HARTFORD HEALTHCARE SENIOR SERVICES INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HARTFORD HEALTHCARE SENIOR SERVICES INC (EIN 22-2635676)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-10
- IRS object ID
- 201732229349300103
- Schema version
- 2015v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-10T07:20:53-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | 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 | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222635676 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARTFORD HEALTHCARE SENIOR SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HART | BusinessNameControlTxt |
| Phone | 8606219559 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 MERIDEN AVENUE | AddressLine1Txt |
| City | SOUTHINGTON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06489 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Keise | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 8606219559 | PhoneNum |
| Signature | 2017-08-10 | SignatureDt |
| Discuss With Paid Preparer | 0 | 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 | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rita Parisi | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 Meriden Avenue | AddressLine1Txt |
| City | Southington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06489 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,793,826 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.hhcseniorservices.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | To provide sub-acute and long-term care services to a senior population. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 374 | TotalEmployeeCnt |
| Total Volunteers | 58 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $564,257 | PYContributionsGrantsAmt |
| CY Contributions Grants | $55,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,654,568 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,659,273 | CYProgramServiceRevenueAmt |
| PY Investment Income | $212,990 | PYInvestmentIncomeAmt |
| CY Investment Income | $58,653 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $20,900 | CYOtherRevenueAmt |
| PY Total Revenue | $20,431,815 | PYTotalRevenueAmt |
| CY Total Revenue | $20,793,826 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $755 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,543,148 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,387,915 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $105,243 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,401,403 | PYOtherExpensesAmt |
| CY Other Expenses | $6,581,175 | CYOtherExpensesAmt |
| PY Total Expenses | $19,944,551 | PYTotalExpensesAmt |
| CY Total Expenses | $20,969,845 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $487,264 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$176,019 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,183,125 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,335,744 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,000,041 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,136,670 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,183,084 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,199,074 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide and promote wellness and independence to ensure optimal quality of life for the people we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,585,436 | ExpenseAmt |
| Grant | $755 | GrantAmt |
| Revenue | $20,659,273 | RevenueAmt |
| Desc | Hartford HealthCare Senior Services, Inc. is a licensed, 130-bed skilled nursing home facility, which provides room and board, nursing and physical therapy services to its residents in the community served. | Desc |
| Total Program Service Expenses | $16,585,436 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 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 | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 374 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paula DePinto | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8606219559 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 Meriden Avenue | AddressLine1Txt |
| City | Southington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06489 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey Flaks | ||||||||||
| Chair | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $1,371,766 | $113,623 | |||
| Charles Johnson | ||||||||||
| President | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $344,245 | $59,722 | |||
| Rocco Orlando MD | ||||||||||
| Treasurer | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $898,279 | $106,883 | |||
| Rita Parisi | ||||||||||
| VP, Post Acute Division | 10.00 | 50.00 | Yes (X) | $0 | $436,824 | $85,790 | ||||
| Lisa Connolly | ||||||||||
| VP, Operations | 60.00 | $240,158 | $0 | $38,975 | Yes (X) | |||||
| William Kowalewski | ||||||||||
| Executive Director | 60.00 | $171,706 | $0 | $17,405 | Yes (X) | |||||
| Audrey Vinci-McNamara | ||||||||||
| Executive Director | 60.00 | $158,446 | $0 | $16,747 | Yes (X) | |||||
| Perry Phillips | ||||||||||
| Executive Director | 60.00 | $155,364 | $0 | $16,638 | Yes (X) | |||||
| Susan Vinal | ||||||||||
| Executive Director | 60.00 | $140,553 | $0 | $38,847 | Yes (X) | |||||
| Sharon Robinson | ||||||||||
| Managed Care Common Relations | 60.00 | $123,528 | $0 | $21,991 | Yes (X) | |||||
| Carol Barno | ||||||||||
| Former Officer | 0.00 | $0 | $134,379 | $16,380 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $989,755 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,185,493 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $533,001 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|
| Connecticut Computer Service Inc | |||||
| 101 East Summer Street | Plantsville | CT | 06479 | Computer Services | $322,645 |
| US Foods Inc | |||||
| PO Box 842700 | Boston | MA | 02284 | Food Service | $265,820 |
| Reliable Flooring Contractor LLC | |||||
| 102 Cherry Street | East Hartford | CT | 06108 | Contractor Services | $180,262 |
| Omega Contractor LLC | |||||
| 1190 Woodtick Road | Wolcott | CT | 06716 | Contractor Services | $174,563 |
| Painting & Wallcovering Serv | |||||
| 1486 Highland Avenue Suite 7B | Cheshire | CT | 06410 | Painting Services | $150,180 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $55,000 | AllOtherContributionsAmt |
| Total Contributions | $55,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Services | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $20,659,273 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,659,273 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,659,273 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,159 | TotalRevenueColumnAmt |
| Exclusion | $31,159 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,900 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,900 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,900 | TotalRevenueColumnAmt |
| Exclusion | $20,900 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,494 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,494 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,494 | TotalRevenueColumnAmt |
| Exclusion | $27,494 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,793,826 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,659,273 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $79,553 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755 | TotalAmt |
| Program Services | $755 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,016 | TotalAmt |
| Management And General | $247,016 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,260,284 | TotalAmt |
| Program Services | $8,902,727 | ProgramServicesAmt |
| Management And General | $2,273,596 | ManagementAndGeneralAmt |
| Fundraising | $83,961 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,103 | TotalAmt |
| Program Services | $187,461 | ProgramServicesAmt |
| Management And General | $54,874 | ManagementAndGeneralAmt |
| Fundraising | $1,768 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,984,974 | TotalAmt |
| Program Services | $1,524,381 | ProgramServicesAmt |
| Management And General | $446,217 | ManagementAndGeneralAmt |
| Fundraising | $14,376 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,538 | TotalAmt |
| Program Services | $500,355 | ProgramServicesAmt |
| Management And General | $146,464 | ManagementAndGeneralAmt |
| Fundraising | $4,719 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,658 | TotalAmt |
| Management And General | $6,658 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,308 | TotalAmt |
| Management And General | $2,308 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,092 | TotalAmt |
| Management And General | $9,092 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,313 | TotalAmt |
| Program Services | $129,766 | ProgramServicesAmt |
| Management And General | $38,547 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,632 | TotalAmt |
| Program Services | $12,499 | ProgramServicesAmt |
| Management And General | $16,133 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,857 | TotalAmt |
| Program Services | $400,034 | ProgramServicesAmt |
| Management And General | $22,404 | ManagementAndGeneralAmt |
| Fundraising | $419 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,857 | TotalAmt |
| Program Services | $367,857 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,924 | TotalAmt |
| Management And General | $8,924 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,689 | TotalAmt |
| Program Services | $22,273 | ProgramServicesAmt |
| Management And General | $13,416 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,880 | TotalAmt |
| Program Services | $81,880 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,515,776 | TotalAmt |
| Program Services | $1,066,698 | ProgramServicesAmt |
| Management And General | $449,078 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,440 | TotalAmt |
| Program Services | $462,980 | ProgramServicesAmt |
| Management And General | $15,460 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,995 | TotalAmt |
| Management And General | $80,995 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Miscellaneous Expense | $1,082,002 | $929,469 | $152,533 |
| Medical Supplies | $722,565 | $722,565 | |
| Nursing Home User Fee | $720,208 | $720,208 | |
| Purchased Services | $660,237 | $509,029 | $151,208 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,742 | TotalAmt |
| Program Services | $44,499 | ProgramServicesAmt |
| Management And General | $144,243 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,969,845 | TotalAmt |
| Program Services | $16,585,436 | ProgramServicesAmt |
| Management And General | $4,279,166 | ManagementAndGeneralAmt |
| Fundraising | $105,243 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,463,916 | BOYAmt |
| EOY | $4,946,078 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,978,464 | BOYAmt |
| EOY | $1,484,333 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,567 | BOYAmt |
| EOY | $33,567 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,313 | BOYAmt |
| EOY | $63,363 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,298,048 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,454,459 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,795,802 | BOYAmt |
| EOY | $4,843,589 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,193 | BOYAmt |
| EOY | $5,193 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,839,870 | BOYAmt |
| EOY | $2,959,621 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,183,125 | BOYAmt |
| EOY | $14,335,744 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,376,022 | BOYAmt |
| EOY | $1,384,039 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,014 | BOYAmt |
| EOY | $52,680 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,598,005 | BOYAmt |
| EOY | $8,699,951 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,000,041 | BOYAmt |
| EOY | $10,136,670 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,724,506 | BOYAmt |
| EOY | $3,801,907 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,385 | BOYAmt |
| EOY | $391,974 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,193 | BOYAmt |
| EOY | $5,193 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,183,084 | BOYAmt |
| EOY | $4,199,074 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,183,125 | BOYAmt |
| EOY | $14,335,744 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$176,019 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $192,009 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $82,548 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,888 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $564,257 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,000 | CurrentTaxYearAmt |
| Total | $839,646 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,380,730 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,420,877 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,117,615 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,654,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,659,273 | CurrentTaxYearAmt |
| Total | $90,233,063 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,463,278 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,486,765 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,189,568 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,218,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,714,273 | CurrentTaxYearAmt |
| Total | $91,072,709 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $91,072,709 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,620 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,930 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,522 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,059 | CurrentTaxYearAmt |
| Total | $199,613 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,620 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,930 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,522 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,059 | CurrentTaxYearAmt |
| Total | $199,613 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $791,043 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,103,003 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,306,802 | CurrentTaxYearMinus2YearsAmt |
| Total | $3,200,848 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,282,941 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,614,698 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,538,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,270,347 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,766,332 | CurrentTaxYearAmt |
| Total | $94,473,170 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96400 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95380 | PublicSupportPY509Pct |
| Investment Income CY | 0.00210 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,706,052 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $298,507 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,363 | OtherExpendituresAmt |
| End Year Balance | $2,993,196 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,777,673 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$58,670 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,951 | OtherExpendituresAmt |
| End Year Balance | $2,706,052 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,719,598 | BeginningYearBalanceAmt |
| Contributions | $901,214 | ContributionsAmt |
| Investment Earnings Or Losses | $166,160 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,299 | OtherExpendituresAmt |
| End Year Balance | $2,777,673 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,622,060 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $99,489 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,951 | OtherExpendituresAmt |
| End Year Balance | $1,719,598 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.90000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.09000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.01000 | 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 | $1,176,370 | OtherCostOrOtherBasisAmt |
| Book Value | $1,176,370 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,550,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,630,212 | DepreciationAmt |
| Book Value | $2,920,377 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,019 | OtherCostOrOtherBasisAmt |
| Book Value | $119,019 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,201,098 | OtherCostOrOtherBasisAmt |
| Depreciation | $824,247 | DepreciationAmt |
| Book Value | $376,851 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $250,972 | OtherCostOrOtherBasisAmt |
| Book Value | $250,972 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,843,589 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Intercompany Allocation - Bond Debt | $2,954,542 |
| Patient Refunds | $5,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,959,621 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Program Related Liability | $845,957 |
| Payable to HHC - Interco Bonds | $7,031,284 |
| Due To Affiliates | $822,710 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,699,951 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey Flaks | ||||||||||||||
| Chair | $0 | $813,226 | $0 | $382,765 | $0 | $175,775 | $0 | $60,445 | $0 | $53,178 | $0 | $1,485,389 | $0 | $0 |
| Charles Johnson | ||||||||||||||
| President | $0 | $280,374 | $0 | $60,000 | $0 | $3,871 | $0 | $39,482 | $0 | $20,240 | $0 | $403,967 | $0 | $0 |
| Rocco Orlando MD | ||||||||||||||
| Treasurer | $0 | $566,368 | $0 | $203,507 | $0 | $128,404 | $0 | $56,425 | $0 | $50,458 | $0 | $1,005,162 | $0 | $0 |
| Rita Parisi | ||||||||||||||
| VP, Post Acute Division | $0 | $310,114 | $0 | $84,955 | $0 | $41,755 | $0 | $52,425 | $0 | $33,365 | $0 | $522,614 | $0 | $0 |
| Lisa Connolly | ||||||||||||||
| VP, Operations | $189,281 | $0 | $50,240 | $0 | $637 | $0 | $8,563 | $0 | $30,412 | $0 | $279,133 | $0 | $0 | $0 |
| William Kowalewski | ||||||||||||||
| Executive Director | $157,921 | $0 | $12,455 | $0 | $1,330 | $0 | $5,982 | $0 | $11,423 | $0 | $189,111 | $0 | $0 | $0 |
| Audrey Vinci-McNamara | ||||||||||||||
| Executive Director | $138,576 | $0 | $18,826 | $0 | $1,044 | $0 | $5,530 | $0 | $11,217 | $0 | $175,193 | $0 | $0 | $0 |
| Perry Phillips | ||||||||||||||
| Executive Director | $143,993 | $0 | $10,882 | $0 | $489 | $0 | $5,442 | $0 | $11,196 | $0 | $172,002 | $0 | $0 | $0 |
| Susan Vinal | ||||||||||||||
| Executive Director | $124,896 | $0 | $15,509 | $0 | $148 | $0 | $5,137 | $0 | $33,710 | $0 | $179,400 | $0 | $0 | $0 |
| Carol Barno | ||||||||||||||
| Former Officer | $0 | $134,132 | $0 | $0 | $0 | $247 | $0 | $242 | $0 | $16,138 | $0 | $150,759 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1b | Tax indemnification and gross-up payments to individuals for benefits were included as taxable income on their 2015 Form W-2. |
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford HealthCare Senior Services, Inc., 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 President, Executive Vice President, Senior Vice President and Vice President levels that are reported by Hartford HealthCare Senior Services, Inc. on 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 or upon reaching age 65. 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. 2015 SERP Accruals made on behalf of the following individuals: Jeffrey Flaks $21,245 Charles Johnson $27,692 Jeffrey Flaks $106,225* Rocco Orlando $68,545* Rita Parisi $35,383* *For these individuals, vesting occurred, causing taxable income. A portion of the vested amount was used to pay the associated tax liability. The remaining balance stayed in the SERP acccount. |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that provides at-risk award opportunities to motivate eligible executives to put forth maximum effort to accomplish specified annual goals. The payment of an award to any senior executive is contingent on the System achieving pre-established performance goals and maintaining financial stability, participants achieving pre-established performance goals, and on approval of the Executive Compensation Committee of the Board of Directors. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | The organization is governed by a management Board comprised of three employed individuals. These individuals are compensated for their services by Hartford HealthCare Corporation (HHC). HHC is the parent of an integrated healthcare delivery system which includes multiple tax-exempt hospitals that have community boards. |
| Form 990, Part VI, Section A, line 6 | Hartford HealthCare Senior Services, Inc. is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. |
| Form 990, Part VI, Section A, line 7a | The sole member of the organization has the authority to approve/remove members of the governing body. |
| Form 990, Part VI, Section A, line 7b | The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions, etc. |
| Form 990, Part VI, Section B, line 11 | The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the VP of Post Acute Division for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Post Acute Division and then filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | Hartford HealthCare Senior Services Inc. 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 HHC Conflict of Interest Committee (the Committee) which includes representation from the Medical Staff, the Legal Department, Human Resources, Supply Chain Management and Compliance. The Committee assesses and may recommend the conflicting interest either be (a) eliminated for a continued relationship with HHC/Hartford HealthCare Senior Services, Inc., 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 Hartford HealthCare Senior Services, Inc., 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 Hartford HealthCare Senior Health Services, Inc., 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 an independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on the data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. |
| Form 990, Part VI, Section C, line 18 | The company's Form 990, Form 1023 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The company's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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 Corporation | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222757608 | Supporting Organization | CT | 501(c)(3) | 11(b) | Hartford HealthCare Corporation | Yes (1) | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Supporting Organization | CT | 501(c)(3) | 11(a) | Hartford HealthCare Corporation | Yes (1) | |
| Bradley Health Services Inc | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061367014 | Healthcare Services | CT | 501(c)(3) | 9 | Hartford HealthCare Corporation | Yes (1) | |
| Caring for Colleagues Employee Crisis Fund | |||||||||||
| 100 Grand Street | New Britain | CT | 06052 | 264469178 | Employee Fund | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Connecticut Health Systems Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Care Delivery | CT | 501(c)(3) | 11(c) | Yes (1) | N/A | |
| Hartford HealthCare At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Corporation | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 222672834 | Support and Management Services to Hartford Hospital and Affiliates | CT | 501(c)(3) | 11(c) | 0 | N/A | |
| HHC PhysiciansCare Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454456939 | Medical Services | CT | 501(c)(3) | 9 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Accountable Care Org Inc | |||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(c)(3) | 7 | HHC PhysiciansCare Inc | Yes (1) | |
| Hartford HealthCare Corp Group (VEBA) | |||||||||||
| 777 Main Street | Hartford | CT | 06102 | 266671355 | Medical Benefits Trust | CT | 501(c)(9) | N/A | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 060646668 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06115 | 066040747 | Fundraising | CT | 501(c)(3) | 11(c) | Hartford Hospital | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 060646768 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| MidState Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| MidState Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(c)(3) | 11(a) | MidState Medical Center | Yes (1) | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(c)(3) | 9 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| Natchaug Hospital Inc | |||||||||||
| 189 Storrs Road | Mansfield | CT | 06226 | 060966963 | Behavioral Health | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Care | CT | 501(c)(3) | 9 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(c)(3) | 11(a) | Rushford Center Inc | Yes (1) | |
| Hartford HealthCare Independence at Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06226 | 061161422 | Home Healthcare | CT | 501(c)(3) | 9 | Hartford HealthCare At Home Inc | Yes (1) | |
| Windham Community Memorial Hospital | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(c)(3) | 11(a) | Windham Community Memorial Hospital | Yes (1) | |
| Windham Community Memorial Hospital Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(c)(3) | 11(a) | Windham Community Memorial Hospital | Yes (1) | |
| Hartford HealthCare Endowment LLC | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Endowment Management | CT | 501(c)(3) | 11(a) | Hartford HealthCare Corporation | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Ambulance Service of Manchester LLC | ||||||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Services | CT | N/A | |||
| Connecticut Imaging Partners LLC | ||||||||||
| 111 Founders Plaza | East Hartford | CT | 06108 | 134298940 | Imaging Services | CT | N/A | |||
| Glastonbury Endoscopy Center LLC | ||||||||||
| 300 Western Boulevard | Glastonbury | CT | 06033 | 261721234 | Endoscopy Services | CT | N/A | |||
| Glastonbury Surgery Center LLC | ||||||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Services | CT | N/A | |||
| Hartford HealthCare Endowment LLC | ||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Endowment Management | CT | N/A | Investment | 0 | 0 |
| Hartford-Middlesex Clinical System LLC | ||||||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A | |||
| HHC Southington Surgery Center LLC | ||||||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Services | CT | N/A | |||
| Med East Assoc LLC | ||||||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A | |||
| New Britain MRI Limited Partnership | ||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic Resonance Imaging | CT | N/A | |||
| Omni Home Health Services E CT LLC | ||||||||||
| 12 Case Street - 317 | Norwich | CT | 06360 | 061458837 | Backus Home Health Care | CT | N/A | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Ambulance Service Inc | |||||||||||||
| PO Box 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | N/A | C | Yes (1) | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Assocation | CT | N/A | C | Yes (1) | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Holding Company | CT | N/A | C | Yes (1) | ||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||
| Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church St | Hamilton | BD | BD | ||||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | N/A | C | Yes (1) | ||||
| HHMOB Corporation & Subsidiary | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||
| Hartford Physician Services PC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Meriden Imaging Center | |||||||||||||
| 101 North Plains Industrial Road | 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 Service Inc | |||||||||||||
| PO Box 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | Yes (1) | ||||
| Windham Health Services Inc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061461101 | Home Healthcare | CT | N/A | C | Yes (1) | ||||
| Windham Family Medical Services PC | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061491649 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Windham Physician Hospital Organization | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061441614 | Medical Services | CT | N/A | C | Yes (1) | ||||
| WWB Corporation | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094836 | Holding Company | CT | N/A | C | Yes (1) | ||||
| Windham Professional Office Condominium Association Inc | |||||||||||||
| 1120 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Assocation | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hartford Hospital | ||
| O | $390,780 | FMV |
| Hartford Hospital | ||
| Q | $105,945 | FMV |
| Hartford HealthCare Rehabilitation Network LLC | ||
| L | $69,703 | FMV |
| The Hospital of Central Connecticut | ||
| O | $67,815 | FMV |
| Hartford HealthCare At Home Inc | ||
| O | $346,101 | FMV |
| HHC Indemnity Services Limited | ||
| M | $182,456 | FMV |
| Mulberry Gardens of Southington LLC | ||
| O | $65,424 | FMV |