WILLIAM W BACKUS HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- WILLIAM W BACKUS HOSPITAL (EIN 06-0250773)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-12
- IRS object ID
- 201522249349301167
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-12T08:54:31-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 WALNUT SUITE 1700 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | NORWICH | City |
| State | CT | State |
| ZIP Code | 06360 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL E LOHR | PersonNm |
| Person Title | SENIOR VP/CFO | PersonTitleTxt |
| Phone | 8608898331 | PhoneNum |
| Signature | 2015-08-12 | 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 | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 | AddressLine1 |
| City | NORWICH | City |
| State | CT | State |
| ZIP Code | 06360 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $345,215,684 | 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 | BACKUS HOSPITAL DELIVERS AND COORDINATES A CONTINUUM OF HIGH-QUALITY HEALTH CARE THAT IS SENSITIVE TO THE NEEDS OF INDIVIDUALS IN EASTERN CONNECTICUT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 2061 | TotalEmployeeCnt |
| Total Volunteers | 453 | TotalVolunteersCnt |
| Total Gross UBI | $2,712,206 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $424,011 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,225,848 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,374,100 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $279,344,487 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $302,711,330 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,336,590 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,511,371 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,501,468 | PYOtherRevenueAmt |
| CY Other Revenue | $2,179,591 | CYOtherRevenueAmt |
| PY Total Revenue | $289,408,393 | PYTotalRevenueAmt |
| CY Total Revenue | $316,776,392 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $130,303 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $145,509 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $144,190,562 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $134,279,532 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $479,261 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $113,205,414 | PYOtherExpensesAmt |
| CY Other Expenses | $124,191,524 | CYOtherExpensesAmt |
| PY Total Expenses | $257,526,279 | PYTotalExpensesAmt |
| CY Total Expenses | $258,616,565 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $31,882,114 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $58,159,827 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $477,063,817 | TotalAssetsBOYAmt |
| Total Assets EOY | $513,864,285 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $151,234,531 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $158,969,385 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $325,829,286 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $354,894,900 | 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 | $206,360,909 | ExpenseAmt |
| Grant | $145,509 | GrantAmt |
| Revenue | $303,812,409 | RevenueAmt |
| Desc | IN FISCAL YEAR 2014, BACKUS HOSPITAL HAD 9,801 ADMISSIONS, 78,481 EMERGENCY DEPARTMENT VISITS, AND 486,854 OUTPATIENT VISITS. THE HOSPITAL DELIVERED 896 BABIES AND 6,363 SAME DAY SURGICAL PROCEDURES. BACKUS PERFORMED 137,707 OUTPATIENT IMAGING EXAMS, 7,293 MRI EXAMINATIONS, 7,985 PSYCHIATRIC CLINICAL VISITS AND 8,093 PSYCHIATRIC PARTIAL HOSPITAL VISITS. | Desc |
| Total Program Service Expenses | $206,360,909 | 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 | 0 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | 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 | 202 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2061 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8608898331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WASHINGTON STREET | AddressLine1 |
| City | NORWICH | City |
| State | CT | State |
| ZIP Code | 06360 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|
| DAVID WHITEHEAD | |||||||||
| TRUSTEE/PRESIDENT/CEO | 40.00 | 7.00 | Yes (X) | Yes (X) | $731,171 | $0 | $45,918 | ||
| JOHN BILDA | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN BRIGGS | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH CONWAY | |||||||||
| TRUSTEE/VICE CHAIRMAN | 6.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES CARDON MD | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY GENTES | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY JOYCE | |||||||||
| TRUSTEE/CHAIRMAN | 6.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PETER MANERI | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL MAXFIELD | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH MONAHAN | |||||||||
| TRUSTEE/SECRETARY | 6.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LYNNE QUINTAL-HILL | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT RAMSDELL | |||||||||
| TRUSTEE/TREASURER | 6.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DONNA ROMITO | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS SLATER | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK TRAMONTOZZI | |||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELLIOT JOSEPH | |||||||||
| TRUSTEE | 2.00 | 40.00 | Yes (X) | $0 | $1,847,535 | $347,786 | |||
| DANIEL LOHR | |||||||||
| SENIOR VP/CFO | 40.00 | 9.00 | Yes (X) | $481,725 | $0 | $38,685 | |||
| CAROLYN TRANTALIS | |||||||||
| VP OPERATIONS EAST REGION | 1.00 | 40.00 | Yes (X) | $0 | $195,013 | $21,586 | |||
| MARY BYLONE | |||||||||
| VP PATIENT CARE EAST REGION | 40.00 | Yes (X) | $246,598 | $0 | $20,900 | ||||
| THERESA BUSS | |||||||||
| VP HUMAN RESOURCES E. REGION | 40.00 | Yes (X) | $234,419 | $0 | $20,380 | ||||
| PETER SHEA | |||||||||
| SENIOR VP/MEDICAL DIRECTOR | 40.00 | $452,908 | $0 | $38,268 | Yes (X) | ||||
| SERGIO CASILLAS | |||||||||
| PHYSICIAN | 40.00 | $552,668 | $0 | $36,254 | Yes (X) | ||||
| ROBERT SIDMAN | |||||||||
| PHYSICIAN | 40.00 | $436,250 | $0 | $37,598 | Yes (X) | ||||
| MARK TOUSIGNANT | |||||||||
| PHYSICIAN | 40.00 | $440,368 | $0 | $37,598 | Yes (X) | ||||
| WILLIAM HORGAN | |||||||||
| PHYSICIAN | 40.00 | $358,568 | $0 | $37,598 | Yes (X) | ||||
| RICHARD GOULDING | |||||||||
| PHYSICIAN | 40.00 | $361,040 | $0 | $37,598 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,295,715 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,042,548 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $720,169 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 191 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | MEDICAL SERVICES | $3,187,496 |
| YALE NEW HAVEN HOSPITAL | |||||
| 20 YORK STREET | NEW HAVEN | CT | 06504 | MEDICAL SERVICES | $2,311,515 |
| ROPES & GRAY LLP | |||||
| PO BOX 414265 | BOSTON | MA | 02241 | LEGAL | $1,416,980 |
| BARTON & ASSOCIATES | |||||
| PO BOX 417844 | BOSTON | MA | 02241 | MEDICAL SERVICES | $1,326,206 |
| EXECUTIVE HEALTH RESOURCES | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | CONSULTING | $975,105 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $82,858 | FundraisingAmt |
| Related Organizations | $1,710 | RelatedOrganizationsAmt |
| Government Grants | $556,154 | GovernmentGrantsAmt |
| All Other Contributions | $1,733,378 | AllOtherContributionsAmt |
| Noncash Contributions | $3,765 | NoncashContributionsAmt |
| Total Contributions | $2,374,100 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| INPATIENT | 900099 | $123,906,609 | $123,906,609 | |
| OUTPATIENT | 900099 | $116,551,873 | $116,551,873 | |
| EMERGENCY DEPT | 900099 | $58,535,862 | $58,535,862 | |
| LAB COURIER SERVICE | 621500 | $2,658,878 | $2,658,878 | |
| EHR REVENUE | 900099 | $1,058,108 | $1,058,108 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $302,711,330 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,751,637 | TotalRevenueColumnAmt |
| Exclusion | $3,751,637 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,177,783 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,655,972 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$478,189 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$478,189 | TotalRevenueColumnAmt |
| Exclusion | -$478,189 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $32,039,843 | SecuritiesAmt |
| Other | $93,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,093,258 | SecuritiesAmt |
| Other | $280,351 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,946,585 | SecuritiesAmt |
| Other | -$186,851 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,759,734 | TotalRevenueColumnAmt |
| Exclusion | $5,759,734 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $24,800 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $82,858 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $56,725 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$31,925 | TotalRevenueColumnAmt |
| Exclusion | -$31,925 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $499,903 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $352,986 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,917 | TotalRevenueColumnAmt |
| Exclusion | $146,917 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722320 | $1,250,359 | $1,250,359 | |
| PURCHASE DISCOUNTS | 900099 | $285,378 | $285,378 | |
| CHILD CARE | 624410 | $191,350 | $191,350 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $815,701 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $762,373 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $53,328 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,542,788 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $316,776,392 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $301,100,203 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,712,206 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,589,883 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,509 | TotalAmt |
| Program Services | $135,509 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,025,125 | TotalAmt |
| Program Services | $430,003 | ProgramServicesAmt |
| Management And General | $1,595,122 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,766,120 | TotalAmt |
| Program Services | $101,785,251 | ProgramServicesAmt |
| Management And General | $8,848,523 | ManagementAndGeneralAmt |
| Fundraising | $132,346 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,092,638 | TotalAmt |
| Program Services | $2,802,653 | ProgramServicesAmt |
| Management And General | $286,356 | ManagementAndGeneralAmt |
| Fundraising | $3,629 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,453,351 | TotalAmt |
| Program Services | $9,473,181 | ProgramServicesAmt |
| Management And General | $967,904 | ManagementAndGeneralAmt |
| Fundraising | $12,266 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,942,298 | TotalAmt |
| Program Services | $7,197,580 | ProgramServicesAmt |
| Management And General | $735,399 | ManagementAndGeneralAmt |
| Fundraising | $9,319 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,127 | TotalAmt |
| Management And General | $604,127 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,470 | TotalAmt |
| Management And General | $596,470 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,774 | TotalAmt |
| Management And General | $64,774 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,746 | TotalAmt |
| Management And General | $213,746 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,797,163 | TotalAmt |
| Program Services | $15,378,807 | ProgramServicesAmt |
| Management And General | $13,418,356 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,823 | TotalAmt |
| Program Services | $119,444 | ProgramServicesAmt |
| Fundraising | $23,379 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,705,389 | TotalAmt |
| Program Services | $3,679,610 | ProgramServicesAmt |
| Management And General | $1,023,712 | ManagementAndGeneralAmt |
| Fundraising | $2,067 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,584,111 | TotalAmt |
| Program Services | $462,903 | ProgramServicesAmt |
| Management And General | $3,121,208 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,558,850 | TotalAmt |
| Program Services | $517,301 | ProgramServicesAmt |
| Management And General | $5,041,549 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,727 | TotalAmt |
| Program Services | $133,647 | ProgramServicesAmt |
| Management And General | $135,080 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,319 | TotalAmt |
| Program Services | $4,633 | ProgramServicesAmt |
| Management And General | $22,686 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,777,042 | TotalAmt |
| Management And General | $2,777,042 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,002,794 | TotalAmt |
| Program Services | $6,543,596 | ProgramServicesAmt |
| Management And General | $8,459,198 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,924,718 | TotalAmt |
| Program Services | $1,363,097 | ProgramServicesAmt |
| Management And General | $561,621 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EXPENSES | $37,083,444 | $37,083,444 | |
| BAD DEBT | $8,078,005 | $8,035,283 | $42,722 |
| MAINT/SERVICE CONTRACTS | $5,112,846 | $3,981,740 | $1,131,106 |
| LAB EXPENSES | $4,227,272 | $4,227,272 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,421,904 | TotalAmt |
| Program Services | $2,995,955 | ProgramServicesAmt |
| Management And General | $2,129,694 | ManagementAndGeneralAmt |
| Fundraising | $296,255 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,616,565 | TotalAmt |
| Program Services | $206,360,909 | ProgramServicesAmt |
| Management And General | $51,776,395 | ManagementAndGeneralAmt |
| Fundraising | $479,261 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,643,564 | BOYAmt |
| EOY | $2,710,787 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,996,812 | BOYAmt |
| EOY | $184,674,883 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,416 | BOYAmt |
| EOY | $460 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,013,657 | BOYAmt |
| EOY | $36,980,052 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,821 | BOYAmt |
| EOY | $11,760 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,778,841 | BOYAmt |
| EOY | $3,836,103 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,941,851 | BOYAmt |
| EOY | $2,589,705 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $303,097,892 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $175,263,190 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,743,906 | BOYAmt |
| EOY | $127,834,702 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,491,234 | BOYAmt |
| EOY | $145,614,943 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,632 | BOYAmt |
| EOY | $12,632 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,358,083 | BOYAmt |
| EOY | $9,598,258 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,063,817 | BOYAmt |
| EOY | $513,864,285 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,300,221 | BOYAmt |
| EOY | $22,981,573 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,005,476 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,527,930 | BOYAmt |
| EOY | $1,463,627 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,400,904 | BOYAmt |
| EOY | $134,524,185 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,234,531 | BOYAmt |
| EOY | $158,969,385 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,456,228 | BOYAmt |
| EOY | $343,007,454 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,305,592 | BOYAmt |
| EOY | $3,534,497 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,067,466 | BOYAmt |
| EOY | $8,352,949 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,829,286 | BOYAmt |
| EOY | $354,894,900 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,063,817 | BOYAmt |
| EOY | $513,864,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $58,159,827 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $604,064 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$407,865 | InvestmentExpenseAmt |
| Other Changes In Net Assets | -$29,290,412 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $64,774 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $64,774 | 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 | $5,551,985 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $169,678 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,217 | AdministrativeExpensesAmt |
| End Year Balance | $5,719,446 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,841,631 | BeginningYearBalanceAmt |
| Contributions | $358,064 | ContributionsAmt |
| Investment Earnings Or Losses | $505,259 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $378,271 | OtherExpendituresAmt |
| Administrative Expenses | $5,897 | AdministrativeExpensesAmt |
| End Year Balance | $5,320,786 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
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 | $118,751,476 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,393,196 | DepreciationAmt |
| Book Value | $90,739,547 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,622,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,266,471 | DepreciationAmt |
| Book Value | $7,355,761 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,145,346 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,603,523 | DepreciationAmt |
| Book Value | $24,541,823 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $185,693 | OtherCostOrOtherBasisAmt |
| Book Value | $185,693 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $127,834,702 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO 3RD PARTIES | $8,036,715 |
| EMPLOYEE RELATED OBLIGATIONS | $42,795,856 |
| SELF-INSURED PROF LIABILITY | $9,181,837 |
| CAPITAL LEASE OBLIGATIONS | $6,848,070 |
| OTHER LIABILITIES | $4,532,110 |
| DUE FROM AFFILIATES | $2,841,766 |
| TAX EXEMPT SERIES E BOND PREMIUM | $1,503,488 |
| LT INTERCOMPANY DEBT SERIES E | $58,784,343 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $134,524,185 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $318,530,621 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $604,064 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $604,064 | RevenueNotReportedAmt |
| Revenue Subtotal | $317,926,557 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $596,611 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$1,746,776 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,150,165 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $316,776,392 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $260,250,295 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,899,548 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,899,548 | ExpensesNotReportedAmt |
| Expenses Subtotal | $258,350,747 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $188,746 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $77,072 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $265,818 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $258,616,565 | 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-152,130 K-1 PASSTHROUGH-642 LOSS ON FIXED ASSETS-(186,851) RENTAL EXPENSES-(1,655,972) GOLF TOURNAMENT EXPENSES-(56,725) |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES-1,655,972 GOLF TOURNAMENT EXPENSES-56,725 LOSS ON FIXED ASSETS-186,851 |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES-77,072 |
| SCHEDULE D PART X LINE 2 | ASC 740-10, UNCERTAIN TAX POSITIONS, PRECRIBES 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 POSITION.MANAGEMENT HAS EVALUATED THE IMPLICATIONS OF ASC 740-10 AND DETERMINED THAT ITS IMPACT ON THE FINANCIAL STATEMENTS IS NOT SIGNIFICANT. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1Amt |
| Gross Receipts Event1 | $58,110 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $40,510 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $17,600 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $5,100 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $16,910 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,485 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $7,768 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | SEDER GOLF TOURNAMENT | NameOfEvent2Amt |
| Gross Receipts Event2 | $49,548 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $42,348 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $7,200 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,500 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $8,580 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $8,664 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $750 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $3,968 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $107,658 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $82,858 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $24,800 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $6,600 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $25,490 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $12,149 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $750 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,736 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $56,725 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$31,925 | 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 | $1,788,699 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,788,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,487,196 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,651,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,835,276 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,275,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,651,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,623,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08630 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $532,644 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $527,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $221,658 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $221,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,194,502 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,194,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,812 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,812 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,564 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $63,564 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,024,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,018,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,300,075 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,657,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,642,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09840 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,761 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,694 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,702 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,157 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,035,283 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $617,246 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $73,314,619 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $84,280,637 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,966,018 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WASHINGTON STREET | AddressLine1 |
| City | NORWICH | City |
| State | CT | State |
| ZIP Code | 06360 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BACKUSHOSPITAL.ORG/HEALTHSURVEY | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 3: IN THE MOST RECENT CHNA, WILLIAM W. BACKUS HOSPITAL CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA. A SAMPLE OF 461 INDIVIDUALS WHO RESIDE WITHIN EASTERN CONNECTICUT WERE INTERVIEWED BY TELEPHONE TO ASSESS THEIR HEALTH BEHAVIORS, PREVENTATIVE PRACTICES, AND ACCESS TO HEALTH CARE. INDIVIDUALS WERE RANDOMLY SELECTED FOR PARTICIPATION BASED ON A STATISTICALLY VALID SAMPLING FRAME DEVELOPED BY HOLLERAN. THE SAMPLING FRAME REPRESENTED 24 ZIP CODES WITHIN THE HOSPITAL'S SERVICE AREA. INTERVIEWS WERE CONDUCTED BY HOLLERAN'S TELE-RESEARCH CENTER BETWEEN THE DATES OF JULY 24, 2012 AND SEPTEMBER 6, 2012. INTERVIEWERS CONTACTED RESPONDENTS VIA LAND-LINE TELEPHONE NUMBERS GENERATED FROM A RANDOM CALL LIST. EACH INTERVIEW LASTED APPROXIMATELY 12 - 15 MINUTES DEPENDING ON THE CRITERIA MET AND WAS COMPLETELY CONFIDENTIAL. ONLY RESPONDENTS WHO WERE AT LEAST 18 YEARS OF AGE AND LIVED IN A PRIVATE RESIDENCE WERE INCLUDED. THE SURVEY WAS ADAPTED FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). BRFSS IS THE LARGEST TELEPHONE HEALTH SURVEY IN THE WORLD. IT IS USED NATIONALLY TO IDENTIFY NEW HEALTH PROBLEMS, MONITOR CURRENT PROBLEMS AND GOALS, AND ESTABLISH AND EVALUATE HEALTH PROGRAMS AND POLICIES. THE SURVEY TOOL CONSISTED OF APPROXIMATELY 100 FACTORS SELECTED FROM THE 2010 AND 2011 BRFSS TOOLS. THE FACTORS WERE CHOSEN BY WILLIAM W. BACKUS HOSPITAL, IN CONSULTATION WITH HOLLERAN AND ADDRESSED 27 HEALTH-RELATED TOPICS RANGING FROM GENERAL HEALTH STATUS TO CHILD HUMAN PAPILLOMA VIRUS. IN ADDITION, BRFSS RESULTS FOR CONNECTICUT AND THE UNITED STATES ARE INCLUDED WHEN AVAILABLE TO INDICATE HOW THE HEALTH STATUS OF WILLIAM W. BACKUS HOSPITAL'S SERVICE AREA COMPARES ON A STATE AND NATIONAL LEVEL.THE SUMMARY REPORT IS AVAILABLE AT: HTTP://BACKUSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2013/05/CHNA-FINAL-REPORT.PDF |
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 5D: THE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC. INFORMATION ABOUT THE CHNA AND ITS MAJOR FINDINGS AND IMPLEMENTATION STRATEGY APPEARED IN HEALTHY CONNECTIONS AND THE HOSPITELL. BACKUS HOSPITAL PUBLISHES HEALTHY CONNECTIONS EACH MONTH AS A COMMUNITY SERVICE TO THE RESIDENTS OF EASTERN CONNECTICUT. INFORMATION IN HEALTHY CONNECTIONS COMES FROM A WIDE RANGE OF MEDICAL RESOURCES. THE HOSPITELL IS A WEEKLY NEWSLETTER FOR BACKUS EMPLOYEES, VOLUNTEERS, PATIENTS, AND COMMUNITY MEMBERS. IT KEEPS READERS UPDATED ON HOSPITAL NEWS AND CAN BE FOUND IN PRINTED FORM IN THE HOSPITAL AND ITS OFFSITE LOCATIONS AND IT CAN ALSO BE FOUND ONLINE AT THE HOSPITAL'S WEBSITE. THE ENTIRE NEEDS ASSESSMENT IS MADE AVAILABLE TO THE PUBLIC VIA THE HOSPITALS WEBSITE AND CAN BE FOUND AT WWW.BACKUSHOSPITAL.ORG/HEALTHSURVEY. YOU CAN ALSO ACCESS THE CHNA REPORT ON THE CONNECTICUT OFFICE OF HEALTHCARE ACCESS WEBSITE AT WWW.CT.GOV/DPH/CWP/VIEW.ASP?A=3902&Q=277344 . |
| THE WILLIAM W BACKUS HOSPITAL | PART V, SECTION B, LINE 7: BY FOCUSING EFFORTS THE CROSS-CUTTING ISSUES OF ACCESS TO CARE, PREVENTATIVE HEALTH (INCLUDING CHRONIC AND INFECTIOUS DISEASE, RESPIRATORY HEALTH, AND OBESITY), AND MENTAL HEALTH (INCLUDING SUBSTANCE ABUSE), THE BACKUS HEALTH SYSTEM WILL TAKE A COMPREHENSIVE APPROACH TO ADDRESSING EIGHT OF THE NINE MOST URGENT NEEDS IN THE COMMUNITIES IT SERVES. AS WITH ALL BACKUS HEALTH SYSTEM PROGRAMS, IT WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY.BACKUS RECOGNIZES THAT THERE ARE NUMEROUS PARTNERS IN THE COMMUNITY THAT CAN HELP TO IMPROVE THE IDENTIFIED HEALTH NEEDS. IN SOME CASES, PARTNERS ARE BETTER SUITED TO LEAD THE INITIATIVE TO IMPACT CERTAIN HEALTH NEEDS. SUCH IS THE CASE WITH THE BUILT ENVIRONMENT. BACKUS HEALTH SYSTEM WILL SUPPORT ONGOING AND NEW EFFORTS TO IMPROVE THE COMMUNITY'S PHYSICAL ENVIRONMENT AND INFRASTRUCTURE TO IMPROVE SAFETY, THE TRANSPORTATION SYSTEM, AND CREATE MORE OPPORTUNITIES FOR PHYSICAL ACTIVITY, BUT SEES ITS PRIMARY ROLE AS ALLOCATING RESOURCES TO ADDRESS DIRECT HEALTH NEEDS FOR THE COMMUNITY. |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $ 8,078,005. |
| PART III, LINE 4: | SEE PAGES 10&19 OF THE AUDITED FINANCIAL STATEMENTS. LINE 3-COST METHODOLOGY EQUALS RCC FROM 2014 OHCA FILING. PORTION OF BAD DEBT CONSIDERED COMMUNITY BENEFIT IS BASED ON THE COST OF THE ACCOUNTS RETURNED FROM THE COLLECTION AGENCY AS UNCOLLECTIBLE. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST. THE COSTING METHODOLOGY CONSISTED OF INFORMATION FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM AS WELL AS COSTS FROM THE MEDICARE COST REPORT |
| 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 2012, THE WILLIAM W. BACKUS HOSPITAL COMMISSIONED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY HOLLERAN, A PROFESSIONAL RESEARCH FIRM. THE ASSESSMENT CONSISTED OF 461 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. THE NEEDS ASSESSMENT WAS PRESENTED AND DISTRIBUTED, AND CAN BE ACCESSED AT WWW.BACKUSHOSPITAL.ORG/HEATLHSURVEY. THE SUMMARY REPORT IS AVAILABLE AT: HTTP://BACKUSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2013/05/CHNA-FINAL-REPORT.PDF |
| 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 $11,670 PER YEAR. THE WILLIAM W. BACKUS HOSPITAL FINANCIAL ASSISTANCE POLICY GRANTS 100% CHARITY CARE TO A FAMILY OF ONE EARNING UP TO $29,175 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: | A) THE HOSPITAL IS GOVERNED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS/TRUSTEES. THESE INDIVIDUALS REPRESENT AN ARRAY OF PROFESSIONS AND BACKGROUNDS. B) THE HOSPITAL HAS 125 CORPORATORS - VOLUNTEER MEMBERS CHOSEN FROM ALL THE COMMUNITIES IN OUR PRIMARY AND SECONDARY SERVICE AREAS. IN ADDITION TO THEIR OFFICIAL CAPACITY AS NOMINATORS OF BOARD MEMBERS, THE CORPORATORS SERVE AS THE HOSPITAL'S EYES AND EARS THROUGHOUT ITS SERVICE AREA. C) THE HOSPITAL OWNS AND OPERATES A MOBILE HEALTH RESOURCE CENTER- A 40-FOOT VAN AND A SMALLER "CAREVAN" THAT TRAVELS TO VARIOUS LOCATIONS IN EASTERN CONNECTICUT OFFERING HEALTH EDUCATION, COUNSELING, AND SCREENINGS. THE VANS MAKE REGULARLY SCHEDULED STOPS AT SENIOR CITIZEN CENTERS, SOUP KITCHENS, ELDERLY HOUSING COMPLEXES, AND HOMELESS SHELTERS. NOT-FOR PROFIT GROUPS ARE ENCOURAGED TO REQUEST THE VANS AND THEIR SERVICES AT THEIR FUNCTIONS OR OFFICES. D) THE HOSPITAL PROVIDES INDIVIDUALS WHO DO NOT IDENTIFY AS HAVING A PRIMARY MEDICAL HOME WITH A FOLLOW UP VISIT POST DISCHARGE TO LINK THESE INDIVIDUALS WITH A PRIMARY CARE PHYSICIAN IN THE COMMUNITY. THIS IS FACILITATED THROUGH THE "MY HEALTH DIRECT" PROGRAM, A WEB-BASED TOOL THAT ALLOWS HOSPITAL STAFF TO ACCESS BLOCKED APPOINTMENTS FOR PHYSICIANS IN THE COMMUNITY. FROM 10/1/13 TO 9/30/14 THE HOSPITAL LINKED 1,171 INDIVIDUALS WITH PRIMARY AND PREVENTIVE CARE. E) THE HOSPITAL PROVIDES FREE COMMUNITY PROSTATE SCREENINGS, DIABETES EDUCATION, BACKPACK SAFETY, HIV EDUCATION/TESTING, BLOOD PRESSURE TESTS, SKIN CANCER SCREENINGS, NUTRITION EDUCATION, AND MANY OTHER SERVICES. F) THE HOSPITAL PROVIDES A COMPREHENSIVE MEDICAL LIBRARY, WHICH IS OPEN TO ALL STAFF. THE LIBRARY HAS SUBSCRIPTIONS TO HUNDREDS OF MAJOR SCIENTIFIC AND CLINICAL JOURNALS, AS WELL AS AN ON-STAFF LIBRARIAN TO HELP WITH SPECIFIC REQUESTS. G) THE HOSPITAL PROVIDES FREE MEDICATION CARDS TO HELP PATIENTS KEEP TRACK OF THEIR CURRENT MEDICATIONS, AND ITS PHARMACISTS OFFER FREE REGULAR EDUCATION REVIEWS TO CHECK FOR POSSIBLE INTERACTIONS AND EXPIRED MEDICATION. H) THE HOSPITAL OFFERS FREE WIRELESS INTERNET (WI-FI) USE THROUGHOUT THE CAMPUS, AND PROVIDES FREE COMPUTER USE TO VISITORS. I) THE HOSPITAL PUBLISHES A BI-MONTHLY HEALTH MAGAZINE. THE PUBLICATION CONTAINS INFORMATION ABOUT HEALTH ISSUES AND TRENDS, A CALENDAR OF FREE HEALTHCARE EDUCATION AND SCREENINGS, AND CONTACT INFORMATION FOR HEALTHCARE PROVIDERS. 98,000 COPIES ARE DISTRIBUTED BI-MONTHLY. |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CHAMBER OF COMMERCE OF SE CT | |||||||
| 914 HARTFORD TPKE | WATERFORD | CT | 06385 | 060475490 | 501C6 | $11,000 | SPONSORSHIPSPONSORSHIP |
| DR MARTIN LUTHER KING SCHOLARSHIP TRUST FUND | |||||||
| PO BOX 1308 | NEW LONDON | CT | 06320 | 066107846 | 501C3 | $10,000 | SPONSORSHIP |
| CENTER FOR HOSPICE CARE | |||||||
| 227 DURHAM STREET | NORWICH | CT | 06360 | 222667260 | 501C3 | $8,500 | SPONSORSHIP |
| UNITED WAY OF SE CT | |||||||
| PO BOX 375 | GALES FERRY | CT | 06335 | 060771393 | 501C3 | $8,000 | SPONSORSHIP |
| BROADWAY KIDS | |||||||
| 12 PENNSYLVANIA AVE | NIANTIC | CT | 06357 | $15,000 | SPONSORSHIP | ||
| LEE MEMORIAL CHURCH | |||||||
| 294 WASHINGTON STREET | NORWICH | CT | 06360 | 222512537 | $10,000 | SPONSORSHIP | |
| THREE RIVERS COLLEGE FOUNDATION | |||||||
| 574 NEW LONDON TRNPKE | NORWICH | CT | 06360 | 237303151 | 501C3 | $72,000 | NURSING SCHOOL/SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP | GrantTypeTxt |
| Recipient | 4 | RecipientCnt |
| Cash Grant | $10,000 | 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. FOUR SCHOLARSHIPS IN THE AMOUNT OF $2500 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 (12 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 | ||||||||||||||
| TRUSTEE/PRESIDENT/CEO | $708,316 | $0 | $0 | $0 | $22,855 | $0 | $21,420 | $0 | $24,498 | $0 | $777,089 | $0 | $0 | $0 |
| ELLIOT JOSEPH | ||||||||||||||
| TRUSTEE | $0 | $1,133,866 | $0 | $365,065 | $0 | $348,604 | $0 | $307,338 | $0 | $40,448 | $0 | $2,195,321 | $0 | $0 |
| DANIEL LOHR | ||||||||||||||
| SENIOR VP/CFO | $454,802 | $0 | $0 | $0 | $26,923 | $0 | $21,420 | $0 | $17,265 | $0 | $520,410 | $0 | $0 | $0 |
| CAROLYN TRANTALIS | ||||||||||||||
| VP OPERATIONS EAST REGION | $0 | $194,197 | $0 | $0 | $0 | $816 | $0 | $11,709 | $0 | $9,877 | $0 | $216,599 | $0 | $0 |
| MARY BYLONE | ||||||||||||||
| VP PATIENT CARE EAST REGION | $244,552 | $0 | $0 | $0 | $2,046 | $0 | $12,321 | $0 | $8,579 | $0 | $267,498 | $0 | $0 | $0 |
| THERESA BUSS | ||||||||||||||
| VP HUMAN RESOURCES E. REGION | $232,220 | $0 | $0 | $0 | $2,199 | $0 | $11,754 | $0 | $8,626 | $0 | $254,799 | $0 | $0 | $0 |
| PETER SHEA | ||||||||||||||
| SENIOR VP/MEDICAL DIRECTOR | $450,316 | $0 | $0 | $0 | $2,592 | $0 | $13,770 | $0 | $24,498 | $0 | $491,176 | $0 | $0 | $0 |
| SERGIO CASILLAS | ||||||||||||||
| PHYSICIAN | $499,498 | $0 | $52,771 | $0 | $399 | $0 | $13,770 | $0 | $22,484 | $0 | $588,922 | $0 | $0 | $0 |
| ROBERT SIDMAN | ||||||||||||||
| PHYSICIAN | $330,562 | $0 | $105,418 | $0 | $270 | $0 | $13,770 | $0 | $23,828 | $0 | $473,848 | $0 | $0 | $0 |
| MARK TOUSIGNANT | ||||||||||||||
| PHYSICIAN | $440,100 | $0 | $0 | $0 | $268 | $0 | $13,770 | $0 | $23,828 | $0 | $477,966 | $0 | $0 | $0 |
| WILLIAM HORGAN | ||||||||||||||
| PHYSICIAN | $273,322 | $0 | $85,066 | $0 | $180 | $0 | $13,770 | $0 | $23,828 | $0 | $396,166 | $0 | $0 | $0 |
| RICHARD GOULDING | ||||||||||||||
| PHYSICIAN | $279,085 | $0 | $81,775 | $0 | $180 | $0 | $13,770 | $0 | $23,828 | $0 | $398,638 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | DAVID WHITEHEAD, DANIEL LOHR AND PETER SHEA PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THERE WERE NO ACCRUALS OR CONTRIBUTIONS THAT WERE MADE TO THE PLAN DURING THE REPORTING PERIOD.THEY DID RECEIVE DISBURSEMENTS OF $3800, $500 AND $0, RESPECTIVELY. |
| PART I, LINE 7 | 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, 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 GROUPS ARE 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 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DAVID WHITEHEAD DANIEL LOHR AND PE | |||
| OFFICERS OF BOTH WWBH AND CONNCARE INC | $12,031,362 | REIMBURSEMENTS PAID BY CONNCARE TO WWBH, $773,607 LEASED PROPERTY | 0 |
| DAVID WHITEHEAD AND DANIEL LOHR | |||
| OFFICERS OF BOTH WWBH AND OMNI HOME HEALTH | $137,208 | MANAGEMENT FEES PAID BY OMNI TO WWBH | 0 |
| DAVID WHITEHEAD AND DANIEL LOHR | |||
| OFFICERS OF BOTH WWBH AND WWB INC | $7,623,267 | REIMBURSEMENTS PAID BY WWB TO WWBH | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID WHITEHEAD AND DANIEL LOHR HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVE AS AN OFFICER OR DIRECTOR FOR CONNCARE INC, WWB CORPORATION, AND BACKUS HOME HEALTH WHICH ARE RELATED FOR PROFIT COMPANIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | BACKUS 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 | BACKUS CORPORATION, BEING THE SOLE MEMBER OF THE WILLIAM W BACKUS HOSPITAL, HAS THE RIGHT TO ELECT ALL THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | IN ADDITION TO ANY OTHER RIGHTS AND POWERS WHICH THE MEMBER MAY HAVE UNDER LAW, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO (A)APPROVE THE STRATEGIC PLAN AND THE CONSOLIDATION OR CLOSURE OF SIGNIFICANT LINES OF BUSINESS, PROGRAMS OR SERVICES (B)TO EFFECTUATE THE TRANSFER OF FUNDS TO ANOTHER AFFILIATED CORPORATION (C)TO EFFECTUATE THE HOSPITALS PAYMENT TO OR RECEIPT OF PAYMENT FROM THE CORPORATION (D)TO APPROVE THE ACQUISITION OR LEASE OF ANY EQUIPMENT AND ANY PROJECT OR CONSTRUCTION CONTRACT THAT ENTAILS AN EXPENDITURE BY THE HOSPITAL IN EXCESS OF, OR WITH A VALUE OVER, $400,000 IN ANY FISCAL YEAR AND THAT IS NOT ALREADY INCORPORATED IN AN APPROVED BUDGET (E) TO APPROVE ANY PROJECTS THAT WOULD REQUIRE A CERTIFICATE OF NEED (CON) OR FOR WHICH A CON DETERMINATION WILL BE SUBMITTED TO THE OFFICE OF HEALTH CARE ACCESS (F)TO APPROVE THE REORGANIZATION, MERGER, CONSOLIDATION OR DISSOLUTION OF THE HOSPITAL OR THE AFFILIATION OF THE HOSPITAL WITH ANOTHER HOSPITAL OR HEALTH DELIVERY SYSTEM, OR THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL (G)TO APPROVE THE HOSPITALS ANNUAL OPERATING BUDGET (H)TO APPROVE PLANS FOR THE BORROWING OF ANY SUM IN EXCESS OF $400,000 WHICH HAS A STATED TERM GREATER THAN ONE YEAR OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE HOSPITALS REAL PROPERTY OR BY A SECURITY INTEREST IN THE HOSPITALS ASSETS OR REVENUES (I)TO APPROVE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION OR BYLAWS |
| 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). ALL EMPLOYEE DISCLOSURES ARE REVIEWED BY OCAP TO DETERMINE IF THERE IS A POTENTIAL CONFLICT. LEGAL COUNSEL REVIEWS ALL CASES WHERE THE INDIVIDUAL HAS A SIGNIFICANT FINANCIAL INTEREST AND THESE CASES ARE FORWARDED TO THE SYSTEM EXECUTIVE COMPLIANCE STEERING COMMITTEE. THE SYSTEM EXECUTIVE COMPLIANCE STEERING COMMITTEE ASSESS AND MAY RECOMMEND WHETHER 1) THE CONFLICT BE ELIMINATED, 2) THE PROPOSED ACTIVITY BE PROHIBITED, OR 3) A CONFLICT OF INTEREST MANAGEMENT PLAN BE IMPLEMENTED. RESULTS OF THE SURVEY OF BOARD MEMBERS 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, 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 GROUPS ARE 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 IX, LINE 11G | OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 15,378,807. MANAGEMENT AND GENERAL EXPENSES 13,418,356. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,797,163. |
| PART IX LINE 11 G | PURCHASED SERVICE 11,614,306 PURCHASED SERVICE-LABOR 9,515,242 SYSTEM FEES 4,686,168 CONSULTING 2,473,558 COURIER SERVICE 386,019 GROUNDS 83,371 WASTE REMOVAL 34,202 OTHER 4,297 TOTAL 28,797,163 |
| FORM 990, PART XI, LINE 9: | K-1 PASSTHROUGH -642. TRANSFER TO AFFILIATES -2,553,495. INCREASE IN ASSETS HELD IN TRUST 118,022. CHANGE IN PENSION FUNDING -26,854,297. |
| FORM 990 PART XII LINE 2C | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BACKUS HEALTH CARE INC | ||||||||||
| 326 WASHINGTON STREET | NORWICH | CT | 06360 | 222481794 | SUPPORT | CT | 501C3 | 11A | BACKUS CORP | 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 | ||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 222672834 | SUPPORT & MANAGEMENT SVCS TO HHC & AFFILIATES | CT | 501C3 | 11C | Yes (1) | |
| INSTITUTE OF LIVING | ||||||||||
| 200 RETREAT AVENUE | HARTFORD | CT | 06106 | 060646683 | SUPPORTING ORGANIZATION TO HARTFORD HOSPITAL | CT | 501C3 | 11C | HARTFORD HOSPITAL | Yes (1) |
| 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 | ||||||||||
| 103 WOODLAND STREET | HARTFORD | CT | 06105 | 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OMNI HOME HEALTH | |||||||||||
| 12 CASE STREET | NORWICH | CT | 06360 | 061458837 | HOME HEALTH CARE | CT | WWB INC | RELATED | 0 | 0 | 0.99000 |
| HHC SOUTHINGTON SURGERY CENTER | |||||||||||
| 81 MERIDEN AVENUE | SOUTHINGTON | CT | 06489 | 465500829 | SURGERY SERVICES | CT | HOCC | RELATED | 0 | 0 | 0.26000 |
| NEW BRITAIN MRI LIMITED PARTNERSHIP | |||||||||||
| 100 GRAND STREET | NEW BRITAIN | CT | 06050 | 061271349 | MAGNETIC RESONANCE IMAGING | CT | CENCONN SERVICES INC | RELATED | 0 | 0 | 0.56600 |
| HARTFORD HEALTHCARE ENDOWMENT LLC | |||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 454181103 | ENDOWMENT MANAGEMENT | CT | RELATED | 0 | 0 | 1.00000 | |
| AMBULANCE SERVICE OF MANCHESTER | |||||||||||
| PO BOX 300 | MANCHESTER | CT | 06450 | 061557358 | AMBULATORY SERVICE | CT | RELATED | 0 | 0 | 0.50000 | |
| CT IMAGING PARTNERS LLC | |||||||||||
| 111 FOUNDERS PLACE | EAST HARTFORD | CT | 06108 | 134298940 | IMAGING SERVICES | CT | UNRELATED | 0 | 0 | 0.50000 | |
| GLASTONBURY ENDOSCOPY CENTER LLC | |||||||||||
| 300 WESTERN BLVD STE B | GLASTONBURY | CT | 06033 | 261721234 | ENDOSCOPY SERVICES | CT | RELATED | 0 | 0 | 0.50000 | |
| GLASTONBURY SURGERY CENTER LLC | |||||||||||
| 195 EASTERN BLVD | GLASTONBURY | CT | 06033 | 262600828 | SURGERY SERVICES | CT | RELATED | 0 | 0 | 0.51000 | |
| HARTFORD-MIDDLESEX CLINICAL SYSTEM LLC | |||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06110 | 061543605 | AFFILIATE SUPPORT SERVICE | CT | UNRELATED | 0 | 0 | 0.50000 | |
| MED EAST ASSOC LLC | |||||||||||
| 1703 WEST MAIN STREET | WILLIMANTIC | CT | 06226 | 061469575 | OUTPATIENT CARE CLINIC | CT | RELATED | 0 | 0 | 0.50000 | |
| HHC SOUTHINGTON SURGERY CENTER | |||||||||||
| 81 MERIDEN AVENUE | SOUTHINGTON | CT | 06489 | 465500829 | SURGERY SERVICES | CT | MMC | RELATED | 0 | 0 | 0.25000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Share Of EOY AssetsShareOfEOYAssetsAmt | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WWB CORPORATION | |||||||||||||||
| 326 WASHINGTON STREET | NORWICH | CT | 06360 | 061094836 | HOLDING COMPANY | CT | BACKUS CORPORATION | C | 1.00000 | Yes (1) | |||||
| CONNCARE INC | |||||||||||||||
| 326 WASHINGTON STREET | NORWICH | CT | 06360 | 061387598 | HEALTHCARE SERVICES | CT | BACKUS HEALTH CARE INC | C | 1.00000 | Yes (1) | |||||
| BACKUS MEDICAL CENTER CONDO ASSOC INC | |||||||||||||||
| 330 WASHINGTON STREET | NORWICH | CT | 06360 | 061542647 | CONDO ASSOCIATION | CT | THE WILLIAM W BACKUS HOSPITAL | C | 0.69000 | Yes (1) | $12,489 | ||||
| HHMOB CORPORATION& SUBSIDIARY | |||||||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 061140244 | REAL ESTATE PARKING | CT | HARTFORD HEALTHCARE CORP | C | 1.00000 | Yes (1) | |||||
| HARTFORD HEALTHCARE INDEMNITY SERVICES LTD | |||||||||||||||
| CAPTIVE INSURANCE | HARTFORD HEALTHCARE CORP | C | 1.00000 | 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 | WINDHAM | C | 1.00000 | Yes (1) | |||||
| WINDHAM PHYSICIAN HOSPITAL ORGANIZATION | |||||||||||||||
| 112 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 061441614 | MEDICAL SERVICES | CT | C | 0.50000 | Yes (1) | ||||||
| WINDHAM FAMILY MEDICAL SERVICES | |||||||||||||||
| 112 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 061491649 | MEDICAL SERVICES | CT | C | Yes (1) | |||||||
| CENCONN SERVICES INC | |||||||||||||||
| 100 GRAND STREET | NEW BRITAIN | CT | 06050 | 222836001 | HOLDING COMPANY | CT | CCHA | C | 1.00000 | Yes (1) | |||||
| AETNA AMBULANCE SERVICE | |||||||||||||||
| PO BOX 1150 | MANCHESTER | CT | 06045 | 060795431 | AMBULANCE SERVICE INC | CT | C | 0.50000 | Yes (1) | ||||||
| HARTFORD PHYSICIAN SERVICES | |||||||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 061254082 | MEDICAL SERVICES | CT | C | Yes (1) | |||||||
| MERIDEN IMAGING CENTER | |||||||||||||||
| 101 NORTH PLAINS INDUSTRIAL RD | MERIDEN | CT | 06429 | 061541468 | IMAGING | CT | MIDSTATE | S | 0.80000 | Yes (1) | |||||
| MIDSTATE MEDICAL GROUP PC | |||||||||||||||
| 435 LEWIS AVENUE | MERIDEN | CT | 06450 | 204327968 | MEDICAL SERVICES | CT | C | Yes (1) | |||||||
| HARTFORD PHYSICIAN HOSPITAL ORGANIZATION INC | |||||||||||||||
| 80 SEYMOUR STREET | HARTFORD | CT | 06102 | 222785918 | PHYSICIAN & HOSPITAL SUPPORT | CT | C | 0.50000 | Yes (1) | ||||||
| METRO WHEELCHAIR SERVICES INC | |||||||||||||||
| PO BOX 300 | MANCHESTER | CT | 06045 | 060878432 | WHEELCHAIR SERVICES | CT | C | 0.50000 | Yes (1) | ||||||
| SELECT PHYSICIANS NETWORK | |||||||||||||||
| 112 MANSFIELD AVENUE | WILLIMANTIC | CT | 06226 | 061426901 | MANAGING OFFICES OF PHYSICIANS AND SURGEONS | CT | C | 0.50000 | Yes (1) | ||||||
| WINDHAM PROFESSIONAL OFFICE CONDOMINIUMS | |||||||||||||||
| 1120 MANSFIELD AVE | WILLIMANTIC | CT | 06226 | 061090041 | CONDO ASSOCIATION | CT | WINDHAM | C | 0.60000 | 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 | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CONNCARE INC | ||
| J | $773,607 | COST |
| OMNI HOME HEALTH | ||
| L | $137,208 | COST |
| CONNCARE INC | ||
| L | $97,253 | COST |
| CONNCARE INC | ||
| Q | $12,031,362 | COST |
| WWB INC | ||
| Q | $7,623,267 | COST |
| HARTFORD HEALTHCARE INC | ||
| M | $3,629,383 | COST |
| HARTFORD HEALTHCARE INC | ||
| O | $5,147,864 | COST |