WILLIAM W BACKUS HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: WILLIAM W BACKUS HOSPITAL (EIN 06-0250773)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-14
IRS object ID: 201812269349300331
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-14T09:00:51-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 WALNUT SUITE 1700	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64106	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	060250773	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE WILLIAM W BACKUS HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WILL	BusinessNameControlTxt
Phone	8608898331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	326 WASHINGTON STREET	AddressLine1Txt
City	NORWICH	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06360	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANTHONY MASTROIANNI	PersonNm
Person Title	VP, FINANCE	PersonTitleTxt
Phone	8608898331	PhoneNum
Signature	2018-08-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J ENGLE	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	326 WASHINGTON STREET	AddressLine1Txt
City	NORWICH	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06360	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$364,808,623	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BACKUSHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1891	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	THE WILLIAM W. BACKUS HOSPITAL DELIVERS AND COORDINATES A CONTINUUM OF HIGH-QUALITY HEALTH CARE THAT IS SENSITIVE TO THE NEEDS OF INDIVIDUALS IN EASTERN CONNECTICUT. THE HOSPITAL IS COMMITTED TO BEING RESPONSIVE AND ACCOUNTABLE TO THOSE FOR WHOSE BENEFIT IT EXISTS, AND TO IMPROVING THE HEALTH OF ITS COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1980	TotalEmployeeCnt
Total Volunteers	385	TotalVolunteersCnt
Total Gross UBI	$2,305,892	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$34,996	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$512,743	PYContributionsGrantsAmt
CY Contributions Grants	$850,343	CYContributionsGrantsAmt
PY Program Service Revenue	$308,726,062	PYProgramServiceRevenueAmt
CY Program Service Revenue	$344,798,102	CYProgramServiceRevenueAmt
PY Investment Income	$8,686,222	PYInvestmentIncomeAmt
CY Investment Income	$15,948,934	CYInvestmentIncomeAmt
PY Other Revenue	$1,672,123	PYOtherRevenueAmt
CY Other Revenue	-$482,262	CYOtherRevenueAmt
PY Total Revenue	$319,597,150	PYTotalRevenueAmt
CY Total Revenue	$361,115,117	CYTotalRevenueAmt
PY Grants And Similar Paid	$149,587	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$60,026	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$139,755,080	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$135,660,651	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$276,068	CYTotalFundraisingExpenseAmt
PY Other Expenses	$135,932,582	PYOtherExpensesAmt
CY Other Expenses	$161,168,158	CYOtherExpensesAmt
PY Total Expenses	$275,837,249	PYTotalExpensesAmt
CY Total Expenses	$296,888,835	CYTotalExpensesAmt
PY Revenues Less Expenses	$43,759,901	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$64,226,282	CYRevenuesLessExpensesAmt
Total Assets BOY	$589,761,844	TotalAssetsBOYAmt
Total Assets EOY	$646,918,185	TotalAssetsEOYAmt
Total Liabilities BOY	$172,757,813	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$172,966,112	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$417,004,031	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$473,952,073	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE WILLIAM W BACKUS HOSPITAL DELIVERS AND COORDINATES A CONTINUUM OF HIGH QUALITY HEALTH CARE THAT IS SENSITIVE TO THE NEEDS OF INDIVIDUALS IN EASTERN CONNECTICUT. THE HOSPITAL IS COMMITTED TO BEING RESPONSIVE AND ACCOUNTABLE TO THOSE FOR WHOSE BENEFIT IT EXISTS, AND TO IMPROVING THE HEALTH OF ITS COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$107,218,197	ExpenseAmt
Revenue	$114,032,732	RevenueAmt
Desc	INPATIENT-THE HOSPITAL HAS 233 LICENSED BEDS. DISCHARGES FOR FY 17 WERE 10,296 OF WHICH 7,711 MED/SURG AND ICU, 1,882 MATERNITY/NEWBORN AND 703 PSYCH. PATIENT DAYS TOTALED 46,248 OF WHICH 35,775 MED/SURG AND ICU, 4,323 MATERNITY/NEWBORN AND 6,150 PSYCH. OBSERVATION DISCHARGES WERE 2,715 AND OBSERVATION DAYS WERE 5,762. THE AVERAGE LENGTH OF STAY IS 4.49 DAYS. THERE WERE 2,148 INPATIENT SURGERIES PERFORMED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$96,679,589	ExpenseAmt
Grant	$60,026	GrantAmt
Revenue	$126,236,121	RevenueAmt
Desc	OUTPATIENT-FOR FISCAL 17, THE HOSPITAL HAD 430,375 OUTPATIENT VISITS. INCLUDED IN THOSE VISITS ARE 141,393 IMAGING EXAMS, 7,018 MRI EXAMINATIONS, 6,061 SAME DAY SURGICAL PROCEDURES, 7,547 PSYCHIATRIC CLINICAL VISITS, 10,240 PSYCHIATRIC PARTIAL HOSPITAL VISITS, 29,610 REHAB VISITS, 3,202 CARDIAC VISITS, 3,414 CHEMO VISITS, AND 3,007 GASTROINTESTINAL VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$32,012,415	ExpenseAmt
Revenue	$68,146,098	RevenueAmt
Desc	EMERGENCY DEPARTMENT-THE HOSPITAL HAS EMERGENCY DEPARTMENTS LOCATED IN NORWICH AND PLAINFIELD. FOR FISCAL 17, VISITS TOTALED 76,492 OF WHICH 6,415 WERE TRANSITIONED TO INPATIENT CARE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$23,744,878	ExpenseAmt
Revenue	$36,389,176	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE EHR REVENUE, PURCHASE DISCOUNTS, CONTRACT SERVICES AND OTHER MISCELLANEOUS INCOME.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$23,744,878	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$36,389,176	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$259,655,079	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	0	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	0	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	137	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1980	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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	8	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
Other Website	Yes (X)	OtherWebsiteInd
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	8608898331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	326 WASHINGTON STREET	AddressLine1Txt
City	NORWICH	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06360	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARY BARRY MD
DIRECTOR	2.00	2.00	Yes (X)	$0	$35,089	$2,344
CARMEN CID
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
CAROLYN DRESCHER
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
KARLA FOX
DIRECTOR (THRU JUNE 2017)	2.00	2.00	Yes (X)	$0	$0	$0
ANTHONY JOYCE
DIRECTOR (THRU JUNE 2017)	2.00	2.00	Yes (X)	$0	$0	$0
STEPHEN LARCEN PHD
DIRECTOR	2.00	2.00	Yes (X)	$0	$62,966	$3,955
STEVE LEE MD
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
LYNN QUINTAL-HILL
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
MARK TRAMONTOZZI MD
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
JAMES WATSON MD
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
DIANE WISHNAFSKI
CHAIR	3.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
DEBORAH MONAHAN
VICE CHAIR	3.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
BIMAL PATEL
DIRECTOR/PRESIDENT	20.00	40.00	Yes (X)	$0	$648,139	$103,528	Yes (X)
ANTHONY MASTROIANNI
VP FINANCE	30.00	30.00		$0	$268,409	$50,315	Yes (X)
DANIEL LOHR
SENIOR VP/CFO (THRU DEC. 2016)	30.00	30.00		$0	$582,635	$128,453	Yes (X)
MARGARET MARCHAK
CHIEF LEGAL OFFICER	0.00	60.00		$0	$676,177	$131,333	Yes (X)
LESTER TEMPKIN
VP OPERATIONS EAST REGION	30.00	30.00		$0	$308,936	$38,333		Yes (X)
CAROLYN TRANTALIS
VP OPERATIONS EAST REGION	30.00	30.00		$0	$329,504	$57,256		Yes (X)
ROBERT SIDMAN MD
VP MEDICAL AFFAIRS EAST REGION	30.00	30.00		$0	$514,163	$52,683		Yes (X)
GREGORY MAKOWSKI
HHC LAB SERVICES	30.00	30.00		$0	$330,039	$21,633		Yes (X)
SERGIO CASILLAS MD
PHYSICIAN	60.00			$622,426	$0	$38,282			Yes (X)
ZHENXIANG LIU MD
PHYSICIAN	60.00			$507,401	$0	$37,643			Yes (X)
RICHARD GOULDING MD
PHYSICIAN	60.00			$360,432	$0	$37,765			Yes (X)
WILLIAM HORGAN MD
PHYSICIAN	60.00			$376,661	$0	$37,765			Yes (X)
NADER BAHADORY MD
PHYSICIAN	60.00			$448,338	$0	$30,533			Yes (X)
DAVID WHITEHEAD
FORMER DIRECTOR/PRESIDENT/EVP	0.00	60.00		$0	$885,620	$56,363				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,315,258	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,641,677	TotReportableCompRltdOrgAmt
Total Other Compensation	$828,184	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	208	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
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485	CHICAGO	IL	60693	MEDICAL SERVICES	$2,945,412
HARTFORD HEALTHCARE LABORATORIES
80 SEYMOUR STREET	HARTFORD	CT	06102	LAB SERVICES	$1,711,798
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	FOOD/TRANSPORT	$1,447,216
LOCUMTENES
PO BOX 405547	ATLANTA	GA	30384	MEDICAL SERVICES	$1,109,865
NORTH AMERICAN PARTNERS ANESTHESIA
68 SOUTH SERVICE RD	MELVILLE	NY	11747	MEDICAL SERVICES	$864,008

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Fundraising	$81,180	FundraisingAmt
All Other Contributions	$769,163	AllOtherContributionsAmt
Noncash Contributions	$1,388	NoncashContributionsAmt
Total Contributions	$850,343	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	624100	$342,498,235	$342,498,235
LAB COURIER SERVICE	621500	$2,299,867		$2,299,867

Field	Value	IRS element (for citing)
Total Program Service Revenue	$344,798,102	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,311,763	TotalRevenueColumnAmt
Exclusion	$5,311,763	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,709,295	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,288,946	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,579,651	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,579,651	TotalRevenueColumnAmt
Exclusion	-$1,579,651	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,983,420	SecuritiesAmt
Other	$2,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$348,249	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,983,420	SecuritiesAmt
Other	-$346,249	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,637,171	TotalRevenueColumnAmt
Exclusion	$10,637,171	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$28,080	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$81,180	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$56,311	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$28,231	TotalRevenueColumnAmt
Exclusion	-$28,231	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA	Desc
Business	722320	BusinessCd
Total Revenue Column	$1,119,595	TotalRevenueColumnAmt
Exclusion	$1,119,595	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,025	TotalRevenueColumnAmt
Unrelated Business Revenue	$6,025	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,125,620	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$361,115,117	TotalRevenueColumnAmt
Related Or Exempt Func Income	$342,498,235	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,305,892	UnrelatedBusinessRevenueAmt
Exclusion	$15,460,647	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$50,026	TotalAmt
Program Services	$50,026	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Program Services	$10,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$108,440,928	TotalAmt
Program Services	$98,808,908	ProgramServicesAmt
Management And General	$9,523,496	ManagementAndGeneralAmt
Fundraising	$108,524	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,853,897	TotalAmt
Program Services	$3,511,583	ProgramServicesAmt
Management And General	$338,457	ManagementAndGeneralAmt
Fundraising	$3,857	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,968,712	TotalAmt
Program Services	$14,550,327	ProgramServicesAmt
Management And General	$1,402,404	ManagementAndGeneralAmt
Fundraising	$15,981	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,397,114	TotalAmt
Program Services	$6,660,265	ProgramServicesAmt
Management And General	$728,547	ManagementAndGeneralAmt
Fundraising	$8,302	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$65,186	TotalAmt
Management And General	$65,186	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$20,303	TotalAmt
Management And General	$20,303	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$23,850	TotalAmt
Management And General	$23,850	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,084,370	TotalAmt
Program Services	$1,084,370	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,622,681	TotalAmt
Program Services	$11,622,681	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$227,686	TotalAmt
Program Services	$39,381	ProgramServicesAmt
Management And General	$155,762	ManagementAndGeneralAmt
Fundraising	$32,543	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,664,937	TotalAmt
Program Services	$1,795,800	ProgramServicesAmt
Management And General	$794,827	ManagementAndGeneralAmt
Fundraising	$74,310	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,734,250	TotalAmt
Program Services	$10,640,550	ProgramServicesAmt
Management And General	$7,093,700	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,346,552	TotalAmt
Program Services	$4,465,363	ProgramServicesAmt
Management And General	$881,189	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$59,453	TotalAmt
Program Services	$43,305	ProgramServicesAmt
Management And General	$16,148	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$364,345	TotalAmt
Program Services	$275,684	ProgramServicesAmt
Management And General	$88,661	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,030,959	TotalAmt
Program Services	$589,365	ProgramServicesAmt
Management And General	$3,441,594	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$12,926,108	TotalAmt
Program Services	$6,592,315	ProgramServicesAmt
Management And General	$6,333,793	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,549,535	TotalAmt
Program Services	$11,991,450	ProgramServicesAmt
Management And General	$558,085	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,840,681	TotalAmt
Program Services	$4,840,681	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$43,955,153	$43,955,153
HOSPITAL PROVIDER TAX	$19,715,655	$19,715,655
PURCHASED SERVICES	$15,927,831	$12,492,239	$3,407,555	$28,037
REPAIRS AND MAITENANCE	$7,182,122	$5,461,200	$1,720,922

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$826,501	TotalAmt
Program Services	$458,778	ProgramServicesAmt
Management And General	$363,209	ManagementAndGeneralAmt
Fundraising	$4,514	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$296,888,835	TotalAmt
Program Services	$259,655,079	ProgramServicesAmt
Management And General	$36,957,688	ManagementAndGeneralAmt
Fundraising	$276,068	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,302,732	BOYAmt
EOY	$29,681,835	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$46,966,017	BOYAmt
EOY	$2,410,144	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$64	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,772,680	BOYAmt
EOY	$40,586,735	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$7,885	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,822,252	BOYAmt
EOY	$4,056,193	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,061,424	BOYAmt
EOY	$1,700,384	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$325,071,526	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$202,958,805	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$114,328,120	BOYAmt
EOY	$122,112,721	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$27,637,016	BOYAmt
EOY	$4,840,321	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$340,919,004	BOYAmt
EOY	$401,607,453	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$14,919,217	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,944,650	BOYAmt
EOY	$25,003,182	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$589,761,844	BOYAmt
EOY	$646,918,185	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,572,886	BOYAmt
EOY	$15,553,720	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$313,087	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,322,594	BOYAmt
EOY	$1,162,798	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$155,862,333	BOYAmt
EOY	$155,936,507	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$172,757,813	BOYAmt
EOY	$172,966,112	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$404,269,648	BOYAmt
EOY	$459,954,493	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,543,173	BOYAmt
EOY	$5,595,523	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,191,210	BOYAmt
EOY	$8,402,057	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$417,004,031	BOYAmt
EOY	$473,952,073	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$589,761,844	BOYAmt
EOY	$646,918,185	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$64,226,282	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$38,618,171	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$19,356	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$45,877,056	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

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	0	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	$23,850	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$23,850	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	THE WILLIAM W. BACKUS 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 LOBBING ACTIVITIES UNDER CURRENT MEDICARE RULES. 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 DUES ALLOCATED FOR LOBBYING EXPENSES FOR FY17 WAS $23,850.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,849,631	BeginningYearBalanceAmt
Investment Earnings Or Losses	$555,441	InvestmentEarningsOrLossesAmt
End Year Balance	$8,405,072	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,465,627	BeginningYearBalanceAmt
Investment Earnings Or Losses	$384,004	InvestmentEarningsOrLossesAmt
End Year Balance	$7,849,631	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,558,064	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$92,437	InvestmentEarningsOrLossesAmt
End Year Balance	$7,465,627	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,100,798	BeginningYearBalanceAmt
Investment Earnings Or Losses	$459,483	InvestmentEarningsOrLossesAmt
Administrative Expenses	$2,217	AdministrativeExpensesAmt
End Year Balance	$7,558,064	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,513,852	BeginningYearBalanceAmt
Investment Earnings Or Losses	$591,457	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,511	AdministrativeExpensesAmt
End Year Balance	$7,100,798	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.68000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.32000	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	$5,011,878	OtherCostOrOtherBasisAmt
Book Value	$5,011,878	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$10,381,267	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$122,297,550	OtherCostOrOtherBasisAmt
Depreciation	$79,462,415	DepreciationAmt
Book Value	$53,216,402	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,266,122	OtherCostOrOtherBasisAmt
Depreciation	$37,394,077	DepreciationAmt
Book Value	$25,872,045	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$116,437,587	OtherCostOrOtherBasisAmt
Depreciation	$86,102,313	DepreciationAmt
Book Value	$30,335,274	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,677,122	OtherCostOrOtherBasisAmt
Book Value	$7,677,122	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$122,112,721	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN ENDOWMENT LLC	$396,412,137	F
ASSET HELD IN TRUST BY OTHERS	$2,649,201	F
INVESTMENT IN OTHER JOINT VENTURES	$1,806,115	F
INVESTMENT IMAGING JOINT VENTURE	$740,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$401,607,453	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED POST RETIREMENT EXPENSES	$48,168,223
ACCRUED MALPRACTICE	$5,345,032
OTHER LIABILITIES	$19,489,857
TAX EXEMPT BONDS	$75,957,092
HOSPITAL PROVIDER TAX	$3,758,330
SERP LIABILITY	$3,217,973

Field	Value	IRS element (for citing)
Total Liability	$155,936,507	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 PREDICABLE STREAM OF FUNDING TO MISSION RELATED PROGRAMS, SUCH AS THOSE DESCRIBED IN PART III, LINES 4A-4D, WHILE SEEKING TO MAINTAIN PURCHASING POWER OF THE ENDOWMENT ASSETS. ENDOWMENT ASSETS INCLUDE THOSE ASSETS OF DONOR-RESTRICTED FUNDS THAT THE CORPORATION 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 AT LEAST 4% OVER THE LONG TERM. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$74,730	GrossReceiptsEvent1Amt
Charitable Contri Event1	$55,530	CharitableContriEvent1Amt
Gross Revenue Event1	$19,200	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$5,470	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$14,430	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$8,855	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$1,865	OtherDirectExpensesEvent1Amt
Event2	SEDER GOLF TOURNAMENT	Event2Nm
Gross Receipts Event2	$34,530	GrossReceiptsEvent2Amt
Charitable Contri Event2	$25,650	CharitableContriEvent2Amt
Gross Revenue Event2	$8,880	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$2,462	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$6,727	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$10,845	FoodAndBeverageEvent2Amt
Entertainment Event2	$1,500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$2,657	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$109,260	GrossReceiptsTotalAmt
Charitable Contributions Tot	$81,180	CharitableContributionsTotAmt
Gross Revenue Total Events	$28,080	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$7,932	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$21,157	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$19,700	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$4,522	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$56,311	DirectExpenseSummaryEventsAmt
Net Income Summary	-$28,231	NetIncomeSummaryAmt

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	0	ExpensesExceedBudgetInd
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	$1,136,703	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,136,703	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,824,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,328,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,495,589	NetCommunityBenefitExpnsAmt
Total Expense	0.09600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,960,984	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,328,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,632,292	NetCommunityBenefitExpnsAmt
Total Expense	0.09980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$465,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$465,431	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$197,785	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$197,785	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,174,719	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,174,719	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,839,666	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,839,435	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,800,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,328,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,471,727	NetCommunityBenefitExpnsAmt
Total Expense	0.11280	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$6,788,033	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$73,724,873	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$85,616,627	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,891,754	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	THE WILLIAM W BACKUS HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	326 WASHINGTON STREET	AddressLine1Txt
City	NORWICH	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06360	ZIPCd

Field	Value	IRS element (for citing)
Website Address	BACKUSHOSPITAL.ORG	WebsiteAddressTxt
State License	0037	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	THE WILLIAM W BACKUS 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	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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	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	15	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
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
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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS AND INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. THIS SURVEY WAS CONDUCTED FROM 12/1/14 THOUGH 12/21/14. THESE INDIVIDUALS INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS AND A VARIETY OF OTHER COMMUNITY LEADERS INCLUDING THE FOLLOWING: AMERICAN AMBULANCE SERVICE, INC. AMERICAN RED CROSS BLOOD SERVICES BACKUS HOSPITAL CATHOLIC CHARITIES GENERATIONS FAMILY HEALTH CENTER, INC. MOHEGAN TRIBE NORWICH ADULT EDUCATION / RELIANCE HOUSE, INC. ROSE CITY SENIOR CENTER SOUTHEASTERN REGIONAL ACTION COUNCIL ST. VINCENT DE PAUL PLACE NORWICH THREE RIVERS COMMUNITY COLLEGE NURSING PROGRAM TOWN OF WINDHAM TVCCA UNCAS HEALTH DISTRICT UNITED COMMUNITY AND FAMILY SERVICES WINDHAM HOSPITAL WINDHAM REGION NO FREEZE PROJECTPARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE OVERALL COMMUNITY. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. KEY INFORMANTS WERE ASKED TO RATE THE DEGREES TO WHICH VARIOUS HEALTH ISSUES WERE A PROBLEM IN THE HARTFORD REGION. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFIED AREAS AS SUCH, AND HOW THESE MIGHT BE BETTER ADDRESSED.AFTER REVIEWING THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS, THE COMMUNITY REPRESENTATIVES MET ON JUNE 11, 2015 TO DETERMINE THE HEALTH NEEDS TO BE PRIORITIZED FOR ACTION. DURING A DETAILED PRESENTATION OF THE CHNA FINDINGS, THE HOSPITAL USED AUDIENCE RESPONSE SYSTEM (ARS) TECHNOLOGIES TO LEAD STEERING COMMITTEE MEMBERS THROUGH A PROCESS OF UNDERSTANDING KEY LOCAL DATA FINDINGS (AREAS OF OPPORTUNITY) AND RANKING IDENTIFIED HEALTH ISSUES AGAINST THE FOLLOWING ESTABLISHED, UNIFORM CRITERIA: MAGNITUDE, IMPACT/SERIOUSNESS/FEASIBILITY, CONSEQUENCES OF INACTION. FROM THIS EXERCISE, THE AREAS OF OPPORTUNITY WERE PRIORITIZED AS FOLLOWS BY THE COMMITTEE: MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY & WEIGHT STATUS, DIABETES, SUBSTANCE ABUSE, CANCER, HEART DISEASE AND STROKE.PART V, SECTION B, LINE 7AWWW.BACKUSHOSPITAL.ORG/ABOUT-US/COMMUNITY-OUTREACH/HEALTH-NEEDS-ASSESSMENT
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 7D: THE NEEDS ASSESSMENT WAS PUBLISHED IN MARCH 2015 AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE. IN ADDITION, COPIES WERE MADE AVAILABLE TO OUR COMMUNITY PARTNERS.
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 11: IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, BACKUS HOSPITAL DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE:* NUTRITION* PHYSICAL ACTIVITY & WEIGHT (OBESITY)* CANCER* DIABETES* HEART DISEASE & STROKE* RESPIRATORY DISEASES* ACCESS TO CARE* ORAL HEALTH* DEMENTIA* ALZHEIMER'S DISEASE* MENTAL HEALTH & SUBSTANCE USE (INCLUDING TOBACCO USE).BACKUS HOSPITAL IS IMPLEMENTING INITIATIVES THAT WILL RESPOND TO THESE NEEDS. ADDITIONAL NEEDS IDENTIFIED AS "AREAS OF OPPORTUNITIES" WERE NOT DEEMED AS SIGNIFICANT NEEDS AND DID NOT RANK HIGHLY ENOUGH TO EARN A PRIORITIZED RANKING. AREAS OF OPPORTUNITIES, IDENTIFIED BUT NOT PRIORITIZED: * INFANT HEALTH AND FAMILY PLANNING * INJURY & VIOLENCE* POTENTIALLY DISABLING CONDITIONSINFANT HEALTH AND FAMILY PLANNING: BACKUS HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS FAMILY PLANNING AND INFANT HEALTH. OTHER COMMUNITY PARTNERS SUCH AS UCFS AND MADONNA PLACE HAVE INFRASTUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED.INJURY & VIOLENCE: BACKUS HOSPITAL BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF SAFE FUTURES, THE FORMER WOMEN'S SHELTER. BACKUS IS A COMMUNITY PARTNER AND HAS ARRANGED FOR SAFE FUTURES TO OPEN AN OFFICE IN THE MEDICAL OFFICE BUILDING, ADJOINING THE HOSPITAL. BACKUS HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS INJURY PREVENTION.POTENTIALLY DISABLING CONDITIONS: BACKUS HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS POTENTIALLY DISABLING CONDITIONS.
THE WILLIAM W BACKUS 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.
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 15E: IN ADDITION, PATIENT 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.THE WILLIAM W BACKUS HOSPITAL:PART V, LINE 16A, FAP WEBSITE: HTTPS://BACKUSHOSPITAL.ORG/FOR-PATIENTS-FAMILIES/FINANCIAL- INSURANCE-INFO/FINANCIAL-COVERAGE/THE WILLIAM W BACKUS HOSPITAL:PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://BACKUSHOSPITAL.ORG/FOR-PATIENTS- FAMILIES/FINANCIAL-INSURANCE-INFO/FINANCIAL-COVERAGE/THE WILLIAM W BACKUS HOSPITAL:PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://BACKUSHOSPITAL.ORG/FOR-PATIENTS -FAMILIES/FINANCIAL-INSURANCE-INFO/FINANCIAL-COVERAGE/
THE WILLIAM W BACKUS 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	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - BACKUS OUTPATIENT CARE CENTER
111 SALEM TURNPIKE	NORWICH	CT	06360	OUTPATIENT SERVICES
2 - MEDICAL OFFICE BUILDING
330 WASHINGTON STREET	NORWICH	CT	06360	RADIATION THERAPY/LAB
3 - COLCHESTER BACKUS HEALTH CENTER
163 BROADWAY	COLCHESTER	CT	06415	RADIOLOGY/LAB/PRIMARY CARE
4 - MONTVILLE BACKUS HEALTH CARE
80 NORWICH/NEW LONDON TURNPIKE	UNCASVILLE	CT	06382	RADIOLOGY/LAB/PRIMARY CARE
5 - LEDYARD BACKUS HEALTH CENTER
2 LORENZ PARKWAY	LEDYARD	CT	06339	LAB/PRIMARY CARE
6 - FAMILY HEALTH CENTER AT CROSSROADS
196 PARKWAY SOUTH	WATERFORD	CT	06385	PRIMARY CARE/REHAB/ORTHOPEDICS
7 - INFECTIOUS DISEASE CLINIC
107 LAFAYETTE STREET	NORWICH	CT	06360	CLINIC
8 - NORTH STONINGTON BACKUS HEALTH CENTER
82 NORWICH-WESTERLY ROAD	NORTH STONINGTON	CT	06359	PRIMARY CARE
9 - PLAINFIELD MEDICAL OFFICE
584 NORWICH ROAD	PLAINFIELD	CT	06374	PHYSICIAN OFFICES/INFUSION CENTER
10 - PLAINFIELD EMERGENCY CENTER
582 NORWICH ROAD	PLAINFIELD	CT	06374	LAB/RADIOLOGY/EMERGENCY SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	BACKUS HOSPITAL USED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. IN ADDITION, THE HOSPITAL TAKES INTO CONSIDERATION, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND OTHER FAMILY ELIGIBILITY CRITERIA SUCH AS FAMILY SIZE, EMPLOYMENT AND FINANCIAL OBLIGATIONS.PART I LINE 6A:THE ORGANIZATIONS SUBMITS QUARTERLY REPORTS TO THE CONNECTICUT HOSPITAL ASSOCIATION AND FORM 990 IS SUBMITTED TO THE CONNECTICUT OFFICE OF HEALTH CARE ACCESS (OHCA) 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. 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 TO AVOID DUPLICATION. COSTS REPORTED IN PART III, SECTION B6, WERE CALCULATED FROM THE MEDICARE COST REPORT AND REDUCED FOR MEDICARE COSTS PREVIOUSLY REPORTED IN PART I LINES 7F & G.
PART II, COMMUNITY BUILDING ACTIVITIES:	BACKUS HOSPITAL INTERACTS WITH THE COMMUNITY TO ADDRESS NEEDS AND FACILITATE APPROPRIATE RESPONSES. FOR FY 2017, BACKUS EXPENDED $54,619 ON COMMUNITY BUILDING ACTIVITIES.
PART III, LINE 3:	A PRE-BAD DEBT FINANCIAL ASSISTANCE SCREENING IS 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 PRIOR TO BEING SENT TO BAD DEBT. THEREFORE, ANY BAD DEBT EXPENSE THAT COULD HAVE BEEN ATTRIBUTABLE TO CHARITY CARE AT THE END OF FY 2017 WOULD BE IMMATERIAL.
PART III, LINE 4:	PLEASE SEE THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE BEGINNING ON PAGE 22 OF THE AUDITED FINANCIAL STATEMENTS.THE FOOTNOTE IS ALSO APPLICABLE TO PART III LINE 2.
PART III, LINE 8:	THE ORGANIZATION'S MEDICARE COST REPORT WAS USED TO ACCUMULATE ACTUAL COSTS RELATED TO PART III SECTION B LINE 6.
PART III, LINE 9B:	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 THE HOSPITAL, THE HOSPITAL RESERVES THE RIGHT TO BEGIN COLLECTION ACTIONS, INCLUDING BUT NOT LIMITED TO, IMPOSING WAGE GARNISHMENTS OR LEINS 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 AN 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:	BACKUS HOSPITAL USES EMERGENCY ROOM DATA TO TRACK INCREASES IN MEDICAL CONDITIONS SUCH AS FALLS, FLU, DRUG OVERDOSES, ETC. AND THE SAME APPROACH IS TAKEN IN OUR OUTPATIENT CLINICS. PERIODICALLY INFORMATION IS SURVEYED TO DETERMINE ADDITIONAL PATIENT NEEDS. INFORMATION IS ALSO TRACKED FROM OTHER ENTITIES SUCH AS AREA NON-PROFITS,GOVERNMENTAL AGENCIES AND PUBLIC SCHOOLS.
PART VI, LINE 3:	BACKUS 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 AND ADMISSION AREAS;(IV) POST THE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ON THE WEBSITE WITH CLEAR LINKAGE TO SUCH DOCUMENTS ON THE 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 BACKUS WRITTEN PUBLICATIONS.
PART VI, LINE 4:	THE TOTAL POPULATION OF THE BACKUS HOSPITAL PRIMARY SERVICE AREA IS 275,166. 77% OF THE POPULATION IS WHITE WITH 5% BLACK. PEOPLE OF HISPANIC ORIGIN MAKE UP 8.9% AND 4% IS ASIAN. CHILDREN AGE 0-17 MAKE UP 21.8%, 18-64 64.3% AND SENIORS ACCOUNT FOR 13.9% OF THE POPULATION. THE POPULATION LIVING IN POVERTY IS 10% WITH THOSE LIVING BELOW 200% FPL IS 22.5%. 10.9% HAVE NO HIGH SCHOOL DIPLOMA.27% HAVE A BA OR HIGHER.THE REGION IS A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.
PART VI, LINE 5:	A REGIONAL BOARD GOVERNS BACKUS, WINDHAM 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 NOR CONTRACTORS OF THE HOSPITAL.
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 THE WILLAM W BACKUS 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 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 THE SMALL COMMUNITIES EASY AND EXPEDIENT ACCESS TO THE MORE EXTENSIVE AND SPECIALIZED SERVICES THE HOSPITAL IS 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 AFFILIATE'S 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 CONTAINMENT STRATEGIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	CT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CHAMBER OF COMMERCE OF SE CT
914 HARTFORD TPKE	WATERFORD	CT	06385	060475490	501C6	$10,870	SPONSORSHIPSPONSORSHIP
(no name)
							PARAMEDIC PROGRAM
(no name)
							SPONSORSHIP
(no name)
							SPONSORSHIP
(no name)
							SPONSORSHIP
(no name)
							SPONSORSHIP
(no name)
							SPONSORSHIP
(no name)
							SPONSORSHIP
(no name)
							SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIP	GrantTypeTxt
Recipient	5	RecipientCnt
Cash Grant	$10,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DONATIONS MADE FOR LOCAL EVENTS, SUCH AS SPONSORSHIPS ARE TYPICALLY ATTENDED BY HOSPITAL EMPLOYEES. FIVE SCHOLARSHIPS IN THE AMOUNT OF $2,000 EACH ARE AWARDED TO STUDENTS WHO WILL ATTEND SCHOOL EITHER FOR NURSING OR IN THE MEDICAL FIELD. THE APPLICANTS ARE REVIEWED BY THE SCHOLARSHIP COMMITTEE OF THE AUXILIARY AND WINNERS ARE BASED ON ACADEMICS AS WELL AS COMMUNITY SERVICE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (14 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
BIMAL PATEL
DIRECTOR/PRESIDENT	$0	$445,963	$0	$185,927	$0	$16,249	$0	$91,279	$0	$12,249	$0	$751,667	$0	$0
ANTHONY MASTROIANNI
VP FINANCE	$0	$197,286	$0	$70,136	$0	$987	$0	$18,550	$0	$31,765	$0	$318,724	$0	$0
DANIEL LOHR
SENIOR VP/CFO (THRU DEC. 2016)	$0	$362,355	$0	$114,850	$0	$105,430	$0	$92,550	$0	$35,903	$0	$711,088	$0	$0
MARGARET MARCHAK
CHIEF LEGAL OFFICER	$0	$453,679	$0	$186,949	$0	$35,549	$0	$90,285	$0	$41,048	$0	$807,510	$0	$0
LESTER TEMPKIN
VP OPERATIONS EAST REGION	$0	$233,271	$0	$69,236	$0	$6,429	$0	$18,550	$0	$19,783	$0	$347,269	$0	$0
CAROLYN TRANTALIS
VP OPERATIONS EAST REGION	$0	$237,409	$0	$90,860	$0	$1,235	$0	$18,550	$0	$38,706	$0	$386,760	$0	$0
ROBERT SIDMAN MD
VP MEDICAL AFFAIRS EAST REGION	$0	$381,747	$0	$130,484	$0	$1,932	$0	$18,550	$0	$34,133	$0	$566,846	$0	$0
GREGORY MAKOWSKI
HHC LAB SERVICES	$0	$253,221	$0	$74,449	$0	$2,369	$0	$9,275	$0	$12,358	$0	$351,672	$0	$0
SERGIO CASILLAS MD
PHYSICIAN	$511,183	$0	$110,626	$0	$617	$0	$18,550	$0	$19,732	$0	$660,708	$0	$0	$0
ZHENXIANG LIU MD
PHYSICIAN	$474,690	$0	$32,283	$0	$428	$0	$18,550	$0	$19,093	$0	$545,044	$0	$0	$0
RICHARD GOULDING MD
PHYSICIAN	$282,850	$0	$77,308	$0	$274	$0	$18,550	$0	$19,215	$0	$398,197	$0	$0	$0
WILLIAM HORGAN MD
PHYSICIAN	$297,182	$0	$79,060	$0	$419	$0	$18,550	$0	$19,215	$0	$414,426	$0	$0	$0
NADER BAHADORY MD
PHYSICIAN	$331,224	$0	$115,646	$0	$1,468	$0	$18,550	$0	$11,983	$0	$478,871	$0	$0	$0
DAVID WHITEHEAD
FORMER DIRECTOR/PRESIDENT/EVP	$0	$578,564	$0	$222,671	$0	$84,385	$0	$18,550	$0	$37,813	$0	$941,983	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TO INDIVIDUALS FOR BENEFITS WERE INCLUDED AS TAXABLE INCOME ON THEIR 2016 FORM W-2. PART 1, LINE 3: THE INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS OF HARTFORD HEALTHCARE ON BEHALF OF BACKUS 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 BACKUS 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 CHANE 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. 2016 SERP ACCRUALS MADE ON BEHALF OF THE FOLLOWING INDIVIDUALS: MR. BIMAL PATEL $58,694 MR. DAVID WHITEHEAD $75,587 MS. MARGARET MARCHAK $60,847 2016 SERP PAYOUTS WERE MADE ON BEHALF OF THE FOLLOWING INDIVIDUALS: MR. STEPHEN LARCEN $6,674 MR. DANIEL LOHR $74,000 MR. DAVID WHITEHEAD $34,339* *FOR THIS INDIVIDUAL, VESTING OCCURRED, CAUSING TAXABLE INCOME. A 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	HARTFORD HEALTHCARE CORPORATION, A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE WILLIAM W BACKUS HOSPITAL.
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, AQUISITIONS, DISSOLUTIONS, ETC.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY HARTFORD HEALTHCARE'S STAFF ACCOUNTANT WITH OVERSIGHT FROM THE HARTFORD HEALTHCARE TAX DEPARTMENT. IT WAS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM WAS THEN FORWARDED TO THE ORGANIZATION'S TOP MANAGEMENT INCLUDING THE REGIONAL VP OF FINANCE FOR REVIEW. THE FINAL FORM WAS PROVIDED TO THE ENTIRE BOARD PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS). ONCE THE ENTIRE PROCESS WAS COMPLETED, THE FORM WAS SIGNED BY THE REGIONAL VP OF FINANCE AND THEN FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPITAL'S BOARD HAS ADOPTED THE POLICY OF THE MEMBER, HARTFORD HEALTHCARE CORPORATION (HHC). HHC'S CONFLICT OF INTEREST POLICY (POLICY) REQUIRES ALL COVERED INDIVIDUALS, INCLUDING BOARD MEMBERS AND OFFICERS, TO PROVIDE A DISCLOSURE OF RELATIONSHIPS THAT CREATE OR HAVE THE APPEARANCE OF CREATING A CONFLICT OF INTEREST OR COMMITMENT. THE POLICY REQUIRES UPDATES IF CHANGES IN CIRCUMSTANCES ARISE DURING THE YEAR THAT EITHER (A) CREATE A NEW POTENTIAL CONFLICT OF INTEREST OR COMMITMENT OR (B) CHANGE OR ELIMINATE A CONFLICT OF INTEREST OR COMMITMENT PREVIOUSLY DISCLOSED. CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE MAINTAINED BY THE HHC OFFICE OF COMPLIANCE AND INTEGRITY (OCI). EMPLOYEE DISCLOSURES ARE REVIEWED BY OCI IN COLLABORATION WITH THE COVERED INDIVIDUALS' SUPERVISOR WHEN DEEMED APPROPRIATE, TO DETERMINE IF THERE IS A POTENTIAL CONFLICT. OVERSIGHT REVIEW OF EMPLOYEE DISCLOSURES IS PROVIDED BY THE EXECUTIVE COMPLIANCE STEERING COMMITTEE ("ECSC") (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/BACKUS, 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 BACKUS 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 BACKUS 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 19	THE ORGANIZATIONS 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 ASSETS HELD IN TRUST 177,438. CHANGE IN PENSION FUNDING 8,871,012. TRANSFER TO AFFILIATES -54,926,792. K-1 PASS-THROUGH INVESTMENTS 1,286.
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
BACKUS HEALTH CARE INC
326 WASHINGTON STREET	NORWICH	CT	06360	222481794	SUPPORT	CT	501C3	12A	HARTFORD HEALTHCARE CORPORATION	Yes (1)
BACKUS CORPORATION
326 WASHINGTON STREET	NORWICH	CT	06360	222757608	SUPPORT	CT	501C3	12B	HARTFORD HEALTHCARE CORPORATION	Yes (1)
HARTFORD HOSPITAL
80 SEYMOUR STREET	HARTFORD	CT	06102	060646668	HEALTHCARE SERVICES	CT	501C3	3	HARTFORD HEALTHCARE CORPORATION	Yes (1)
WINDHAM COMMUNITY MEMORIAL HOSPITAL
112 MANSFIELD AVE	WILLIMANTIC	CT	06226	060646966	HEALTHCARE SERVICES	CT	501C3	3	HARTFORD HEALTHCARE CORPORATION	Yes (1)
MIDSTATE MEDICAL CENTER
435 LEWIS AVENUE	MERIDAN	CT	06451	060646715	HEALTHCARE SERVICES	CT	501C3	3	HARTFORD HEALTHCARE CORPORATION	Yes (1)
WINDHAM HOSPITAL FOUNDATION INC
112 MANSFIELD AVE	WILLIMANTIC	CT	06226	562546632	SUPPORTING ORGANIZATION	CT	501C3	12A	WINDHAM COMMUNITY MEMORIAL HOSPITAL	Yes (1)
HARTFORD HOSPITAL AUXILIARY CO HARTFORD HOSPITAL
80 SEYMOUR STREET	HARTFORD	CT	06115	066040747	FUNDRAISING	CT	501C3	12B	HARTFORD HOSPITAL	Yes (1)
CONNECTICUT HEALTH SYSTEM INC
80 SEYMOUR STREET	HARTFORD	CT	06102	222779421	COORDINATION OF HEALTH DELIVERY	CT	501C3	12C	HARTFORD HEALTHCARE CORPORATION	Yes (1)
HARTFORD HEALTHCARE CORPORATION
1 STATE STREET STE 19	HARTFORD	CT	06103	222672834	SUPPORT & MANAGEMENT SVCS TO HHC & AFFILIATES	CT	501C3	12C		0	N/A
NATCHAUG HOSPITAL INC
189 STORRS ROAD	MANSFIELD CENTER	CT	06226	060966963	BEHAVIORAL HEALTH	CT	501C3	3	HARTFORD HEALTHCARE CORPORATION	Yes (1)
CARING FOR COLLEAGUES EMPLOYEE CRISIS FUND
100 GRAND STREET	NEW BRITAIN	CT	06052	264469178	EMPLOYEE FUND	CT	501C3	7	HARTFORD HEALTHCARE CORPORATION	Yes (1)
HARTFORD HEALTHCARE ENDOWMENT LLC
80 SEYMOUR STREET	HARTFORD	CT	06102	454181103	INVESTMENT MANAGEMENT	CT	501C3	12A	HARTFORD HEALTHCARE CORPORATION	Yes (1)
RUSHFORD CENTER INC
883 PADDOCK AVENUE	MERIDAN	CT	06450	060932875	SUBSTANCE ABUSE HEALTHCARE SERVICES	CT	501C3	7	HARTFORD HEALTHCARE CORPORATION	Yes (1)
WCMH WOMEN'S AUXILIARY INC
112 MANSFIELD AVE	WILLIMANTIC	CT	06226	060677728	FUNDRAISING	CT	501C3	12A	WINDHAM COMMUNITY MEMORIAL HOSPITAL	Yes (1)
THE HOSPITAL OF CENTRAL CT & BRADLEY MEMORIAL
110 GRAND STREET	NEW BRITAIN	CT	06050	060646768	HEALTHCARE SERVICES	CT	501C3	3	HARTFORD HEALTHCARE CORPORATION	Yes (1)
HARTFORD HEALTHCARE SENIOR SERVICES INC
45 MERIDEN AVENUE	SOUTHINGTON	CT	06489	222635676	SUB-ACUTE & LONG TERM CARE	CT	501C3	10	HARTFORD HEALTHCARE CORPORATION	Yes (1)
THE ORCHARDS OF SOUTHINGTON
34 HOBART STREET	SOUTHINGTON	CT	06489	061490803	RESIDENTIAL SERVICES FOR SENIOR CITIZENS	CT	501C3	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	CT	501C3	10	HARTFORD HEALTHCARE SENIOR SERVICES INC	Yes (1)
MIDSTATE MEDICAL CENTER AUXILIARY
435 LEWIS AVENUE	MERIDAN	CT	06451	066063082	FUNDRAISING	CT	501C3	12A	MIDSTATE MEDICAL CENTER	Yes (1)
HARTFORD HEALTHCARE MEDICAL GROUP INC
1290 SILAS DEAN HWY 2ND FLOOR	WETHERSFIELD	CT	06109	454456939	MEDICAL SERVICES	CT	501C3	10	HARTFORD HEALTHCARE CORPORATION	Yes (1)
HARTFORD HEALTHCARE ACCOUNTABLE CARE ORG INC
1290 SILAS DEAN HWY 2ND FLOOR	WETHERSFIELD	CT	06109	460886367	GOVERNMENT CONTRACTS	CT	501C3	7	HHC PHYSICIANSCARE INC	Yes (1)
HARTFORD HEALTHCARE AT HOME
1290 SILAS DEAN HWY STE 4B	WETHERSFIELD	CT	06109	060646938	HOME HEALTHCARE	CT	501C3	7	HARTFORD HEALTHCARE CORPORATION	Yes (1)
RUSHFORD FOUNDATION INC
883 PADDOCK AVENUE	MERIDAN	CT	06450	061432692	SUPPORTING ORGANIZATION	CT	501C3	12A	RUSHFORD CENTER INC	Yes (1)
HARTFORD HEALTHCARE INDEPENDENCEHOME
1290 SILAS DEAN HWY STE 4B	WETHERSFIELD	CT	06109	061161422	HOME HEALTHCARE	CT	501C3	10	HARTFORD HEALTHCARE AT HOME	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 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
OMNI HOME HEALTH
12 CASE STREET	NORWICH	CT	06360	061458837	HOME HEALTH CARE	CT	N/A
HHC SOUTHINGTON SURGERY CENTER
100 AVON MEADOW LANE	AVON	CT	06001	465500829	SURGERY SERVICES	CT	N/A
NEW BRITAIN MRI LIMITED PARTNERSHIP
100 GRAND STREET	NEW BRITAIN	CT	06050	061271349	MAGNETIC RESONANCE IMAGING	CT	N/A
HHC URGENT CARE GO HEALTH LLC
2711 CENTERVILLE RD STE 400	WILLMINGTON	DE	19808	815112698	URGENT CARE SERVICES	DE	N/A
AMBULANCE SERVICE OF MANCHESTER
PO BOX 300	MANCHESTER	CT	06450	061557358	AMBULATORY SERVICE	CT	N/A
CT IMAGING PARTNERS LLC
111 FOUNDERS PLACE	EAST HARTFORD	CT	06108	134298940	IMAGING SERVICES	CT	N/A
GLASTONBURY ENDOSCOPY CENTER LLC
300 WESTERN BLVD STE B	GLASTONBURY	CT	06033	261721234	ENDOSCOPY SERVICES	CT	N/A
GLASTONBURY SURGERY CENTER LLC
195 EASTERN BLVD	GLASTONBURY	CT	06033	262600828	SURGERY SERVICES	CT	N/A
HARTFORD-MIDDLESEX CLINICAL SYSTEM LLC
80 SEYMOUR STREET	HARTFORD	CT	06110	061543605	AFFILIATE SUPPORT SERVICE	CT	N/A
MED EAST ASSOC LLC
1703 WEST MAIN STREET	WILLIMANTIC	CT	06226	061469575	OUTPATIENT CARE CLINIC	CT	N/A
CONSTITUTION SURGERY CENTER EAST LLC
174 CROSS ROADS	WATERFORD	CT	06385	061574704	SURGERY SERVICES	CT	N/A	N/A	$2,059,439	$17,116,307	0	0	0.51000
CT GI ENDOSCOPY CENTER LLC (BLOOMFIELD)
4 NORTHWESTERN DR	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
WALLINGFORD ENDOSCOPY CENTER
85 SEYMOUR ST STE 1000	HARTFORD	CT	06106	824601730	ENDOSCOPY SERVICES	CT	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
WWB CORPORATION
326 WASHINGTON STREET	NORWICH	CT	06360	061094836	HOLDING COMPANY	CT	N/A	C	Yes (1)
CONNCARE INC
326 WASHINGTON STREET	NORWICH	CT	06360	061387598	HEALTHCARE SERVICES	CT	N/A	C	Yes (1)
BACKUS MEDICAL CENTER CONDO ASSOC INC
330 WASHINGTON STREET	NORWICH	CT	06360	061542647	CONDO ASSOCIATION	CT		C	Yes (1)	THE WILLIAM W BACKUS HOSPITAL	$13,191	0.69000
HHMOB CORPORATION
80 SEYMOUR STREET	HARTFORD	CT	06102	061140244	REAL ESTATE PARKING	CT	N/A	C	Yes (1)
HARTFORD HEALTHCARE INDEMNITY SERVICES LTD
					CAPTIVE INSURANCE		N/A	C	Yes (1)				FB PERRY BLVD 40 CHURCH ST	HAMILTON	BD	BD
CENCONN SERVICES INC
100 GRAND STREET	NEW BRITAIN	CT	06050	222836001	HOLDING COMPANY	CT	N/A	C	Yes (1)
AETNA AMBULANCE SERVICE
PO BOX 1150	MANCHESTER	CT	06045	060795431	AMBULATORY SERVICE	CT	N/A	C	Yes (1)
HARTFORD PHYSICIAN SERVICES
80 SEYMOUR STREET	HARTFORD	CT	06102	061254082	MEDICAL SERVICES	CT	N/A	C	Yes (1)
MERIDEN IMAGING CENTER
101 NORTH PLAINS INDUSTRIAL RD	MERIDEN	CT	06429	061541468	IMAGING	CT	N/A	S	Yes (1)
MIDSTATE MEDICAL GROUP PC
435 LEWIS AVENUE	MERIDEN	CT	06450	204327968	MEDICAL SERVICES	CT	N/A	C	Yes (1)
HARTFORD PHYSICIAN HOSPITAL ORGANIZATION INC
80 SEYMOUR STREET	HARTFORD	CT	06102	222785918	PHYSICIAN & HOSPITAL SUPPORT	CT	N/A	C	Yes (1)
METRO WHEELCHAIR SERVICES INC
PO BOX 300	MANCHESTER	CT	06045	060878432	WHEELCHAIR SERVICES	CT	N/A	C	Yes (1)
WINDHAM PROFESSIONAL OFFICE CONDOMINIUMS
1120 MANSFIELD AVE	WILLIMANTIC	CT	06226	061090041	CONDO ASSOCIATION	CT	N/A	C	Yes (1)

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	Yes (1)	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 (35 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HARTFORD HOSPITAL
O	$173,198	FMV
HARTFORD HOSPITAL
M	$2,920,984	FMV
HARTFORD HOSPITAL
P	$120,202	FMV
HARTFORD HOSPITAL
R	$4,998,264	FMV
HARTFORD HOSPITAL
S	$4,883,734	FMV
THE HOSPITAL OF CENTRAL CT
M	$87,170	FMV
THE HOSPITAL OF CENTRAL CT
R	$1,038,215	FMV
THE HOSPITAL OF CENTRAL CT
S	$117,962	FMV
HARTFORD HEALTHCARE MEDICAL GROUP INC
A	$123,605	FMV
HARTFORD HEALTHCARE MEDICAL GROUP INC
L	$838,396	FMV
HARTFORD HEALTHCARE MEDICAL GROUP INC
M	$6,776,406	FMV
HARTFORD HEALTHCARE MEDICAL GROUP INC
O	$942,080	FMV
HARTFORD HEALTHCARE MEDICAL GROUP INC
R	$7,814,599	FMV
HARTFORD HEALTHCARE MEDICAL GROUP INC
S	$7,160,387	FMV
WINDHAM COMMUNITY MEMORIAL HOSPITAL
O	$192,085	FMV
WINDHAM COMMUNITY MEMORIAL HOSPITAL
Q	$192,865	FMV
WINDHAM COMMUNITY MEMORIAL HOSPITAL
R	$65,123	FMV
WINDHAM COMMUNITY MEMORIAL HOSPITAL
S	$204,507	FMV
NATCHAUG HOSPITAL
A	$54,823	FMV
NATCHAUG HOSPITAL
M	$420,307	FMV
NATCHAUG HOSPITAL
Q	$85,575	FMV
NATCHAUG HOSPITAL
R	$567,671	FMV
NATCHAUG HOSPITAL
S	$545,894	FMV
HARTFORD HEALTHCARE REHAB NETWORK
R	$223,239	FMV
HARTFORD HEALTHCARE REHAB NETWORK
S	$101,767	FMV
BACKUS PHYSICIAN SERVICES
R	$8,862,936	FMV
BACKUS PHYSICIAN SERVICES
S	$9,921,991	FMV
BACKUS PHYSICIAN SERVICES
A	$639,429	FMV
CONNCARE INC
R	$8,485,532	FMV
CONNCARE INC
S	$9,204,627	FMV
CONNCARE INC
A	$793,522	FMV
BACKUS MEDICAL CENTER CONDO
R	$1,151,841	FMV
BACKUS MEDICAL CENTER CONDO
S	$1,163,556	FMV
OMNI HOME HEALTH SVRS OF E CT
R	$64,570	FMV
OMNI HOME HEALTH SVRS OF E CT
S	$64,570	FMV