628	ManagementAndGeneralAmt
Fundraising	$7,220	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$16,000,581	$14,153,135	$1,799,783	$47,663
PHYSICIAN FEES	$9,007,138	$6,755,354	$2,251,784
HOSPITAL AUXILIARY EXPENSE	$75,339	$75,339
Non-operating expenses	$224,498	$224,498

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$125,142,669	TotalAmt
Program Services	$109,517,742	ProgramServicesAmt
Management And General	$15,279,904	ManagementAndGeneralAmt
Fundraising	$345,023	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$106,274	BOYAmt
EOY	$80,299	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,646,122	BOYAmt
EOY	$6,352,512	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,967,654	BOYAmt
EOY	$13,819,471	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,067,977	BOYAmt
EOY	$2,143,657	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$962,403	BOYAmt
EOY	$922,535	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$159,005,621	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$112,467,347	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$42,444,100	BOYAmt
EOY	$46,538,274	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$56,530,223	BOYAmt
EOY	$53,021,573	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$20,312,336	BOYAmt
EOY	$24,621,630	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,779,023	BOYAmt
EOY	$1,568,905	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$143,816,112	BOYAmt
EOY	$149,068,856	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,311,129	BOYAmt
EOY	$12,425,298	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$141,819	BOYAmt
EOY	$218,302	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,675,000	BOYAmt
EOY	$11,874,876	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,823,678	BOYAmt
EOY	$56,601,781	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,951,626	BOYAmt
EOY	$81,120,257	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,888,801	BOYAmt
EOY	$36,147,205	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,910,968	BOYAmt
EOY	$3,427,383	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,064,717	BOYAmt
EOY	$28,374,011	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$55,864,486	BOYAmt
EOY	$67,948,599	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$143,816,112	BOYAmt
EOY	$149,068,856	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,194,735	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,781,428	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$11,497,420	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$15,318	OtherActivitiesAmt
Total Lobbying Expenditures	$15,318	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The hospital paid dues to the Connecticut Hospital Association. $15,318 represents the portion of these dues used for lobbying expenses on behalf of its' members.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The hospital paid dues to the Connecticut Hospital Association. $15,318 represents the portion of these dues used for lobbying expenses on behalf of its' members.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,064,717	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,624,213	InvestmentEarningsOrLossesAmt
Other Expenditures	$314,919	OtherExpendituresAmt
End Year Balance	$28,374,011	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,396,887	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,839,701	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,171,871	OtherExpendituresAmt
End Year Balance	$24,064,717	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,641,803	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$2,554,961	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$799,877	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$23,396,887	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,101,688	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$3,608,194	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,068,079	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$21,641,803	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,620,532	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$2,762,341	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$281,185	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$20,101,688	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$155,467	OtherCostOrOtherBasisAmt
Book Value	$155,467	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$91,142,829	OtherCostOrOtherBasisAmt
Depreciation	$64,434,002	DepreciationAmt
Book Value	$26,708,827	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,284,038	OtherCostOrOtherBasisAmt
Depreciation	$31,063,660	DepreciationAmt
Book Value	$11,220,378	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,423,287	OtherCostOrOtherBasisAmt
Depreciation	$16,969,685	DepreciationAmt
Book Value	$8,453,602	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$46,538,274	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	held in trust by others	Desc
Book Value	$24,621,630	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$24,621,630	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED AMOUNTS DUE TO THIRD PARTY REIMBURSEMENT AGENCIES	$5,063,750
MISCELLANEOUS CURRENT LIABILITIES	$339,745
ESTIMATED SELF-INSURANCE LIABILITIES	$5,485,703
ACCRUED PENSION LIABILITY	$45,712,583

Field	Value	IRS element (for citing)
Total Liability	$56,601,781	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$129,969,342	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,781,428	NetUnrealizedGainsInvstAmt
Other Revenue	$4,331,404	OtherRevenueAmt
Revenue Not Reported	$8,112,832	RevenueNotReportedAmt
Revenue Subtotal	$121,856,510	RevenueSubtotalAmt
Other Revenues Not Included	$91,424	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$91,424	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$121,947,934	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$117,867,204	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$7,188,126	OtherExpensesIncludedAmt
Expenses Not Reported	-$7,188,126	ExpensesNotReportedAmt
Expenses Subtotal	$125,055,330	ExpensesSubtotalAmt
Other Expenses Not Included	$87,339	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$87,339	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$125,142,669	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ENDOWMENT FUNDS ARE USED PRIMARILY FOR CAPITAL PURCHASES, INDIGENT CARE AND OTHER USES AS APPROVED BY THE BOARD IN ACCORDANCE WITH DONOR RESTRICTIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740, "INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2017 OR 2016. AS OF SEPTEMBER 30, 2017 OR 2016, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL WOULD RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE HOSPITAL'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Change in beneficial interest in assets - 4309294 Contributions from CHH Auxiliary - 22110
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	Auxiliary Income - 99221 Auxiliary Fashion Show Expense - -7797
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	Pension related changes - -7188126
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	Auxiliary expenses - 95136 Auxiliary fashion show expense - -7797

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$108,566	GrossReceiptsEvent1Amt
Charitable Contri Event1	$74,193	CharitableContriEvent1Amt
Gross Revenue Event1	$34,373	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$321	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$20,210	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$12,882	FoodAndBeverageEvent1Amt
Entertainment Event1	$200	EntertainmentEvent1Amt
Other Direct Expenses Event1	$760	OtherDirectExpensesEvent1Amt
Event2	ANNIVERSARY GALA	Event2Nm
Gross Receipts Event2	$10,198	GrossReceiptsEvent2Amt
Charitable Contri Event2	$10,198	CharitableContriEvent2Amt
Gross Revenue Event2	$0	GrossRevenueEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$15,577	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$7,780	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$7,797	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$7,797	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$134,341	GrossReceiptsTotalAmt
Charitable Contributions Tot	$92,171	CharitableContributionsTotAmt
Gross Revenue Total Events	$42,170	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$321	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$20,210	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$12,882	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$200	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$8,557	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$42,170	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	2005	PersonsServedCnt
Total Community Benefit Expns	$835,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,944	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$780,846	NetCommunityBenefitExpnsAmt
Total Expense	0.0062	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	45621	PersonsServedCnt
Total Community Benefit Expns	$31,916,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,219,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,697,010	NetCommunityBenefitExpnsAmt
Total Expense	0.0935	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	47626	PersonsServedCnt
Total Community Benefit Expns	$32,752,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,274,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,477,856	NetCommunityBenefitExpnsAmt
Total Expense	0.0997	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	4059	PersonsServedCnt
Total Community Benefit Expns	$68,579	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,579	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	67	PersonsServedCnt
Total Community Benefit Expns	$244	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$244	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	78057	PersonsServedCnt
Total Community Benefit Expns	$16,350,347	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,517,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,832,628	NetCommunityBenefitExpnsAmt
Total Expense	0.0226	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2660	PersonsServedCnt
Total Community Benefit Expns	$3,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,557	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	84843	PersonsServedCnt
Total Community Benefit Expns	$16,422,727	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,517,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,905,008	NetCommunityBenefitExpnsAmt
Total Expense	0.0232	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	132469	PersonsServedCnt
Total Community Benefit Expns	$49,175,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,792,602	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,382,864	NetCommunityBenefitExpnsAmt
Total Expense	0.1229	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,559,232	BadDebtExpenseAmt
Reimbursed By Medicare	$40,324,869	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$44,470,442	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,145,573	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ADVANCED MEDICAL IMAGING OF NORTHWEST CT LLC
IMAGING CENTER	0.5	0.5
UROLOGY CENTER OF NW CT
UROLOGY CENTER	0.625	0.375

Field	Value	IRS element (for citing)
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	CHARLOTTE HUNGERFORD HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06790	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHARLOTTEHUNGERFORD.ORG	WebsiteAddressTxt
State License	0042	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHARLOTTE HUNGERFORD HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.charlottehungerford.org/about-us/community-health-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.charlottehungerford.org/billing/financial-assistance-billing/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.charlottehungerford.org/billing/financial-assistance-billing/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.charlottehungerford.org/billing/financial-assistance-billing/	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
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility , 1

Facility , 1 - Charlotte Hungerford Hospital:. THE STUDY WAS CONDUCTED BY THE CENTER FOR HEALTHY SCHOOLS AND COMMUNITIES AT EDUCATION CONNECTION IN LITCHFIELD, CT. THE STEERING COMMITTEE INCLUDED THE FOLLOWING INDIVIDUALS AND ORGANIZATIONS: Joanne Borduas, BSN, MSN, MBA, Chief Executive Officer, Community Health and Wellness Center, Heather Cappabianca, RN, MHA, Director, CT Office of Rural Health, Coordinator, NCCC, Allied Health, Stephanie K. Fowler, M.D., Charlotte Hungerford Hospital Board of Governors, Ruthann Horvay, Director, Winsted Family Resource Center, Winchester Public Schools, John N. Lavieri, President, Sterling Engineering, Tim J. LeBouthillier, Director of Public Relations, Charlotte Hungerford Hospital, Brian E. Mattiello, VP for Organizational Development, Charlotte Hungerford Hospital, Thomas Narducci, LCSW, Administrative Director, Outpatient Behavioral Health, Charlotte Hungerford Hospital, Leslie Polito, BSN, RN, Public Health Nurse, Torrington Area Health District, Frank R. Vanoni, M.D., Community resident/Former member CHH staff.

Schedule H, Part V, Section B, Line 11 Facility , 1

Facility , 1 - Charlotte Hungerford Hospital. Brian Mattiello from CHH will provide a bullet point summary for this section.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NORTHWEST CONNECTICUT MEDICAL WALK IN
1598 EAST MAIN STREET	TORRINGTON	CT	06790	WALK IN MEDICAL CLINIC
THE HUNGERFORD CENTER
780 LITCHFIELD STREET	TORRINGTON	CT	06790	CARDIAC AND PULMONARY REHAB SERVICES
THE CENTER FOR CANCER CARE
200 KENNEDY DRIVE	TORRINGTON	CT	06790	CANCER TREATMENT CENTER
HUNGERFORD DIAGNOSTIC CENTER
220 KENNEDY DRIVE	TORRINGTON	CT	06790	RADIOLOGY SERVICES
THE CENTER FOR YOUTH AND FAMILIES
50 LITCHFIELD STREET	TORRINGTON	CT	06790	PSYCH SERVICES FOR CHILDREN AND FAMILIES
WINSTED BEHAVIORAL HEALTH CENTER
294 MAIN STREET	WINSTED	CT	06098	PSYCH SERVICES
SURGICAL ASSOCIATES OF CHH
538 LITCHFIELD STREET	TORRINGTON	CT	06790	SURGICAL PHYSICIANS PRACTICE
NEUROLOGY PBC
780 LITCHFIELD STREET	TORRINGTON	CT	06790	NEUROLOGY PHYSICIANS PRACTICE
CHH PRIMARY CARE
780 LITCHFIELD STREET	TORRINGTON	CT	06790	PRIMARY CARE PHYSICIANS PRACTICE
CHH CARDIOVASCULAR MEDICINE SERVICE
1215 NEW LITCHFIELD STREET	TORRINGTON	CT	06790	CARDIOVASCULAR PHYSICIANS PRACTICE
CHH WOUND CARE AND HYPERBARIC MEDICINE
7 FELICITY LANE	TORRINGTON	CT	06790	WOUND CARE PHYSICIANS PRACTICE
CHH UROLOGY MEDICINE
538 LITCHFIELD STREET	TORRINGTON	CT	06790	ADULT AND PEDIATRIC UROLOGY PHYSICIANS PRACTICE
HUNGERFORD EMERGENCY AND MEDICAL CARE
115 SPENCER STREET	WINSTED	CT	06098	EMERGENCY SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE	CARE WILL BE PROVIDED FREE FOR THOSE WHO QUALIFY AS UNINSURED AND VERIFICATION HAS DETERMINED THAT THEIR ANNUAL INCOME IS LESS THAN 200% OF THE FEDERAL INCOME POVERTY LEVEL. CARE WILL BE PROVIDED AT HOSPITAL COST, AS ESTABLISHED BY THE OFFICE OF HEALTH CARE ACCESS (OCHA), FOR THOSE UNINSURED PATIENTS WHO REQUEST ASSISTANCE AND VERIFICATION HAS DETERMINED THAT THEIR ANNUAL INCOME IS BETWEEN 200% AND 250% OF THE FPL. CARE WILL BE DISCOUNTED BY 30% FOR THOSE UNISURED PATIENTS WHO REQUEST ASSISTANCE AND VERIFICATION HAS DETERMINED THAT THEIR ANNUAL INCOME IS BETWEEN 250% AND 400% OF THE FPL. THE HOSPITAL WILL ALSO CONSIDER THE TOTAL MEDICALEXPENSES FACED BY THE FAMILY AND THE FAMILY'S ABILITY TO PAY FOR THOSE EXPENSES, AND WILL CONSIDER OFFERING GREATER ASSISTANCE WHEN POSSIBLE TO THOSE FAMILIES FACING CATASTROPHIC MEDICAL EXPENSES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A cost to charge ratio based on charity care charges and expenses.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	COSTING METHODOLOGY USED - THE HOSPITAL USES A MODEL CONSISTING OF OUR ACCOUNTS RECEIVABLE BALANCE DIVIDED INTO EIGHT AGING CATEGORIES AS FOLLOWS: 0-30 DAYS, 31-60 DAYS, 61-90 DAYS, 91-120 DAYS, 121-210 DAYS, 211-365 DAYS, AND GREATER THAN 365 DAYS. A PERCENTAGE IS THEN ASSIGNED TO EACH AGING BUCKET BASED ON AGE, WITH A HIGHER PERCENTAGE ASSIGNED AS THE DAYS OUTSTANDING INCREASES. THE RESULTING CALCULATION IS USED TO COMPARE WITH THE RESERVE AND A MONTHLY ADJUSTMENT IS MADE TO DETERMINE THE EXPENSE. ANNUALLY, THIS CALCULATION IS COMPARED TO AN AUDIT OF THE BAD DEBT RESERVES TO DETERMINE IF ANY ADJUSTMENTS ARE REQUIRED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS NOTE 3 ON PAGE 14 OF THE ATTACHED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	EXPLANATION: THE MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. THE MEDICARE ALLLOWABLE COSTS OF CARE ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE HOSPITAL ATTEMPTS TO HAVE INDIVIDUALS FILL OUT ALL PAPER WORK REQUIRED FOR CHARITY CARE. IF THE PERSON IS NOT CAPABLE OF DOING THIS OR IS KNOWN TO BE UNABLE TO DO THIS (SUCH AS A KNOWN HOMELESS PERSON), THEN THE FINANCIAL ASSISTANCE COMMITTEE WILL ADJUST THE ACCOUNT TO CHARITY CARE AND IT WILL NOT BE REPORTED AS BAD DEBT. IF THE ACCOUNT HAS BEEN REPORTED AS BAD DEBT AND INFORMATION COMES FORTH INDICATING AN INABILITY TO PAY, THEN THE ACCOUNT WOULD BE REMOVED FROM BAD DEBT AND MOVED TO CHARITY CARE.
Schedule H, Part V, Section B, Line 16a FAP website	- CHARLOTTE HUNGERFORD HOSPITAL: Line 16a URL: https://www.charlottehungerford.org/billing/financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CHARLOTTE HUNGERFORD HOSPITAL: Line 16b URL: https://www.charlottehungerford.org/billing/financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CHARLOTTE HUNGERFORD HOSPITAL: Line 16c URL: https://www.charlottehungerford.org/billing/financial-assistance-billing/;
Schedule H, Part VI, Line 2 Needs assessment	THE HOSPITAL OFFERS FREE HEALTH SCREENINGS, FREE HEALTH EDUCATION AND LECTURES AT VARIOUS COMMUNITY EVENTS INCLUDING FAIRS, EXPOS, PRIVATE COMPANIES, PUBLIC MUNICIPALITIES, AND PUBLIC GATHERINGS. THESE EVENTS PROVIDE A FORUM FOR RECEIVING INFORMATION AND INPUT FROM THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL COUNSELS SELF PAY PATIENTS BY PROVIDING A MEETING WITH A FINANCIAL COUNSELOR OR SOCIAL WORKER. ALL STATEMENTS DISTRIBUTED TO PATIENTS INCLUDE FINANCIAL COUNSELING INFORMATION. SIGNS ARE POSTED THROUGHOUT THE HOSPITAL, INCLUDING THE EMERGENCY ROOM, WHICH STATE CHARITY CARE POLICIES AND FINANCIAL ASSISTANCE INFORMATION. The hospital employs two full-time certified financial application counselors.
Schedule H, Part VI, Line 4 Community information	The Charlotte Hungerford Hospital (CHH) is located in the northwest part of Connecticut (Litchfield County) in the town of Torrington. The service area of the hospital is comprised of thirteen towns with a total population of approximately 100,000 people. In recent years, the area is becoming more racially and ethnically diverse. In the past decade, the number of White residents increased at a slower rate compared to African American, Asian, and Hispanic residents. The local population is also aging, and has a lower percentage of persons under age 18 and a higher percentage of persons age 65 and older than in the state. This is evident in the high percentage of Medicare and Medicaid revenue (approximately 70%) the hospital receives as part of its operations. Of the 13 service area towns served by CHH, the towns of Torrington (11%) and Cornwall (12%) had the highest poverty levels. Both towns were above the state average of 10%. In terms of educational achievement, the overall county average for high school completion of 96% exceeded the state average of 89%. Lower levels of achievement are found in the towns of Torrington and Winchester. Both of these towns also have higher poverty rates and lower median household incomes than other towns served by the hospital. The school districts in these two towns had the highest percentage of students eligible for free or reduced meals with Torrington at 47% and Winchester at 61%.The vast majority of county residents speak English (91%) with 9% having a primary language other than English and 3% speaking English less than "very well". In terms of services provided to communities, Torrington generates 52% of hospital charges with 12% generated from Winsted.
Schedule H, Part VI, Line 5 Promotion of community health	All board of directors members reside in the community served by the Charlotte Hungerford Hospital. The hospital extends medical staff privileges to all providers who meet the qualification standards and requirements set forth in the Charlotte Hungerford Hospital medical staff by-laws.
Schedule H, Part VI, Line 7 State filing of community benefit report	CT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	HEALTHCARE SCHOLARSHIPS	GrantTypeTxt
Recipient	12	RecipientCnt
Cash Grant	$12,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE CHARLOTTE HUNGERFORD HOSPITAL AUXILIARY AWARDS SCHOLARSHIPS IN THE AMOUNT OF $1,000 EACH TO STUDENTS PURSUING HEALTHCARE EDUCATION. THE STUDENTS MUST LIVE IN THE AREA SERVED BY THE HOSPITAL. THEY MUST ALSO PROVIDE EVIDENCE OF ACCEPTANCE INTO A COLLEGE PROGRAM OR THEIR CURRENT GRADES IN COLLEGE. APPLICANTS MUST SUBMIT LETTERS OF RECOMMENDATION FROM THEIR TEACHERS AND ALSO FROM NON-FAMILY PERSONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
Mark Prete MD
VP Medical Affairs through October 2016	$241,117	$0	$0	$0	$0	$0	$32,436	$0	$0	$0	$273,553	$0	$0	$0
Susan M Schapp
VP Finanace	$296,619	$0	$0	$0	$0	$0	$28,769	$0	$39,654	$0	$365,042	$0	$0	$0
John J Capobianco
VP OP Services	$272,355	$0	$0	$0	$0	$0	$32,501	$0	$36,410	$0	$341,266	$0	$0	$0
Brian Mattiello
VP Human Resources	$239,721	$0	$0	$0	$0	$0	$4,304	$0	$32,047	$0	$276,072	$0	$0	$0
Daniel J McIntyre
CEO / President	$461,474	$0	$0	$0	$0	$0	$48,375	$0	$61,693	$0	$571,542	$0	$0	$0
Timothy Gostkowski MD
Physician	$432,169	$0	$52,623	$0	$0	$0	$7,562	$0	$64,810	$0	$557,164	$0	$0	$0
William McGeehin MD
Physician	$416,551	$0	$49,275	$0	$0	$0	$7,759	$0	$62,274	$0	$535,859	$0	$0	$0
Ofer Sagiv MD
Physician	$322,924	$0	$25,522	$0	$0	$0	$3,477	$0	$46,582	$0	$398,505	$0	$0	$0
Robert Kahan MD
Physician	$289,834	$0	$55,694	$0	$0	$0	$3,322	$0	$46,192	$0	$395,042	$0	$0	$0
Carie Wolfberg MD
Physician	$300,804	$0	$41,444	$0	$0	$0	$3,335	$0	$45,754	$0	$391,337	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	060806186	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Issue Price	$13,000,000	IssuePriceAmt
Purpose	To expand the hospital's emergency department and relocate their cardio diagnostics department.	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$13,062,101	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$172,784	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$7,258,891	CapitalExpendituresAmt
Unspent	$5,630,426	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I DIFFERENCE BETWEEN ISSUE PRICE IN PART I AND PART II	The difference between the Issues Price in Part I and the Total Proceeds in Part III is $62,101 which is investment earnings.
Schedule K, Part III, Line 9 PROCEDURES OF THE ORGANIZATION	The hospital follows the procedures outlined in the bond document to ensure all of the proceeds are used for qualified uses, and employs an individual to oversee the project financed by the bond issue.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a	COMPENSATION FOR THE CEO IS DETERMINED USING THE FOLLOWING STEPS: - A MARKET SURVEY BASED ON CT HOSPITAL ASSOCIATION - ADJUSTMENTS BASED ON THE CANDIDATE'S CURRENT SALARY AND PRIOR EXPERIENCE - REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS THE LAST COMPENSATION REVIEW OCCURRED IN AUGUST 2016.
Form 990, Part VI, Line 15b	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS DETERMINED USING THE FOLLOWING STEPS: - A MARKET SURVEY BASED ON CT HOSPITAL ASSOCIATION - ADJUSTMENTS BASED ON THE CANDIDATE'S CURRENT SALARY AND PRIOR EXPERIENCE. - REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS THE LAST COMPENSATION REVIEW OCCURRED IN AUGUST 2016.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COPY OF FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. THIS ENABLES THE BOARD TO ASK QUESTIONS, AND TO APPROVE THE DISCLOSURES MADE IN THE RETURN.
Form 990, Part VI, Line 12c Conflict of interest policy	THE HOSPITAL DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY TO ITS BOARD OF DIRECTORS, ALL MANAGEMENT PERSONNEL, AND PURCHASING AGENTS.
Form 990, Part VI, Line 19 Required documents available to the public	THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Pension related changes other than net periodic pension costs - 7188126; Change in beneficial interest in assets held in trust by others - 4309294;
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION	Operating Room Cases 3,617 Ambulatory Surgery Cases 2,892 Endoscopy Cases 1,023 Ambulatory Medical Cases 2,457 Wound Care Cases 6,837 Post Anesthesia Care Unit Cases 2,054 Delivery Room Deliveries 0 Respiratory Therapy Treatments 35,037 Pulmonary Rehab Tests 4,807 Pulmonary Function Lab Tests 1,764 Cardio Diagnostic Exams 12,315 EEG Exams 513 Physical Therapy Treatments 38,800 Cardiac Rehab Treatments 3,286 Speech Therapy Treatments 668 Occupational Therapy Treatments 3,952 Sleep Study Tests 591 Diagnostic Radiology Exams 23,917 Mammograpy Exams 8,922 Nuclear Medicine Exams 754 Ultrasound Exams 9,300 C.A.T. Scan Exams 14,637 P.E.T. Scan Exams 195 M.R.I. Exams 1,483 Special Procedures (Radiology) Exams 1,278 Radiation Therapy Treatments 7,721 Laboratory Tests 520,319 Psychiatric Clinic Visits 39,184 PHP-Adult / Adolescent Visits 4,545 Renal Dialysis Visits 293 Emergency Department Visits 34,412 Walk In Center Visits 13,285 Professional Service Consults 125,530 Hungerford Emergency Medical Center Cardiac Rehab Visits 1,697 Diagnostic Radiology Exams 3,450 Emergency Department Visits 6,011 Laboratory Tests 16,326 Pulmonary Rehab Tests 2,075

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ADVANCED MEDICAL IMAGING OF NW CT LLC
57 COMMERCIAL BLVD	TORRINGTON	CT	06790	061594854	MAGNETIC RESONANCE IMAGING	CT	NA	Related	$725,284	$277,685	false	false	0.5
UROLOGY CENTER OF NW CT LLC -
538 LITCHFIELD STREET	TORRINGTON	CT	06790	582674029	EQUIPMENT RENTAL	CT	NA	Related	$30,812	$0	false	false	0.625

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LITCHFIELD COUNTY HEALTHCARE SERVICE CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06790	ZIPCd

Field	Value	IRS element (for citing)
EIN	061227655	EIN
Primary Activities	MANAGEMENT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	THE CHARLOTTE HUNGERFORD HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$505	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd