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LEGACY RGH INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LEGACY RGH INC (EIN 06-0653151)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201732279349303673
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-15T17:43:52-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Marcum LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line153 State StreetAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060653151EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKVILLE GENERAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROCKBusinessNameControlTxt
Phone8606461222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line131 UNION STREETAddressLine1Txt
CityROCKVILLECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06066ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personrobert a schwartz mdPersonNm
Person TitlepresidentPersonTitleTxt
Phone8606461222PhoneNum
Signature2017-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS FARRINGTONPreparerPersonNm
PTINP00370668PTIN
Phone6178075000PhoneNum
Preparation2017-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT A SCHWARTZ MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line131 UNION STREETAddressLine1Txt
CityROCKVILLECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06066ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,630,475GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ECHN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionRockville General Hospital is a 102 bed hospital offering various healthcare services to all members of the community, including the indigent and underserved.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee563TotalEmployeeCnt
Total Volunteers74TotalVolunteersCnt
Total Gross UBI$478,318TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$221,614NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$318,405PYContributionsGrantsAmt
CY Contributions Grants$444,134CYContributionsGrantsAmt
PY Program Service Revenue$64,638,857PYProgramServiceRevenueAmt
CY Program Service Revenue$60,462,114CYProgramServiceRevenueAmt
PY Investment Income$26,701PYInvestmentIncomeAmt
CY Investment Income$63,211CYInvestmentIncomeAmt
PY Other Revenue$272,326PYOtherRevenueAmt
CY Other Revenue$120,727CYOtherRevenueAmt
PY Total Revenue$65,256,289PYTotalRevenueAmt
CY Total Revenue$61,090,186CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,377,767PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,022,202CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$35,015,401CYOtherExpensesAmt
PY Total Expenses$40,377,767PYTotalExpensesAmt
CY Total Expenses$73,037,603CYTotalExpensesAmt
PY Revenues Less Expenses$24,878,522PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$11,947,417CYRevenuesLessExpensesAmt
Total Assets BOY$66,202,995TotalAssetsBOYAmt
Total Assets EOY$53,299,734TotalAssetsEOYAmt
Total Liabilities BOY$47,324,085TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,568,559TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,878,910NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,731,175NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRockville General Hospital is a 102 bed hospital offering various healthcare services to all members of the community, including the indigent and underserved.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,685,290ExpenseAmt
Revenue$7,518,617RevenueAmt
DescInpatient Services - Rockville General Hospital offers comprehensive medical services in a 102 bed acute care community hospital with a total of 2,052 inpatients treated in fiscal year 2016. Services are offered to the community, regardless of any individual's ability to pay.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,748,055ExpenseAmt
Revenue$18,811,316RevenueAmt
DescEmergency Department - Emergency care is offered 24 hours per day, and provides needed emergency medical care to the community, regardless of any individual's ability to pay.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,026,478ExpenseAmt
Revenue$6,818,788RevenueAmt
DescRadiology - A wide range of imaging, diagnostic and treatment services are offered, including X-rays, CT Scans, MRI, PET, ultrasound, nuclear medicine and mammography.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$29,016,683ExpenseAmt
Revenue$26,835,076RevenueAmt
DescSEE SCHEDULE H, PART VIDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$29,016,683TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$26,835,076TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$55,476,506TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document118IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee563EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NICHOLAS JAMIESONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8606461222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 MAIN STREETAddressLine1Txt
CityMANCHESTERCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06040ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Dennis O'Neill MD
Chairman1.004.00Yes (X)Yes (X)$0$0$0
Joy Dorin
Vice Chair1.002.00Yes (X)Yes (X)$0$0$0
Michele Conlon MD
Secretary1.002.00Yes (X)Yes (X)$0$0$0
Donald Genovesi
Treasurer1.002.00Yes (X)Yes (X)$0$0$0
Thomasina Clemons
Trustee1.002.00Yes (X)$0$0$0
Anthony DiStefano MD
Trustee1.002.00Yes (X)$0$0$0
David Gonci
Trustee1.002.00Yes (X)$0$0$0
Eric Kloter
Trustee1.004.00Yes (X)$0$0$0
Kathleen A O'Neill
Trustee1.004.00Yes (X)$0$0$0
Maher Suede
Trustee1.002.00Yes (X)$0$0$0
Peter J Karl
President and CEO13.0048.00Yes (X)Yes (X)$0$866,048$23,743
Michael D Veillette
Senior Vice President, Chief Financial Officer13.0048.00Yes (X)$0$495,281$23,743
Dennis McConville
Senior Vice President, Strategic Planning13.0048.00$0$357,372$9,272Yes (X)
Joel Reich MD
Senior Vice President, Medical Affairs13.0048.00$0$487,147$17,694Yes (X)
Mary Powers
SVP, PATIENT CARE SERVICES60.000.00$259,352$0$9,316Yes (X)
Robert Carroll MD
Medical Director, Emergency Department13.0048.00$0$557,457$23,743Yes (X)
Joyce Tichy
General Counsel13.0048.00$0$423,800$23,743Yes (X)
David Neuhaus MD
Medical Director, Emergency Department55.005.00$376,136$0$1,129Yes (X)
Ellen G Neuhaus MD
Medical Director, Emergency Department60.00$227,011$0$23,300Yes (X)
Alexis Cordiano
Urgent Care Physician60.00$225,927$0$20,594Yes (X)
Mariela Podolski
Urgent Care Physician60.00$149,607$0$19,215Yes (X)
Sue Cavaliere
nursing supervisor60.00$163,488$0$9,070Yes (X)
Deborah Gogliettino
Senior Vice President, Human Resouces13.0048.00$0$141,600$1,159Yes (X)
Deborah Parker
Executive Vice President, Chief Clinical Officer13.0048.00$0$226,407$1,655Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,401,521TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,555,112TotReportableCompRltdOrgAmt
Total Other Compensation$207,376TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUND PHYSICIANS
PO BOX 742936LOS ANGELESCA900742936Physician Services$1,898,971
ALL-PHASE ENTERPRISES INC
72 W STAFFORD RD SUITE C3STAFFORD SPRINGSCT06076Construction$534,552
CONNECTICUT HOSPITAL ASSOCIATION
PO BOX 90 110 BARNES ROADWALLINGFORDCT06492various services$373,476
RINALDI LINEN SERVICE
47 COMMONS COURTWATERBURYCT06704Linen/Laundry Services$220,319
SODEXO OPERATIONS LLC
BOX 360170PITTSBURGHPA152516170Food/Dietary Services$210,002
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Government Grants$200,208GovernmentGrantsAmt
All Other Contributions$243,926AllOtherContributionsAmt
Total Contributions$444,134TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE622110$59,971,941$59,971,941
OTHER HEALTHCARE REVENUE621500$490,173$11,855$478,318
FieldValueIRS element (for citing)
Total Program Service Revenue$60,462,114TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,211TotalRevenueColumnAmt
Exclusion$63,211ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$510,426RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$534,509RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$24,083RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$24,083TotalRevenueColumnAmt
Exclusion-$24,083ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory-$9,069GrossSalesOfInventoryAmt
Cost Of Goods Sold$5,780CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,849TotalRevenueColumnAmt
Exclusion-$14,849ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCafeteria RevenueDesc
Business722210BusinessCd
Total Revenue Column$159,659TotalRevenueColumnAmt
Exclusion$159,659ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$159,659OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,090,186TotalRevenueColumnAmt
Related Or Exempt Func Income$59,983,796RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$478,318UnrelatedBusinessRevenueAmt
Exclusion$183,938ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,571,113TotalAmt
Management And General$1,571,113ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,474,670TotalAmt
Program Services$22,781,703ProgramServicesAmt
Management And General$3,692,967ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,107,359TotalAmt
Program Services$941,255ProgramServicesAmt
Management And General$166,104ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,370,745TotalAmt
Program Services$6,265,133ProgramServicesAmt
Management And General$1,105,612ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,498,315TotalAmt
Program Services$1,273,568ProgramServicesAmt
Management And General$224,747ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$93,155TotalAmt
Management And General$93,155ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,754,625TotalAmt
Program Services$1,052,775ProgramServicesAmt
Management And General$701,850ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,233TotalAmt
Management And General$27,233ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$186,310TotalAmt
Program Services$93,155ProgramServicesAmt
Management And General$93,155ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$102,706TotalAmt
Program Services$51,353ProgramServicesAmt
Management And General$51,353ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,837,722TotalAmt
Program Services$1,562,064ProgramServicesAmt
Management And General$275,658ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,801TotalAmt
Program Services$5,781ProgramServicesAmt
Management And General$1,020ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,884TotalAmt
Program Services$10,101ProgramServicesAmt
Management And General$1,783ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$678,065TotalAmt
Program Services$678,065ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,257,240TotalAmt
Program Services$2,612,421ProgramServicesAmt
Management And General$644,819ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,938,820TotalAmt
Program Services$2,497,997ProgramServicesAmt
Management And General$440,823ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$9,049,593$9,049,593
ECHN Allocation$5,636,773$3,382,064$2,254,709
Physician Fees$4,367,419$4,367,419
bad debts expense$1,985,773$1,985,773

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,081,282TotalAmt
Program Services$1,233,705ProgramServicesAmt
Management And General$1,847,577ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$73,037,603TotalAmt
Program Services$55,476,506ProgramServicesAmt
Management And General$17,561,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,130,527BOYAmt
EOY$299,533EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,279,947BOYAmt
EOY$6,032,974EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,266,636BOYAmt
EOY$1,197,642EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$209,438BOYAmt
EOY$284,163EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$91,780,999LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,516,163LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,002,822BOYAmt
EOY$24,264,836EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,583,455BOYAmt
EOY$2,808,042EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,132,869BOYAmt
EOY$2,090,244EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,286,539BOYAmt
EOY$3,709,765EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,310,762BOYAmt
EOY$12,612,535EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$66,202,995BOYAmt
EOY$53,299,734EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,623,272BOYAmt
EOY$4,934,063EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,342,472BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,044,272BOYAmt
EOY$829,132EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,314,069BOYAmt
EOY$30,805,364EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,324,085BOYAmt
EOY$36,568,559EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,969,087BOYAmt
EOY$11,556,416EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$537,851BOYAmt
EOY$582EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,371,972BOYAmt
EOY$5,174,177EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,878,910BOYAmt
EOY$16,731,175EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,202,995BOYAmt
EOY$53,299,734EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$11,947,417ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$9,799,682OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,213OtherActivitiesAmt
Total Lobbying Expenditures$20,213TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Connecticut Hospital Association (CHA) has determined for its fiscal year that $15,911 of its membership dues from Rockville General Hospital were used for lobbying purposes. The American Hospital Association (AHA) has determined for its fiscal year that $4,302 of its membership dues from Rockville General Hospital were used for lobbying purposes.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,526,596BeginningYearBalanceAmt
Investment Earnings Or Losses$30,131InvestmentEarningsOrLossesAmt
Other Expenditures$9,737,092OtherExpendituresAmt
Administrative Expenses$11,593AdministrativeExpensesAmt
End Year Balance$2,808,042EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,538,092BeginningYearBalanceAmt
Investment Earnings Or Losses$5,697InvestmentEarningsOrLossesAmt
Administrative Expenses$17,193AdministrativeExpensesAmt
End Year Balance$12,526,596EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,605,016BeginningYearBalanceAmt
Investment Earnings Or Losses$939,011InvestmentEarningsOrLossesAmt
Administrative Expenses$5,935AdministrativeExpensesAmt
End Year Balance$12,538,092EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,707,116BeginningYearBalanceAmt
Investment Earnings Or Losses$1,197,900InvestmentEarningsOrLossesAmt
Other Expenditures$300,000OtherExpendituresAmt
End Year Balance$11,605,016EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,113,580BeginningYearBalanceAmt
Investment Earnings Or Losses$1,593,536InvestmentEarningsOrLossesAmt
End Year Balance$10,707,116EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00230BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.99770PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$644,006OtherCostOrOtherBasisAmt
Book Value$644,006BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,974,604OtherCostOrOtherBasisAmt
Depreciation$32,233,051DepreciationAmt
Book Value$18,741,553BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,440,025OtherCostOrOtherBasisAmt
Depreciation$703,499DepreciationAmt
Book Value$736,526BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,128,625OtherCostOrOtherBasisAmt
Depreciation$34,078,239DepreciationAmt
Book Value$4,050,386BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$593,739OtherCostOrOtherBasisAmt
Depreciation$501,374DepreciationAmt
Book Value$92,365BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,264,836TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INTEREST IN NET ASSETS OF ECHN COMMUNITY HEALTHCARE FOUNDATION, INC.$282,871F
INVESTMENTS IN JOINT VENTURES$3,426,894C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$3,709,765TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$11,126,106
OTHER ASSETS$18,779
ESTIMATED SETTLEMENTS DUE FROM THIRD PARTY PAYERS$1,308,852
REINSURANCE RECOVERABLE$158,798
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,612,535TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ESTIMATED SELF INSURANCE LIABILITIES$4,488,643
ACCRUED PENSION AND POST RETIREMENT BENEFITS$14,677,465
CONDITIONAL RETIREMENT ASSET OBLIGATIONS$132,211
ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYERS$3,469,683
OTHER CURRENT LIABILITIES$252,586
DUE TO AFFILIATES$6,504,197
ADVANCE ON SALE$1,280,579
FieldValueIRS element (for citing)
Total Liability$30,805,364TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$61,266,478TotalRevEtcAuditedFinclStmtAmt
Other Revenue$164,451OtherRevenueAmt
Revenue Not Reported$164,451RevenueNotReportedAmt
Revenue Subtotal$61,102,027RevenueSubtotalAmt
Other Revenues Not Included-$11,841OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$11,841RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$61,090,186TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$73,067,466TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,780OtherExpensesIncludedAmt
Expenses Not Reported$5,780ExpensesNotReportedAmt
Expenses Subtotal$73,061,686ExpensesSubtotalAmt
Other Expenses Not Included-$24,083OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$24,083ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$73,037,603TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:THE PRINCIPAL AND INCOME FROM THE UNRESTRICTED ENDOWMENT FUNDS AND THE INCOME FROM THE TERM ENDOWMENTS ARE FOR CAPITAL AND OPERATING NEEDS OF MANCHESTER MEMORIAL HOSPITAL. THE INCOME FROM THE PERMANENT ENDOWMENTS AND PRINCIPAL FROM THE TERM ENDOWMENTS ARE FOR THE USE OF MANCHESTER MEMORIAL HOSPITAL AS RESTRICTED BY THE DONORS.
Part X, Line 2:THE NETWORK ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740, "INCOME TAXES," WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE NETWORK MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE NETWORK DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2016 AND 2015. THE NETWORK'S POLICY IS TO INCLUDE PENALTIES AND INTEREST AS A COMPONENT OF INCOME TAX EXPENSE, WHEN APPLICABLE. AS OF SEPTEMBER 30, 2016 AND 2015, THE NETWORK DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. GENERALLY, THE NETWORK'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
Part XI, Line 2d - Other Adjustments:COST OF GOODS SOLD - GIFT SHOP 5,780. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 158,671.
Part XI, Line 4b - Other Adjustments:TEMPORARILY RESTRICTED CONTRIBUTIONS AND INVESTMENT income 12,242. NET RENTAL LOSS -24,083.
Part XII, Line 2d - Other Adjustments:COST OF GOODS SOLD - GIFT SHOP 5,780.
Part XII, Line 4b - Other Adjustments:NET RENTAL LOSS -24,083.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served529PersonsServedCnt
Total Community Benefit Expns$452,861TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$70,395DirectOffsettingRevenueAmt
Net Community Benefit Expns$382,466NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served16057PersonsServedCnt
Total Community Benefit Expns$14,252,671TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,446,951DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,805,720NetCommunityBenefitExpnsAmt
Total Expense0.09320TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served16586PersonsServedCnt
Total Community Benefit Expns$14,705,532TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,517,346DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,188,186NetCommunityBenefitExpnsAmt
Total Expense0.09840TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served41754PersonsServedCnt
Total Community Benefit Expns$155,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$153,921NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served275PersonsServedCnt
Total Community Benefit Expns$387,019TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,294DirectOffsettingRevenueAmt
Net Community Benefit Expns$308,725NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1258PersonsServedCnt
Total Community Benefit Expns$941,510TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$331,001DirectOffsettingRevenueAmt
Net Community Benefit Expns$610,509NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$14,859TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,859NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served447PersonsServedCnt
Total Community Benefit Expns$16,933TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,933NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Persons Served43734PersonsServedCnt
Total Community Benefit Expns$1,515,681TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$410,734DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,104,947NetCommunityBenefitExpnsAmt
Total Expense0.01510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Persons Served60320PersonsServedCnt
Total Community Benefit Expns$16,221,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,928,080DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,293,133NetCommunityBenefitExpnsAmt
Total Expense0.11350TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$41,983TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,473NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served6PersonsServedCnt
Total Community Benefit Expns$79TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$79NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served6PersonsServedCnt
Total Community Benefit Expns$42,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,552NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,985,773BadDebtExpenseAmt
Bad Debt Expense Attributable$1,504,520BadDebtExpenseAttributableAmt
Reimbursed By Medicare$15,368,482ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$20,398,087CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,029,605MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKVILLE GENERAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line131 union streetAddressLine1Txt
CityvernonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06066ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ECHN.ORGWebsiteAddressTxt
State LicenseLICENSE NO: 00036StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ROCKVILLE GENERAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.echn.org/community-benefit-reportingOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.echn.org/community-benefit-reportingStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.echn.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.echn.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.echn.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ROCKVILLE GENERAL HOSPITALPart V, Section B, Line 5: The assessments incorporate data from both quantitative and qualitative sources. Quantitative data input includes primary research (phone surveys) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through an online key informant survey (OKIS).The Community Health Needs Assessment was sponsored by a collaboration of community partners and relied on information provided by: public health and vital statistics data a variety of existing (secondary) data data representing the most recent BRFSS (Behavioral Risk Factor Surveillance System) prevalence and trends data (published online by the Centers for Disease Control and Prevention) state-wide risk factor data nationwide risk factor data Healthy People 2020 which provides science-based, 10-year national objectives for improving the health of all Americans phone surveys (based on the Centers for Disease Control Behavioral Risk Factor Surveillance Survey) And online key informant surveys.The participants for the online surveys included input from physicians and other health providers, public health experts, social service representatives, and community leaders. For a full listing of participating agencies, please reference the 2016 CHNA for Rockville General Hospital.
ROCKVILLE GENERAL HOSPITALPart V, Section B, Line 6a: FACILITY NAME:ROCKVILE GENERAL HOSPITALDESCRIPTION:THE CHNA WAS CONDUCTED BY EASTERN CONNECTICUT HEALTH NETWORK,WHICH INCLUDES MANCHESTER MEMORIAL HOSPITAL AND ROCKVILLEGENERAL HOSPITAL.
ROCKVILLE GENERAL HOSPITALPart V, Section B, Line 11: FACILITY NAME:ROCKVILLE GENERAL HOSPITALDESCRIPTION:I. Access to Healthcare Services:Strategy #1: Build the capacity of ECMPF primary care offices to provide primary and preventive healthcare services with at least 2 providers.Strategy #2: Expand the number of Family Practice Residents trained at ECHN from 25 residents per year to 33 and actively recruit graduates to practice locally. Strategy #3: Ensure that ECHN's hospital and home health care management programs as well as the ECHN hospitalist practitioners provide effective transitions of care for patients treated at ECHN facilities with an emphasis on communication with primary care physicians. II. Cancer Strategy 1: Colon Cancer - Colorectal screening and education Develop a marketing campaign for Colon Cancer Awareness Month each year to create awareness Hold a colonoscopy screening event to promote screenings, educate the community Promote the Open Access Program offered by local physicians at Evergreen Endoscopy Center that makes convenient appointments easier to obtain for screeningsStrategy 2: Lung Cancer - Promote and educate community on ECHN's Low Dose CT Screening Program Maintain ECHN's ACR accreditation as a Designated Cancer Screening Center Develop marketing and promotional material to create awareness of the need for screening and the community resources available Provide education to community and physicians through presence at health fairs and by hosting community education lecturesStrategy 3: Prostate Cancer - Host a Prostate Screening Event Determine eligibility and process to adhere to national standard of prostate screenings Collaborate with local physicians and health care workers to hold event Market and promote a prostate cancer screening eventStrategy #1: Educate women about the importance of preventative and screening services and lifestyle changes: Develop and coordinate educational lectures and seminars which will be offered to the community Publish information in ECHN's Better Being newsletter regarding health screenings, educational programs and lectures Participate in health fairs and community events Coordinate with ECHN providers to present educational programs and lectures related to women's health, diabetes and heart diseaseStrategy #2: Build community relationships to increase awareness of the ECHN Early Detection Program: The Community Health Navigator will engage and collaborate with community partners in order to provide education on program benefits and services available The Community Health Navigator will provide written material, in both English and Spanish, to community partners and providers detailing services available, and contact information for eligibilityStrategy 1: Freedom From Smoking: Provide program at least 3 times a year Advertise program through Better Being and with community partners Increase number of facilitators to 2 Provide program at multiple locationsStrategy 2: Offer smoking prevention presentation to public and private schools: Contact schools with 6th grade classes offering presentations Participate in health fairs at high schools and vocational schoolsStrategy 3: Provide CEU program to community primary care physicians: Provide education regarding available smoking prevention and cessation programsStrategy 4: Participate in health fairs: Provide material on nicotine addiction Provide material on Freedom From SmokingStrategy 1: Offer support to cancer survivors Established process to identify patients who have completed cancer therapy and provide patients with summary care plan which includes cancer diagnosis, stage and treatment receivedStrategy 2: Educate cancer survivors on managing lifestyle behaviors after treatment completion Survivorship care plan will also include road map for recommended follow up care Educate and encourage lifestyle changes to reduce cancer recurrence and/or improve quality of lifeIII. Heart Disease & StrokeStrategy #1: Provide education for cardiovascular disease risk factors and behavior modification Produce multi-year plan to improve health and reduce risky behaviors of our ECHN employees and families Provide community education lecture(s) on the signs and symptoms of stroke and heart attack, the early recognition of symptoms and importance of seeking immediate medical care Promote nutrition counseling services offered by local supermarkets and community centers to promote healthy diets Promote physical fitness activities/programs available in the community including fitness centers, cardiac rehabilitation programs, schools, parks and recreation programs Participate in community health fairs throughout service area where blood pressure, cholesterol, body fat composition analysis and education resources will be offeredStrategy #2: Promote the Freedom From Smoking cessation program Offer behavioral counseling on the short and long term physiologic benefits and quality of life benefits from smoking cessation Provide education about FDA approved smoking cessation medications Promote available smoking cessation programs to physicians in the community and hospitals as an option for patients who smokeStrategy #3: Promote cardiac rehabilitation Promote cardiac rehabilitation services to restore people who have had a heart condition or heart surgery to the highest possible physiological, emotional, social, and vocational levelIV. Infant Health & Family PlanningThis strategy will focus on the service areas of Manchester and Vernon Strategy #1: Improve access to care and education Continue family planning education sessions/tours Encourage the use of the Maternity Care Center (MCC) at Rockville General Hospital Provide information through ECHN digital boards, Readiness Committees, ECHN social media and ECHN Website Continue to publicize educational opportunities through Better Being magazine Continue the distribution of ECHN prenatal folders through the community practices that contain comprehensive topical informationStrategy #2: Increase preconception and first trimester pregnancy education Encourage regular ECHN birth class attendance Provide information through ECHN digital boards, Readiness Committees, ECHN social media and Website Pursue the development of a preconception and an early pregnancy class offering
ROCKVILLE GENERAL HOSPITALPart V, Section B, Line 13h: DESCRIPTION:FAMILY SIZE IS USED WITH INCOME LEVEL.
ROCKVILLE GENERAL HOSPITALPart V, Section B, Line 16i: DESCRIPTION:THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH NOTICES POSTED IN PUBLIC AREAS AROUND THE HOSPITAL, ON THE PATIENT BILLS, ON OUR WEBSITE, AND FOR SELECTED PRE-SCHEDULED SERVICES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.
ROCKVILLE GENERAL HOSPITALPart V, Section B, Line 22d: DESCRIPTION:PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORETHAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE FOREMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II, Community Building Activities:ROCKVILLE GENERAL HOSPITAL (RGH), AS PART OF EASTERN CONNECTICUT HEALTH NETWORK (ECHN), PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY COMMITTING THE EXPERTISE AND RESOURCES OF THE ORGANIZATION TO A NUMBER OF COMMUNITY BUILDING ACTIVITIES THAT SUPPORT ASSOCIATIONS, BUSINESSES, PROGRAMS, INITIATIVES AND OTHER VALUABLE LOCAL COMMUNITY ASSETS. COMMUNITY BUILDING ACTIVITIES INCLUDE SERVING ON THE BOARD AND EXECUTIVE COMMITTEE OF REGIONAL CHAMBERS OF COMMERCE IN SUPPORT OF THE LOCAL BUSINESS INDUSTRY; PARTNERING WITH THE LOCAL SCHOOL SYSTEMS AND COLLEGES IN VARIOUS WORKFORCE DEVELOPMENT PROGRAMS; SERVING ON THE VERNON SCHOOL READINESS COUNCIL, THE CANCER COMMUNITY OUTREACH COMMITTEE AND THE AMERICAN HOSPITAL ASSOCIATION'S REGIONAL POLICY BOARD; AND NUMEROUS COMMUNITY COALITIONS THAT ADDRESS ADOLESCENT BEHAVIORAL HEALTH CONCERNS. AS A RESULT OF THESE ACTIVITIES, THERE HAS BEEN IMPROVED COLLABORATION AMONG COMMUNITY PROVIDERS ANDOTHERS INVOLVED IN PROVIDING SERVICES TO CHILDREN, ADOLESCENTS AND THEIR FAMILIES AND OTHER ADULTS.
Part III, Line 2:METHODOLOGY USED TO ESTIMATE BAD DEBT:THE NETWORK PROVIDES FOR A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NETWORK ANALYZES CONTRACTUALLY DUEAMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITHDEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NETWORK RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THEBASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE NETWORK OFFERS A DISCOUNT OFF ITS STANDARD RATES FOR SERVICES PROVIDED. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED UNCOLLECTIBLE.
Part III, Line 4:FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT:the Network provided for a provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, the Network analyzed contractually due amounts and provided an allowance for doubtful accounts (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who were known to be having financial difficulties that makethe realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage existed for part of the bill), the Network recorded a significant provision for bad debts in the period of service on the basis of its past experience, which indicated that many patients were unable or unwilling to pay the portion of their bill for which they were financially responsible. For uninsured patients that did not qualify for financial assistance, the Network offered a discount off its standard rates for services provided. The difference between the discounted rates and the amounts actually collected after all reasonable collection efforts have been exhausted is written off against the allowance for doubtful accounts in the period they were determined uncollectible.
Part III, Line 8:DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METFIOD USED:THE HOSPITAL PROVIDES QUALITY HEALTH CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY, CHARITY CARE IS PROVIDED TO THOSE WHO ARE ELIGIBLE BASED ON RGH'S POLICY. RGH ALSO INCURS UNPAID COSTS FORGOVERNMENT PROGRAMS BECAUSE REIMBURSEMENT IS NOT SUFFICIENT TO COVER COSTS ASSOCIATED WITH MEDICARE AND MEDICAID PATIENTS. THE ORGANIZATION'S MEDICARE COST REPORT WAS USED TO CALCULATE ACTUAL COSTS REPORTED ON PART III, LINE 6. THE ACCESS TO HEALTHCARE BY PATIENTS COVERED BY MEDICARE IS A FUNDAMENTAL PART OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM.
Part III, Line 9b:DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:INTERNAL AND EXTERNAL COLLECTION POLICIES AND PROCEDURES TAKE INTO ACCOUNT THE EXTENT TO WHICH A PATIENT IS QUALIFIED FOR CHARITY CARE OR DISCOUNTS. IN ADDITION, PATIENTS WHO QUALIFY FOR PARTIAL DISCOUNTS ARE REQUIRED TO MAKE A GOOD FAITH EFFORT TO HONOR PAYMENT AGREEMENTS WITH THE HOSPITAL, INCLUDING PAYMENT PLANS AND DISCOUNTED HOSPITAL BILLS. RGH IS COMMITTED TO WORKING WITH PATIENTS TO RESOLVE THEIR ACCOUNTS, AND AT ITS DISCRETION, MAY PROVIDE EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS. RGH WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST CHARITY CARE PATIENTS WHO HAVE COOPERATED WITH THE HOSPITAL TO RESOLVE THEIR ACCOUNTS AND HAVE DEMONSTRATED THEIR INCOME AND/OR ASSETS ARE INSUFFICIENT TO PAY MEDICAL BILLS.
Part VI, Line 2:In 2016, RGH collaborated with Manchester Memorial Hospital, also an affiliate of ECHN, to conduct a comprehensive community health needs assessment (CHNA). The CHNA was a systematic, data-driven approach to determining the health status, behaviors and needs of residents in the service area of Rockville General Hospital. Subsequently, this information was used to inform decisions and guide efforts to improve community health and wellness.A CHNA provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This CHNA will serve as a tool toward reaching three basic goals: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.This assessment was conducted on behalf of the Eastern Connecticut Health Network and Rockville General Hospital by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments such as this in hundreds of communities across the United States since 1994.
Part VI, Line 3:THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH NOTICES POSTED IN PUBLIC AREAS AROUND THE HOSPITAL, ON THE PATIENT BILLS, ON OUR WEBSITE, AND SELECTED PRE-SCHEDULED SERVICES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTHCARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.
Part VI, Line 4:ECHN's community, as defined for the purposes of the Community Health Needs Assessment, included each of the residential Zip Codes that comprise the hospital's town location including 06040 and 06042 for Manchester Memorial Hospital and 06066 for Rockville General Hospital. This community definition was determined because the majority of ECHN's patients originate from these areas for use of our hospital services.Demographics of the CommunityThe population of Rockville General Hospital's service area is estimated at 29,179 people. It is predominantly non-Hispanic White (85.1%), but also has substantial African America (5.8%) and Hispanic (6.5%) populations.
Part VI, Line 5:Community health education initiatives and programs are offered to the community and include free community health educational programs, development and distribution of a wellness magazine to more than 150,000 households in the service area, demonstrations, and health fair participation. For example, the hospital hosted a series of Heart Talk education programs for people living with heart failure, to help people learn how to proactively manage heart disease and improve quality of life. Other presentations were made to the community about breast cancer, preventative/screening recommendations, and free screening programs. These presentations were made at the Greater Hartford Women's Conference, Town of Ellington Senior Health Fair, 4th District Health Fair, Mobile Food Share, Town of Vernon "Seniorhood" Fair, Woodlake at Tolland Health Center Fair, A Conversation: Women to Women presentation, and the Crestfield Manor Health Fair. Other areas of particular focus include: access to healthcare services, cancer, heart disease and stroke, infant health, mental health, nutrition/physical activity/weight, substance abuse, diabetes, and tobacco use, which were identified as areas of need in the community health needs assessment conducted in 2016. More than 40,000 people benefitted from these initiatives and programs in FY 16. Free health screenings including diabetic foot checks, mammograms, heart disease screenings, glucose readings, injury screenings, blood pressure, vital sign checks and medical exams are offered in the community. For example, risk factor screenings were done at the Wear Red Day. Blood Pressure screenings were done at the Women's Center for Wellness. Three diabetic foot screenings were done during the year. Targeting uninsured/underinsured populations, 33 people benefitted from these services in FY 16. Healthcare support services are provided by the hospital to increase access and quality of care to individuals in need. Efforts include assistance to enroll in public programs, referrals to social services, and help in finding physicians who accept Medicaid or other government programs. Fifteen (15) people benefitted from these efforts in FY 16. Partnering with local educational institutions, Rockville General Hospital provides a clinical setting for medical students, nursing students, radiologic technicians, phlebotomy students, respiratory technicians, dietetic interns, pharmacy students, physical therapists and others from the University of New England College of Osteopathic Medicine, University of Connecticut, Manchester Community College, Central Connecticut State University, Goodwin College, Capital Community College, American International College, Springfield Technical Community College, Asnuntuck Community College, Stone Academy, University of Saint Joseph's, and the University of Hartford. For example, the RGH pharmacy rotated 2nd and 4th year pharmacy students through the pharmacy. Health services which are subsidized by the hospital include the Early Detection Program, the Maternity Care Center, dialysis services, and the Ryan White Part A program. Specific research initiatives conducted by the hospital include an Institutional Review Committee, which has the primary responsibility to protect the rights and welfare of research subjects and to approve all research studies in accordance with federal regulations. The hospital also maintains a cancer registry database. Financial and in-kind services and goods are donated to community groups and other not for profit organizations, including local fundraisers, facility space to host blood drives, and conference rooms for health support groups organizations' meetings. For example, the hospital provides free meeting space for the ECHN Prostate Cancer Support Group, the Breast Cancer Network of Strength, and Overeaters Anonymous. The expertise and resources of the organization are dedicated to a number of community building activities that support associations, businesses, programs, initiatives and other valuable local community assets. For example, the hospital and its employees participate in regional exercises to evaluate the readiness of the hospital's emergency preparedness capabilities, partner with the local school systems and colleges in various workforce development programs, serve on the Vernon School Readiness Council, and the Cancer Community Outreach Committee.
Part VI, Line 6:ROCKVILLE GENERAL HOSPITAL (RGH) IS AN AFFILIATE OF EASTERN CONNECTICUT HEALTH NETWORK (ECHN), A HEALTH CARE SYSTEM SERVING 19 TOWNS IN EASTERN CONNECTICUT.THE ECHN NETWORK OF AFFILIATES INCLUDES: MANCHESTER MEMORIAL HOSPITAL, A COMMUNITY HOSPITAL LICENSED FOR 249 BEDS AND 34 BASSINETS, THAT OFFERS MEDICAL AND SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, A MODERN FAMILY BIRTHING CENTER AND NEONATOLOGY SERVICES, REHABILITATION SERVICES, A CERTIFIED SLEEP DISORDERS CENTER, INTENSIVE CARE SUITES, A WOUND HEALING CENTER WITH HYPERBARIC THERAPY, HOSPICE CARE, DIABETES SELF-MANAGEMENTPROGRAM, CARDIAC &PULMONARY REHABILITATION, ACOMPREHENSIVE RANGE OF ADOLESCENT AND ADULT INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, NUTRITION COUNSELING, LABORATORY SERVICES, AND THE EASTERN CONNECTICUT CANCER INSTITUTE AT THE JOHN A. DEQUATTROCANCER CENTER.ROCKVILLE GENERAL HOSPITAL, A COMMUNITY HOSPITAL LICENSED FOR 102 BEDS, THAT OFFERS MEDICAL AND SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, CARDIAC 8 PULMONARY REHABILITATION, PHYSICAL REHABILITATION, HOSPICE CARE, A MATERNITY CARE CENTER FOR UNINSUREDWOMEN, OUTPATIENT ADOLESCENT BEHAVIORAL HEALTH SERVICES, AND LABORATORY SERVICES. WOODLAKE AT TOLLAND IS A SKILLED NURSING &REHABILITATION CENTER, A 130-BED LONG-TERM SKILLED NURSING CARE AND SHORT-TERM REHABILITATION FACILITY. CUSTOMIZED REHABILITATION TREATMENTSERVICES INCLUDE JOINT REPLACEMENT REHABILITATION, ORTHOPEDIC POSTHOSPITAL CARE, STROKE/NEUROLOGICAL REHAB, POST MEDICAUSURGICAL RECONDITIONING, AND PERSONALIZED, PROGRESSIVE, AND INTERDISCIPLINARY CARE SERVICES.EASTERN CONNECTICUT MEDICAL PROFESSIONALS FOUNDATION, INC. (ECMPF), A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT OFFERS A FULL RANGE OF HEALTHCARE SERVICES, INCLUDING PRIMARY AND SPECIALTY CARE IN THE TOWNS OF EAST HARTFORD, ELLINGTON, MANCHESTER, SOUTH WINDSOR,TOLLAND AND VERNON/ROCKVILLE. GLASTONBURY WELLNESS CENTER COMBINES FITNESS AND MEDICAL SERVICES UNDER ONE ROOF, INCLUDING PHYSICIAN PRACTICES, LABORATORY DRAW SERVICES, MEDICAL IMAGING DIAGNOSTIC SERVICES, AND REHABILITATION SERVICES.ECHN MEDICAL BUILDINGS AT EVERGREEN WALK (SOUTH WINDSOR): 2400 TAMARACK AVENUE OCCUPANTS INCLUDE EVERGREEN ENDOSCOPY CENTER, CENTRAL CONNECTICUT GASTROENTEROLOGY, THE COLON & RECTAL SURGEONS OF GREATER HARTFORD, ECMPF PRIMARY CARE PHYSICIANS, RHEUMATOLOGY PHYSICIANS, WALDEN BEHAVIORAL CARE EATING DISORDERS CLINIC, ACCLAIM BEHAVIORAL SERVICES, LLC, AND LABORATORY SERVICES.2600 TAMARACK AVENUE INCLUDES THE WOMEN'S CENTER FOR WELLNESS, ECHN BREAST CARE COLLABORATIVE, AND THE OB/GYN GROUP OF EASTERN CONNECTICUT. THE CONFERENCE ROOM IS USED FOR COMMUNITY PROGRAMS.2800 TAMARACK AVENUE HOUSES EVERGREEN IMAGING CENTER, ECHN REHABILITATION SERVICES, A LABORATORY DRAW STATION, AND A SERIES OF MEDICAL PRACTICES (INCLUDING ORTHOPEDIC SURGERY, OPHTHALMOLOGY, AND OTOLARYNGOLOGY), CORPCARE, AND SOUTH WINDSOR URGENT CARE.ECHN MANCHESTER MEDICAL OFFICE BUILDINGS: 150 NORTH MAIN STREET OFFERS A VARIETY OF ADULT BEHAVIORAL HEALTH SERVICES. 130 HARTFORD ROAD, OFFERING PRIMARY CARE AND LABORATORY SERVICES. 353 Main Street, Manchester houses Digestive Heath Specialists of Eastern CT, LLC and a gastroenterologist. 945 Main Street, Manchester houses digestive health physicians. 460 Hartford Turnpike, Vernon, includes an endocrinologist and Davita Dialysis. VISITING NURSE &HEALTH SERVICES OF CONNECTICUT, PROVIDES AT-HOME NURSING CARE AND HOSPICE CARE.ECHN HAS 388 PHYSICIANS (305 ACTIVE, 34 COURTESY, 16 CONSULTING, 33 PART-TIME), 105 ALLIED HEALTH PROFESSIONALS, 10 MEDICAL DEPARTMENTS AND 16 SERVICES AS WELL AS 18 UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE THIRD-YEAR MEDICAL STUDENTS AVAILABLE TO CAREFOR THE COMMUNITY. IN ADDITION, ECHN HAS 87 ELECTIVE STUDENTS FROM VARIOUS UNIVERSITIES WHO COME FOR ONE ROTATION PER YEAR.
SCHEDULE H, PART VI - ADDITIONAL INFORMATIONTHE ROCKVILLE GENERAL HOSPITAL, INC. IS A NOT-FOR-PROFIT 102-BED ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF VERNON-ROCKVILLE, CT AND SURROUNDING TOWNS. THE HOSPITAL IS A SUBSIDIARY OF THE EASTERN CONNECTICUT HEALTH NETWORK, INC., WHICH WAS FORMED IN 1995 BY A MERGER OF MMH CORP. AND ROCKVILLE AREA HEALTH SERVICES, INC. ECHN WAS ORGANIZED TO PROVIDE A BROADER HEALTH CARE SYSTEM FOR THESURROUNDING COMMUNITIES WITH QUALITY MEDICAL CARE AT A REASONABLE COST AND TO FOSTER AN ENVIRONMENT CONDUCIVE TO HEALTH AND WELL BEING WHETHER IN THE HOME OR IN THE COMMUNITY.ROCKVILLE GENERAL HOSPITAL PATIENTS NOT HAVING INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY QUALIFIED CARE (UNINSURED PATIENTS), AS WELL AS UNDERINSURED PATIENTS, SUBJECT TO INCOME LIMITS AND FAMILY SIZE RECEIVE FREE OR DISCOUNTED CARE. ROCKVILLE GENERAL HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. CHARGES FOR CARE PROVIDED TO PATIENTS ARE DETERMINED BY ESTABLISHED RATES, SUBJECT TO POSSIBLE ADJUSTMENTS OR DISCOUNTS FOR LOW INCOME PATIENTS; CONTRACTUAL DISCOUNTS, OR DISCOUNTS FOR PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES. CHARITY CARE FOR FY 2016 WAS $1,504,520 FOR 529 APPROVED APPLICANTS.EXPENSES RELATED TO SERVICES PERFORMED FOR PATIENTS OF ROCKVILLE GENERAL HOSPITAL CONTRIBUTE IMPORTANTLY TO ITS EXEMPT PURPOSE BECAUSE THE EXPENSES ARE INCURRED IN THE DIAGNOSIS, CURE,MITIGATION, TREATMENT AND PREVENTION OF DISEASE, AND FOR MEDICAL PURPOSES AFFECTING THE STRUCTURE OR FUNCTION OF THE HUMAN BODY. ROCKVILLE GENERAL HOSPITAL PROVIDED NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. TWO THOUSAND ONE HUNDRED TWELVE (2,052) INPATIENTS WERE CARED FOR IN FY16 REPRESENTING 10,022 PATIENT DAYS. 67,723 OUTPATIENT VISITS WERE RECORDED.INCLUDED IN THE 2,052 INPATIENTS WERE 1,610 GOVERNMENT RELATEDPATIENTS. THE GOVERNMENT INPATIENTS FALL INTO THE FOLLOWING GROUPS.MEDICARE...928MEDICARE MANAGED CARE... 382MEDICAID... 295CHAMPUS... 5TOTAL GOV PATIENTS...1,610INCLUDED IN THE 67,723 OUTPATIENT VISITS WERE 35,475 GOVERNMENTRELATED VISITS. THE VISITS ARE A PRODUCT OF GROSS REVENUERELATIONSHIP TO TOTAL VISITS. THE GOVERNMENT VISITS FALL INTO THEFOLLOWING GROUPS.MEDICARE... 16,469MEDICARE MANAGED CARE... 7,675MEDICAID... 11,150CHAMPUS... 181TOTAL GOV PATIENTS... 35,475THE HOSPITAL PROVIDED UNCOMPENSATED CARE TO 16,057 MEDICAIDPATIENTS FOR A NET COMMUNITY BENEFIT AMOUNT OF $6,805,721 AFTERMEDICAID REIMBURSEMENT.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: CT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Peter J Karl
President and CEO$0$607,548$0$258,500$0$0$0$0$0$23,743$0$889,791$0$0
Michael D Veillette
Senior Vice President, Chief Financi$0$364,031$0$131,250$0$0$0$0$0$23,743$0$519,024$0$0
Dennis McConville
Senior Vice President, Strategic Pla$0$226,122$0$131,250$0$0$0$0$0$9,272$0$366,644$0$0
Joel Reich MD
Senior Vice President, Medical Affai$0$355,897$0$131,250$0$0$0$0$0$17,694$0$504,841$0$0
Mary Powers
SVP, PATIENT CARE SERVICES$244,352$0$15,000$0$0$0$0$0$9,316$0$268,668$0$0$0
Robert Carroll MD
Medical Director, Emergency Departme$0$410,665$0$146,792$0$0$0$0$0$23,743$0$581,200$0$0
Joyce Tichy
General Counsel$0$292,550$0$131,250$0$0$0$0$0$23,743$0$447,543$0$0
David Neuhaus MD
Medical Director, Emergency Departme$306,136$0$70,000$0$0$0$0$0$1,129$0$377,265$0$0$0
Ellen G Neuhaus MD
Medical Director, Emergency Departme$227,011$0$0$0$0$0$0$0$23,300$0$250,311$0$0$0
Alexis Cordiano
Urgent Care Physician$225,927$0$0$0$0$0$0$0$20,594$0$246,521$0$0$0
Mariela Podolski
Urgent Care Physician$131,657$0$17,950$0$0$0$0$0$19,215$0$168,822$0$0$0
Sue Cavaliere
nursing supervisor$161,988$0$1,500$0$0$0$0$0$9,070$0$172,558$0$0$0
Deborah Gogliettino
Senior Vice President, Human Resouce$0$141,600$0$0$0$0$0$0$0$1,159$0$142,759$0$0
Deborah Parker
Executive Vice President, Chief Clin$0$126,407$0$100,000$0$0$0$0$0$1,655$0$228,062$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE BOARD OF TRUSTEES (THE "BOARD") APPOINTS AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") AND HAS DELEGATED THE RESPONSIBILITY OF COMPLETING AN ANNUAL MARKET ANALYSIS OF THE CEO'S COMPENSATION AND OTHER SENIOR EXECUTIVES AND COMPLETION OF THE CEO'S ANNUAL PERFORMANCE REVIEW. THE EVALUATION OF THE CEO IS AN IMPORTANT RESPONSIBILITY OF THE BOARD AND IS CRITICAL TO THE GOVERNANCE RESPONSIBILITIES OF THE BOARD. THE EXECUTIVE COMPENSATION COMMITTEE SOLICITS FEEDBACK ABOUT THE PERFORMANCE OF THE CEO FROM EVERY ACTIVE BOARD MEMBER WHICH WHEN RECEIVED IS ANALYZED AND REVIEWED BY THE MEMBERS OF THE COMMITTEE. THE CEO COMPLETES A SELF EVALUATION AND AN EVALUATION FOR ALL ELIGIBLE MEMBERS OF THE SENIOR LEADERSHIP TEAM, WHO COMPLETE BOTH ASELF-EVALUATION AND A PEER EVALUATION. THE RESULTS OF THE ASSESSMENTS COMPLETED BY THE MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED BY THE CEO WHO DISCUSSES THE RESULTS WITH THE MEMBERS OF THE COMMITTEE ON AN ANNUAL BASIS. THE EXECUTIVE COMPENSATION COMMITTEE IN COLLABORATION WITH THE CEO EVALUATES AND APPROVES ORGANIZATIONAL PERFORMANCE OBJECTIVES BOTH ON AN ANNUAL AND LONG TERM BASIS AND FOCUSES ON THOSE GOALS WITH THE GREATEST IMPACT TO THE ORGANIZATION'S STRATEGY AND MISSION. THE COMMITTEE ENSURES AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE IN RELATION TO THESE GOALS; REVIEWS THE TALLY SHEETS TO UNDERSTAND THE ECONOMICS OF THE EMPLOYEE BENEFITS; RETAINS AND ENSURES THE INDEPENDENCE OF ITS EXTERNAL CONSULTANTS AND ADVISORS AND INVOLVES RELEVANT ORGANIZATIONAL RESOURCES AS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES. THE COMMITTEE ENSURES TRANSPARENCY AND DISCLOSURE TO THE BOARD BY PRESENTING THE RESULTS OF THE ANNUAL PERFORMANCE AND MARKET REVIEWS PROVIDING THE BOARD WITH THE OPPORTUNITY FOR FURTHER INPUT AND CONSIDERATION AND ASKING THAT THE BOARD TAKE ACTION ON THE RECOMMENDATION OF THE COMMITTEE IF THE RECOMMENDATION IS APPROPRIATE. THE BOARD HAS THE OPPORTUNITY TO CHANGE ANY RECOMMENDATIONS OF THE COMMITTEE IF IT SO DESIRES. MEMBERS OF THE BOARD AND OF THE COMMITTEE WHO MAY BE INTERESTED PARTIES ARE ASKED TO RECUSE THEMSELVES FROM ANY REQUIRED VOTES TO AVOID CONFLICTS OF INTEREST. THE COMMITTEE ENSURES THAT THE PROCESS MEETS COMPLIANCE STANDARDS.
SCHEDULE J, PART I, LINE 5THE ECHN EXECUTIVE INCENTIVE COMPENSATION PLAN IS A PLAN THAT HAS BEEN DEVELOPED, REVIEWED AND IS ANNUALLY APPROVED BY MEMBERS OF THE BOARD EXECUTIVE COMPENSATION COMMITTEE WITH CONSULTANT THIRD PARTY OVERSIGHT. THE PLAN ESTABLISHES GOALS IN 4 AREAS OF PERFORMANCE: SYSTEM-WIDE FINANCIAL PERFORMANCE BASED ON PROFIT FROM OPERATIONS, TWO QUALITY OUTCOMES IN CLINICAL CORE MEASURES AND PATIENT SATISFACTION AND AN INDIVIDUAL GOAL (WHICH HAS A SEPARATE MEASUREMENT FOR TEAM ASSESSMENT) FOR EACH MEMBER OF THE INCENTIVE PROGRAM. THERE IS NO EXECUTIVE COMPENSATION TIED TO THE REVENUES OF THE REPORTING ORGANIZATION OR OTHER RELATED ENTITIES. THERE IS EXECUTIVE COMPENSATION TIED TO THE NET EARNINGS (INCOME FROM OPERATIONS), AS NOTED IN THE PRIOR PARAGRAPH, HOWEVER IT IS ONE OF FOUR PERFORMANCE LEVERS THAT DETERMINE THE LEVEL OF COMPENSATION. THE AGGREGATE NET EARNINGS OF THE ECHN "SYSTEM NOT ANY ONE REPORTING ORGANIZATION OR RELATED ENTITIES OF ECHN DETERMINE THIS COMPENSATION. SO TO CONCLUDE, THE ANSWER TO THESE 4 QUESTIONS IS "NO" WITH THE CLARIFICATION THAT IT IS THE PERFORMANCE OF THE ENTIRE SYSTEM AS A WHOLE THAT DETERMINES EXECUTIVE COMPENSATION, NOT ONE REPORTING ORGANIZATION OR A RELATED ENTITY. MEMBERS OF THE INCENTIVE PROGRAM INCLUDE THE FOLLOWING: POSITION TITLE -KEY EMPLOYEE NAME PRESIDENT AND CEO -PETER J. KARL SVP, CHIEF FINANCIAL OFFICER -MICHAEL D. VEILLETTE SVP, HUMAN RESOURCES -DEBORAH GOGLIETTINO SVP, STRATEGIC PLANNING - DENNIS MCCONVILLE SVP, CHIEF CLINICAL OFFICER -DEBORAH PARKER SVP, MEDICAL AFFAIRS -JOEL REICH, M.D. SVP, GENERAL COUNSEL -JOYCE TICHY Addendum for calendar year 2015: The ECHN Board of Trustees and the Board Compensation Committee replaced the executive short term incentive compensation program with a retention (or "stay") program pertaining to key senior ECHN executives. The purpose of this change was to ensure that the Prospect Medical Holdings (PMH) acquisition process be successfully executed through the closing date, and help provide a smooth transition of ownership. The move to this program and away from the short term incentive compensation structure was approved by the ECHN Board, as recommended by the Compensation Committee in the latter part of calendar year 2013. This decision was driven by the acquisition process and the Board's concern around executive departure.
SCHEDULE J, PART IITHE SALARY INFORMATION PROVIDED WITHIN SCHEDULE J REPRESENTS CALENDAR YEAR 2015 WAGES AND BENEFITS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Dr Dennis O'Neill Dr Michele Co
Drs. O'Neill & Conlon RGH TRUSTEES, EACH OWN MORE THAN 5% OF ECPC.$214,646ECHN, INC. CONTRACTS WITH EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, PC (ECPC), TO PROVIDE PATHOLOGY SERVICES AND LAB MANAGEMENT SERVICES TO MMH AND RGH. ALL PAYMENTS MADE TO ECPC ARE FOR PURPOSES OF OPERATING THE BUSINESS AND MAINTAINING OPERATING CASHFLOW. PAYMENTS ARE NOT DIRECTLY TO ANY OF THE OWNERS.0
Kathleen O'Neill
RGH TRUSTEE AND wife OF DR. DENNIS O'NEILL, TRUSTEE FOR ALL AFFILIatesECHN TRUSTEE AND THE WIFE OF DR. DENNIS O'NEILL, TRUSTEE FOR ALL AFFILIATES, WHO HAS A REPORTABLE TRANSACTION AS NOTED ABOVE.0
Anthony DiStefano MD
MMH TRUSTEE AND SPOUSE OF LIZANNE DISTEFANO, RGH EMPLOYEE$22,469LIZANNE DISTEFANO, SPOUSE, IS EMPLOYED BY ROCKVILLE GENERAL HOSPITAL (RGH), AN AFFILIATE OF ECHN. SALARY PAID TO LIZANNE DISTEFANO AS AN EMPLOYEE OF RGH. SALARY OF $22,469 WAS PAID BY RGH.0
Wilson Vega
Former RGH trustee and president of Connecticut Business Systems (CBS)$93,971CBS contracts with ECHN, Inc. to provide copier services to MMH and RGH. Payment of $93,971 from MMH to CBS and not directly to Wilson Vega.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 13aCT
Form 990, Part VI, Section A, line 2FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS: DENNIS O'NEILL AND MICHELE CONLON -BUSINESS RELATIONSHIP KATHLEEN O'NEILL AND DENNIS O'NEILL -FAMILY RELATIONSHIP.
Form 990, Part VI, Section A, line 6CLASSES OF MEMBERS OR STOCKHOLDERS: ECHN IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 7aMEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY: ECHN HAS THE AUTHORITY TO ELECT TRUSTEES AND OFFICERS AND APPOINT COMMITTEE MEMBERS.
Form 990, Part VI, Section A, line 7bDECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: ECHN HAS VARIOUS POWERS INCLUDING BUT NOT LIMITED TO: APPROVING ALL OPERATING AND CAPITAL BUDGETS, CONTROLLING THE INVESTMENT OF FUNDS, LOCATION OF SERVICES, AGREEMENTS AND TRANSACTIONS, AFFILIATIONS, CHANGES, AMENDMENTS, OR RESTATEMENTS OF CERTIFICATES OF INCORPORATION AND BYLAWS, ADOPTING A SYSTEM-WIDE VISION AND STRATEGIC PLANS, AND APPROVING DEBT BORROWINGS.
Form 990, Part VI, Section B, line 11REVIEW OF FORM 990 BY GOVERNING BODY: PRIOR TO FILING THE 990, THE FOLLOWING STEPS ARE TAKEN: 1) THE ACCOUNTING MANAGER, TOGETHER WITH OTHER MEMBERS OF THE FINANCE DEPARTMENT, CONDUCT A REVIEW OF THE 990 ALONG WITH A REVIEW AND RECONCILIATION OF THE 990 TO THE AUDITED FINANCIAL STATEMENTS; 2) THE ACCOUNTING MANAGER CONDUCTS AN EXTENSIVE REVIEW AND DISCUSSION OF THE 990 WITH THE CPA FIRM THAT PREPARES THE RETURN; 3) AN ELECTRONIC COPY OF THE 990 IS MADE AVAILABLE TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (THE GOVERNING BOARD), AND SENIOR MANAGEMENT OF THE ORGANIZATION, FOR REVIEW.
Form 990, Part VI, Section B, line 12cANNUALLY, THE CORPORATE COMPLIANCE/INTERNAL AUDIT DEPARTMENT PROVIDES TO OFFICERS, DIRECTORS, OR TRUSTEES AND KEY EMPLOYEES THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND DISCLOSURE STATEMENT. EACH INDIVIDUAL IS REQUIRED TO RETURN TO THE DEPARTMENT A SIGNED DOCUMENT, ACKNOWLEDGING RECEIPT OF THE POLICY AND DISCLOSURE STATEMENT AND DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. A SUMMARY OF THE DISCLOSURES IS SHARED WITH THE CHAIRMAN OF THE BOARD OF TRUSTEES AND WITH THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD. INDIVIDUALS WHO ARE IDENTIFIED AS HAVING A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODIES' DELIBERATIONS AND DECISIONS RELATED TO THE TRANSACTION. THE RETURNED STATEMENTS ARE RETAINED BY THE CORPORATE COMPLIANCE/INTERNAL AUDIT DEPARTMENT
Form 990, Part VI, Section B, line 15THE COMPENSATION COMMITTEE TAKES THE FOLLOWING STEPS WITH AN INDEPENDENT COMPENSATION CONSULTANT (1) REVIEWS DATA RELATED TO CURRENT MARKET VALUES CONSISTENT FOR ORGANIZATION'S EXECUTIVES BY REVIEW OF COMPENSATION LEVELS AND PLANS CONSISTENT WITH HOSPITALS AND HEALTH SYSTEMS OF COMPARABLE SIZE AND LOCATION; (2) COMPLETES A REVIEW OF DATA ON CURRENT AND FUTURE PLANS FOR THE ORGANIZATION, INCLUDING STRUCTURE AND JOB DESCRIPTIONS; (3) REVIEWS AND APPROVES AND RECOMMENDS SALARY RANGES FOR EACH POSITION, ALONG WITH RELATED BENEFITS; (4) REVIEWS AND APPROVES A TIERED EXECUTIVE STRUCTURE WITH APPROPRIATE INCENTIVE OPPORTUNITY, BENEFITS AND COMPENSATION. THE LAST COMPENSATION REVIEW OCCURRED 3/19/2015.
Form 990, Part VI, Section C, line 19THE ORGANIZATION, WILL, UPON REQUEST, ALLOW FOR REVIEW OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND MOST RECENT ANNUAL AUDITED FINANCIAL STATEMENTS AT AN OFFICE OF THE ORGANIZATION.
Form 990, Part XI, line 9:Change in beneficial interest in trust assets 82,000. Pension and post retirement related adjustments -257,922. Transfers from Foundation 616,264. Transfers from VNHSC 5,310,188. Transfers from Woodlake 5,778,009. Transfers to ECHN -1,730,230. Transfers from MMH 1,373.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EASTERN CONNECTICUT HEALTH NETWORK INC
71 HAYNES STREETMANCHESTERCT06040222546079Integrated health care system parent CoCT501(c)(3)11 type iii-fi0
Manchester Memorial Hospital
71 HAYNES STREETMANCHESTERCT06040060646710HOSPITALCT501(c)(3)Line 3Yes (1)ECHN
ECHN COMMUNITY HEALTHCARE FOUNDATION INC
71 HAYNES STREETMANCHESTERCT06040222546080Fundraising/SupportCT501(c)(3)Line 7Yes (1)ECHN
ECHN ELDERCARE SERVICES INC
26 SHENIPST LAKE ROADTOLLANDCT06084061149193Skilled Nursing FacilityCT501(c)(3)Line 9Yes (1)ECHN
EASTERN CONNECTICUT MEDICAL PROFESSIONAL FOUNDATION iNc
71 HAYNES STREETMANCHESTERCT06040222546078Physician ServicesCT501(c)(3)Line 3Yes (1)ECHN
VISITING NURSE & HEALTH SERVICES OF CT INC
8 KEYNOTE DRIVEVERNONCT06066060645795HOME HEALTHCARE SERVICESCT501(c)(3)Line 9Yes (1)ECHN

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PRACTICE PARTNERS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3830AddressLine1Txt
CityVERNONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06066ZIPCd
FieldValueIRS element (for citing)
EIN271498877EIN
Legal Domicile StateCTLegalDomicileStateCd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ECHN ENTERPRISES INC
71 HAYNES STREETMANCHESTERCT06040222546828real estate holdingCTN/ACYes (1)
HAYNES STREET PROPERTY MANAGEMENT LLC
71 HAYNES STREETMANCHESTERCT06040222546028REAL ESTATE PROPERTY MANAGEMENTCTN/ACYes (1)
ECHN CORPORATE SERVICES
71 HAYNES STREETMANCHESTERCT06040271596320BILLING AND OTHER PRACTICE MANAGEMENT SERVICESCTN/ACYes (1)
CONNECTICUT HEALTHCARE INSURANCE COMPANY
980623043CAPTIVE INSURANCECYes (1)PO BOX 1109cayman islandsCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Eastern CT Medical Professionals Foundation
J$63,988market value
Eastern CT Health Network
L$5,272COST
Eastern CT Health Network
M$9,792,458COST
ECHN ElderCare Services Inc
Q$1,638,795CASH TRANSFER
ECHN Community HealthCare Foundation Inc
Q$91,742CASH TRANSFER
Eastern CT Medical Professionals Foundation
R$1,806,524CASH TRANSFER
ECHN Community HealthCare Foundation Inc
M$30,447cost