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HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY ME: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY ME (EIN 06-0646768)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-10
IRS object ID
201732229349300968
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

FieldValueIRS element (for citing)
Return2017-08-10T13:10:09-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646768EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Hospital of Central ConnecticutBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone8606966282PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Grand StreetAddressLine1Txt
CityNew BritainCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06050ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonmARK kEISEPersonNm
Person TitleVP FinancePersonTitleTxt
Phone8606966282PhoneNum
Signature2017-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMike EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLucille JanatkaPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Grand StreetAddressLine1Txt
CityNew BritainCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06050ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$377,449,845GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thocc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1893FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionThe Hospital of Central Connecticut is dedicated to fostering, sustaining and improving the health status of the people in the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee2666TotalEmployeeCnt
Total Volunteers311TotalVolunteersCnt
Total Gross UBI$1,558,824TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$791,080NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,811,645PYContributionsGrantsAmt
CY Contributions Grants$2,630,123CYContributionsGrantsAmt
PY Program Service Revenue$347,569,184PYProgramServiceRevenueAmt
CY Program Service Revenue$365,049,443CYProgramServiceRevenueAmt
PY Investment Income$13,920,206PYInvestmentIncomeAmt
CY Investment Income$6,519,931CYInvestmentIncomeAmt
PY Other Revenue$1,181,353PYOtherRevenueAmt
CY Other Revenue$667,977CYOtherRevenueAmt
PY Total Revenue$365,482,388PYTotalRevenueAmt
CY Total Revenue$374,867,474CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$187,451,694PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$175,378,393CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$30,358PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$533,137CYTotalFundraisingExpenseAmt
PY Other Expenses$166,165,158PYOtherExpensesAmt
CY Other Expenses$189,462,322CYOtherExpensesAmt
PY Total Expenses$353,647,210PYTotalExpensesAmt
CY Total Expenses$364,850,715CYTotalExpensesAmt
PY Revenues Less Expenses$11,835,178PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,016,759CYRevenuesLessExpensesAmt
Total Assets BOY$483,663,185TotalAssetsBOYAmt
Total Assets EOY$495,999,494TotalAssetsEOYAmt
Total Liabilities BOY$252,355,024TotalLiabilitiesBOYAmt
Total Liabilities EOY$287,155,479TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$231,308,161NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$208,844,015NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Hospital of Central Connecticut is dedicated to fostering, sustaining and improving the health status of the people in the communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,123,845ExpenseAmt
Revenue$52,816,737RevenueAmt
DescEmergency Department: For Fiscal Year 2016 (FY16), there were approximately 136 Full-time employees (FTEs) in the Emergency Department for both Southington and New Britain Campuses. Our ER team is committed to delivering quality medical care with high patient safety in a timely, efficient and professional manner while also exceeding the needs of our patients and private physicians. Trends in Emergency Department Volumes: This year our total patient visits for both campuses combined was over 103,136. This was a decrease of 672 patients or 0.6% from the previous year. The volumes were approximately 86,000 and 17,000 at the New Britain and Southington campuses respectively. The Department continues to manage staffing levels, based on census levels and trends to meet the demands of our patient volumes.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$18,513,076ExpenseAmt
Revenue$65,149,797RevenueAmt
DescRadiology Department: Radiology derived information is an inextricable component of our patients' care continuum. From screening exams to acute interventionary imaging, radiographic technology continued to evolve in 2016. There were over 150,000 imaging exams performed at the New Britain and Southington campuses. Of these, more than 83% were performed on Outpatients. There was a 0.3% overall decline in imaging exams in FY16 versus the prior year's due to the combined economic influences and judicious applications of imaging and radiation exposure. Management continues to manage and review satellite offices volume and staffing levels in a continuous form to stay financially responsible to the organization and community.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$14,611,089ExpenseAmt
Revenue$35,073,903RevenueAmt
DescLaboratory: Our Laboratory/Drawing Stations serve the greater New Britain area and its surrounding neighboring towns such as Bristol, Kensington, Plainville, etc. The Laboratory/Drawing Stations tested 1,307,128, of those tests, 90,323 were from our drawing stations (which saw a decrease of 2% over prior year). Our laboratory tested 315,335 units for our Inpatients and 857,519 for Outpatients (the outpatient tests were approximately 66% of total units). As a partner in the community, HOCC has positioned itself throughout the greater New Britain area in order to be convenient to our patients and family members. Our organization continues to review sites that we currently operate and potential new sites to address patient and family experience/satisfaction and convenience.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$265,467,708ExpenseAmt
Grant$10,000GrantAmt
Revenue$206,879,771RevenueAmt
DescIn addition to the programs referred to above, the hospital provides services/programs including but not limited to the following:Behavioral & Mental HealthBone & JointCancer CareCardiology & Heart CareDiabetes & EndocrinologyDigestive HealthHeadache CenterLung & PulmonaryMaternityMedical Weight LossMovement Disorders CenterNeuroscience InstituteOccupational HealthOutpatient ServicesPain TreatmentPalliative CarePediatricsPhysical TherapyPrimary Care & Family MedicineSenior ServicesSleep DisordersStrokeSurgical Weight LossUrology & KidneyWomen's HealthWound CareDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$265,467,708TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$10,000TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$206,879,771TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$317,715,718TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art ContributionYes (1)DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document173IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2666EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carol WardellBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8606966200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1181 Patricia M Genova DriveAddressLine1Txt
CityNewingtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06111ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Joseph Harrison MD
Director2.00Yes (X)$0$0$0
Letterio Asciuto MD
Director2.00Yes (X)$0$0$0
Jason Howey
Director2.00Yes (X)$0$0$0
Steven Basche
Director2.00Yes (X)$0$0$0
Paul Czepiga
Director2.00Yes (X)$0$0$0
Irfan Chughtai MD
Director2.00Yes (X)$0$0$0
Nadine Francis-West
Director2.00Yes (X)$0$0$0
George Springer Jr
Director2.00Yes (X)$0$0$0
Carl Grant
Director2.00Yes (X)$0$0$0
Bruce Koeppen MD
Director2.00Yes (X)$0$0$0
John Rathgeber
Director2.00Yes (X)$0$0$0
John Redmond MD
Director2.00Yes (X)$0$0$0
Joseph Voelker
Chair3.00Yes (X)$0$0$0Yes (X)
Denise McNair
Vice Chair3.00Yes (X)$0$0$0Yes (X)
Lucille Janatka
Director & President30.00Yes (X)$0$777,836$79,868Yes (X)30.00
Margaret Marchak
Secretary3.00$0$660,302$141,415Yes (X)57.00
Carlolyn Freiheit
VP30.00$0$274,587$19,717Yes (X)30.00
Catherine Stevens
VP30.00$0$266,162$58,20730.00Yes (X)
Jonathan Velez MD
VP30.00$0$472,365$70,59330.00Yes (X)
Michael Balkunas MD
Chief of Psychiatry60.00$1,021,128$0$38,010Yes (X)
Haklai Lau MD
Hospitalist60.00$727,245$0$45,806Yes (X)
Elizabeth Tillman
Hospitalist60.00$518,345$0$32,256Yes (X)
James Flaherty MD
Physician60.00$483,575$0$34,936Yes (X)
Justin Lundbye MD
Chief of Cardiology60.00$483,402$0$60,575Yes (X)
Steven Hanks MD
Former VP0.00$0$1,669,882$47,270Yes (X)
Mary Morgan
Former VP0.00$0$246,744$46,625Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,233,695TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,367,878TotReportableCompRltdOrgAmt
Total Other Compensation$675,278TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K260IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Varian Medical Systems
70140 Network PlaceChicagoIL60673Technology Services$4,302,858
HealthCare Performance Group
23419 West 215th StreetSpring HillKS66083Consulting Services$1,685,685
DHP Management
PO Box 634850CincinnatiOH45263Management Services$1,541,435
Clinical Lab Partners
129 Patricia M Genova DriveNewingtonCT06111Laboratory Services$1,292,969
Quest Diagnostics
3 Giralda FarmsMadisonNJ07940Laboratory Services$698,279
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K94CntrctRcvdGreaterThan100KCnt
Fundraising$114,525FundraisingAmt
Related Organizations$225,000RelatedOrganizationsAmt
All Other Contributions$2,290,598AllOtherContributionsAmt
Total Contributions$2,630,123TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net Patient Service Revenue622110$271,558,761$271,558,761
Laboratory Services621500$87,919,594$86,802,623$1,116,971
Other Patient Services622110$5,571,088$5,571,088
FieldValueIRS element (for citing)
Total Program Service Revenue$365,049,443TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,803,468TotalRevenueColumnAmt
Exclusion$4,803,468ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,716,538RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,526,155RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$809,617RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$809,617TotalRevenueColumnAmt
Exclusion-$809,617ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,716,463SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,716,463SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,716,463TotalRevenueColumnAmt
Exclusion$1,716,463ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$65,440FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$114,525ContriRptFundraisingEventAmt
Fundraising Direct Expenses$56,216FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,224TotalRevenueColumnAmt
Exclusion$9,224ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary/Cafeteria722210$1,026,517$1,026,517
Child Care624410$441,853$441,853
FieldValueIRS element (for citing)
Other Revenue Total$1,468,370OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$374,867,474TotalRevenueColumnAmt
Related Or Exempt Func Income$358,361,384RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,558,824UnrelatedBusinessRevenueAmt
Exclusion$12,317,143ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$10,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,869,626TotalAmt
Program Services$124,048,135ProgramServicesAmt
Management And General$11,546,533ManagementAndGeneralAmt
Fundraising$274,958FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,320,851TotalAmt
Program Services$6,615,121ProgramServicesAmt
Management And General$686,696ManagementAndGeneralAmt
Fundraising$19,034FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,044,545TotalAmt
Program Services$20,823,051ProgramServicesAmt
Management And General$2,161,578ManagementAndGeneralAmt
Fundraising$59,916FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,143,371TotalAmt
Program Services$8,261,950ProgramServicesAmt
Management And General$857,648ManagementAndGeneralAmt
Fundraising$23,773FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$426,211TotalAmt
Management And General$426,211ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$552,974TotalAmt
Management And General$552,974ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,577,113TotalAmt
Program Services$29,577,113ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,640TotalAmt
Program Services$8,860ProgramServicesAmt
Management And General$42,780ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,176,111TotalAmt
Program Services$1,254,843ProgramServicesAmt
Management And General$10,788,345ManagementAndGeneralAmt
Fundraising$132,923FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,750,958TotalAmt
Program Services$21,645,719ProgramServicesAmt
Management And General$105,239ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,419,721TotalAmt
Program Services$5,648,850ProgramServicesAmt
Management And General$770,871ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$281,624TotalAmt
Program Services$184,645ProgramServicesAmt
Management And General$95,181ManagementAndGeneralAmt
Fundraising$1,798FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,669,984TotalAmt
Program Services$2,629,801ProgramServicesAmt
Management And General$40,183ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$28,399,004TotalAmt
Program Services$23,542,774ProgramServicesAmt
Management And General$4,856,230ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,089,894TotalAmt
Program Services$19,246,040ProgramServicesAmt
Management And General$823,119ManagementAndGeneralAmt
Fundraising$20,735FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,857,519TotalAmt
Program Services$329,883ProgramServicesAmt
Management And General$7,527,636ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$47,493,884$47,493,884
Equip. Rental & Maint.$7,404,519$2,083,883$5,320,636
Misc. Expense$4,141,193$4,141,193
Property Tax$169,973$169,973

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$364,850,715TotalAmt
Program Services$317,715,718ProgramServicesAmt
Management And General$46,601,860ManagementAndGeneralAmt
Fundraising$533,137FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,771,075BOYAmt
EOY$20,488,755EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$828,010BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,406,253BOYAmt
EOY$1,251,297EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,580,130BOYAmt
EOY$43,814,445EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,193,421BOYAmt
EOY$6,048,763EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,640,940BOYAmt
EOY$2,329,585EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$462,618,686LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$284,627,334LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$192,579,396BOYAmt
EOY$177,991,352EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,995,215BOYAmt
EOY$16,653,840EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,498,949BOYAmt
EOY$4,343,998EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$206,169,796BOYAmt
EOY$223,077,459EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$483,663,185BOYAmt
EOY$495,999,494EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,611,040BOYAmt
EOY$25,670,010EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,359,983BOYAmt
EOY$4,558,996EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,904,129BOYAmt
EOY$1,969,263EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$218,479,872BOYAmt
EOY$254,957,210EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$252,355,024BOYAmt
EOY$287,155,479EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$185,794,465BOYAmt
EOY$159,388,616EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,882,792BOYAmt
EOY$27,228,927EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,630,904BOYAmt
EOY$22,226,472EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$231,308,161BOYAmt
EOY$208,844,015EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$483,663,185BOYAmt
EOY$495,999,494EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,016,759ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$14,491,119NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$46,972,024OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$149,273,255BeginningYearBalanceAmt
Contributions$10,000,000ContributionsAmt
Investment Earnings Or Losses$14,414,000InvestmentEarningsOrLossesAmt
Other Expenditures$5,423,000OtherExpendituresAmt
End Year Balance$168,264,255EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$130,149,040BeginningYearBalanceAmt
Contributions$23,000,000ContributionsAmt
Investment Earnings Or Losses-$3,233,827InvestmentEarningsOrLossesAmt
Other Expenditures$641,958OtherExpendituresAmt
End Year Balance$149,273,255EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$121,211,981BeginningYearBalanceAmt
Contributions$250,703ContributionsAmt
Investment Earnings Or Losses$9,453,701InvestmentEarningsOrLossesAmt
Other Expenditures$767,345OtherExpendituresAmt
End Year Balance$130,149,040EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$141,278,334BeginningYearBalanceAmt
Contributions$1,199,865ContributionsAmt
Investment Earnings Or Losses$12,890,385InvestmentEarningsOrLossesAmt
Other Expenditures$215,484OtherExpendituresAmt
End Year Balance$155,153,100EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$126,491,629BeginningYearBalanceAmt
Contributions$1,007,071ContributionsAmt
Investment Earnings Or Losses$15,195,409InvestmentEarningsOrLossesAmt
Other Expenditures$1,415,775OtherExpendituresAmt
End Year Balance$141,278,334EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.92000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.04000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$782,014InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$7,844,661OtherCostOrOtherBasisAmt
Book Value$8,626,675BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,262,785InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$301,317,060OtherCostOrOtherBasisAmt
Depreciation$167,182,032DepreciationAmt
Book Value$140,397,813BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$200,978InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,003,824OtherCostOrOtherBasisAmt
Depreciation$3,868,677DepreciationAmt
Book Value$336,125BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$870,372InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$140,665,593OtherCostOrOtherBasisAmt
Depreciation$113,576,625DepreciationAmt
Book Value$27,959,340BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$671,399OtherCostOrOtherBasisAmt
Book Value$671,399BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$177,991,352TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Other Receivable$13,444,173
SERP Plan Asset$5,226,946
Long Term Malpractice Rec$13,114,287
Bond - Intercompany$848,440
Interest In Investments Held By Endowment$186,849,698
Funds Designed For Debt Service$3,593,915
FieldValueIRS element (for citing)
Total Book Value Other Assets$223,077,459TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
Due to Third Parties$4,627,352
Pension Plan and Self Insurance Liability$163,854,813
Due to (From) Affiliates$737,631
Malpractice Liability$19,904,157
Inter Company Bond Debt - A$29,427,509
Inter Company Bond Debt - C$4,544,162
Inter Company Bond Debt - E$25,657,473
Inter Company Debt Equipment$1,756,248
Asset Retirement Obligation$1,435,356
Worker's Compensation$3,012,509
FieldValueIRS element (for citing)
Total Liability$254,957,210TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe temporary and permanently restricted endowments are restricted according to the donor's requests. The other board designated endowments are intended to support the hospital's future needs in providing health care services to the community.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$75,145GrossReceiptsEvent1Amt
Charitable Contri Event1$56,605CharitableContriEvent1Amt
Gross Revenue Event1$18,540GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$5,326NonCashPrizesEvent1Amt
Rent Facility Costs Event1$6,323RentFacilityCostsEvent1Amt
Food And Beverage Event1$7,478FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,969OtherDirectExpensesEvent1Amt
Event2Chrysanthemum BallEvent2Nm
Gross Receipts Event2$104,820GrossReceiptsEvent2Amt
Charitable Contri Event2$57,920CharitableContriEvent2Amt
Gross Revenue Event2$46,900GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$2,285RentFacilityCostsEvent2Amt
Food And Beverage Event2$26,857FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$5,978OtherDirectExpensesEvent2Amt
Gross Receipts Total$179,965GrossReceiptsTotalAmt
Charitable Contributions Tot$114,525CharitableContributionsTotAmt
Gross Revenue Total Events$65,440GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,326NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,608RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$34,335FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$7,947OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$56,216DirectExpenseSummaryEventsAmt
Net Income Summary$9,224NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,818,003TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,818,003NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,186,546TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,422,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,764,213NetCommunityBenefitExpnsAmt
Total Expense0.10080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,004,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,422,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,582,216NetCommunityBenefitExpnsAmt
Total Expense0.11130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$905,313TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$245,990DirectOffsettingRevenueAmt
Net Community Benefit Expns$659,323NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,222,991TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,511,406DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,711,585NetCommunityBenefitExpnsAmt
Total Expense0.02940TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,186,056TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$562,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,624,028NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$105NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,314,465TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,319,424DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,995,041NetCommunityBenefitExpnsAmt
Total Expense0.03570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$122,319,014TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,741,757DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,577,257NetCommunityBenefitExpnsAmt
Total Expense0.14700TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,620TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,620NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,620TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,620NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$6,729,000BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$80,853,068ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$91,936,549CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,083,481MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 Central CT Endoscopy Center LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesEndoscopy ServicesPrimaryActivitiesTxt
Org Profit Or Ownership0.06500OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Hospital of Central ConnecticutBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Grand StreetAddressLine1Txt
CityNew BritainCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06050ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.thocc.orgWebsiteAddressTxt
State License000052StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherNew Britain General Hospital Campus and Bradley Memorial Hospital CampusOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Hospital of Central ConnecticutBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part VOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhartfordhealthcare.org/patients-visitors/patients/billing-insuranceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhartfordhealthcare.org/patients-visitors/patients/billing-insuranceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhartfordhealthcare.org/patients-visitors/patients/billing-insuranceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
The Hospital of Central ConnecticutPart 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. These individuals included physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following: Capital Community College Central Connecticut Health District Charter Oak Health Center Chrysalis Center, Inc. Community Health Services, Inc. Connecticut Association of Directors of Health Connecticut Children's Medical Center Connecticut Department of Public Health Connecticut State Colleges and Universities Connecticut State Medical Society FaithCare, Inc. Farmington Valley Health District Hartford Behavioral Health Hartford Food System, Inc. Hartford Foundation for Public Giving Hartford Gay and Lesbian Health Collective Hospital of Central CT Hartford Public Schools Hispanic Health Council Intercommunity, Inc. Legal Assistance Resource Center Malta House of Care Foundation Manchester Community College Manchester Health Department Manchester Public Schools Mental Health Association of Connecticut, Inc. Northern Connecticut Black Nurses Association South Windsor Human Services United Way Urban Alliance, Inc. West Hartford-Bloomfield Health District YWCA Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as 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 10, 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 7a:http://www.windhamhospital.org/about-us/community-health-needs-assessment
The Hospital of Central ConnecticutPart 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 distributed to local non-profit organizations, colleges, churches, and state and local government representatives. These reports are also made available in waiting areas of the various departments within the hospital.
The Hospital of Central ConnecticutPart V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the CHNA process, The Hospital of Central Connecticut 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 Status*Mental Health & Substance Abuse *Heart Disease/Stroke*Diabetes*Cancer 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 Opportunity, identified but not prioritized:*Substance Abuse *Respiratory Diseases *Infant Health & Family Planning *Dementias, Including Alzheimer's Disease *Injury & Violence *Sexually Transmitted Diseases *Chronic Kidney Disease *HIV/AIDS *Potentially Disabling Conditions Chronic Kidney Disease:THOCC believes that efforts outlined herein to improve and increase awareness of healthy lifestyles will have a positive impact on the detection of kidney disease and that we do not have the available resources to create a separate set of kidney-specific initiatives. Dementia, including Alzheimer's Diseases:THOCC believes that this priority area falls more within the purview of local organizations, such as the area Alzheimer's Resource Center. THOCC will support communication of these services Potentially Disabling Conditions:Those voting felt that more pressing health needs existed. Limited resources and lower priority excluded this as an area chosen for action.Respiratory Diseases:THOCC participates in a statewide asthma collaborative established by the CT Department of Public Health and The CT Hospital Association. THOCC will support the established initiatives from this collaborative.Sexually Transmitted Diseases:THOCC believes that this priority area falls more within the purview of the community/district health departments and other community organizations. Limited resources and lower priority excluded this as an area chosen for action.
The Hospital of Central ConnecticutPart 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 Hospital of Central ConnecticutPart V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.
The Hospital of Central ConnecticutPart V, Section B, Line 16i: Patients are informed directly by staff of the availability of the Financial Assistance Policy.
The Hospital of Central ConnecticutPart V, Section B, Line 22d: For uninsured patients, published rates are reduced by the percentage defined by the IRS as the amounts generally billed using a "look back" retrospective calculation to calculate the amount allowed by governmental (Medicare and Medicaid) and commercially insured patients. This percentage is updated on an annual basis. The annual calculation methodology and the percentages are located in Appendix A of the Hospital's Financial Assistance Policy.Underinsured patients will not be billed more than amounts generally billed (AGB) to insured patients.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - New Britain MRI Limited Partnership
100 Grand StreetNew BritainCT06050Magnetic Resonance Imaging Services
2 - Central Connecticut Endoscopy Center
440 New Britain AvenuePlainvilleCT06062Endoscopy Services
3 - HHC Southington Surgery Center
100 Avon Meadow LaneAvonCT06001Surgery Center

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The Hospital of Central Connecticut uses 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 Organization submits quarterly reports to 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, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g.
Part I, Line 7g:No physician clinic costs were included in the Subsidized Health Services cost calculations.Part IIHospital of Central CT (HOCC) interacts with the community to address needs and faciliate approriate responses. For FY16, HOCC expended $7,620 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 as charity care prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2016 would be immaterial.
Part III, Line 4:Please see the text of the footnote that describes bad debt expense beginning on page 20 of the Audited Financial Statement. This note also relates to Part III, Line 2.
Part III, Line 8:Providing for those in need, including Medicare patients and serving all patients regardless of their ability to pay is an essential part of the organization's mission. The Hospital serves all patients without regard to any payment shortfall. 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 Hospital of Central Connecticut has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: For those patients that qualify for financial assistance and for whom in the System's sole determination are cooperating in good faith to resolve the System's outstanding accounts, the Systems' facilities may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to outside collection agencies and will cease all collection efforts.No Extraordinary Collection Actions (ECA) will be initiated during the first 120 days following the first post-discharge billing statement to a valid address or during the time that patient's Financial Assistance Application is processing. Before initiating any ECA, a notice will be provided to the patient 30 days prior to initiating such event.If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, any ECA's such as negative reporting to a credit bureau or liens that have been filed will be removed.
Part VI, Line 2:The Hospital of Central Connecticut assesses the health care needs of the communities it serves in several manners. The hospital analyzed claims based data to understand what medical diagnoses and surgical procedures are attributed to its local population in order to plan for program growth and/or capacity. Additionally, the hospital continues its involvement through contact and collaboration with local community groups. These groups often identify medical services that are needed in The Hospital of Central Connecticut's primary focus area.
Part VI, Line 3:The Hospital of Central Connecticut will provide 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 admissions areas; (iv) post the Policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the HH'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 the hospitals written publications.
Part VI, Line 4:The Hospital of Central Connecticut serves primarily the communities located in greater New Britain and the surrounding towns including Berlin, Plainville and Southington. Its primary service area has a total population of 185,300 people. Of those, 22% are under the age of 18, 62% 18 to 64 and 16% are seniors. The racial make up is 71% White, 5% Black, 18% Hispanic and 3% Asian. Females make up 52% of the population and males account for 48%. 12% live in poverty and 29% have a Bachelor's degree or higher.
Part VI, Line 5:The Hospital of Central Connecticut is responsive to the community by having a completely open medical staff and a board of trustees with diverse membership that reflects the community at large. The hospital is a Disproportionate Share Hospital with one of the highest rates of Medicaid patients in the state. We provide space for the Medicare Choices program to help community members select the Medicare programs that are best for them. We have a full graduate medical education program for physician training with UCONN, and also provide training for nursing and allied health students, the hospital is a major sponsor of the New Britain Health Academy, a program that exposes local high school students to careers in the healthcare field. Presented in partnership with other community organizations, the Academy offers students an opportunity to learn about the types of jobs available, and facilitates contact with healthcare professionals who can guide program participants. In FY2016 The Hospital of Central Connecticut continues to support a community service organization fair where area not for profits are invited to the hospital to share with the hospitals community about their mission and purpose. In addition, various hospital staff members and departments support community events on an ongoing basis, as well as frequent monetary and in kind donations to area organizations in need.The Hospital of Central Connecticut also participates in the Medical Legal Partnership Program. This program recognizes that there are many issues that may affect children and families seeking health care that are not specifically healthcare problems. These include landlord tenant and housing issues. The program helps healthcare providers' direct families to resources that can assist with these issues. Among our outreach services is our Mothers Offering Mothers Support (M.O.M.S.) program, a weekly support program for mothers 21 years old and under. Program leaders are women who were also young mothers and now are helping others. And, The Hospital of Central Connecticut has a program in which indigent patients who are being discharged from the hospital who do not have prescription drug coverage receive dosages of their prescribed medications to help them recover and comply with treatment guidelines and to reduce readmission rates.
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 Hartford 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. The Strategic Planning and Community Benefit Committee of the HHC Board of Directors ensures the oversight for these services by each hospital community. HHC and its affiliates, including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care". The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer.This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies.
Part VI, Line 7, Reports Filed With StatesCT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CCSU Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 612AddressLine1Txt
CityNew BritainCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06050ZIPCd
FieldValueIRS element (for citing)
Recipient EIN237354328RecipientEIN
IRC Section501 (c)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Purpose Of GrantTo support the Foundations mission to support educational programs and research at Central Connecticut State University.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationUpon issuing a grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. The grants are made to public charities to assist in funding their exempt programs.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Lucille Janatka
Director & President$0$572,147$0$180,278$0$25,411$0$21,200$0$58,668$0$857,704$0$0
Margaret Marchak
Secretary$0$463,399$0$166,749$0$30,154$0$93,339$0$48,076$0$801,717$0$0
Carlolyn Freiheit
VP$0$223,041$0$50,824$0$722$0$0$0$19,717$0$294,304$0$0
Catherine Stevens
VP$0$221,905$0$43,124$0$1,133$0$21,200$0$37,007$0$324,369$0$0
Jonathan Velez MD
VP$0$364,066$0$105,198$0$3,101$0$31,970$0$38,623$0$542,958$0$0
Michael Balkunas MD
Chief of Psychiatry$332,004$0$17,085$0$672,039$0$0$0$38,010$0$1,059,138$0$337,693$0
Haklai Lau MD
Hospitalist$198,167$0$63,053$0$466,025$0$10,600$0$35,206$0$773,051$0$0$0
Elizabeth Tillman
Hospitalist$200,067$0$0$0$318,278$0$10,600$0$21,656$0$550,601$0$0$0
James Flaherty MD
Physician$371,471$0$0$0$112,104$0$8,803$0$26,133$0$518,511$0$0$0
Justin Lundbye MD
Chief of Cardiology$438,015$0$0$0$45,387$0$28,600$0$31,975$0$543,977$0$0$0
Steven Hanks MD
Former VP$0$298,957$0$0$0$1,370,925$0$0$0$47,270$0$1,717,152$0$593,863
Mary Morgan
Former VP$0$200,110$0$46,203$0$431$0$18,000$0$28,625$0$293,369$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax Idemnification and gross-up payments to certain individuals for benefits were included as taxable income on their 2015 Form W-2.
Part I, Line 3The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare Corporation, on behalf of The Hospital of Central Connecticut, 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 schedule O for more details.
Part I, Lines 4a-bIn 2015, Steven Hanks, MD (Former VP) received a Severance payment in the amount of $775,751. 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 The Hospital of Central Connecticut on Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on the 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 resonable 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 were made on behalf of the following individuals: Margaret Marchak $56,789 2015 SERP Payouts were made on behalf of the following individuals: Steven Hanks $593,862 Michael Balkunas $337,693
Part I, Line 7Hartford HealthCare Organization, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals for management that contibute to 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 M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$631NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$16NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$1,486NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Gift Cards22$11,429Face Value
Yes (X)Auction Items23$4,684FMV
Yes (X)Event Tickets8$2,678Face Value
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe information reported in column (b) represents the number of contributions.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The Hospital of Central Connecticut is organized as a non-stock not-for-profit entity. Hartford HealthCare Corporation is the sole member.
Form 990, Part VI, Section A, line 7aThe sole member of the organization has the authority to approve/remove members of the governing body.
Form 990, Part VI, Section A, line 7bThe 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 11The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS.
Form 990, Part VI, Section B, line 12cHHC'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 & 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/HOCC, 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 15The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of The Hospital of Central Connecticut, 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: - Use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of The Hospital of Central Connecticut, 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 data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - The CEO compensation is reviewed by the Committee based on comparative market information and organizational performance - All changes are reviewed and approved by the Executive Compensation Committee The CEO compensation determination process 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 18The Hospital's Form 990, 990T and form 1023 and its attachments are available upon request.
Form 990, Part VI, Section C, line 19The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Hospital's address.
Form 990, Part XI, line 9:Change In Pension Funding Obligation -42,477,473. Transfer to Affiliate -5,341,305. Change In Funds Held In Trust 595,568. Other Changes To Fund Balance -24,549. Auxiliary 275,735.
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 (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Hartford Hospital
80 Seymour StreetHartfordCT06102060646668Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Windham Community Memorial Hospital
112 Mansfield AvenueWillimanticCT06226060646966Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
MidState Medical Center
435 Lewis AvenueMeridenCT06451060646715Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Windham Hospital Foundation Inc
112 Mansfield AvenueWillimanticCT06226562546632Supporting OrganizationCT501(C)(3)11(a)Windham Community Memorial HospitalYes (1)
Hartford Hospital Auxiliary co Hartford Hospital
80 Seymour StreetHartfordCT06102066040747FundraisingCT501(C)(3)11(c)Hartford HospitalYes (1)
Connecticut Health System Inc
80 Seymour StHartfordCT06102222779421Coordination of Health DeliveryCT501(C)(3)11(c)Hartford HealthCare CorporationYes (1)
Natchaug Hospital Inc
189 Storrs RoadMansfield CenterCT06226060966963Behavioral HealthCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Hartford HealthCare At Home Inc
1290 Silas Deane Hwy Suite 4BWethersfieldCT06109060646938Home HealthcareCT501(C)(3)7Hartford HealthCare CorporationYes (1)
HHC Independence at Home Inc
1290 Silas Deane Hwy Suite 4BWethersfieldCT06109061161422Home HealthcareCT501(C)(3)9Hartford HealthCare At Home IncYes (1)
Hartford HealthCare Corporation
One State Street Suite 19HartfordCT06103222672834Support & Management Services to Hartford Hospital and AffiliatesCT501(C)(3)11(c)0
Rushford Center Inc
883 Paddock AvenueMeridenCT06450060932875Substance Abuse Healthcare ServicesCT501(C)(3)7Hartford HealthCare CorporationYes (1)
Rushford Foundation Inc
883 Paddock AvenueMeridenCT06450061432692Support OrganizationCT501(C)(3)11(a)Rushford Center IncYes (1)
WCMH Women's Auxiliary Inc
112 Mansfield AvenueWillimanticCT06226060677728FundraisingCT501(C)(3)11(a)Windham Community Memorial HospitalYes (1)
Hartford Healthcare Senior Services Inc
45 Meriden AvenueSouthingtonCT06489222635676Sub-Acute & Long Term HealthcareCT501(C)(3)9Hartford HealthCare CorporationYes (1)
Bradley Health Services Inc
100 Grand StNew BritainCT06050061367014Healthcare ServicesCT501(C)(3)9Hartford HealthCare CorporationYes (1)
The Orchards of Southington
34 Hobart StreetSouthingtonCT06489061490803Residential Services for Senior CitizensCT501(C)(3)9Hartford HealthCare Senior Services IncYes (1)
Mulberry Gardens of Southington LLC
58 Mulberry StPlantsvilleCT06479820586577Assisted Living & Adult Day Care FacilityCT501(C)(3)9Hartford HealthCare Senior Services IncYes (1)
MidState Medical Center Auxiliary
435 Lewis AvenueMeridenCT06451066063082FundraisingCT501(C)(3)11(a)MidState Medical CenterYes (1)
HHC PhysiciansCare Inc
80 Seymour StHartfordCT06106454456939Medical ServicesCT501(C)(3)9Hartford HealthCare CorporationYes (1)
Hartford HealthCare Accountable Care Org Inc
200 Retreat Avenue Fl 9HartfordCT06102460886367Government ContractsCT501(C)(3)7HHC PhysiciansCare IncYes (1)
Hartford HealthCare Corp Emp Benefits Plan Trust (VEBA)
777 Main StHartfordCT06102266671355Medical Benefits TrustCT501(C)(9)N/AHartford HealthCare CorporationYes (1)
Backus Corporation
326 Washington SteetNorwichCT06360222757608SupportCT501(C)(3)11(b)Hartford HealthCare CorporationYes (1)
The William W Backus Hospital
326 Washington SteetNorwichCT06360060250773HospitalCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Backus HealthCare Inc
326 Washington SteetNorwichCT06360222481794SupportCT501(C)(3)11(a)Hartford HealthCare CorporationYes (1)
Caring for Colleagues Employee Crisis Fund
100 Grand StreetNew BritainCT06489264469178Employee FundCT501(C)(3)7Hartford HealthCare CorporationYes (1)
Hartford HealthCare Endowment LLC
80 Seymour StHartfordCT06102454181103Endowment ManagementCT501(C)(3)7Hartford HealthCare CorporationYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
New Britain MRI Limited Partnership
100 Grand StNew BritainCT06050061271349Magnetic Resonance ImagingCTCenConn Services IncRelated$984,601$2,698,585000.43430
Hartford HealthCare Endowment LLC
80 Seymour StHartfordCT06102454181103Endowment ManagementCTHartford HospitalInvestment00
Ambulance Service of Manchester LLC
PO Box 300ManchesterCT06450061557358Ambulatory ServicesCTN/A
Connecticut Imaging Partners LLC
111 Founders PlazaEast HartfordCT06108134298940Imaging ServicesCTN/A
Glastonbury Endoscopy Center LLC
300 Western Blvd Suite BGlastonburyCT06033261721234Endoscopy ServicesCTN/A
Glastonbury Surgery Center LLC
195 Eastern BlvdGlastonburyCT06033262600828Surgery ServicesCTN/A
Hartford-Middlesex Clinical System LLC
80 Seymour StreetHartfordCT06102061543605Affiliate Support ServicesCTN/A
Med East Assoc LLC
1703 West Main StreetWillimanticCT06226061469575Outpatient Care ClinicCTN/A
Omni Home Health Services E CT LLC
12 Case Street 317NorwichCT06360061458837Home Care ServicesCTN/A
HHC Southington Surgery Center LLC
100 Avon Meadow LaneAvonCT06001465500829Surgery ServicesCTHOCCRelated$1,699,767$489,503000.26000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
HHMOB Corporation & Subsidiary
80 Seymour StreetHartfordCT06102061140244Real Estate & ParkingCTN/ACYes (1)
Hartford HealthCare Indemnity Services Ltd
Captive InsuranceN/ACYes (1)FB Perry Blvd 40 Church StreetHamiltonBDBD
Windham Health Services Inc
112 Mansfield AvenueWillimanticCT06226061461101Home HealthcareCTN/ACYes (1)
Windham Physician Hospital Organization
112 Mansfield AvenueWillimanticCT06226061441614Medical ServicesCTN/ACYes (1)
Windham Family Medical Services PC
112 Mansfield AvenueWillimanticCT06226061491649Medical ServicesCTN/ACYes (1)
CenConn Services Inc
100 Grand StreetNew BritainCT06050222836001Holding CompanyCTCYes (1)The Hospital of Central Connecticut-$1,175,967$1,020,4861.00000
Hartford Physician Services PC
80 Seymour StreetHartfordCT06102061254082Medical ServicesCTN/ACYes (1)
Meriden Imaging Center
101 N Plains Industrial RoadMeridenCT06429061541468ImagingCTN/ASYes (1)
Hartford Physician Hospital Organization Inc
80 Seymour SteetHartfordCT06102222785918Physician & Hospital SupportCTN/ACYes (1)
Aetna Ambulance Services Inc
PO Box 1150ManchesterCT06045060795431Ambulance ServicesCTN/ACYes (1)
Metro Wheelchair Services Inc
PO Box 300ManchesterCT06045060878432Wheelchair ServicesCTN/ACYes (1)
WWB Corporation
326 Washington StreetNorwichCT06360061094836Holding CompanyCTN/ACYes (1)
ConnCare Inc
326 Washington StreetNorwichCT06360061387598Health Care ServicesCTN/ACYes (1)
Backus Medical Center Condo Assoc Inc
330 Washington StreetNorwichCT06360061542647Condo AssociationCTN/ACYes (1)
Windham Professional Office Condominium Association Inc
112 Mansfield AvenueWillimanticCT06226061090041Condo AssociationCTN/ACYes (1)
Select Physicians Network
112 Mansfield AvenueWillimanticCT06226061426901Managing offices of physicians and surgeonsCTN/ACYes (1)
Midstate Medical Group PC
435 Lewis AvenueMeridenCT06450204327968Medical ServicesCTN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Hartford Hospital
L$838,515FMV
Hartford Hospital
O$921,118FMV
Hartford Hospital
M$1,127,268FMV
Hartford Hospital
S$152,015FMV
HHC PhysicianCare Inc dba Hartford HealthCare Medical Group
A$383,412FMV
HHC PhysicianCare Inc dba Hartford HealthCare Medical Group
O$686,881FMV
Hartford HealthCare Senior Services
O$67,815FMV
Auxiliary
C$225,000FMV
Midstate Medical Center
A$42,953FMV