WILLIAM W BACKUS HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- WILLIAM W BACKUS HOSPITAL (EIN 06-0250773)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-10
- IRS object ID
- 201732229349301608
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-10T15:25:39-05:00 | 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 | 060250773 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE WILLIAM W BACKUS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILL | BusinessNameControlTxt |
| Phone | 8608898331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WASHINGTON STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTHONY MASTROIANNI | PersonNm |
| Person Title | REGIONAL VP FINANCE | PersonTitleTxt |
| Phone | 8608898331 | PhoneNum |
| Signature | 2017-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J ENGLE | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BIMAL PATEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WASHINGTON STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $389,400,558 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BACKUSHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1891 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | THE WILLIAM W.BACKUS HOSPITAL DELIVERS AND COORDINATES A CONTINUUM OF HIGH-QUALITY HEALTH CARE THAT IS SENSITIVE TO THE NEEDS OF INDIVIDUALS IN EASTERN CONNECTICUT. THE HOSPITAL IS COMMITTED TO BEING RESPONSIVE AND ACCOUNTABLE TO THOSE FOR WHOSE BENEFIT IT EXISTS, AND TO IMPROVING THE HEALTH OF ITS COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2010 | TotalEmployeeCnt |
| Total Volunteers | 485 | TotalVolunteersCnt |
| Total Gross UBI | $2,413,551 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$48,595 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,626,345 | PYContributionsGrantsAmt |
| CY Contributions Grants | $512,743 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $294,807,000 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $308,726,062 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,159,759 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,686,222 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,525,641 | PYOtherRevenueAmt |
| CY Other Revenue | $1,672,123 | CYOtherRevenueAmt |
| PY Total Revenue | $306,118,745 | PYTotalRevenueAmt |
| CY Total Revenue | $319,597,150 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $178,641 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $149,587 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $133,334,931 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $139,755,080 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $690,298 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $124,142,781 | PYOtherExpensesAmt |
| CY Other Expenses | $135,932,582 | CYOtherExpensesAmt |
| PY Total Expenses | $257,656,353 | PYTotalExpensesAmt |
| CY Total Expenses | $275,837,249 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $48,462,392 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $43,759,901 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $533,869,094 | TotalAssetsBOYAmt |
| Total Assets EOY | $589,761,844 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $166,315,438 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $172,757,813 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $367,553,656 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $417,004,031 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE WILLIAM W BACKUS HOSPITAL DELIVERS AND COORDINATES A CONTINUUM OF HIGH QUALITY HEALTH CARE THAT IS SENSITIVE TO THE NEEDS OF INDIVIDUALS IN EASTERN CONNECTICUT. THE HOSPITAL IS COMMITTED TO BEING RESPONSIVE AND ACCOUNTABLE TO THOSE FOR WHOSE BENEFIT IT EXISTS, AND TO IMPROVING THE HEALTH OF ITS COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $108,913,167 | ExpenseAmt |
| Revenue | $117,201,207 | RevenueAmt |
| Desc | INPATIENT-THE HOSPITAL HAS 233 LICENSED BEDS. DISCHARGES FOR FY 16 WERE 10,607 OF WHICH 7,943 MED/SURG AND ICU, 1,943 MATERNITY/NEWBORN AND 721 PSYCH. PATIENT DAYS TOTALED 46,555 OF WHICH 36,062 MED/SURG AND ICU, 4,687 MATERNITY/NEWBORN AND 5,806 PSYCH. OBSERVATION DISCHARGES WERE 2,528 AND OBSERVATION DAYS WERE 4,996. THE AVERAGE LENGTH OF STAY IS 4.39 DAYS. THERE WERE 2,214 INPATIENT SURGERIES PERFORMED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $88,655,473 | ExpenseAmt |
| Grant | $149,587 | GrantAmt |
| Revenue | $126,816,749 | RevenueAmt |
| Desc | OUTPATIENT-FOR FISCAL 16, THE HOSPITAL HAD 433,273 OUTPATIENT VISITS. INCLUDED IN THOSE VISITS ARE 144,276 IMAGING EXAMS, 7,337 MRI EXAMINATIONS, 6,334 SAME DAY SURGICAL PROCEDURES, 7,354 PSYCHIATRIC CLINICAL VISITS, 6,475 PSYCHIATRIC PARTIAL HOSPITAL VISITS, 26,643 REHAB VISITS, 3,568 CARDIAC VISITS, 2,822 CHEMO VISITS, AND 2,925 GASTROINTESTINAL VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $33,216,731 | ExpenseAmt |
| Revenue | $64,668,888 | RevenueAmt |
| Desc | EMERGENCY DEPARTMENT-THE HOSPITAL HAS EMERGENCY DEPARTMENTS LOCATED IN NORWICH AND PLAINFIELD. FOR FISCAL 16, VISITS TOTALED 78,199 OF WHICH 6,342 WERE TRANSITIONED TO INPATIENT CARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $1,211,594 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES INCLUDE EHR REVENUE, PURCHASE DISCOUNTS, CONTRACT SERVICES AND OTHER MISCELLANEOUS INCOME. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $1,211,594 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $230,785,371 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 174 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2010 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTHONY MASTROIANNI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8608898331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WASHINGTON STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH CONWAY | ||||||||||
| DIRECTOR (THRU 3/16) | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEBORAH MONAHAN | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN LARCEN | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $724,236 | $99,900 | ||||
| REGINA CUSSON | ||||||||||
| DIRECTOR (THRU 8/16) | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LYNNE QUINTAL-HILL | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK TRAMONTOZZI | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES WATSON MD | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAROLYN DRESCHER | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARY BARRY MD | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $48,374 | $1,721 | ||||
| CATINA CABAN-OWEN | ||||||||||
| DIRECTOR (THRU 9/16) | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DIANE WISHNAFSKI | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARMEN CID | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KARLA FOX | ||||||||||
| DIRECTOR/CHAIR | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ANTHONY JOYCE | ||||||||||
| DIRECTOR/VICE CHAIRMAN | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DAVID WHITEHEAD | ||||||||||
| FORMER DIRECTOR/PRESIDENT/EVP | 0.00 | 60.00 | $0 | $969,377 | $71,418 | Yes (X) | ||||
| BIMAL PATEL | ||||||||||
| DIRECTOR/PRESIDENT | 20.00 | 40.00 | Yes (X) | $0 | $476,135 | $95,399 | Yes (X) | |||
| MARGARET MARCHAK | ||||||||||
| SECRETARY/CLO | 3.00 | 60.00 | $0 | $660,302 | $141,415 | Yes (X) | ||||
| DANIEL LOHR | ||||||||||
| SENIOR VP/CFO | 30.00 | 30.00 | $0 | $576,066 | $64,342 | Yes (X) | ||||
| CAROLYN TRANTALIS | ||||||||||
| VP OPERATIONS EAST REGION | 30.00 | 30.00 | $0 | $288,714 | $50,224 | Yes (X) | ||||
| ROBERT SIDMAN MD | ||||||||||
| VP MEDICAL AFFAIRS EAST REGION | 40.00 | $476,272 | $0 | $41,235 | Yes (X) | |||||
| KAREN JAMES | ||||||||||
| VP HUMAN RESOURCES EAST REGION | 30.00 | 30.00 | $0 | $150,219 | $35,596 | Yes (X) | ||||
| SERGIO CASILLA MD | ||||||||||
| PHYSICIAN | 40.00 | $659,293 | $0 | $55,946 | Yes (X) | |||||
| ZHENXIANG LIU MD | ||||||||||
| PHYSICIAN | 40.00 | $499,301 | $0 | $51,677 | Yes (X) | |||||
| RICHARD GOULDING MD | ||||||||||
| PHYSICIAN | 40.00 | $400,039 | $0 | $54,383 | Yes (X) | |||||
| WILLIAM HORGAN MD | ||||||||||
| PHYSICIAN | 40.00 | $390,483 | $0 | $52,048 | Yes (X) | |||||
| NADER BAHADORY MD | ||||||||||
| PHYSICIAN | 40.00 | $393,615 | $0 | $59,472 | Yes (X) | |||||
| MARY BYLONE | ||||||||||
| FORMER VP PATIENT CARE EAST REGIO | 40.00 | $0 | $350,170 | $24,332 | Yes (X) | |||||
| PETER SHEA | ||||||||||
| FORMER MEDICAL DIRECTOR | 40.00 | $0 | $197,152 | $29,825 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,819,003 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,440,745 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $928,933 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 196 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | MEDICAL SERVICES | $2,806,438 |
| HARTFORD HEALTHCARE LABORATORIES | |||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | LAB SERVICES | $1,091,730 |
| NORTH AMERICAN PARTNERS IN ANESTHESIA | |||||
| 68 SOUTH SERVICE RD | MELVILLE | NY | 11747 | MEDICAL SERVICES | $862,008 |
| LOCUMTENES | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | MEDICAL SERVICES | $712,551 |
| DVA HEALTHCARE OF NORWICH LLC | |||||
| PO BOX 781607 | PHILADELPHIA | PA | 19178 | MEDICAL SERVICES | $546,908 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $95,410 | FundraisingAmt |
| Related Organizations | $87 | RelatedOrganizationsAmt |
| All Other Contributions | $417,246 | AllOtherContributionsAmt |
| Noncash Contributions | $13,239 | NoncashContributionsAmt |
| Total Contributions | $512,743 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OUTPATIENT | 900099 | $124,404,721 | $124,404,721 | |
| INPATIENT | 900099 | $117,201,207 | $117,201,207 | |
| EMERGENCY DEPT | 900099 | $64,668,888 | $64,668,888 | |
| LAB COURIER SERVICE | 621500 | $2,412,028 | $2,412,028 | |
| EHR REVENUE | 900099 | $39,218 | $39,218 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $308,726,062 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $831,985 | TotalRevenueColumnAmt |
| Exclusion | $831,985 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,731,711 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,475,866 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$744,155 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$744,155 | TotalRevenueColumnAmt |
| Exclusion | -$744,155 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $74,748,467 | SecuritiesAmt |
| Other | $57,100 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,909,675 | SecuritiesAmt |
| Other | $41,655 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,838,792 | SecuritiesAmt |
| Other | $15,445 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,854,237 | TotalRevenueColumnAmt |
| Exclusion | $7,854,237 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $28,080 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $95,410 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $52,640 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$24,560 | TotalRevenueColumnAmt |
| Exclusion | -$24,560 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $428,555 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $323,572 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,983 | TotalRevenueColumnAmt |
| Exclusion | $104,983 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722320 | $1,163,479 | $1,163,479 | |
| PURCHASE DISCOUNTS | 900099 | $409,840 | $409,840 | |
| CONTRACT SERVICES | 621400 | $385,653 | $385,653 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $376,883 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $375,360 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,523 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,335,855 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $319,597,150 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $307,484,887 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,413,551 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,185,969 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,537 | TotalAmt |
| Program Services | $139,537 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,050 | TotalAmt |
| Program Services | $10,050 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,507 | TotalAmt |
| Management And General | $517,507 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,203,665 | TotalAmt |
| Program Services | $102,979,500 | ProgramServicesAmt |
| Management And General | $7,083,897 | ManagementAndGeneralAmt |
| Fundraising | $140,268 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,635,955 | TotalAmt |
| Program Services | $4,311,807 | ProgramServicesAmt |
| Management And General | $318,275 | ManagementAndGeneralAmt |
| Fundraising | $5,873 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,611,120 | TotalAmt |
| Program Services | $15,449,663 | ProgramServicesAmt |
| Management And General | $1,140,413 | ManagementAndGeneralAmt |
| Fundraising | $21,044 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,786,833 | TotalAmt |
| Program Services | $7,242,374 | ProgramServicesAmt |
| Management And General | $534,594 | ManagementAndGeneralAmt |
| Fundraising | $9,865 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,476 | TotalAmt |
| Management And General | $31,476 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282,702 | TotalAmt |
| Management And General | $1,282,702 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,111,241 | TotalAmt |
| Program Services | $14,899,675 | ProgramServicesAmt |
| Management And General | $2,211,566 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,104 | TotalAmt |
| Program Services | $7,809 | ProgramServicesAmt |
| Fundraising | $14,295 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,132,875 | TotalAmt |
| Program Services | $3,181,022 | ProgramServicesAmt |
| Management And General | $950,036 | ManagementAndGeneralAmt |
| Fundraising | $1,817 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,397,431 | TotalAmt |
| Program Services | $7,061,323 | ProgramServicesAmt |
| Management And General | $7,336,108 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,758,651 | TotalAmt |
| Program Services | $513,148 | ProgramServicesAmt |
| Management And General | $5,245,503 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,706 | TotalAmt |
| Program Services | $120,730 | ProgramServicesAmt |
| Management And General | $111,976 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,493 | TotalAmt |
| Management And General | $14,493 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,144,871 | TotalAmt |
| Management And General | $3,144,871 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,920,911 | TotalAmt |
| Program Services | $7,177,855 | ProgramServicesAmt |
| Management And General | $3,743,056 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,228,471 | TotalAmt |
| Program Services | $5,454,203 | ProgramServicesAmt |
| Management And General | $7,774,268 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,996,067 | TotalAmt |
| Program Services | $2,185,052 | ProgramServicesAmt |
| Management And General | $811,015 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EXPENSES | $40,625,083 | $40,625,083 | |
| BAD DEBT | $8,148,518 | $8,148,518 | |
| MAINT/SERVICE CONTRACTS | $5,340,571 | $4,067,378 | $1,273,193 |
| LAB EXPENSES | $4,915,923 | $4,915,923 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,628,488 | TotalAmt |
| Program Services | $2,294,721 | ProgramServicesAmt |
| Management And General | $836,631 | ManagementAndGeneralAmt |
| Fundraising | $497,136 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,837,249 | TotalAmt |
| Program Services | $230,785,371 | ProgramServicesAmt |
| Management And General | $44,361,580 | ManagementAndGeneralAmt |
| Fundraising | $690,298 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,266,435 | BOYAmt |
| EOY | $2,302,732 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,891,820 | BOYAmt |
| EOY | $46,966,017 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142 | BOYAmt |
| EOY | $64 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,077,266 | BOYAmt |
| EOY | $37,772,680 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,773 | BOYAmt |
| EOY | $7,885 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,679,710 | BOYAmt |
| EOY | $3,822,252 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,850,954 | BOYAmt |
| EOY | $4,061,424 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $314,440,561 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $200,112,441 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,579,223 | BOYAmt |
| EOY | $114,328,120 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,130,964 | BOYAmt |
| EOY | $27,637,016 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,436,024 | BOYAmt |
| EOY | $340,919,004 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,947,783 | BOYAmt |
| EOY | $11,944,650 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,869,094 | BOYAmt |
| EOY | $589,761,844 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,341,304 | BOYAmt |
| EOY | $15,572,886 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,395,217 | BOYAmt |
| EOY | $1,322,594 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,578,917 | BOYAmt |
| EOY | $155,862,333 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,315,438 | BOYAmt |
| EOY | $172,757,813 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $355,541,298 | BOYAmt |
| EOY | $404,269,648 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,907,265 | BOYAmt |
| EOY | $4,543,173 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,105,093 | BOYAmt |
| EOY | $8,191,210 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $367,553,656 | BOYAmt |
| EOY | $417,004,031 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,869,094 | BOYAmt |
| EOY | $589,761,844 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $43,759,901 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $25,299,227 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$19,608,753 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $31,476 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $31,476 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES ARE PRIMARILY COMPRISED OF THE PORTION OF DUES PAID TO THE CONNECTICUT HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION THAT THOSE INSTITUTIONS DEEM LOBBYING BASED ON THE MEDICARE DEFINITION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,465,627 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $384,004 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,849,631 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,558,064 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$92,437 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,465,627 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,100,798 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $459,483 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,217 | AdministrativeExpensesAmt |
| End Year Balance | $7,558,064 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,513,852 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $591,457 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,511 | AdministrativeExpensesAmt |
| End Year Balance | $7,100,798 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,813,863 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $705,215 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $5,226 | AdministrativeExpensesAmt |
| End Year Balance | $6,513,852 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.73000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.27000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,011,878 | OtherCostOrOtherBasisAmt |
| Book Value | $5,011,878 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $10,381,267 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $119,378,436 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,859,976 | DepreciationAmt |
| Book Value | $53,899,727 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,481,009 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,698,812 | DepreciationAmt |
| Book Value | $29,782,197 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,693,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,553,653 | DepreciationAmt |
| Book Value | $21,139,692 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,494,626 | OtherCostOrOtherBasisAmt |
| Book Value | $4,494,626 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $114,328,120 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CT HOSP LAB | $12,632 | C |
| ENDOWMENT LLC | $340,906,372 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $340,919,004 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO 3RD PARTIES | $6,879,937 |
| EMPLOYEE RELATED OBLIGATIONS | $62,840,113 |
| SELF-INSURED PROF LIABILITY | $8,932,886 |
| CAPITAL LEASE OBLIGATIONS | $6,938,228 |
| OTHER LIABILITIES | $4,571,139 |
| DUE TO AFFILIATES | $5,661,723 |
| TAX EXEMPT SERIES E BOND PREMIUM | $1,338,239 |
| LT INTERCOMPANY DEBT SERIES E | $58,700,068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $155,862,333 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE MEANT TO PROVIDE LONG TERM SUPPORT FOR CAPITAL AND OPERATING PROGRAMS FOR THE HOSPITAL IN ACCORDANCE WITH THE DONOR'S WISHES. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $77,005 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $57,805 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $19,200 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $9,180 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $10,820 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $9,778 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,625 | OtherDirectExpensesEvent1Amt |
| Event2 | SEDER GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $46,485 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $37,605 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $8,880 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,115 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $6,142 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $9,904 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,076 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $123,490 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $95,410 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $28,080 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $10,295 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $16,962 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $19,682 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,701 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $52,640 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$24,560 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,514,083 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,514,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,534,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,672,617 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,862,034 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08540 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,048,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,672,617 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,376,117 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $549,220 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $549,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,114 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $150,114 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,160,177 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,160,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,915,011 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,915,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,963,745 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,672,617 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,291,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10580 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,793 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $93,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,193 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $94,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,148,488 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,184,007 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $72,046,496 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $88,168,329 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,121,833 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE WILLIAM W BACKUS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WASHINGTON STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE WILLIAM W BACKUS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 7 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 7 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 7 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS AND INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. THESE INDIVIDUALS INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS AND A VARIETY OF OTHER COMMUNITY LEADERS INCLUDING THE FOLLOWING: AMERICAN AMBULANCE SERVICE, INC. AMERICAN RED CROSS BLOOD SERVICES BACKUS HOSPITAL CATHOLIC CHARITIES GENERATIONS FAMILY HEALTH CENTER, INC. MOHEGAN TRIBE NORWICH ADULT EDUCATION / RELIANCE HOUSE, INC. ROSE CITY SENIOR CENTER SOUTHEASTERN REGIONAL ACTION COUNCIL ST. VINCENT DE PAUL PLACE NORWICH THREE RIVERS COMMUNITY COLLEGE NURSING PROGRAM TOWN OF WINDHAM TVCCA UNCAS HEALTH DISTRICT UNITED COMMUNITY AND FAMILY SERVICES WINDHAM HOSPITAL WINDHAM REGION NO FREEZE PROJECTPARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE OVERALL COMMUNITY. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. KEY INFORMANTS WERE ASKED TO RATE THE DEGREES TO WHICH VARIOUS HEALTH ISSUES WERE A PROBLEM IN THE HARTFORD REGION. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFIED AREAS AS SUCH, AND HOW THESE MIGHT BE BETTER ADDRESSED.AFTER REVIEWING THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS, THE COMMUNITY REPRESENTATIVES MET ON JUNE 11, 2015 TO DETERMINE THE HEALTH NEEDS TO BE PRIORITIZED FOR ACTION. DURING A DETAILED PRESENTATION OF THE CHNA FINDINGS, THE HOSPITAL USED AUDIENCE RESPONSE SYSTEM (ARS) TECHNOLOGIES TO LEAD STEERING COMMITTEE MEMBERS THROUGH A PROCESS OF UNDERSTANDING KEY LOCAL DATA FINDINGS (AREAS OF OPPORTUNITY) AND RANKING IDENTIFIED HEALTH ISSUES AGAINST THE FOLLOWING ESTABLISHED, UNIFORM CRITERIA: MAGNITUDE, IMPACT/SERIOUSNESS/FEASIBILITY, CONSEQUENCES OF INACTION. FROM THIS EXERCISE, THE AREAS OF OPPORTUNITY WERE PRIORITIZED AS FOLLOWS BY THE COMMITTEE: MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY & WEIGHT STATUS, DIABETES, SUBSTANCE ABUSE, CANCER, HEART DISEASE AND STROKE.PART V, SECTION B, LINE 7AWWW.BACKUSHOSPITAL.ORG/ABOUT-US/COMMUNITY-OUTREACH/HEALTH-NEEDS-ASSESSMENT |
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 7D: THE NEEDS ASSESSMENT WAS PUBLISHED IN MARCH 2015 AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE. IN ADDITION, COPIES WERE MADE AVAILABLE TO OUR COMMUNITY PARTNERS. |
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 11: IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, BACKUS HOSPITAL DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE:* NUTRITION* PHYSICAL ACTIVITY & WEIGHT (OBESITY)* CANCER* DIABETES* HEART DISEASE & STROKE* RESPIRATORY DISEASES* ACCESS TO CARE* ORAL HEALTH* DEMENTIA* ALZHEIMER'S DISEASE* MENTAL HEALTH & SUBSTANCE USE (INCLUDING TOBACCO USE).BACKUS HOSPITAL IS IMPLEMENTING INITIATIVES THAT WILL RESPOND TO THESE NEEDS. ADDITIONAL NEEDS IDENTIFIED AS "AREAS OF OPPORTUNITIES" WERE NOT DEEMED AS SIGNIFICANT NEEDS AND DID NOT RANK HIGHLY ENOUGH TO EARN A PRIORITIZED RANKING. AREAS OF OPPORTUNITY, IDENTIFIED BUT NOT PRIORITIZED: * INFANT HEALTH AND FAMILY PLANNING * INJURY & VIOLENCE* POTENTIALLY DISABLING CONDITIONSINFANT HEALTH AND FAMILY PLANNING: BACKUS HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS FAMILY PLANNING AND INFANT HEALTH. OTHER COMMUNITY PARTNERS SUCH AS UCFS AND MADONNA PLACE HAVE INFRASTUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED.INJURY & VIOLENCE: BACKUS HOSPITAL BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF SAFE FUTURES, THE FORMER WOMEN'S SHELTER. BACKUS IS A COMMUNITY PARTNER AND HAS ARRANGED FOR SAFE FUTURES TO OPEN AN OFFICE IN THE MEDICAL OFFICE BUILDING, ADJOINING THE HOSPITAL. BACKUS HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS INJURY PREVENTION.POTENTIALLY DISABLING CONDITIONS: BACKUS HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS POTENTIALLY DISABLING CONDITIONS. |
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 13H: FAMILY ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE ALSO INCLUDE FAMILY SIZE, EMPLOYMENT STATUS, FINANCIAL OBLIGATIONS, AND AMOUNT AND FREQUENCY OF HEALTH CARE EXPENSES. |
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 15E: IN ADDITION, PATIENT MAY ASK A NURSE, PHYSICIAN, CHAPLAIN, OR STAFF MEMBER FROM PATIENT REGISTRATION, PATIENT FINANCIAL SERVICES, CASE COORDINATION, OR SOCIAL SERVICES ABOUT INITIATING THE FINANCIAL ASSISTANCE APPLICATION PROCESS.THE WILLIAM W BACKUS HOSPITAL:PART V, LINE 16A, FAP WEBSITE: HTTPS://BACKUSHOSPITAL.ORG/FOR-PATIENTS-FAMILIES/FINANCIAL- INSURANCE-INFO/FINANCIAL-COVERAGE/THE WILLIAM W BACKUS HOSPITAL:PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://BACKUSHOSPITAL.ORG/FOR-PATIENTS- FAMILIES/FINANCIAL-INSURANCE-INFO/FINANCIAL-COVERAGE/THE WILLIAM W BACKUS HOSPITAL:PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://BACKUSHOSPITAL.ORG/FOR-PATIENTS -FAMILIES/FINANCIAL-INSURANCE-INFO/FINANCIAL-COVERAGE/ |
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 16I: PATIENTS ARE INFORMED DIRECTLY BY STAFF OF THE AVAILABILITY OF THE FINANCIAL ASSISTANCE POLICY. |
| THE WILLIAM W BACKUS HOSPITAL | PART 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 CALULATION 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 THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - BACKUS OUTPATIENT CARE CENTER | ||||
| 111 SALEM TURNPIKE | NORWICH | CT | 06360 | OUTPATIENT SERVICES |
| 2 - MEDICAL OFFICE BUILDING | ||||
| 330 WASHINGTON STREET | NORWICH | CT | 06360 | RADIATION THERAPY/LAB |
| 3 - COLCHESTER BACKUS HEALTH CENTER | ||||
| 163 BROADWAY | COLCHESTER | CT | 06415 | RADIOLOGY/LAB/PRIMARY CARE |
| 4 - MONTVILLE BACKUS HEALTH CARE | ||||
| 80 NORWICH/NEW LONDON TURNPIKE | UNCASVILLE | CT | 06382 | RADIOLOGY/LAB/PRIMARY CARE |
| 5 - LEDYARD BACKUS HEALTH CENTER | ||||
| 2 LORENZ PARKWAY | LEDYARD | CT | 06339 | LAB/PRIMARY CARE |
| 6 - FAMILY HEALTH CENTER AT CROSSROADS | ||||
| 196 PARKWAY SOUTH | WATERFORD | CT | 06385 | PRIMARY CARE/REHAB/ORTHOPEDICS |
| 7 - INFECTIOUS DISEASE CLINIC | ||||
| 107 LAFAYETTE STREET | NORWICH | CT | 06360 | CLINIC |
| 8 - NORTH STONINGTON BACKUS HEALTH CENTER | ||||
| 82 NORWICH-WESTERLY ROAD | NORTH STONINGTON | CT | 06359 | PRIMARY CARE |
| 9 - NORWICHTOWN BACKUS PATIENT SERVICE CTR | ||||
| 55 TOWN STREET | NORWICH | CT | 06360 | LAB |
| 10 - PLAINFIELD EMERGENCY CENTER | ||||
| 582 NORWICH ROAD | PLAINFIELD | CT | 06374 | LAB/RADIOLOGY/EMERGENCY SERVICES |
| 11 - JEWETT CITY PATIENT SERVICE CENTER | ||||
| 70 MAIN STREET | JEWETT CITY | CT | 06351 | LAB |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | BACKUS HOSPITAL USED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. IN ADDITION, THE HOSPITAL TAKES INTO CONSIDERATION, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND OTHER FAMILY ELIGIBILITY CRITERIA SUCH AS FAMILY SIZE, EMPLOYMENT AND FINANCIAL OBLIGATIONS. |
| PART I, LINE 7: | THE ORGANIZATION UTILIZED THE RATIO OF COST TO CHARGE (RCC), DERIVED FROM THE FY2016 MEDICARE COST REPORT WHICH ALREADY INCORPORATES OR IS NET OF NON-PATIENT CARE COSTS (I.E. BAD DEBT, NON-PATIENT CARE, ETC). THE RATIO WAS FURTHER REDUCED TO INCORPORATE THE DIRECTLY INDENTIFIED COMMUNTIY EXPENSES. THIS COST TO CHARGE RATIO WAS USED TO CALCULATE COSTS FOR PART I LINES 7A & B. THE COSTS ASSOCIATED WITH THE ACTIVITIES REPORTED ON PART I, LINE 7E WERE CAPTURED USING ACTUAL TIME MULTIPLIED BY AN AVERAGE SALARY RATE. COSTS REPORTED IN PART III, SECTION B 6, WERE CALCULATED FROM THE MEDICARE COST REPORT AND REDUCED FOR MEDICARE COSTS PREVIOUSLY REPORTED ON PART I, LINES 7 F & G. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,148,488. |
| PART III, LINE 4: | PLEASE SEE THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE BEGINNING ON PAGE 20 OF THE AUDITED FINANCIAL STATEMENTS. |
| 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. THEREFORE THE MEDICARE SHORTFALL SHOULD BE CONSIDERED TO BE A COMMUNITY BENEFIT. THE ORGANIZATION'S MEDICARE COST REPORT WAS USED TO ACCUMULATE ACTUAL COSTS RELATED TO PART III, SECTION B, LINE 6. |
| PART III, LINE 9B: | THE FINANCIAL ASSISTANCE POLICY STATES:IN THE EVENT A PATIENT FAILS TO QUALIFY FOR FINANCIAL ASSISTANCE OR FAILS TO PAY THEIR PORTION OF DISCOUNTED CHARGES PURSUANT TO THIS POLICY, AND THE PATIENT DOES NOT PAY TIMELY THEIR OBLIGATIONS TO THE HOSPITAL, THE HOSPITAL RESERVES THE RIGHT TO BEGIN COLLECTION ACTIONS, INCLUDING BUT NOT LIMITED TO, IMPOSING WAGE GARNISHMENTS OR LEINS ON PRIMARY RESIDENCES, INSTITUTING LEGAL ACTION AND REPORTING THE MATTER TO ONE OR MORE CREDIT RATING AGENCIES. FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THE HOSPITAL'S OUTSTANDING ACCOUNTS, THE HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS, WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES AND WILL CEASE ALL COLLECTION EFFORTS.NO EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL BE INITIATED DURING THE FIRST 120 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT TO A VALID ADDRESS OR DURING THE TIME THAT PATIENT'S FINANCIAL ASSISTANCE APPLICATION IS PROCESSING. BEFORE INITIATING ANY ECA, A NOTICE WILL BE PROVIDED TO THE PATIENT 30 DAYS PRIOR TO INITIATING SUCH AN EVENT.IF THE PATIENT APPLIES FOR ASSISTANCE WITHIN 240 DAYS FROM THE FIRST NOTIFICATION OF THE SELF-PAY BALANCE, AND IS GRANTED ASSISTANCE, ANY ECA'S SUCH AS NEGATIVE REPORTING TO A CREDIT BUREAU OR LIENS THAT HAVE BEEN FILED WILL BE REMOVED. |
| PART VI, LINE 2: | BACKUS HOSPITAL USES EMERGENCY ROOM DATA TO TRACK INCREASES IN MEDICAL CONDITIONS SUCH AS FALLS, FLU, DRUG OVERDOSES, ETC. THE SAME APPROACH IS TAKEN IN OUR OUTPATIENT CLINICS. WE PERIODICALLY CANVAS OUR SOCIAL WORK/CASE MANAGEMENT STAFF AS TO WHAT THEY ARE SEEING AND HEARING ABOUT AS THEY WORK WITH PATIENTS. WE ALSO TRACK REQUESTS FROM OTHER ENTITIES SUCH AS AREA NON-PROFITS, LOCAL GOVERNMENTAL AGENCIES AND PUBLIC SCHOOLS. THESE REQUESTS OFTEN REFLECT GROWING NEEDS AND ISSUES IN OUR COMMUNITY. |
| PART VI, LINE 3: | BACKUS HOSPITAL WILL PROVIDE INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY AS FOLLOWS:(1) 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;(2) 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;(3)MAKE PAPER COPIES OF THE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE POLICY AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH BY MAIL AND IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY, INCLUDING THE EMERGENCY ROOM AND ADMISSION AREAS;(4) POST THE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ON THE WEBSITE WITH CLEAR LINKAGE TO SUCH DOCUMENTS ON THE HOSPITAL'S HOME PAGE;(5) EDUCATE ALL ADMISSION AND REGISTRATION PERSONNEL REGARDING THE POLICY SO THAT THEY CAN SERVE AS AN INFORMATIONAL RESOURCE TO PATIENTS REGARDING THE POLICY AND (6) INCLUDE THE TAG LINE "PLEASE ASK ABOUT OUR FINANCIAL ASSISTANCE POLICY" IN BACKUS WRITTEN PUBLICATIONS. |
| PART VI, LINE 4: | THE TOTAL POPULATION OF THE BACKUS HOSPITAL PRIMARY SERVICE AREA IS 391,769. 85.4% OF THE POPULATION IS WHITE WITH 4.4% BLACK. PEOPLE OF HISPANIC ORIGIN MAKE UP 8.9%. CHILDREN AGE 0-17 MAKE UP 21.8%, 18-64 64.3% AND SENIORS ACCOUNT FOR 13.9% OF THE POPULATION. THE POPULATION LIVING IN POVERTY IS 9.2% WITH THOSE LIVING BELOW 200% FPL IS 22.5%. 10.9% HAVE NO HIGH SCHOOL DIPLOMA.THE REGION IS A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. |
| PART VI, LINE 5: | A REGIONAL BOARD GOVERNS BACKUS, WINDHAM AND NATCHAUG HOSPITALS. THE BOARD IS RESPONSIBLE FOR MAINTAINING OUTSTANDING QUALITY SERVICES AND CREDENTIALS ITS MEDICAL STAFF. ALL OF THE DIRECTORS RESIDE IN OUR SERVICE AREA AND ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF THE HOSPITAL. |
| PART VI, LINE 6: | HARTFORD HEALTHCARE CORPORATION (HHC) IS ORGANIZED AS A SUPPORT ORGANIZATION TO GOVERN, MANAGE AND PROVIDE SUPPORT SERVICES TO ITS AFFILIATES. HHC, THROUGH ITS AFFILIATES INCLUDING 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 HEALTH CARE IN OUR SOUTHERN NEW ENGLAND REGION. THIS INCLUDES INITIATIVES TO IMPROVE THE QUALITY AND ACCESSIBILITY OF HEALTH CARE, CREATE EFFICIENCY ON BOTH OUR INTERNAL OPERATIONS AND THE UTILIZATION OF HEALTH CARE, AND PROVIDE PATIENTS WITH THE MOST TECHNICALLY ADVANCED AND COMPASSIONATE COORDINATED CARE. IN ADDITION, HHC CONTINUES TO TAKE IMPORTANT STEPS TOWARD ACHIEVING ITS VISION OF BEING "NATIONALLY RESPECTED FOR EXCELLENCE IN PATIENT CARE AND MOST TRUSTED FOR PERSONALIZED, COORDINATED CARE".THE AFFILIATION WITH HHC CREATES A STRONG, INTEGRATED HEALTH CARE DELIVERY SYSTEM WITH A FULL CONTINUUM OF CARE ACROSS A BROADER GEOGRAPHIC AREA. THIS ALLOWS THE SMALL COMMUNITIES EASY AND EXPEDIENT ACCESS TO THE MORE EXTENSIVE AND SPECIALIZED SERVICES THE HOSPITAL IS ABLE TO OFFER. THIS INCLUDES CONTINUING EDUCATION OF HEALTH CARE PROFESSIONALS AT ALL THE AFFILIATED INSTITUTIONS THROUGH THE CENTER OF EDUCATION, SIMULATION AND INNOVATION LOCATED AT HARTFORD HOSPITAL. THE AFFILIATION FURTHER ENHANCES THE AFFILIATE'S ABILITIES TO SUPPORT THEIR MISSIONS, IDENTITY, AND RESPECTIVE COMMUNITY ROLES. THIS IS ACHIEVED THROUGH INTEGRATED PLANNING AND COMMUNICATION TO MEET THE CHANGING NEEDS OF THE REGION. THIS INCLUDES RESPONSIBLE DECISION MAKING AND APPROPRIATE SHARING OF SERVICES, RESOURCES AND TECHNOLOGIES, AS WELL AS CONTAINMENT STRATEGIES. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CHAMBER OF COMMERCE OF SE CT | |||||||
| 914 HARTFORD TPKE | WATERFORD | CT | 06385 | 060475490 | 501C6 | $11,500 | SPONSORSHIPSPONSORSHIP |
| NORTHEAST CT COUNCIL OF GOVERNMENT | |||||||
| 125 PUTNAM PIKE | DAYVILLE | CT | 06241 | 060850466 | DAYVILLE CT | $20,000 | PARAMEDIC PROGRAM |
| CT SPORTS FOUNDATION INC | |||||||
| 445 BOSTON POST RD STE 203B | OLD SAYBROOK | CT | 06475 | 061240574 | 501C3 | $6,000 | SPONSORSHIP |
| SPRAGUE COMMUNITY CENTER | |||||||
| 22 WEST MAIN STREET | BALTIC | CT | 06330 | 222512537 | SPRAGUE CT | $10,000 | SPONSORSHIP |
| CENTER FOR HOSPICE CARE | |||||||
| 227 DUNHAM STREET | NORWICH | CT | 06360 | 222667260 | 501C3 | $10,000 | SPONSORSHIP |
| AMERICAN CANCER SOCIETY | |||||||
| 825 BROOK STREET | ROCKY HILL | CT | 06067 | 131788491 | 501C3 | $7,100 | SPONSORSHIP |
| UNITED WAY OF SOUTHEASTERN CT | |||||||
| RT 12 PO BOX 375 | GALES FERRY | CT | 06335 | 060771393 | 501C3 | $10,000 | SPONSORSHIP |
| DR MARTIN LUTHER KING SCHOLARSHIP FUND | |||||||
| PO BOX 1308 | NEW LONDON | CT | 06320 | 066107846 | 501C3 | $10,000 | SPONSORSHIP |
| WINDHAM COMMUNTIY MEMORIAL HOSPITAL AUXILIARY | |||||||
| 112 MANSFIELD AVE | WILLIMANTIC | CT | 06226 | 060677728 | 501C3 | $5,350 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP | GrantTypeTxt |
| Recipient | 3 | RecipientCnt |
| Cash Grant | $10,050 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS MADE FOR LOCAL EVENTS, SUCH AS SPONSORSHIPS ARE TYPICALLY ATTENDED BY HOSPITAL EMPLOYEES. THREE SCHOLARSHIPS IN THE AMOUNT OF $3350 EACH ARE AWARDED TO STUDENTS WHO WILL ATTEND SCHOOL EITHER FOR NURSING OR IN THE MEDICAL FIELD. THE APPLICANTS ARE REVIEWED BY THE SCHOLARSHIP COMMITTEE OF THE AUXILIARY AND WINNERS ARE BASED ON ACADEMICS AS WELL AS COMMUNITY SERVICE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN LARCEN | ||||||||||||||
| DIRECTOR | $0 | $434,751 | $0 | $184,730 | $0 | $104,755 | $0 | $56,425 | $0 | $43,475 | $0 | $824,136 | $0 | $0 |
| DAVID WHITEHEAD | ||||||||||||||
| FORMER DIRECTOR/PRESIDENT/EVP | $0 | $564,363 | $0 | $316,867 | $0 | $88,147 | $0 | $22,260 | $0 | $49,158 | $0 | $1,040,795 | $0 | $0 |
| BIMAL PATEL | ||||||||||||||
| DIRECTOR/PRESIDENT | $0 | $355,464 | $0 | $118,896 | $0 | $1,775 | $0 | $76,741 | $0 | $18,658 | $0 | $571,534 | $0 | $0 |
| MARGARET MARCHAK | ||||||||||||||
| SECRETARY/CLO | $0 | $463,399 | $0 | $166,749 | $0 | $30,154 | $0 | $93,339 | $0 | $48,076 | $0 | $801,717 | $0 | $0 |
| DANIEL LOHR | ||||||||||||||
| SENIOR VP/CFO | $0 | $373,623 | $0 | $106,207 | $0 | $96,236 | $0 | $22,260 | $0 | $42,082 | $0 | $640,408 | $0 | $74,000 |
| CAROLYN TRANTALIS | ||||||||||||||
| VP OPERATIONS EAST REGION | $0 | $232,424 | $0 | $55,094 | $0 | $1,196 | $0 | $15,473 | $0 | $34,751 | $0 | $338,938 | $0 | $0 |
| ROBERT SIDMAN MD | ||||||||||||||
| VP MEDICAL AFFAIRS EAST REGION | $372,768 | $0 | $84,603 | $0 | $18,901 | $0 | $14,310 | $0 | $26,925 | $0 | $517,507 | $0 | $0 | $0 |
| KAREN JAMES | ||||||||||||||
| VP HUMAN RESOURCES EAST REGION | $0 | $133,970 | $0 | $16,000 | $0 | $249 | $0 | $8,237 | $0 | $27,359 | $0 | $185,815 | $0 | $0 |
| SERGIO CASILLA MD | ||||||||||||||
| PHYSICIAN | $518,036 | $0 | $140,646 | $0 | $611 | $0 | $14,310 | $0 | $41,636 | $0 | $715,239 | $0 | $0 | $0 |
| ZHENXIANG LIU MD | ||||||||||||||
| PHYSICIAN | $465,945 | $0 | $32,930 | $0 | $426 | $0 | $12,560 | $0 | $39,117 | $0 | $550,978 | $0 | $0 | $0 |
| RICHARD GOULDING MD | ||||||||||||||
| PHYSICIAN | $299,829 | $0 | $81,953 | $0 | $18,257 | $0 | $14,310 | $0 | $40,073 | $0 | $454,422 | $0 | $0 | $0 |
| WILLIAM HORGAN MD | ||||||||||||||
| PHYSICIAN | $303,612 | $0 | $82,563 | $0 | $4,308 | $0 | $14,310 | $0 | $37,738 | $0 | $442,531 | $0 | $0 | $0 |
| NADER BAHADORY MD | ||||||||||||||
| PHYSICIAN | $328,715 | $0 | $64,156 | $0 | $744 | $0 | $22,260 | $0 | $37,212 | $0 | $453,087 | $0 | $0 | $0 |
| MARY BYLONE | ||||||||||||||
| FORMER VP PATIENT CARE EAST REGIO | $0 | $116,850 | $0 | $0 | $0 | $233,320 | $0 | $6,360 | $0 | $17,972 | $0 | $374,502 | $0 | $0 |
| PETER SHEA | ||||||||||||||
| FORMER MEDICAL DIRECTOR | $0 | $194,252 | $0 | $0 | $0 | $2,900 | $0 | $6,360 | $0 | $23,465 | $0 | $226,977 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | STARTING IN 2013, THE ORGANIZATION IMPLEMENTED A WRITTEN TAX GROSS UP POLICY WHICH RESTRICTS THE USE OF FUTURE GROSS UPS. |
| PART I, LINES 4A-B | LUMP SUM SEVERANCE PAYMENT WAS MADE TO MARY BYLONE IN THE AMOUNT OF $231,614. HARTFORD HEALTHCARE CORPORATION 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. 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, DISABLIITY, 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: MR. BIMAL PATEL $44,157 MS. MARGARET MARCHAK $56,789 2015 SERP PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS: MR. DANIEL LOHR $74,000 MR. DAVID WHITEHEAD $69,487* MR. STEPHEN LARCEN $51,590* *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 ACCOUNT. |
| PART I, LINE 7 | HARTFORD HEALTHCARE CORPORATION, A RELATED ORGANIZATION, HAS A COMPENSATION AT RISK PLAN THAT ENCOURAGES AND REWARDS ACHIEVEMENTS OF SIGNIFICANT FUNCTIONAL GOALS FOR MANAGEMENT THAT CONTRIBUTE 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | HARTFORD HEALTHCARE CORPORATION, A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE WILLIAM W BACKUS HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF THE ORGANIZATION HAS THE AUTHORITY TO APPROVE/REMOVE MEMBERS OF THE GOVERNING BODY |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO REVIEW, APPROVE, DISAPPROVE AND DENY SIGNIFICANT TRANSACTIONS SUCH AS MERGERS, AQUISITIONS, DISSOLUTIONS, ETC. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS PREPARED BY HARTFORD HEALTHCARE'S STAFF ACCOUNTANT. IT WAS THEN REVIEWED BY AN HHC TAX DEPARTMENT AND INDEPENDENT ACCOUNTING FIRM. THE FORM WAS THEN FORWARDED TO THE ORGANIZATION'S TOP MANAGEMENT INCLUDING THE REGIONAL VP OF FINANCE FOR REVIEW. THE FINAL FORM WAS PROVIDED TO THE ENTIRE BOARD PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS). ONCE THE ENTIRE PROCESS WAS COMPLETED, THE FORM WAS SIGNED BY THE REGIONAL VP OF FINANCE AND THEN FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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/BACKUS, OR (B) MANAGED THROUGH A MANAGEMENT PLAN. BOARD MEMBER DISCLOSURES ARE REPORTED TO THE HHC NOMINATING AND GOVERNANCE COMMITTEE FOR DETERMINATIONS OF CONFLICTS AND THE MANAGEMENT OF THEM, WHERE APPLICABLE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS OF HARTFORD HEALTHCARE ON BEHALF OF BACKUS HOSPITAL HIRES AN OUTSIDE CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES, A DIVISION OF GALLAGHER BENEFIT SERVICES, INC., TO DETERMINE BEST PRACTICES IN GOVERNING EXECUTIVE COMPENSATION. THE FOLLOWING STEPS WERE TAKEN: - INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE (COMMITTEE) OF THE BOARD OF DIRECTORS OF HARTFORD HEALTHCARE, ON BEHALF OF BACKUS HOSPITAL, ESTABLISHED AND REGULARLY REVIEWS EXECUTIVE COMPENSATION PHILOSOPHY - THE COMMITTEE REGULARLY REVIEWS SCOPE AND DEPTH OF POSITIONS TAKING INTO ACCOUNT COMPLEXITY AND THE FINANCIAL IMPACT AND ACCOUNTABILITY OF ALL "DISQUALIFIED PERSONS" - NATIONAL PEER GROUPS ARE SELECTED FOR COMPARATIVE PURPOSES BASED ON ORGANIZATIONAL SIZE, OPERATING REVENUE, GEOGRAPHY AND OTHER RELEVANT FACTORS - ANALYSIS OF CURRENT TOTAL COMPENSATION VERSUS MARKET IS PERFORMED BY INDEPENDENT THIRD PARTY COMPENSATION CONSULTING FIRM, AND IS REVIEWED BY THE COMMITTEE - RECOMMENDATIONS ARE MADE BASED ON DATA ANALYSIS TO ENSURE APPROPRIATE COMPETITIVE POSITIONING WITHIN PARAMETERS OF COMPENSATION PHILOSOPHY - CEO COMPENSATION IS REVIEWED BY THE COMMITTEE BASED ON COMPARATIVE MARKET INFORMATION AND ORGANIZATIONAL PERFORMANCE - ALL CHANGES ARE REVIEWED AND APPROVED BY 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 19 | THE ORGANIZATIONS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR INSPECTION UPON REQUEST AT THE ORGANIZATION'S ADDRESS. |
| FORM 990, PART XI, LINE 9: | K-1 PASSTHROUGH -286. TRANSFER TO AFFILIATES -7,360,564. CHANGE IN ASSETS HELD IN TRUST 86,117. CHANGE IN PENSION FUNDING -12,334,020. |
| 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BACKUS HEALTH CARE INC | |||||||||||
| 326 WASHINGTON STREET | NORWICH | CT | 06360 | 222481794 | SUPPORT | CT | 501C3 | 11A | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| BACKUS CORPORATION | |||||||||||
| 326 WASHINGTON STREET | NORWICH | CT | 06360 | 222757608 | SUPPORT | CT | 501C3 | 11B | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| HARTFORD HOSPITAL | |||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 060646668 | HEALTHCARE SERVICES | CT | 501C3 | 3 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| WINDHAM COMMUNITY MEMORIAL HOSPITAL | |||||||||||
| 112 MANSFIELD AVE | WILLIMANTIC | CT | 06226 | 060646966 | HEALTHCARE SERVICES | CT | 501C3 | 3 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| MIDSTATE MEDICAL CENTER | |||||||||||
| 435 LEWIS AVENUE | MERIDAN | CT | 06451 | 060646715 | HEALTHCARE SERVICES | CT | 501C3 | 3 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| WINDHAM HOSPITAL FOUNDATION INC | |||||||||||
| 112 MANSFIELD AVE | WILLIMANTIC | CT | 06226 | 562546632 | SUPPORTING ORGANIZATION | CT | 501C3 | 11A | WINDHAM COMMUNITY MEMORIAL HOSPITAL | Yes (1) | |
| HARTFORD HOSPITAL AUXILIARY CO HARTFORD HOSPITAL | |||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06115 | 066040747 | FUNDRAISING | CT | 501C3 | 11C | HARTFORD HOSPITAL | Yes (1) | |
| CONNECTICUT HEALTH SYSTEM INC | |||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 222779421 | COORDINATION OF HEALTH DELIVERY | CT | 501C3 | 11C | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| HARTFORD HEALTHCARE CORPORATION | |||||||||||
| 1 STATE STREET STE 19 | HARTFORD | CT | 06103 | 222672834 | SUPPORT & MANAGEMENT SVCS TO HHC & AFFILIATES | CT | 501C3 | 11C | 0 | N/A | |
| NATCHAUG HOSPITAL INC | |||||||||||
| 189 STORRS ROAD | MANSFIELD CENTER | CT | 06226 | 060966963 | BEHAVIORAL HEALTH | CT | 501C3 | 3 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| CARING FOR COLLEAGUES EMPLOYEE CRISIS FUND | |||||||||||
| 100 GRAND STREET | NEW BRITAIN | CT | 06052 | 264469178 | EMPLOYEE FUND | CT | 501C3 | 7 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| HARTFORD HEALTHCARE ENDOWMENT LLC | |||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 454181103 | ENDOWMENT MANAGEMENT | CT | 501C3 | 11A | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| RUSHFORD CENTER INC | |||||||||||
| 883 PADDOCK AVENUE | MERIDAN | CT | 06450 | 060932875 | SUBSTANCE ABUSE HEALTHCARE SERVICES | CT | 501C3 | 7 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| WCMH WOMEN'S AUXILIARY INC | |||||||||||
| 112 MANSFIELD AVE | WILLIMANTIC | CT | 06226 | 060677728 | FUNDRAISING | CT | 501C3 | 11A | WINDHAM COMMUNITY MEMORIAL HOSPITAL | Yes (1) | |
| THE HOSPITAL OF CENTRAL CT & BRADLEY MEMORIAL | |||||||||||
| 110 GRAND STREET | NEW BRITAIN | CT | 06050 | 060646768 | HEALTHCARE SERVICES | CT | 501C3 | 3 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| HARTFORD HEALTHCARE SENIOR SERVICES INC | |||||||||||
| 45 MERIDEN AVENUE | SOUTHINGTON | CT | 06489 | 222635676 | SUB-ACUTE & LONG TERM CARE | CT | 501C3 | 9 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| BRADLEY HEALTH SERVICES | |||||||||||
| 100 GRAND STREET | NEW BRITAIN | CT | 06050 | 061367014 | HEALTHCARE SERVICES | CT | 501C3 | 9 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| THE ORCHARDS OF SOUTHINGTON | |||||||||||
| 34 HOBART STREET | SOUTHINGTON | CT | 06489 | 061490803 | RESIDENTIAL SERVICES FOR SENIOR CITIZENS | CT | 501C3 | 9 | HARTFORD HEALTHCARE SENIOR SERVICES INC | Yes (1) | |
| MULBERRY GARDENS OF SOUTHINGTON LLC | |||||||||||
| 58 MULBERRY STREET | PLANTSVILLE | CT | 06479 | 820586577 | ASSISTED LIVING & ADULT DAY CARE | CT | 501C3 | 9 | HARTFORD HEALTHCARE SENIOR SERVICES INC | Yes (1) | |
| MIDSTATE MEDICAL CENTER AUXILIARY | |||||||||||
| 435 LEWIS AVENUE | MERIDAN | CT | 06451 | 066063082 | FUNDRAISING | CT | 501C3 | 11A | MIDSTATE MEDICAL CENTER | Yes (1) | |
| HHC PHYSICIANSCARE INC | |||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 454456939 | MEDICAL SERVICES | CT | 501C3 | 9 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| HARTFORD HEALTHCARE ACCOUNTABLE CARE ORG INC | |||||||||||
| 200 RETREAT AVENUE | HARTFORD | CT | 06102 | 460886367 | GOVERNMENT CONTRACTS | CT | 501C3 | 7 | HHC PHYSICIANSCARE INC | Yes (1) | |
| HARTFORD HEALTHCARE CORP GROUP EMPLOYEE BENEFIT PLAN TRUST | |||||||||||
| C/O BOA 777 MAIN STREET | HARTFORD | CT | 06102 | 266671355 | MEDICAL BENEFITS TRUST | CT | 501C9 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | ||
| HARTFORD HEALTHCARE AT HOME | |||||||||||
| 1290 SILAS DEAN HWY STE 4B | WETHERSFIELD | CT | 06109 | 060646938 | HOME HEALTHCARE | CT | 501C3 | 7 | HARTFORD HEALTHCARE CORPORATION | Yes (1) | |
| RUSHFORD FOUNDATION INC | |||||||||||
| 883 PADDOCK AVENUE | MERIDAN | CT | 06450 | 061432692 | SUPPORTING ORGANIZATION | CT | 501C3 | 11A | RUSHFORD CENTER INC | Yes (1) | |
| HARTFORD HEALTHCARE INDEPENDENCEHOME | |||||||||||
| 1290 SILAS DEAN HWY STE 4B | WETHERSFIELD | CT | 06109 | 061161422 | HOME HEALTHCARE | CT | 501C3 | 9 | HARTFORD HEALTHCARE AT HOME | 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 |
|---|---|---|---|---|---|---|---|
| OMNI HOME HEALTH | |||||||
| 12 CASE STREET | NORWICH | CT | 06360 | 061458837 | HOME HEALTH CARE | CT | N/A |
| HHC SOUTHINGTON SURGERY CENTER | |||||||
| 100 AVON MEADOW LANE | AVON | CT | 06001 | 465500829 | SURGERY SERVICES | CT | N/A |
| NEW BRITAIN MRI LIMITED PARTNERSHIP | |||||||
| 100 GRAND STREET | NEW BRITAIN | CT | 06050 | 061271349 | MAGNETIC RESONANCE IMAGING | CT | N/A |
| HARTFORD HEALTHCARE ENDOWMENT LLC | |||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 454181103 | ENDOWMENT MANAGEMENT | CT | N/A |
| AMBULANCE SERVICE OF MANCHESTER | |||||||
| PO BOX 300 | MANCHESTER | CT | 06450 | 061557358 | AMBULATORY SERVICE | CT | N/A |
| CT IMAGING PARTNERS LLC | |||||||
| 111 FOUNDERS PLACE | EAST HARTFORD | CT | 06108 | 134298940 | IMAGING SERVICES | CT | N/A |
| GLASTONBURY ENDOSCOPY CENTER LLC | |||||||
| 300 WESTERN BLVD STE B | GLASTONBURY | CT | 06033 | 261721234 | ENDOSCOPY SERVICES | CT | N/A |
| GLASTONBURY SURGERY CENTER LLC | |||||||
| 195 EASTERN BLVD | GLASTONBURY | CT | 06033 | 262600828 | SURGERY SERVICES | CT | N/A |
| HARTFORD-MIDDLESEX CLINICAL SYSTEM LLC | |||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06110 | 061543605 | AFFILIATE SUPPORT SERVICE | CT | N/A |
| MED EAST ASSOC LLC | |||||||
| 1703 WEST MAIN STREET | WILLIMANTIC | CT | 06226 | 061469575 | OUTPATIENT CARE CLINIC | CT | N/A |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WWB CORPORATION | ||||||||||||||||
| 326 WASHINGTON STREET | NORWICH | CT | 06360 | 061094836 | HOLDING COMPANY | CT | N/A | C | Yes (1) | |||||||
| CONNCARE INC | ||||||||||||||||
| 326 WASHINGTON STREET | NORWICH | CT | 06360 | 061387598 | HEALTHCARE SERVICES | CT | N/A | C | Yes (1) | |||||||
| BACKUS MEDICAL CENTER CONDO ASSOC INC | ||||||||||||||||
| 330 WASHINGTON STREET | NORWICH | CT | 06360 | 061542647 | CONDO ASSOCIATION | CT | C | Yes (1) | THE WILLIAM W BACKUS HOSPITAL | $15,655 | 0.69000 | |||||
| HHMOB CORPORATION& SUBSIDIARY | ||||||||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 061140244 | REAL ESTATE PARKING | CT | N/A | C | Yes (1) | |||||||
| HARTFORD HEALTHCARE INDEMNITY SERVICES LTD | ||||||||||||||||
| CAPTIVE INSURANCE | N/A | C | Yes (1) | FB PERRY BLVD 40 CHURCH ST | HAMILTON | BD | BD | |||||||||
| WINDHAM HEALTH SERVICES INC | ||||||||||||||||
| 112 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 061461101 | HOME HEALTHCARE | 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) | |||||||
| WINDHAM FAMILY MEDICAL SERVICES | ||||||||||||||||
| 112 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 061491649 | MEDICAL SERVICES | 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) | |||||||
| AETNA AMBULANCE SERVICE | ||||||||||||||||
| PO BOX 1150 | MANCHESTER | CT | 06045 | 060795431 | AMBULANCE SERVICE INC | CT | N/A | C | Yes (1) | |||||||
| HARTFORD PHYSICIAN SERVICES | ||||||||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 061254082 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | |||||||
| MERIDEN IMAGING CENTER | ||||||||||||||||
| 101 NORTH PLAINS INDUSTRIAL RD | MERIDEN | CT | 06429 | 061541468 | IMAGING | CT | N/A | S | Yes (1) | |||||||
| MIDSTATE MEDICAL GROUP PC | ||||||||||||||||
| 435 LEWIS AVENUE | MERIDEN | CT | 06450 | 204327968 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | |||||||
| HARTFORD PHYSICIAN HOSPITAL ORGANIZATION INC | ||||||||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 222785918 | PHYSICIAN & HOSPITAL SUPPORT | CT | N/A | C | Yes (1) | |||||||
| METRO WHEELCHAIR SERVICES INC | ||||||||||||||||
| PO BOX 300 | MANCHESTER | CT | 06045 | 060878432 | WHEELCHAIR SERVICES | CT | N/A | C | Yes (1) | |||||||
| WINDHAM PROFESSIONAL OFFICE CONDOMINIUMS | ||||||||||||||||
| 1120 MANSFIELD AVE | WILLIMANTIC | CT | 06226 | 061090041 | CONDO ASSOCIATION | CT | N/A | C | Yes (1) | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 | Yes (1) | 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 (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CONNCARE INC | ||
| J | $1,412,612 | COST |
| CONNCARE INC | ||
| B | $4,743,946 | COST |
| CONNCARE INC | ||
| Q | $13,170,714 | COST |
| WWB INC | ||
| Q | $2,087,400 | COST |
| HHC PHYSICIANS CARE INC | ||
| M | $480,504 | COST |
| WINDHAM COMMUNITY MEMORIAL HOSPITAL | ||
| L | $67,011 | COST |
| NATCHAUG HOSPITAL | ||
| L | $150,962 | COST |
| HARTFORD HEALTHCARE REHABILITATION NETWORK | ||
| O | $131,864 | COST |
| HARTFORD HOSPITAL | ||
| M | $2,204,843 | COST |
| HARTFORD HEALTHCARE INDEPENDENCE HOME | ||
| Q | $153,164 | COST |
| NATCHAUG HOSPITAL | ||
| M | $368,132 | COST |
| HOSPITAL OF CENTRAL CT | ||
| Q | $95,680 | COST |