WILLIAM W BACKUS HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: WILLIAM W BACKUS HOSPITAL (EIN 06-0250773)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-15
IRS object ID: 201612289349301676
Schema version: 2014v6.0
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-15T08:57:15-05:00	ReturnTs
Tax Period End	2015-09-30	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	2014-10-01	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	DANIEL E LOHR	PersonNm
Person Title	SENIOR VP/CFO	PersonTitleTxt
Phone	8608898331	PhoneNum
Signature	2016-08-15	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	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DANIEL E LOHR	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	$352,632,566	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2059	TotalEmployeeCnt
Total Volunteers	412	TotalVolunteersCnt
Total Gross UBI	$2,757,558	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$525,284	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,374,100	PYContributionsGrantsAmt
CY Contributions Grants	$1,626,345	CYContributionsGrantsAmt
PY Program Service Revenue	$302,711,330	PYProgramServiceRevenueAmt
CY Program Service Revenue	$294,807,000	CYProgramServiceRevenueAmt
PY Investment Income	$9,511,371	PYInvestmentIncomeAmt
CY Investment Income	$7,159,759	CYInvestmentIncomeAmt
PY Other Revenue	$2,179,591	PYOtherRevenueAmt
CY Other Revenue	$2,525,641	CYOtherRevenueAmt
PY Total Revenue	$316,776,392	PYTotalRevenueAmt
CY Total Revenue	$306,118,745	CYTotalRevenueAmt
PY Grants And Similar Paid	$145,509	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$178,641	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$134,279,532	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$133,334,931	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$405,448	CYTotalFundraisingExpenseAmt
PY Other Expenses	$124,191,524	PYOtherExpensesAmt
CY Other Expenses	$124,142,781	CYOtherExpensesAmt
PY Total Expenses	$258,616,565	PYTotalExpensesAmt
CY Total Expenses	$257,656,353	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,159,827	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$48,462,392	CYRevenuesLessExpensesAmt
Total Assets BOY	$513,864,285	TotalAssetsBOYAmt
Total Assets EOY	$533,869,094	TotalAssetsEOYAmt
Total Liabilities BOY	$158,969,385	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$166,315,438	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$354,894,900	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$367,553,656	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	$214,347,071	ExpenseAmt
Grant	$178,641	GrantAmt
Revenue	$293,780,904	RevenueAmt
Desc	IN FISCAL YEAR 2015, BACKUS HOSPITAL HAD 9,878 ADMISSIONS, 79,930 EMERGENCY DEPARTMENT VISITS, AND 500,449 OUTPATIENT VISITS. THE HOSPITAL DELIVERED 903 BABIES AND 6,427 SAME DAY SURGICAL PROCEDURES. BACKUS PERFORMED 140,645 OUTPATIENT IMAGING EXAMS, 7,127 MRI EXAMINATIONS, 7,791 PSYCHIATRIC CLINICAL VISITS AND 7,582 PSYCHIATRIC PARTIAL HOSPITAL VISITS.	Desc
Total Program Service Expenses	$214,347,071	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	Yes (1)	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	192	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2059	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	DANIEL LOHR	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 (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID WHITEHEAD
DIRECTOR/PRESIDENT/SENIOR VP	30.00	30.00	Yes (X)	Yes (X)	$0	$806,006	$50,532
ELIZABETH CONWAY
DIRECTOR/VICE CHAIR	3.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH MONAHAN
DIRECTOR/SECRETARY	3.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KARLA FOX
DIRECTOR/CHAIR	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY JOYCE
DIRECTOR/VICE CHAIRMAN	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN BILDATERM 615
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
STEPHEN BRIGGSTERM 615
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
JAMES CARDON MDTERM 615
DIRECTOR	2.00	40.00	Yes (X)		$0	$593,699	$111,496
NANCY GENTESTERM 615
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
PETER MANERITERM 615
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
PAUL MAXFIELDTERM 615
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
LYNNE QUINTAL-HILL
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
DONNA ROMITOTERM 615
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
DENNIS SLATERTERM 615
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
MARK TRAMONTOZZI
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
ELLIOT JOSEPHTERM 615
DIRECTOR	2.00	60.00	Yes (X)		$0	$1,895,364	$299,299
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	$25,545	$1,954
CATINA CABAN-OWEN
DIRECTOR	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
MARGARET MARCHAK
DIRECTOR/SECRETARY	3.00	60.00	Yes (X)	Yes (X)	$0	$541,910	$108,761
DANIEL LOHR
SENIOR VP/CFO	30.00	30.00		Yes (X)	$0	$593,901	$44,016
CAROLYN TRANTALIS
VP OPERATIONS EAST REGION	30.00	30.00			$0	$267,884	$39,198	Yes (X)
MARY BYLONE
VP PATIENT CARE EAST REGIO	40.00				$0	$279,774	$32,407	Yes (X)
ROBERT SIDMAN MD
PHYSICIAN	40.00				$529,422	$0	$34,490		Yes (X)
SERGIO CASILLA MD
PHYSICIAN	40.00				$512,758	$0	$34,032		Yes (X)
ZHENXIANG LIU MD
PHYSICIAN	40.00				$487,488	$0	$32,900		Yes (X)
MARIANO LIBRIJO MD
PHYSICIAN	40.00				$400,217	$0	$18,618		Yes (X)
NATHAN SIEGEL MD
PHYSICIAN	40.00				$375,699	$0	$28,333		Yes (X)
PETER SHEA
FORMER MEDICAL DIRECTOR	40.00				$0	$508,802	$30,598			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,305,584	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,512,885	TotReportableCompRltdOrgAmt
Total Other Compensation	$866,634	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	206	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	$3,289,768
YALE NEW HAVEN HOSPITAL
20 YORK STREET	NEW HAVEN	CT	06504	MEDICAL SERVICES	$1,185,182
NUANCE COMMUNICATIONS
PO BOX 7247-6924	PHILADELPHIA	PA	19170	TRANSCRIPTION	$1,071,503
BARTON & ASSOCIATES
PO BOX 417844	BOSTON	MA	02241	MEDICAL SERVICES	$887,981
NORTH AMERICAN PARTNERS IN ANESTHESIA
68 SOUTH SERVICE RD	MELVILLE	NY	11747	MEDICAL SERVICES	$862,008

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Fundraising	$80,749	FundraisingAmt
Related Organizations	$505	RelatedOrganizationsAmt
Government Grants	$523,817	GovernmentGrantsAmt
All Other Contributions	$1,021,274	AllOtherContributionsAmt
Noncash Contributions	$542	NoncashContributionsAmt
Total Contributions	$1,626,345	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT	900099	$119,454,979	$119,454,979
INPATIENT	900099	$115,111,919	$115,111,919
EMERGENCY DEPT	900099	$56,739,762	$56,739,762
LAB COURIER SERVICE	621500	$2,707,915		$2,707,915
EHR REVENUE	900099	$792,425	$792,425

Field	Value	IRS element (for citing)
Total Program Service Revenue	$294,807,000	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,345,377	TotalRevenueColumnAmt
Exclusion	$1,345,377	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,827,156	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,372,818	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$545,662	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$545,662	TotalRevenueColumnAmt
Exclusion	-$545,662	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$49,206,334	SecuritiesAmt
Other	$344,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$43,448,307	SecuritiesAmt
Other	$287,645	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,758,027	SecuritiesAmt
Other	$56,355	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,814,382	TotalRevenueColumnAmt
Exclusion	$5,814,382	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$24,320	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$80,749	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$56,715	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$32,395	TotalRevenueColumnAmt
Exclusion	-$32,395	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$464,268	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$348,336	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,932	TotalRevenueColumnAmt
Exclusion	$115,932	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722320	$1,256,304	$1,256,304
PURCHASE DISCOUNTS	900099	$349,861		$349,861
CONTRACT SERVICES	621400	$270,932		$270,932

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,110,669	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,061,026	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$49,643	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,987,766	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$306,118,745	TotalRevenueColumnAmt
Related Or Exempt Func Income	$293,780,904	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,757,558	UnrelatedBusinessRevenueAmt
Exclusion	$7,953,938	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$168,591	TotalAmt
Program Services	$168,591	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,050	TotalAmt
Program Services	$10,050	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$109,726,012	TotalAmt
Program Services	$102,968,974	ProgramServicesAmt
Management And General	$6,620,106	ManagementAndGeneralAmt
Fundraising	$136,932	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,827,651	TotalAmt
Program Services	$1,715,102	ProgramServicesAmt
Management And General	$110,268	ManagementAndGeneralAmt
Fundraising	$2,281	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,957,345	TotalAmt
Program Services	$13,097,838	ProgramServicesAmt
Management And General	$842,089	ManagementAndGeneralAmt
Fundraising	$17,418	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,823,923	TotalAmt
Program Services	$7,342,118	ProgramServicesAmt
Management And General	$472,041	ManagementAndGeneralAmt
Fundraising	$9,764	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$763,020	TotalAmt
Management And General	$763,020	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$342,992	TotalAmt
Management And General	$342,992	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$46,273	TotalAmt
Management And General	$46,273	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$374,896	TotalAmt
Management And General	$374,896	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,804,512	TotalAmt
Program Services	$11,266,674	ProgramServicesAmt
Management And General	$7,537,838	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$32,857	TotalAmt
Program Services	$7,198	ProgramServicesAmt
Fundraising	$25,659	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,270,300	TotalAmt
Program Services	$3,208,473	ProgramServicesAmt
Management And General	$1,059,664	ManagementAndGeneralAmt
Fundraising	$2,163	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,529,736	TotalAmt
Program Services	$394,737	ProgramServicesAmt
Management And General	$3,134,999	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,789,715	TotalAmt
Program Services	$486,037	ProgramServicesAmt
Management And General	$5,303,678	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$271,664	TotalAmt
Program Services	$156,498	ProgramServicesAmt
Management And General	$115,166	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,933	TotalAmt
Management And General	$2,933	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,140,928	TotalAmt
Management And General	$3,140,928	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$8,889,011	TotalAmt
Program Services	$7,013,515	ProgramServicesAmt
Management And General	$1,875,496	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,309,494	TotalAmt
Program Services	$6,088,464	ProgramServicesAmt
Management And General	$8,221,030	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,767,856	TotalAmt
Program Services	$3,154,911	ProgramServicesAmt
Management And General	$612,945	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES	$37,711,790	$37,711,790
BAD DEBT	$8,486,887	$8,486,887
MAINT/SERVICE CONTRACTS	$5,262,533	$3,918,238	$1,344,295
LAB EXPENSES	$4,153,352	$4,153,352

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,192,032	TotalAmt
Program Services	$2,997,624	ProgramServicesAmt
Management And General	$983,177	ManagementAndGeneralAmt
Fundraising	$211,231	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$257,656,353	TotalAmt
Program Services	$214,347,071	ProgramServicesAmt
Management And General	$42,903,834	ManagementAndGeneralAmt
Fundraising	$405,448	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,710,787	BOYAmt
EOY	$3,266,435	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$184,674,883	BOYAmt
EOY	$189,891,820	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$460	BOYAmt
EOY	$142	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,980,052	BOYAmt
EOY	$36,077,266	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,760	BOYAmt
EOY	$8,773	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,836,103	BOYAmt
EOY	$3,679,710	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,589,705	BOYAmt
EOY	$3,850,954	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$308,065,176	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$188,485,953	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$127,834,702	BOYAmt
EOY	$119,579,223	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$145,614,943	BOYAmt
EOY	$69,130,964	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,632	BOYAmt
EOY	$92,436,024	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,598,258	BOYAmt
EOY	$15,947,783	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$513,864,285	BOYAmt
EOY	$533,869,094	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,981,573	BOYAmt
EOY	$18,341,304	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,463,627	BOYAmt
EOY	$1,395,217	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$134,524,185	BOYAmt
EOY	$146,578,917	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$158,969,385	BOYAmt
EOY	$166,315,438	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$343,007,454	BOYAmt
EOY	$355,541,298	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,534,497	BOYAmt
EOY	$3,907,265	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,352,949	BOYAmt
EOY	$8,105,093	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$354,894,900	BOYAmt
EOY	$367,553,656	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$513,864,285	BOYAmt
EOY	$533,869,094	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$48,462,392	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,578,595	NetUnrlzdGainsLossesInvstAmt
Investment Expense	-$340,854	InvestmentExpenseAmt
Other Changes In Net Assets	-$27,884,187	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
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	$46,273	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$46,273	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	$5,719,446	BeginningYearBalanceAmt
End Year Balance	$5,719,446	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,551,985	BeginningYearBalanceAmt
Investment Earnings Or Losses	$169,678	InvestmentEarningsOrLossesAmt
Administrative Expenses	$2,217	AdministrativeExpensesAmt
End Year Balance	$5,719,446	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,396,859	BeginningYearBalanceAmt
Investment Earnings Or Losses	$159,637	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,511	AdministrativeExpensesAmt
End Year Balance	$5,551,985	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,396,859	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,226	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,226	AdministrativeExpensesAmt
End Year Balance	$5,396,859	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,320,786	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$76,505	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,432	AdministrativeExpensesAmt
End Year Balance	$5,396,859	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$119,487,496	OtherCostOrOtherBasisAmt
Depreciation	$41,411,817	DepreciationAmt
Book Value	$88,456,946	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,841,123	OtherCostOrOtherBasisAmt
Depreciation	$62,663,413	DepreciationAmt
Book Value	$2,177,710	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,097,123	OtherCostOrOtherBasisAmt
Depreciation	$84,410,723	DepreciationAmt
Book Value	$22,686,400	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,246,289	OtherCostOrOtherBasisAmt
Book Value	$1,246,289	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$119,579,223	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CT HOSP LAB	$12,632	C
ENDOWMENT LLC	$92,423,392	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$92,436,024	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DUE TO 3RD PARTIES	$9,211,505
EMPLOYEE RELATED OBLIGATIONS	$54,080,931
SELF-INSURED PROF LIABILITY	$9,768,153
CAPITAL LEASE OBLIGATIONS	$7,265,536
OTHER LIABILITIES	$4,464,677
DUE FROM AFFILIATES	$1,676,365
TAX EXEMPT SERIES E BOND PREMIUM	$1,411,682
LT INTERCOMPANY DEBT SERIES E	$58,700,068

Field	Value	IRS element (for citing)
Total Liability	$146,578,917	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$300,138,954	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$300,138,954	RevenueSubtotalAmt
Investment Expenses Not Incld	$340,854	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$5,638,937	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$5,979,791	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$306,118,745	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$259,641,280	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,429,533	OtherExpensesIncludedAmt
Expenses Not Reported	$2,429,533	ExpensesNotReportedAmt
Expenses Subtotal	$257,211,747	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$368,646	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$75,960	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$444,606	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$257,656,353	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	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.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	AUXILIARY INCOME-121,229 UNREALIZED LOSS ON INVESTMENTS-7,947,241 RENTAL EXPENSES-(2,372,818) GOLF TOURNAMENT EXPENSES-(56,715)
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES-2,372,818 GOLF TOURNAMENT EXPENSES-56,715
PART XII, LINE 4B - OTHER ADJUSTMENTS:	AUXILIARY EXPENSES-75,866 K-1 PASSTHRU LOSS-94
SCHEDULE D PART X LINE 2	ASC 740-10, UNCERTAIN TAX POSITIONS, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS INTERPRETATION ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE REQUIREMENTS FOR UNCERTAIN TAX POSITIONS. MANAGEMENT HAD EVALUATED THE IMPLICATIONS OF ASC 740-10 AND DETERMINED THAT ITS IMPACT ON THE FINANCIAL STATEMENTS IS NOT SIGNIFICANT.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA/CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE PERMIUMS	SpecificServicesProvidedTxt
Region Total Expenditures	$6,796,267	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$6,796,267	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$6,796,267	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$60,640	GrossReceiptsEvent1Amt
Charitable Contri Event1	$43,640	CharitableContriEvent1Amt
Gross Revenue Event1	$17,000	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$9,018	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$10,820	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$11,513	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$2,360	OtherDirectExpensesEvent1Amt
Event2	SEDER GOLF TOURNAMENT	Event2Nm
Gross Receipts Event2	$44,429	GrossReceiptsEvent2Amt
Charitable Contri Event2	$37,109	CharitableContriEvent2Amt
Gross Revenue Event2	$7,320	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$2,891	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$7,520	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$7,775	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$4,818	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$105,069	GrossReceiptsTotalAmt
Charitable Contributions Tot	$80,749	CharitableContributionsTotAmt
Gross Revenue Total Events	$24,320	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$11,909	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$18,340	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$19,288	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$7,178	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$56,715	DirectExpenseSummaryEventsAmt
Net Income Summary	-$32,395	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	$1,391,546	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,391,546	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,395,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,173,932	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,221,606	NetCommunityBenefitExpnsAmt
Total Expense	0.09320	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,787,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,173,932	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,613,152	NetCommunityBenefitExpnsAmt
Total Expense	0.09880	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$594,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$593,992	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$249,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,025	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$246,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,002,630	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,002,630	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,245	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,245	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,921,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,918,108	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,708,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,177,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,531,260	NetCommunityBenefitExpnsAmt
Total Expense	0.11050	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,130	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$67,130	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,168	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,168	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$946	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$946	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,244	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$71,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$8,486,887	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,274,706	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$75,109,601	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$81,393,471	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,283,870	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
Other	Yes (X)	OtherInd
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	WWW.BACKUSHOSPITAL.ORG	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	14	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
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
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	WWW.BACKUSHOSPITAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BACKUSHOSPITAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BACKUSHOSPITAL.ORG	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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 3J: THIS ASSESSMENT INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDE PRIMARY RESEARCH AND SECONDARY RESEARCH. THE SURVEY INSTRUMENT USED FOR THIS STUDY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES.TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY - ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS - WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 614 INDIVIDUALS AGE 18 AND OLDER IN THE BACKUS HOSPITAL SERVICE AREA. BECAUSE THE STUDY WAS PART OF A LARGER EFFORT INVOLVING MULTIPLE REGIONS AND HOSPITAL SERVICE AREAS, THE SURVEYS WERE DISTRIBUTED AMONG VARIOUS STRATA. ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE HARTFORD REGION AS A WHOLE.A VARIETY OF EXISTING (SECONDARY) DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT.
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, 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. 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 COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE A 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. BACKUS HOSPITAL RECOGNIZES THAT IT CANNOT MEASURE ALL POSSIBLE ASPECTS OF HEALTH IN THE COMMUNITY, NOR CAN IT ADEQUATELY REPRESENT ALL POSSIBLE POPULATIONS OF INTEREST. IN TERMS OF CONTENT, THE ASSESSMENT WAS DESIGNED TO PROVIDE A COMPREHENSIVE AND BROAD PICTURE OF THE HEALTH OF THE OVERALL COMMUNITY. THE CHNA ANALYSIS AND REPORT YIELDED A WEALTH OF INFORMATION ABOUT THE HEALTH STATUS, BEHAVIORS AND NEEDS FOR OUR POPULATION. A DISTINCT ADVANTAGE OF THE PRIMARY QUANTITATIVE (SURVEY) RESEARCH IS THE ABILITY TO SEGMENT FINDINGS BY GEOGRAPHIC, DEMOGRAPHIC AND HEALTH CHARACTERISTICS TO IDENTIFY THE PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF VULNERABLE POPULATIONS, SUCH AS UNINSURED PERSONS, LOW-INCOME PERSONS, AND RACIAL/ETHNIC MINORITY GROUPS. FOR ADDITIONAL STATISTICS ABOUT UNINSURED, LOW-INCOME, AND MINORITY HEALTH NEEDS PLEASE REFER TO THE COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, WHICH CAN BE VIEWED ONLINE AT: HTTPS://BACKUSHOSPITAL.ORG/ABOUT-US/COMMUNITY-OUTREACH/HEALTH-NEEDS-ASSESSMENTAFTER 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, WE 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.
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.PART V,SECTION B, LINE 9:ALTHOUGH THE APPROVED IMPLEMENATION STRATEGY DATE REFLECTS 2014 YEAR, THE IMPLEMENTATION STRATEGY WAS APPROVED IN DECEMBER 2015. THE ORGANIZATION REPORTS ITS DATE ON A FISCAL YEAR BASIS. AS A RESULT, THE CURRENT SOFTWARE PREVENTS THE DISCLOSURE OF THE 2015 DATE ON THE CURRENT FORM. THE CORRECT DATE (2015) WILL BE REFLECTED ON THE FY16 FORM.
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 11: AS INDIVIDUAL ORGANIZATIONS BEGIN TO PARSE OUT THE INFORMATION FROM THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS BACKUS HOSPITAL'S GOAL THAT THIS WILL FOSTER GREATER DESIRE TO EMBARK ON A COMMUNITY-WIDE COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESS. BACKUS HOSPITAL HAS EXPRESSED THIS INTENTION TO PARTNERING ORGANIZATIONS AND IS COMMITTED TO BEING A PRODUCTIVE MEMBER IN THIS PROCESS AS IT EVOLVES. SINCE THE CHIP IS STILL BEING DEVELOPED AND NOT REQUIRED TO BE DONE UNTIL FEBRUARY OF 2016 THE ACTIONS THAT WILL BE TAKEN TO ADDRESS IDENTIFIED NEEDS HAVE NOT BEEN FINALIZED. IN ADDITION, FORMAL COLLABORATIVES HAVE BEEN FORMED, AND SYSTEM-WIDE INITIATIVES HAVE BEEN LAUNCHED THAT ADDRESS NUTRITION EDUCATION SUCH AS OUR PARTNERSHIP WITH A STATEWIDE SUPER MARKET RETAILER. 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, AND RESPIRATORY DISEASES- ACCESS TO CARE, INCLUDING ORAL HEALTH, DEMENTIAS, AND ALZHEIMER'S DISEASE- MENTAL HEALTH & SUBSTANCE USE, INCLUDING TOBACCO USE OTHER IDENTIFIED NEEDS WERE:- RESPIRATORY DISEASES - INJURY & VIOLENCE - INFANT HEALTH & FAMILY PLANNING - POTENTIALLY DISABLING CONDITIONS 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. HEALTH PRIORITIES NOT CHOSEN FOR ACTION:INFANT 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.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.INJURY-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 AND AMOUNT.
THE WILLIAM W BACKUS HOSPITAL	PART V, SECTION B, LINE 15E: IN ADDITION, PATIENT MAY ASK NURSE, PHYSICIAN, CHAPLAIN, OR STAFF MEMBER FROM PATIENT REGISTRATION, PATIENT FINANCIAL SERVICES, OFFICE OF PROFESSIONAL SERVICES, CASE COORDINATION, OR SOCIAL SERVICES ABOUT INITIATING THE FINANCIAL ASSISTANCE APPLICATION PROCESS.
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 FY 15, THE HOSPITAL DID A COMPUTATION TO DETERMINE ON AVERAGE INSURANCE COMPANIES REIMBURSEMENT FOR TYPES OF SERVICES RENDERED. THE AVERAGE (DISCOUNT) WAS OFFERED TO ALL SELF-PAY PATIENTS WITHOUT REGARDS TO FINANCIAL ABILITY. PATIENTS WHO WERE UNABLE TO PAY THEIR BILLS WERE ABLE TO APPLY FOR FINANCIAL ASSISTANCE. BASED UPON FACTORS INCLUDING FAMILY SIZE & INCOME, PATIENTS WERE ELIGIBLE TO RECEIVE WRITE-OFFS RANGING 25-100%.THE HOSPITAL FINANCIAL ASSISTANCE POLICY (EFFECTIVE JANUARY 1, 2016) IN COMPLIANCE WITH IRS CODE SEC 501R. PER THE HOSPITAL'S POLICY, NO INDIVIDUAL WHO IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CHARGED MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE BASIS TO WHICH ANY DISCOUNT IS APPLIED IS EQUIVALENT TO THE BILLED CHARGES POSTED TO A PATIENT ACCOUNT MINUS ANY PRIOR INSURANCE PAYMENTS AND ADJUSTMENTS FROM THE PATIENTS INSURANCE (IF APPLICABLE). STARTING JANUARY 1, 2016, THE HOSPITAL USED THE IRS 501R PRESCRIBED METHODOLOGY TO COMPUTE SELF-PAY DISCOUNT (AGB DISCOUNT).
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
THE WILLIAM W BACKUS HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	WWW.BACKUSHOSPITAL.ORG
THE WILLIAM W BACKUS HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	WWW.BACKUSHOSPITAL.ORG
THE WILLIAM W BACKUS HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	WWW.BACKUSHOSPITAL.ORG

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
BACKUS OUTPATIENT CARE CENTER
111 SALEM TURNPIKE	NORWICH	CT	06360	OUTPATIENT SERVICES
MEDICAL OFFICE BUILDING
330 WASHINGTON STREET	NORWICH	CT	06360	RADIATION THERAPY/LAB
COLCHESTER BACKUS HEALTH CENTER
163 BROADWAY	COLCHESTER	CT	06415	RADIOLOGY/LAB/PRIMARY CARE
MONTVILLE BACKUS HEALTH CARE
80 NORWICH/NEW LONDON TURNPIKE	UNCASVILLE	CT	06382	RADIOLOGY/LAB/PRIMARY CARE
LEDYARD BACKUS HEALTH CENTER
2 LORENZ PARKWAY	LEDYARD	CT	06339	LAB/PRIMARY CARE
FAMILY HEALTH CENTER AT CROSSROADS
196 PARKWAY SOUTH	WATERFORD	CT	06385	PRIMARY CARE/REHAB/ORTHOPEDICS
INFECTIOUS DISEASE CLINIC
107 LAFAYETTE STREET	NORWICH	CT	06360	CLINIC
NORTH STONINGTON BACKUS HEALTH CENTER
82 NORWICH-WESTERLY ROAD	NORTH STONINGTON	CT	06359	PRIMARY CARE
NORWICHTOWN BACKUS PATIENT SERVICE CTR
55 TOWN STREET	NORWICH	CT	06360	LAB
PLAINFIELD EMERGENCY CENTER
582 NORWICH ROAD	PLAINFIELD	CT	06374	LAB/RADIOLOGY/EMERGENCY SERVICES
JEWETT CITY PATIENT SERVICE CENTER
70 MAIN STREET	JEWETT CITY	CT	06351	LAB

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE ORGANIZATION UTILIZED THE RATIO OF COST TO CHARGE (RCC), DERIVED FROM THE FY2015 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 $ 8,486,887.
PART III, LINE 4:	PLEASE SEE THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGES 16-19 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 MEDICARE COST REPORT WAS USED TO ACCUMULATE ACTUAL COSTS RELATED TO PART III, SECTION B, LINE 6.
PART III, LINE 9B:	IN THE SELF-PAY POLICY, SECTION IIB, STATES THAT THE MEDICAL BUREAU OF ECONOMICS (MBE) RECEIVES A WEEKLY LIST OF PATIENTS WHO WERE SENT FINANCIAL ASSISTANCE APPLICATIONS FROM BACKUS STAFF. THIS INFORMATION IS FROM THE PATIENT ACCOUNTS OR FINANCIAL COUNSELING DEPARTMENTS. MBE'S COLLECTION ACTIVITY ON THESE PATIENTS IS HAULTED UNTIL IT HAS BEEN DETERMINED IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY,BY THE HOSPITAL FINANCIAL COUNCELING UNIT. COLLECTION ACTION IS ONLY RESUMED ONCE IT IS DETERMINED THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	IN 2015, THE WILLIAM W. BACKUS HOSPITAL COMMISSIONED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC, A PROFESSIONAL RESEARCH FIRM. THE ASSESSMENT CONSISTED OF 614 TELEPHONE INTERVIEWS WHICH WERE CONDUCTED THROUGHOUT THE HOSPITAL'S SERVICE REGION (BOTH NEW LONDON AND WINDHAM COUNTIES). THE ASSESSMENT ALSO INCLUDED A DETAILED ANALYSIS OF SECONDARY DATA SOURCES, AS WELL AS KEY INFORMANT INTERVIEWS AND THREE FOCUS GROUPS.
PART VI, LINE 3:	NOTIFICATION ABOUT CHARITABLE CARE AND ASSISTANCE PROGRAMS IS AVAILABLE AT ALL REGISTRATION AREAS, ON AND OFF THE MAIN HOSPITAL CAMPUS, IN WAITING AREAS, IN THE PATIENT HANDBOOK, ON OUR WEBSITE, AND ON PROMINENTLY PLACED SIGNS (IN ENGLISH AND IN SPANISH). ADDITIONALLY, CARE MANAGEMENT STAFF MEET WITH PARENTS, FAMILY, CLERGY, AND OTHERS AS APPROPRIATE TO DISCUSS ASSISTANCE PROGRAMS AND SERVICES THAT MAY BE AVAILABLE. IN ADDITION TO THE COMPLETE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE, HERE IS THE INFORMATION INCLUDED ON THE HOSPITAL WEBSITE:FINANCIAL ASSISTANCEBACKUS HOSPITAL PROVIDES FINANCIAL ASSISTANCE PROGRAMS FOR CERTAIN QUALIFIED PATIENTS WHO ARE UNABLE TO PAY ALL OR PART OF THEIR BILL FOR INPATIENT, OUTPATIENT AND EMERGENCY SERVICES RENDERED AT THE HOSPITAL.IF YOU ARE COPING WITH A FINANCIAL HARDSHIP, AND ARE FACING DEBTS OWED TO BACKUS HOSPITAL, FINANCIAL ASSISTANCE MAY BE AVAILABLE TO YOU.INCOME VERIFICATIONBACKUS REQUESTS INCOME INFORMATION FROM THE APPLICANT. VERIFICATION OF REPORTED INCOME SHOULD BE INCLUDED WITHIN THE APPLICATION PACKAGE.APPROPRIATE VERIFICATION SOURCES INCLUDE:- MOST RECENT FEDERAL TAX RETURN AND W-2- MOST RECENT 3 PAYROLL CHECKS- COPIES OF UNEMPLOYMENT CHECKS- COPIES OF ANY PENSION, ALIMONY, CHILD SUPPORT OR OTHER SOURCES OF INCOME- COPIES OF SOCIAL SECURITY EARNINGS, IF ANY- ANY OTHER PERTINENT INFORMATIONIF THE APPLICANT HAS NO INCOME A STATEMENT DETAILING THE CURRENT METHOD OF SUPPORT WILL BE ACCEPTED. PROOF OF INCOME OR EARNINGS IS REQUIRED WITH APPLICATION OR THE APPLICATION WILL NOT BE CONSIDERED.FINANCIAL ASSISTANCE OPTIONSTHE LEVEL OF FINANCIAL ASSISTANCE THAT YOU MAY BE ELIGIBLE TO RECEIVE WILL BE BASED UPON THE CRITERIA DEFINED IN THE FINANCIAL ASSISTANCE POLICY.THE WILLIAM W. BACKUS HOSPITAL CONSIDERS FINANCIAL ASSISTANCE AWARDS ON A CASE-BY-CASE BASIS. PLEASE CONTACT US IF YOU HAVE QUESTIONS REGARDING ELIGIBILITY.FINANCIALLY INDIGENTFINANCIALLY INDIGENT IS DEFINED AS AN INDIVIDUAL WHOSE TOTAL GROSS ANNUAL INCOME IS LESS THAN OR EQUAL TO 250% OF THE FEDERAL POVERTY GUIDELINES (FPG).PATIENTS AT OR BELOW 250% FPG ARE ELIGIBLE FOR A 100% DISCOUNT OFF OF THEIR OUTSTANDING BALANCES. INDIVIDUALS ABOVE 250% UP TO 400% FPG ARE ELIGIBLE FOR A DISCOUNT BASED ON THEIR TOTAL GROSS ANNUAL INCOME.MEDICALLY INDIGENTBACKUS HOSPITAL CONSIDERS AN INDIVIDUAL TO BE MEDICALLY INDIGENT IF THEIR TOTAL ANNUAL GROSS INCOME IS ABOVE 400% FPG AND THEIR OUTSTANDING MEDICAL OBLIGATIONS ARE GREATER THAN 50% OF THEIR TOTAL ANNUAL GROSS INCOME.THESE INDIVIDUALS MAY BE ELIGIBLE FOR A DISCOUNT SEPARATE FROM TRADITIONAL FINANCIAL ASSISTANCE. PLEASE REFER TO THE FINANCIAL ASSISTANCE POLICY FOR DETAILS REGARDING ELIGIBILITY AND THE DISCOUNT SCHEDULE.MEDICALLY INDIGENT IS DEFINED BY THE IRS AS: "PERSONS WHOM THE ORGANIZATION HAS DETERMINED ARE UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS BECAUSE THEIR MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF THEIR FAMILY OR HOUSEHOLD INCOME OR ASSETS (FOR EXAMPLE, DUE TO CATASTROPHIC COSTS OR CONDITIONS), EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY REQUIREMENTS FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY."BACKUS HOSPITAL TREATS EACH APPLICATION INDIVIDUALLY. IF YOU HAVE ANY QUESTIONS ABOUT YOUR SPECIFIC SITUATION, PLEASE CONTACT OUR CUSTOMER SERVICE REPRESENTATIVES AT 860-889-8331, EXT. 2917, MONDAY THROUGH FRIDAY FROM 7:30 AM TO 4 PM.FINANCIAL ASSISTANCE LETTERTHE WILLIAM W. BACKUS HOSPITAL PROVIDES FINANCIAL ASSISTANCE FOR CERTAIN QUALIFIED PATIENTS WHO ARE UNABLE TO PAY ALL OR PART OF THEIR BILL FOR INPATIENT, OUTPATIENT AND EMERGENCY SERVICES RENDERED AT THE HOSPITAL.IF YOU ARE COPING WITH A FINANCIAL HARDSHIP AND ARE FACING DEBTS OWED TO THE WILLIAM W. BACKUS HOSPITAL, FINANCIAL ASSISTANCE SUCH AS FREE CARE OR A SLIDING SCALE DISCOUNT MAY BE AVAILABLE TO YOU. THE FINANCIAL COUNSELING PROCESS WILL INDICATE WHAT OPTIONS EXIST TO ASSIST YOU WITH YOUR OUTSTANDING BALANCE.FINANCIAL ASSISTANCE APPLIES TO BACKUS HOSPITAL BILLS ONLY. IT DOES NOT APPLY TO RADIOLOGISTS, PATHOLOGISTS, ANESTHESIOLOGISTS OR OTHER PROFESSIONAL SERVICES INVOLVED IN YOUR CARE THAT ARE BILLED SEPARATELY.FREQUENTLY ASKED QUESTIONS 1. DOES THE HOSPITAL HAVE A FINANCIAL ASSISTANCE POLICY?THE WILLIAM W. BACKUS HOSPITAL DOES HAVE A WRITTEN FINANCIAL ASSISTANCE POLICY THAT DEFINES THE DISCOUNT STRUCTURE AND PROGRAMS AVAILABLE TO QUALIFYING PATIENTS.THE WILLIAM W. BACKUS HOSPITAL BASES ALL FINANCIAL ASSISTANCE ON THE MOST CURRENT FEDERAL POVERTY GUIDELINES (FPG), WHICH ARE BASED ON THE GROSS INCOME AND HOUSEHOLD SIZE.BACKUS GRANTS 100% CHARITY CARE TO THOSE APPLICANTS WHOSE GROSS HOUSEHOLD INCOME IS AT OR BELOW 250% FPG. A SLIDING DISCOUNT IS AVAILABLE TO THOSE PATIENTS WHO HAVE GROSS INCOME UP TO 400% FPG.CURRENTLY, THE FEDERAL GOVERNMENT DEFINES 100% OF POVERTY AS AN INDIVIDUAL EARNING A GROSS INCOME OF $11,770 PER YEAR. THE WILLIAM W. BACKUS HOSPITAL FINANCIAL ASSISTANCE POLICY GRANTS 100% CHARITY CARE TO A FAMILY OF ONE EARNING UP TO $29,425 PER YEAR, OR 250% FPG. INCOME THRESHOLDS INCREASE RELATIVE TO HOUSEHOLD SIZE. A DISCOUNT IS AVAILABLE FOR APPLICANTS EARNING UP TO 400% FPG.2. WHAT SERVICES DOES THE FINANCIAL ASSISTANCE POLICY COVER?THE WILLIAM W. BACKUS HOSPITAL'S FINANCIAL ASSISTANCE POLICY COVERS SERVICES RENDERED AT THE WILLIAM W. BACKUS HOSPITAL, INCLUDING INPATIENT, EMERGENCY, AND OUTPATIENT PROCEDURES.FINANCIAL ASSISTANCE MAY NOT BE GRANTED FOR SOME PROCEDURES, SUCH AS ELECTIVE PROCEDURES OR SOME SPECIAL SITUATIONS, SUCH AS THAT OF AN INDIVIDUAL WHO IS ELIGIBLE FOR INSURANCE BUT HAS REFUSED TO APPLY OR FUNDS ARE AVAILABLE THROUGH ANOTHER SOURCE FOR PAYMENT (I.E. SETTLEMENTS, STATE FUNDED PROGRAMS).FINANCIAL ASSISTANCE APPLIES TO BACKUS HOSPITAL BILLS ONLY. IT DOES NOT APPLY TO RADIOLOGISTS, PATHOLOGISTS, ANESTHESIOLOGISTS OR OTHER PROFESSIONAL SERVICES INVOLVED IN YOUR CARE THAT ARE BILLED SEPARATELY.3. DOES THE HOSPITAL PROVIDE PERSONNEL TO HELP WITH APPLICATIONS AND TO ANSWER QUESTIONS?THE WILLIAM W. BACKUS HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO HELP PATIENTS APPLY FOR FINANCIAL ASSISTANCE, MEDICAID, AND OTHER STATE HEALTH PROGRAMS.THE HOSPITAL ALSO HAS RESOURCES TO HELP WITH APPLICATIONS FOR STATE NUTRITIONAL ASSISTANCE PROGRAMS (SNAP) AND PHARMACY ASSISTANCE PROGRAMS. FINANCIAL COUNSELORS CAN HELP TO DETERMINE APPROPRIATE REFERRALS TO THESE RESOURCES.THE WILLIAM W. BACKUS HOSPITAL PROVIDES LANGUAGE TRANSLATION VIA CYRACOM AND MARTTI LANGUAGE LINES.4. DOES THE HOSPITAL COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THE COMMUNITY?THE WILLIAM W. BACKUS HOSPITAL BELIEVES IT IS IMPORTANT TO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THE COMMUNITIES IT SERVES. THEREFORE, A NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED WITH THE PAPER BILL SENT TO THE PATIENT'S HOME, IS POSTED IN ALL MAIN REGISTRATION AREAS, IS AVAILABLE ON THE HOSPITAL'S WEBSITE, AND UPON REQUEST OF HOSPITAL STAFF OR REPRESENTATIVES.5. DOES THE HOSPITAL EVER DENY CARE BASED ON INABILITY TO PAY?THE WILLIAM W. BACKUS HOSPITAL WILL NEVER DELAY OR DENY EMERGENCY CARE OR NECESSARY SERVICES DUE TO AN INABILITY TO PAY.6. DOES THE HOSPITAL HAVE A PROGRAM FOR PATIENTS WHO DON'T QUALIFY FOR TRADITIONAL FINANCIAL ASSISTANCE BUT INCUR CATASTROPHIC MEDICAL DEBTS?THE HOSPITAL HAS A WRITTEN POLICY THAT COVERS CATASTROPHIC FINANCIAL ASSISTANCE FOR THE MEDICALLY INDIGENT. THE POLICY IS INCLUDED IN THE FINANCIAL ASSISTANCE POLICY, IS AVAILABLE ON THE WEBSITE, AND UPON REQUEST.
PART VI, LINE 4:	THE WILLIAM W. BACKUS HOSPITAL IS LOCATED IN NORWICH, 45 MINUTES SOUTHEAST OF HARTFORD, IN THE PAST DECADE, THE REGION HAS UNDERGONE MAJOR ECONOMIC CHANGES, DUE TO THE OPERATION OF TWO NATIVE-AMERICAN OWNED ENTERTAINMENT VENUES BRINGING THOUSANDS OF VISITORS INTO THE REGION EACH DAY. THE CASINOS ARE THE LARGEST EMPLOYERS, AND ARE EXPERIENCING FINANCIAL DIFFICULTIES AS THE ECONOMY DECLINES. THE HOSPITAL'S SERVICE AREA HAS AN ESTIMATED POPULATION OF ABOUT 243,000. THE SERVICE AREA CONSISTS OF LARGER COMMUNITIES, SUCH AS NEW LONDON AND GROTON, AND SMALLER LOWER-DENSITY RURAL COMMUNITIES. THE SERVICE AREAS CONTAIN MUNICIPALITIES IN THE NEW LONDON AND WINDHAM COUNTIES.
PART VI, LINE 5:	HOSPITAL EMPLOYEES VOLUNTEER THEIR SERVICES ON DOZENS OF COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS, MANY OF WHICH HAS HEALTHCARE AS A PRIMARY OR MAJOR FOCUS. EXAMPLES INCLUDE THE FOUNDATION OF THREE RIVERS COMMUNITY COLLEGE (WHICH PROVIDES FUNDING FOR NURSING STUDENT EDUCATION AND EQUIPMENT), THE REGION'S NON-PROFIT HOSPICE ORGANIZATION, THE NORWICH CHAMBER OF COMMERCE HEALTH CARE COMMITTEE, UNITED WAY OF SOUTHEASTERN CONNECTICUT (WHICH PROVIDES FUNDING FOR MANY REGIONAL HUMAN SERVICES, INCLUDING THOSE THAT ARE HEALTH-RELATED); AS WELL AS SERVICES AND BOARD MEMBERSHIP ON THE REGION'S FEDERALLY QUALIFIED HEALTH CENTERS. ADDITIONALLY, BACKUS PERSONNEL VOLUNTEER ON OTHER BOARDS AND ORGANIZATIONS THAT ADVANCE THE QUALITY OF LIFE AND ECONOMIC WELL-BEING OF THE REGION, INCLUDING THE LOCAL LIBRARY, FAMILY SUPPORT AND SOCIAL SERVICE ORGANIZATIONS, THE REGIONAL CHAMBER OF COMMERCE, NUMEROUS CIVIC AND GOVERNMENTAL BODIES, AND VARIOUS VOLUNTEER COMPANIES AND AMBULANCE SERVICES. MEMBERS OF THE ADMINISTRATIVE STAFF ROUTINELY SUBMIT GOVERNMENT TESTIMONY ON BEHALF OF THE REGIONAL NOT-FOR-PROFIT HEALTH-RELATED ORGANIZATIONS, AND PROVIDE RESEARCH AND ADVOCACY FOR THE HEALTH ACCESS. THE HOSPITAL CONTRIBUTES CASH AND IN-KIND DONATIONS TO AREA NONPROFITS TO SUPPORT THEIR MISSION TO BETTER THE COMMUNITIES WHICH THEY SERVE. SUCH DONATIONS INCLUDE OFFICE SPACE FOR THE LOCAL DOMESTIC ABUSE NETWORK AND SUPPORT OF A LOCAL CHARITY WHOSE MISSION IS TO STRENGTHEN FAMILIES.
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. 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". HHC AFFILIATION 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 LARGER HOSPITALS ARE ABLE TO OFFER. THIS INCLUDES CONTINUING EDUCATION OF HEALTH CARE PROFESSIONALS AT ALL THE AFFILIATED INSTITUTIONS THROUGH THE CENTER OF EDUCATION, SIMULATION AND INNOVATION LOCATED AT HARTFORD HOSPITAL, THE LARGEST OF THE SYSTEM HOSPITALS. THE AFFILIATION FURTHER ENHANCES THE HOSPITALS' 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. ADDITIONALLY, THE HOSPITAL IS AFFILIATED WITH SEVERAL OTHER NON HOSPITAL CHARITABLE ORGANIZATIONS. THESE ORGANIZATIONS PROVIDE SIGNIFICANT BENEFITS TO THE COMMUNITY. THESE BENEFITS ARE NOT REPORTED IN THE COMMUNITY BENEFIT DATA PROVIDED BY THE HOSPITAL.
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 (7 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	$16,800	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	$15,000	SPONSORSHIP
UNITED COMMUNITY & FAMILY SERVICES INC
34 E TOWN STREET	NORWICH	CT	06360	060653142	501C3	$10,000	SPONSORSHIP
BROADWAY KIDS
12 PENNSYLVANIA AVE	NIANTIC	CT	06357			$10,000	SPONSORSHIP
AMERICAN CANCER SOCIETY
825 BROOK STREET	ROCKY HILL	CT	06067	131788491	501C3	$5,500	SPONSORSHIP
(no name)
							NURSING SCHOOL/SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	2	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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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
DAVID WHITEHEAD
DIRECTOR/PRESIDENT/SENIOR VP	$0	$539,164	$0	$140,531	$0	$126,311	$0	$14,040	$0	$36,492	$0	$856,538	$0	$108,000
JAMES CARDON MDTERM 615
DIRECTOR	$0	$442,633	$0	$144,696	$0	$6,370	$0	$77,862	$0	$33,634	$0	$705,195	$0	$0
ELLIOT JOSEPHTERM 615
DIRECTOR	$0	$1,152,379	$0	$513,373	$0	$229,612	$0	$239,138	$0	$60,161	$0	$2,194,663	$0	$0
MARGARET MARCHAK
DIRECTOR/SECRETARY	$0	$432,566	$0	$101,007	$0	$8,337	$0	$72,165	$0	$36,596	$0	$650,671	$0	$0
DANIEL LOHR
SENIOR VP/CFO	$0	$375,616	$0	$85,582	$0	$132,703	$0	$14,040	$0	$29,976	$0	$637,917	$0	$74,000
CAROLYN TRANTALIS
VP OPERATIONS EAST REGION	$0	$215,367	$0	$50,771	$0	$1,746	$0	$15,600	$0	$23,598	$0	$307,082	$0	$0
MARY BYLONE
VP PATIENT CARE EAST REGIO	$0	$219,944	$0	$47,630	$0	$12,200	$0	$14,040	$0	$18,367	$0	$312,181	$0	$0
ROBERT SIDMAN MD
PHYSICIAN	$343,323	$0	$168,180	$0	$17,919	$0	$14,040	$0	$20,450	$0	$563,912	$0	$0	$0
SERGIO CASILLA MD
PHYSICIAN	$512,483	$0	$0	$0	$275	$0	$14,040	$0	$19,992	$0	$546,790	$0	$0	$0
ZHENXIANG LIU MD
PHYSICIAN	$430,825	$0	$56,243	$0	$420	$0	$12,509	$0	$20,391	$0	$520,388	$0	$0	$0
MARIANO LIBRIJO MD
PHYSICIAN	$368,294	$0	$31,759	$0	$164	$0	$12,354	$0	$6,264	$0	$418,835	$0	$0	$0
NATHAN SIEGEL MD
PHYSICIAN	$313,504	$0	$61,920	$0	$275	$0	$14,040	$0	$14,293	$0	$404,032	$0	$0	$0
PETER SHEA
FORMER MEDICAL DIRECTOR	$0	$383,189	$0	$45,000	$0	$80,613	$0	$0	$0	$30,598	$0	$539,400	$0	$73,000

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

HARTFORD HEALTHCARE CORPORATION MAINTAINS A 457(F) PLAN. 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 ELIGABLE 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. 2014 SERP ACCRUALS MADE ON BEHALF OF THE FOLLOWING INDIVIDUALS: MR. ELLIOT JOSEPH $210,538 MS. MARGARET MARCHAK $53,965 DR. JAMES CARDON $59,662 2014 SERP PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS: MR. DANIEL LOHR $74,000 DR. PETER SHEA $73,000 MR. DAVID WHITEHEAD $108,000 MR. ELLIOT JOSEPH $132,336* *FOR THIS INDIVIDUAL, VESTING OCCURRED, CAUSING TAXABLE INCOME. A PORTION OF THE VESTED AMOUNT WAS USED TO PAY THE ASSOCIATED TAX LIABILITY, THE REMAINING BALANCE STAYED IN THE SERP ACCOUNT.

PART I, LINE 7

HARTFORD HEALTHCARE CORP HAS AN AT RISK PLAN THAT PROVIDES AT-RISK AWARD OPPORTUNITIES TO MOTIVATE ELIGIBLE EXECUTIVES TO PUT FORTH MAXIMUM EFFORT TO ACCOMPLISH SPECIFIED ANNUAL GOALS. THE PAYMENT OF AN AWARD TO ANY SENIOR EXECUTIVE IS CONTINGENT ON THE SYSTEM ACHIEVING PRE-ESTABLISHED PERFORMANCE GOALS AND MAINTAINING FINANCIAL STABILITY, PARTICIPANTS ACHIEVING PRE-ESTABLISHED PERFORMANCE GOALS, AND ON APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	ALL OFFICERS AND DIRECTORS HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER.
FORM 990, PART VI, SECTION A, LINE 4	THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF THE CORPORATION INCLUDES THE FOLLOWING SUBSTANTIVE AMENDMENTS: 1. THE CORPORATION'S PURPOSES HAVE BEEN REVISED BUT ARE CONSISTENT WITH ITS CHARITABLE PURPOSES. 2. THE BOARD'S ROLE WAS REVISED TO FOCUS ON QUALITY IN HEALTH CARE. 3. SECTION 12 RELATING TO THE INDEMNIFICATION OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS OF THE CORPORATION HAS BEEN REVISED CONSISTENT WITH CONNECTICUT LAW. THE ORGANIZATIONS' GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
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 990 IS PREPARED BY THE ACCOUNTING STAFF AND THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN REVIEWED BY THE CFO AND ANY QUESTIONS ADDRESSED. THE FINAL 990 IS THEN PROVIDED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPITAL'S BOARD HAS ADOPTED THE POLICY OF THE MEMBER, HARTFORD HEALTHCARE CORPORATION (HHC). HHC'S CONFLICT OF INTEREST POLICY (POLICY) REQUIRES ALL COVERED INDIVIDUALS, INCLUDING BOARD MEMBERS AND OFFICERS, TO PROVIDE A DISCLOSURE OF RELATIONSHIPS THAT CREATE OR HAVE THE APPEARANCE OF CREATING A CONFLICT OF INTEREST OR COMMITMENT. THE POLICY REQUIRES UPDATES IF CHANGES IN CIRCUMSTANCES ARISE DURING THE YEAR THAT EITHER (A) CREATE A NEW POTENTIAL CONFLICT OF INTEREST OR COMMITMENT OR (B) CHANGE OR ELIMINATE A CONFLICT OF INTEREST OR COMMITMENT PREVIOUSLY DISCLOSED. CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE MAINTAINED BY THE HHC OFFICE OF COMPLIANCE, AUDIT & PRIVACY (OCAP). EMPLOYEE DISCLOSURES ARE REVIEWED BY OCAP 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, 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 - COMMITTEE REGULARLY REVIEWS SCOPE AND DEPTH OF POSITIONS TAKING INTO ACCOUNT COMPLEXITY AND THE FINANCIAL IMPACT AND ACCOUNTABILITY OF ALL "DISQUALIFIED PERSONS" - NATIONAL PEER GROUP SELECTED FOR COMPARATIVE PURPOSES BASED ON ORGANIZATIONAL SIZE, OPERATING REVENUE, GEOGRAPHY AND OTHER RELEVANT FACTORS - ANALYSIS OF CURRENT TOTAL COMPENSATION VERSUS MARKET PERFORMED BY INDEPENDENT THIRD PARTY COMPENSATION CONSULTING FIRM, REVIEWED BY THE COMMITTEE - RECOMMENDATIONS MADE BASED ON DATA ANALYSIS TO ENSURE APPROPRIATE COMPETITIVE POSITIONING WITHIN PARAMETERS OF COMPENSATION PHILOSOPHY - CEO COMPENSATION REVIEWED BY COMMITTEE BASED ON COMPARATIVE MARKET INFORMATION AND ORGANIZATIONAL PERFORMANCE - ALL CHANGES 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 ORGANIZATIONS ADDRESS.
FORM 990, PART XI, LINE 9:	K-1 PASSTHROUGH 94. TRANSFER TO AFFILIATES -12,663,772. DECREASE IN ASSETS HELD IN TRUST -247,856. CHANGE IN PENSION FUNDING -14,972,653.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 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)
VNA HEALTH RESOURCES INC
1290 SILAS DEAN HWY STE 4B	WETHERSFIELD	CT	06109	061161422	HOME HEALTHCARE	CT	501C3	9	HARTFORD HEALTHCARE AT HOME	Yes (1)
RUSHFORD CENTER INC
883 PADDOCK AVENUE	MERIDAN	CT	06450	060932875	SUBSTANCE ABUSE HEALTHCARE SERVICES	CT	501C3	7	HARTFORD HEALTHCARE CORPORATION	Yes (1)
THE HATCH HOSPITAL CORP
112 MANSFIELD AVE	WILLIMANTIC	CT	06226	066076412	HEALTHCARE SERVICES	CT	501C3	3	WINDHAM COMMUNITY MEMORIAL HOSPITAL	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)
CENTRAL CT SENIOR HEALTH DBA SOUTHING CARE CENTER
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)
CENTRAL CT HEALTH ALLIANCE
100 GRAND STREET	NEW BRITAIN	CT	06050	222785033	SUPPORT & MANAGEMENT SVCS TO THOCC & AFFILIATES SHELL	CT	501C3	11B	HARTFORD HEALTHCARE CORPORATION	Yes (1)
EVA STEARNS FAULKNER FOUNDATION
435 LEWIS AVENUE	MERIDAN	CT	06451	066065398	SUPPORT SERVICES	CT	501C3	3	MIDSTATE MEDICAL CENTER	Yes (1)
THE ORCHARDS OF SOUTHINGTON
34 HOBART STREET	SOUTHINGTON	CT	06489	061490803	RESIDENTIAL SERVICES FOR SENIOR CITIZENS	CT	501C3	9	CENTRAL CT SENIOR HEALTH SERVICES INC	Yes (1)
MULBERRY GARDENS OF SOUTHINGTON LLC
58 MULBERRY STREET	PLANTSVILLE	CT	06479	820586577	ASSISTED LIVING & ADULT DAY CARE	CT	501C3	9	CENTRAL CT SENIOR HEALTH 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 PHYSICIANS CARE INC
80 SEYMOUR STREET	HARTFORD	CT	06102	454456939	PRACTICE MEDICINE & PROVIDE HEALTH CARE TO THE PUBLIC	CT	501C3	9	HARTFORD HEALTHCARE CORPORATION	Yes (1)
HARTFORD HEALTHCARE ACCOUNTABLE CARE ORG INC
200 RETREAT AVENUE	HARTFORD	CT	06102	460886367	MANAGE & COORDINATE CARE FOR MEDICARE BENEFICIARIES	CT	501C3	7	HARTFORD HEALTHCARE CORPORATION	Yes (1)
HARTFORD HEALTHCARE CORP GROUP EMPLOYEE BENEFIT PLAN TRUST
C/O BOA 777 MAIN STREET	HARTFORD	CT	06102	266671355	PROVIDE BENEFITS TO EMPLOYEES	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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
OMNI HOME HEALTH
12 CASE STREET	NORWICH	CT	06360	061458837	HOME HEALTH CARE	CT	N/A	N/A	0	0
HHC SOUTHINGTON SURGERY CENTER
81 MERIDEN AVENUE	SOUTHINGTON	CT	06489	465500829	SURGERY SERVICES	CT	N/A	N/A	0	0
NEW BRITAIN MRI LIMITED PARTNERSHIP
100 GRAND STREET	NEW BRITAIN	CT	06050	061271349	MAGNETIC RESONANCE IMAGING	CT	N/A	N/A	0	0
HARTFORD HEALTHCARE ENDOWMENT LLC
80 SEYMOUR STREET	HARTFORD	CT	06102	454181103	ENDOWMENT MANAGEMENT	CT		RELATED	0	0	$6,263,668	$92,423,397	0.10450
AMBULANCE SERVICE OF MANCHESTER
PO BOX 300	MANCHESTER	CT	06450	061557358	AMBULATORY SERVICE	CT	N/A	N/A	0	0
CT IMAGING PARTNERS LLC
111 FOUNDERS PLACE	EAST HARTFORD	CT	06108	134298940	IMAGING SERVICES	CT	N/A	N/A	0	0
GLASTONBURY ENDOSCOPY CENTER LLC
300 WESTERN BLVD STE B	GLASTONBURY	CT	06033	261721234	ENDOSCOPY SERVICES	CT	N/A	N/A	0	0
GLASTONBURY SURGERY CENTER LLC
195 EASTERN BLVD	GLASTONBURY	CT	06033	262600828	SURGERY SERVICES	CT	N/A	N/A	0	0
HARTFORD-MIDDLESEX CLINICAL SYSTEM LLC
80 SEYMOUR STREET	HARTFORD	CT	06110	061543605	AFFILIATE SUPPORT SERVICE	CT	N/A	N/A	0	0
MED EAST ASSOC LLC
1703 WEST MAIN STREET	WILLIMANTIC	CT	06226	061469575	OUTPATIENT CARE CLINIC	CT	N/A	N/A	0	0
HHC SOUTHINGTON SURGERY CENTER
81 MERIDEN AVENUE	SOUTHINGTON	CT	06489	465500829	SURGERY SERVICES	CT	N/A	N/A	0	0

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	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	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	0	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 (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CONNCARE INC
J	$1,415,938	COST
INTEGRATED CARE PARTNERS
B	$118,911	COST
CONNCARE INC
Q	$15,516,323	COST
WWB INC
Q	$2,267,212	COST
HARTFORD HEALTHCARE MEDICAL GROUP
Q	$68,617	COST
WINDHAM HOSPITAL
O	$87,390	COST
WINDHAM HOSPITAL
O	$53,280	COST
HARTFORD HEALTHCARE REHABILITATION NETWORK
O	$95,958	COST
HARTFORD HOSPITAL
M	$2,097,381	COST
VNA HEALTH RESOURCES
Q	$121,362	COST