NATCHAUG HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- NATCHAUG HOSPITAL INC (EIN 06-0966963)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-13
- IRS object ID
- 201522259349302092
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-13T14:14:29-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Clarendon Street 44th Floor | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02116 | 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 | 060966963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATC | BusinessNameControlTxt |
| Phone | 8604561311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1 |
| City | Mansfield Center | City |
| State | CT | State |
| ZIP Code | 06226 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL V MALONEY | PersonNm |
| Person Title | VP of Finance | PersonTitleTxt |
| Phone | 8604561311 | PhoneNum |
| Signature | 2015-08-13 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanne S Schuster | PreparerPersonNm |
| PTIN | P00743154 | PTIN |
| Phone | 6172662000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Stephen W Larcen PHD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1 |
| City | Mansfield Center | City |
| State | CT | State |
| ZIP Code | 06226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,674,431 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NATCHAUG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | To provide inpatient and outpatient psychiatric healthcare services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 660 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $194,294 | PYContributionsGrantsAmt |
| CY Contributions Grants | $184,720 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,384,706 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,437,951 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,172 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,464 | CYInvestmentIncomeAmt |
| PY Other Revenue | $28,421 | PYOtherRevenueAmt |
| CY Other Revenue | $41,296 | CYOtherRevenueAmt |
| PY Total Revenue | $49,616,593 | PYTotalRevenueAmt |
| CY Total Revenue | $49,674,431 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,549,447 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,953,899 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,302,046 | PYOtherExpensesAmt |
| CY Other Expenses | $9,576,158 | CYOtherExpensesAmt |
| PY Total Expenses | $48,851,493 | PYTotalExpensesAmt |
| CY Total Expenses | $48,530,057 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $765,100 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,144,374 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,761,311 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,022,813 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,866,773 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,817,813 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,894,538 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,205,000 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide a continuum of accessible, community-based services for those living with psychiatric illness and chemical dependency or emotional and related educational disabilities, with a commitment to the dignity and privacy of those needing service, empowering them to participate in their own care, education and recovery. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,460,605 | ExpenseAmt |
| Revenue | $19,150,077 | RevenueAmt |
| Desc | Inpatient Treatment:Natchaug Hospital provides a full range of inpatient psychiatric and substance-abuse treatment for children, adolescents and adults at our 57-bed Mansfield Center facility. The highly qualified, experienced and dedicated professional staff of Natchaug Hospital provides expert care in a supportive, therapeutic setting - helping people regain their stability and return as soon as possible to their own homes. The hospital serves Medicare and Medicaid subscribers and provides care without regard to ability to pay.Intermediate Care (ICC):An acute level of care for a longer length of stay for persons living with prolonged and severe mental illness. Historically, people from Eastern Connecticut who were in need of an extended length of stay were referred to Cedarcrest Hospital in Newington. Natchaug Hospital ICC provides this much-needed care for persons from the Eastern Region, closer to the communities where they live and work. United Services and the Southeastern Mental Health Authority are the Local Mental Health Authorities (LMHA's) responsible for authorizing admission to the Intermediate Care Program. The above includes the authorization of Department of Mental Health and Addiction Services (DMHAS) funds to pay for care in the event the patient is medically indigent, has exhausted his/her Medicare benefit, or has no Medicare hospitalization coverage. Patients are most likely to be referred from Eastern Region hospital inpatient units when it becomes clear that the patient will not be able to safely return to the community following an acute care stay. Upon admission, each patient is assessed by a psychiatrist, a registered nurse and a primary therapist. A treatment plan is developed for each patient. The treatment team works closely with the patient, their family and community providers to develop a discharge plan and ensure that community supports are in place.In-Patient Treatment Programs:* Treats approximately 60 patients on a daily basis at the Mansfield locationInpatient Treatment includes:* Comprehensive bio-psycho-social assessment* Formulation of a treatment plan developed with the patient/family which may include the use of medications * Group therapy (a primary treatment approach)* Family therapy and individual therapy* Formulation of a discharge/aftercare plan* Case management servicesPatient referral to in-patient programs:* Majority (over 80%) comes from emergency rooms * Self-referral via phone call or walk-in* Referral from a Natchaug Program (PHP, IOP, school)* Referral from community providersTypical patient experience: The majority of our patients arrive via ambulance through the ambulance entrance. All patients receive an initial assessment by a registered nurse and psychiatrist which is completed within 8 hours of admission. Patients are oriented to the unit, the milieu, and the schedule. Our patients are closely monitored for the first 24-48 hours, depending on presentation and symptoms. Groups are scheduled from morning through evening. In addition,the patients meet with their Primary Therapist and Psychiatrist regularly. Contact with the family/guardian is during the admission process or within the following 48-72 hours. Family meetings are scheduled by the Primary Therapist. The patients on the child and adolescent units attend school in the building for 5 hours per day, with groups during the day, after school, and in the evening. Each inpatient unit is staffed 24-7 with Registered Nurses, Psychiatrists, Mental Health Workers and Licensed Practical Nurses (Adult Unit only). Also, on the Clinical Treatment Team are Nurse Managers, Licensed Primary Therapists, Case Managers (Adult Unit Only), Unit Clerks, Dieticians, Certified Occupational Therapists (COTA), Occupational Therapists (OT) and Family Practice Physicians, on site Monday through Friday. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,096,952 | ExpenseAmt |
| Revenue | $8,274,837 | RevenueAmt |
| Desc | Joshua Centers:Partial Hospital Program (PHP): The Partial Hospital Program provides four hours of intensive psychiatric support daily for up to five days per week. This is a morning program for adults and an after-school program for children and adolescents. The program can eliminate the need for a hospital stay, and/or help with the transition back to home and regular school after a period of inpatient care.Intensive Outpatient Program (IOP): The Intensive Outpatient Program is somewhat less intense than the PHP, providing three hours of intensive treatment each day for up to five days each week. This program is offered both in the morning and during the evening for adults and after-school for children and adolescents. The IOP program is designed to help continue progress with behavioral health stabilization and recovery.Extended Day Treatment (EDT):This special program, partially funded by the Connecticut Department of Children, supports children and adolescents who have emotional or behavioral health issues that put them at risk of needing psychiatric residential or inpatient care. The Extended Day Treatment program is particularly helpful for children with special needs who are in foster care.Child & Adolescent Treatment Programs:* Treat about 250 children and adolescents daily in all programs/locations* May prevent hospitalization* Aids in transition back to the community following hospitalization* Transportation to Partial Hospital Program, Intensive Outpatient Program and Extended Day Program: Most of this transportation is provided by Natchaug Hospital staff, driving the Hospital vans that pick up patients from their school or home. * Average length of stay in PHP/IOP program, 6 - 8 weeks; EDT and Intensive In-Home Child & Adolescent Psychiatric Services, 6 months.Joshua Program treatment services include: * Comprehensive bio-psycho-social assessment* Group Therapy (the primary treatment approach)* Family and individual therapy* Medication management* Occupational and creative rehabilitation therapy* Comprehensive aftercare/discharge planningPartial Hospital Program (PHP): four hours of treatment for up to five days per week Intensive Outpatient program (IOP): three hours of treatment up to five days per week Extended Day Treatment (EDT) is a specialized therapeutic after-school support program that provides structured groups for three hours a day up to five days per week to learn and practice social skills such as group interaction, listening, cooperative leisure activities. Intensive In-Home Child & Adolescent Psychiatric Services(IICAPS): developed and monitored by the Yale University Child Study Center, provides in home services 2-3 times per week to help meet the needs of families with children with persistent psychiatric disorders. Client referral to a Child/Adolescent Treatment Program:* Referred from an inpatient program in Connecticut* Community providers (Child & Family Services; United Children & Families; Emergency Rooms)* School systems* Private providers (community psychiatrists or therapists)* Family and friendsTypical client experience in a Child/Adolescent Program:Initial referral phone call results in an intake appointment with a masters level clinician to complete a bio-psycho-social assessment. The client must be accompanied by their parent/guardian. After admission to the Program, the client/guardian meets with the psychiatrist/APRN for treatment planning and medication management.In a treatment day, clients arrive after being picked up from their school (or home) in one of Natchaug Hospital vans and will attend four groups in PHP and three groups in IOP. Groups include a psychotherapy group, educational groups and an activity group. The activity group is led by a Mental Health Worker or a CRS Staff member; all other groups are led by a masters level clinician. Education groups might include managing emotions; dangers of substance abuse; handling relationships, etc. Natchaug Hospital Group Levels: Psychotherapy/Process Group: is based on exploration and analysis of the interaction of a person's thoughts, feelings & beliefs and the group process for the purpose of facilitating an interpersonal change process and is led by a mental health professional with a graduate degree in a clinical discipline. Educational/Skills Group: Involves the acquisition of knowledge and/or skills, improved coping responses, or the sharing of experiences (such as Goals or Wrap-up Group). Group goals are to reduce stress, improve problem solving and learn new coping behaviors. This group is led by a staff member with documented training and/or experience in group leadership. The group includes: Registered Nurses, Certified Occupational Therapy Assistants, Mental Health Workers, Pharmacists, and Dieticians, CRS staff (music, art or recreational therapists).Leisure Activity Groups: Involve the client/patient/student within a meeting/group format in order to practice the development of healthy social relationships. This may include a specific activity (art, music, games) planned with the goal of improving attention and/or social interactions; led by a staff member with the desire and supervisor-determined competency to lead a leisure activity group.Other points:* Surveyed by Joint Commission using Behavioral Health Standards* PHP/IOP licensed by the Department of Public Health* EDT is licensed by the Department of Children & Families. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,583,835 | ExpenseAmt |
| Revenue | $9,939,885 | RevenueAmt |
| Desc | Education:Clinical Day Treatment School Programs (CDT):Natchaug's clinical day treatment programs, which are approved by the Connecticut Department of Education, offer special education services to students in grades 1 - 12, whose social, emotional or behavioral health problems prevent them from functioning successfully in a regular school environment. Each student's individual academic and clinical treatment plan is designed to address their special needs and return them to their regular schools as soon as possible. Natchaug Hospital schools operate in Enfield, Danielson, Mansfield, Norwich, Montville and Windham. Natchaug is also the contracted operator of two schools for the town of Norwich.Natchaug Hospital's Board of Directors serves a number of functions similar to a Board of Education, with responsibilities for the oversight and the implementation of certain State statutes and Federal legislation.Natchaug Hospital School Programs:* Each school day, an average of 200 students attend Natchaug Hospital's school programs* Approved by the Connecticut Department of Education * Inpatient School, Journey House School, Clinical Day Treatment School in six sites * Natchaug contracts with the Norwich Public Schools to provide services located at Deborah Tennant-Zinewicz School and Hickory Street SchoolStudents come to the Inpatient School on an emergency basis, and for non-educational reasons; school staff determines if the student receives special education services, and if there is an Individual Education Plan (IEP) to be implemented. Students come to the Journey House School on a planned basis and for non-educational reasons. Each student's school files are evaluated for proper placement in school. Girls who receive special education, Section 504, and regular education all are educated at the Journey School. Students come to the six CDT sites via a Planning and Placement Team (PPT) Meeting from their home school district. They may be placed on a diagnostic basis with PPT meetings every two weeks while psychiatric, psychological and educational assessments are performed. Students also may enter the program already receiving special education services with an IEP (Individualized Education Plan) in place.Students come to the Hickory Street School and DTZ School by placement by the Norwich Board of Education. All students are identified as special education and have an IEP in place.Transportation to all day school programs is provided by the Local Education Authority (LEA) that placed the student; however, transportation during the school day for field trips is often provided using Natchaug vans with school staff driving; sometimes school field trips are transported by outside vendors. Student Referral to the Inpatient and Journey Schools: * Placement for non-educational reasons (inpatient or residential treatment admission)Student Referral to the six CDT sites: * These are only made by the Local Education Authority (LEA), which is designated by the state to be the "town of nexus," which takes numerous requirements into consideration, such as where the parent resides Referral to the Hickory and DTZ schools * These are only made by the Norwich Board of EducationDescription of typical day:A typical day in the Inpatient and Journey House School is a five-hour day that covers all academic areas, including electives of Art and PE. A typical day in the CDT schools is similar to any traditional school day, with academic subjects in addition to psycho-educational groups led by school clinicians. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,599,234 | ExpenseAmt |
| Revenue | $12,073,152 | RevenueAmt |
| Desc | Natchaug Hospital provides inpatient acute behavioral health services for patients at its main site in Mansfield Center. Natchaug Hospital also operates a number of structured day programs providing partial hospital, intensive outpatient, extended day treatment, and outpatient services for persons with behavioral health and substance abuse treatment needs. These programs are provided at a variety of sites throughout eastern Connecticut. The Hospital also provides specialized residential treatment to adolescent girls in the care of the Connecticut Department of Children and Families. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $12,599,234 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $12,073,152 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $46,740,626 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | 127 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 660 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul V Maloney | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8604561311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Road | AddressLine1 |
| City | Mansfield Center | City |
| State | CT | State |
| ZIP Code | 06226 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| James E Watson MD | ||||||||
| Chair | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| William E Anderson Jr | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Nancy A Brouillet Esq | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Kimberly A Colfer Esq | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Elizabeth B Ritter | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Judith M Caracausa | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Carolyn S Drescher | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Kurland | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Charles A Shooks MD | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Jose A Aponte | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Patrice M Marchand MD | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen W Larcen PhD | ||||||||
| President & CEO | 30.00 | Yes (X) | Yes (X) | $0 | $688,539 | $172,380 | 30.00 | |
| Harriotte W Wilson | ||||||||
| Director (Thru June 2014) | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Bernice Szafarek | ||||||||
| Director (Thru May 2014) | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Alexis Ann | ||||||||
| Director (Thru February 2014) | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Dana R McGee Esq | ||||||||
| Director (Thru January 2014) | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael G Pallein CPA | ||||||||
| Director (Thru June 2014) | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| David Klein MD | ||||||||
| VP, Operations | 30.00 | Yes (X) | $216,840 | $0 | $46,760 | |||
| Paul Maloney | ||||||||
| VP, Finance | 30.00 | Yes (X) | $0 | $209,138 | $42,381 | |||
| Deborah Weidner | ||||||||
| VP,Safety and Quality | 30.00 | Yes (X) | $314,637 | $0 | $34,006 | |||
| Janet N Keown | ||||||||
| VP, Human Resources | 30.00 | Yes (X) | $113,618 | $0 | $21,363 | |||
| Jonathan L Chasen MD | ||||||||
| Medical Director | 60.00 | $229,701 | $0 | $29,138 | Yes (X) | |||
| Jonathan Raub MD | ||||||||
| Psychiatrist | 60.00 | $228,282 | $0 | $44,200 | Yes (X) | |||
| Pamela Shuman MD | ||||||||
| Psychiatrist | 60.00 | $224,387 | $0 | $43,337 | Yes (X) | |||
| Paul Weigle MD | ||||||||
| Psychiatrist | 60.00 | $202,650 | $0 | $24,022 | Yes (X) | |||
| Teodora Andrei MD | ||||||||
| Psychiatrist | 60.00 | $218,935 | $0 | $26,064 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,749,050 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $897,677 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $483,651 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Barton & Associates Inc | |||||
| PO Box 417844 | Boston | MA | 02241 | Medical Services | $378,322 |
| United Community & Family Services | |||||
| 34 East Town Street | Norwich | CT | 06360 | Medical Services | $239,686 |
| Lifespan Psychiatry PC | |||||
| 23 Indian Hill Road | Redding | CT | 06896 | Staffing Services | $113,703 |
| Goldfish Locum Tenens | |||||
| 5471 Legacy Drive Ste 200 | Plano | TX | 75024 | Staffing Services | $102,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,578 | GovernmentGrantsAmt |
| All Other Contributions | $177,142 | AllOtherContributionsAmt |
| Total Contributions | $184,720 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $49,437,951 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,437,951 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,437,951 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,464 | TotalRevenueColumnAmt |
| Exclusion | $10,464 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,296 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,296 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,296 | TotalRevenueColumnAmt |
| Exclusion | $41,296 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,674,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,437,951 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $51,760 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,601,081 | TotalAmt |
| Program Services | $1,316,186 | ProgramServicesAmt |
| Management And General | $1,284,895 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,920,089 | TotalAmt |
| Program Services | $27,920,089 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,686,568 | TotalAmt |
| Program Services | $1,540,987 | ProgramServicesAmt |
| Management And General | $145,581 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,467,837 | TotalAmt |
| Program Services | $4,456,566 | ProgramServicesAmt |
| Management And General | $11,271 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,278,324 | TotalAmt |
| Program Services | $2,262,796 | ProgramServicesAmt |
| Management And General | $15,528 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,131 | TotalAmt |
| Management And General | $49,131 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,955 | TotalAmt |
| Management And General | $20,955 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,432,015 | TotalAmt |
| Program Services | $1,432,015 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,859 | TotalAmt |
| Program Services | $81,859 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,937,995 | TotalAmt |
| Program Services | $1,937,995 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,683 | TotalAmt |
| Program Services | $373,613 | ProgramServicesAmt |
| Management And General | $262,070 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,396 | TotalAmt |
| Program Services | $640,396 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,172 | TotalAmt |
| Program Services | $148,172 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,582 | TotalAmt |
| Program Services | $34,582 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,087 | TotalAmt |
| Program Services | $144,087 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,157 | TotalAmt |
| Program Services | $803,157 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,084,343 | TotalAmt |
| Program Services | $1,084,343 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,879 | TotalAmt |
| Program Services | $290,879 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Purchased Services | $1,261,800 | $1,261,800 |
| Medical Supplies | $547,528 | $547,528 |
| Repairs & Maintenance | $353,968 | $353,968 |
| Dues & Subscriptions | $76,782 | $76,782 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,826 | TotalAmt |
| Program Services | $32,826 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,530,057 | TotalAmt |
| Program Services | $46,740,626 | ProgramServicesAmt |
| Management And General | $1,789,431 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,350 | BOYAmt |
| EOY | $10,551 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,938,258 | BOYAmt |
| EOY | $2,383,732 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,468,221 | BOYAmt |
| EOY | $10,865,083 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,693 | BOYAmt |
| EOY | $174,644 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,012 | BOYAmt |
| EOY | $255,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,534,092 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,096,237 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,827,110 | BOYAmt |
| EOY | $12,437,855 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,611 | BOYAmt |
| EOY | $61,155 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,056 | BOYAmt |
| EOY | $1,833,958 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,761,311 | BOYAmt |
| EOY | $28,022,813 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,636,724 | BOYAmt |
| EOY | $7,035,262 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,656,457 | BOYAmt |
| EOY | $2,483,236 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,573,592 | BOYAmt |
| EOY | $6,299,315 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,866,773 | BOYAmt |
| EOY | $15,817,813 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,649,538 | BOYAmt |
| EOY | $11,975,000 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,000 | BOYAmt |
| EOY | $180,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,894,538 | BOYAmt |
| EOY | $12,205,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,761,311 | BOYAmt |
| EOY | $28,022,813 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,144,374 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$841,912 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $20,955 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $20,955 | 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 | Natchaug Hospital paid Kenneth L. Przybysz LLC and Connecticut Hospital Association (CHA) for their lobbying efforts on behalf of the organization during the fiscal year. Both CHA and Kenneth L. Przybysz LLC lobby Connecticut State Legislators in the interest of a group of affiliated hospitals in the State of Connecticut. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $440,040 | OtherCostOrOtherBasisAmt |
| Book Value | $440,040 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,070,437 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,217,535 | DepreciationAmt |
| Book Value | $9,852,902 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,145,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $365,244 | DepreciationAmt |
| Book Value | $780,273 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,788,642 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,692,645 | DepreciationAmt |
| Book Value | $1,095,997 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,089,456 | OtherCostOrOtherBasisAmt |
| Depreciation | $820,813 | DepreciationAmt |
| Book Value | $268,643 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,437,855 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Financing Fees | $10,373 |
| Contract Costs | $44,342 |
| Security Deposits | $49,576 |
| Due From Affiliates | $1,729,667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,833,958 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due To Affiliates | $4,328,940 |
| Professional Liability | $1,970,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,299,315 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| 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 | $109,754 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $109,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,193,312 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,820,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,373,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11070 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $523,269 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $523,269 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,826,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,820,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,006,242 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12380 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $472,790 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $472,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,733 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,128,137 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,128,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,690,593 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,690,593 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,516,928 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,820,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,696,835 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15860 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $919,103 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,443,298 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,828,545 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$385,247 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 Storrs Rd PO Box 260 | AddressLine1 |
| City | Mansfield Center | City |
| State | CT | State |
| ZIP Code | 06250 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natchaug Hospital Inc | 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 | 11 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.natchaug.org | 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 |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| 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 |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Natchaug Hospital, Inc. | Part V, Section B, Line 3: The needs assessment took into account the comments and observations of seven focus groups that were made up of First Responders, Latinos, Community Leaders, School Based health providers, Boomers, Faith Based and Youth groups. The phone surveys consisted of 630 interviews of residents from 15 municipalities.Part V, Section B, Line 2: Natchaug Hospital joined an eight-member consortium to conduct a Community Health Needs Assessment during calendar year 2011, results from which were presented and disseminated during fiscal year 2012. Natchaug Hospital is conducting a Community Health Needs Assessment during 2014/2015, the results from which will be presented and disseminated during fiscal year 2015. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 4: Windham Community Memorial Hospital & Day Kimball HealthCare. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 5d: A news release on the completion of the needs assessment was made to the local media. |
| Natchaug Hospital, Inc. | Part V, Section B, Line 7: Some health needs identified by the assessment do not align with the behavioral health mission of Natchaug Hospital, which is a psychiatric hospital. Some of these needs such as hunger, insurance, nutrition, obesity among others were addressed by the other organizations that participated in the CHNA |
| Natchaug Hospital, Inc. | Part V, Section B, Line 20d: Natchaug Hospital is in the process of adopting the final 501R Regulations. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Care Plus | ||||
| 1353 Gold Star Highway | Center Groton | CT | 06340 | Day Treatment Center |
| Clinical Day Treatment Windham | ||||
| 345 Jackson Street | Willimantic | CT | 06226 | Day Treatment Center |
| Deborah Tennant-Zinewicz School | ||||
| 30 Case Street | Norwich | CT | 06360 | Day Treatment Center |
| Hickory Street School | ||||
| 201 Hickory Street | Norwich | CT | 06360 | Day Treatment Center |
| Joshua Center - Northeast | ||||
| 934 North Main Street | Danielson | CT | 06239 | Day Treatment Center |
| Joshua Center - Enfield | ||||
| 72 Shaker Road Suite 7 | Enfield | CT | 06082 | Day Treatment Center |
| Joshua Center - Mansfield Center | ||||
| 189 Storrs Road | Mansfield Center | CT | 06250 | Day Treatment Center |
| Joshua Center - Montville | ||||
| 20 Maple Avenue | Uncasville | CT | 06382 | Day Treatment Center |
| Journey House | ||||
| 189 Storrs Road | Mansfield Center | CT | 06250 | Day Treatment Center |
| Quinebaug Day Treatment Center | ||||
| 11 Dog Hill Road | Dayville | CT | 06241 | Day Treatment Center |
| Rivereast Day Treatment Center | ||||
| 428 Hartford Tpke | Vernon | CT | 06066 | Day Treatment Center |
| Sachem House | ||||
| 189 Storrs Road | Mansfield Center | CT | 06250 | Day Treatment Center |
| Thames Valley Clinical Day Programs | ||||
| One Ohio Avenue | Norwich | CT | 06360 | Day Treatment Center |
| Joshua Center Shoreline | ||||
| 5 Research Parkway | Old Saybrook | CT | 06475 | Day Treatment Center |
| Joshua Center Thames Valley | ||||
| 11A Stott Avenue | Norwich | CT | 06360 | Day Treatment Center |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Natchaug Hospital used Federal Poverty Guidelines to determine eligibility. |
| Part I, Line 7: | The organization utilized an overall cost to charge ratio, (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. |
| Part I, Line 7g: | No physician clinic costs were included in the Subsidized Health Services cost calculations. |
| Part III, Line 2: | The Corporation has established estimates based on information presently available of amounts due to or from Medicare, Medicaid, and third-party payors for adjustments to current and prior year payment rates, based on industry-wide and Corporation-specific data. Such amounts are included in the accompanying consolidated balance sheets. Additionaly, certain payors' payment rates for various years have been appealed by the Corporation. If the appeals are successful, additional income applicable to those years might be realized. |
| Part III, Line 4: | Please see the text of the footnote that describes bad debt expense beginning on page 19 of the Audited Financial Statement.Part III, Line 3: During the fiscal year, a pre bad debt financial assistance screening is performed. The purpose of the screening is to identify patients that may have been eligible for financial assistance. Pre bad debt accounts that were identified as meeting the requirements for financial assistance were adjusted and designated as charity care. Therefore, any other bad debt expense that could be attributable to charity is immaterial. |
| Part III, Line 8: | Providing care for those in need, including Medicare and Medicaid patients, and serving all patients regardless of ability to pay is an essential part of the community benefit standard, as well as our mission in our community. We serve these patients without regard to the payment shortfall. Therefore, Medicare shortfall should be considered a community benefit. The organization used a cost to charge ratio as determined by the Medicare Cost report. |
| Part III, Line 9b: | The following is included in the Natchaug Hospital's Financial Assistance Policy: For those patients that qualify for financial assistance and who are cooperating in good faith to resolve the Hospital's outstanding accounts, the Hospital may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to outside collection agencies and will cease all collection efforts. |
| Part VI, Line 2: | In addition to the formal 2011 Windham County health needs assessment and the 2014 assessment currently taking place, Natchaug Hospital assesses data from the Connecticut Hospital Association (CHA) and providers throughout the state regarding bed availability and days in emergency departments while awaiting admission. Data from health needs assessments conducted by Backus Hospital, Lawrence & Memorial Hospital, the United Way and regional health districts is also reviewed. Needs are also assessed through Systems of Care meetings, and by tracking waiting lists for admission to programs. |
| Part VI, Line 3: | Natchaug informs and educates patients about their eligibility for financial assistance in a number of ways. Natchaug's financial assistance policy is available on the hospital's web site and signage is posted in admissions and waiting areas. The policy is also available upon request. Additionally, Natchaug employs three Financial Counselors who meet with patients to review payment options or process financial assistance applications. |
| Part VI, Line 4: | Natchaug Hospital admits residents of, on average, 150 of Connecticut's 169 towns and six states each year. Natchaug Hospital's primary service area is comprised of 62 towns, predominantly east of the Connecticut River, which together represent approximately half the State's land area. Natchaug Hospital's clients represent urban, suburban and rural areas. Admissions reflect the demographics and prevalence of behavioral health illnesses of the region: during FY 2014, admissions were composed of 49% female, 51% male; .5% American Indian or Alaskan Native, .51% Asian, 7.81% African American, 84.7% Caucasian; 55.7% of clients were age 18 or older, 32% were between 12 and 17 years of age, 12.1% were ages 4 to 12. |
| Part VI, Line 5: | Natchaug Hospital staff actively contribute to the community. For example, Natchaug Hospital's Director of Pharmacy, Jose Scarpa, serves on the Experiential Education Advisory Board of UConn's School of Pharmacy, staffs a Migrant Farmers Clinic, serves on the Accreditation Council for Pharmacy Education, and more; Program Director Peter DeRosa serves on the Eastern Connecticut Chamber of Commerce's Health Advisory Committee and as a Chamber Trustee; two Natchaug staff serve on their local Boards of Education; at least three Program Directors serve their region's Systems of Care; and the Human Services Advisory Board for the Mansfield Town Council includes a representative from Natchaug. More than 440 people benefitted from Natchaug Hospital's Speaker's Bureau and Professional Development seminars on behavioral health topics for professionals working with school-age youth (school nurses, guidance counselors, teachers, etc), at no cost. The goals of this community outreach are to 1) help identify treatable behavioral conditions as early as possible and 2) to improve awareness of effective classroom management of behaviorally-challenged youth.The Speakers Bureau, formed last year, makes Natchaug staff experts more accessible to the community. Provided at no cost, the surrounding communities, schools, business and other organizations can request a Natchaug expert to provide training, lead a school assembly or serve on a panel. |
| 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 Natchaug 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 affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies,as well as 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (11 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James E Watson MD | ||||||||||||||
| Chair | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Stephen W Larcen PhD | ||||||||||||||
| President & CEO | $0 | $462,804 | $0 | $161,233 | $0 | $64,502 | $0 | $145,581 | $0 | $26,799 | $0 | $0 | $0 | $860,919 |
| David Klein MD | ||||||||||||||
| VP, Operations | $209,745 | $0 | $7,070 | $0 | $25 | $0 | $14,966 | $0 | $31,794 | $0 | $0 | $0 | $263,600 | $0 |
| Paul Maloney | ||||||||||||||
| VP, Finance | $0 | $199,041 | $0 | $9,581 | $0 | $516 | $0 | $26,466 | $0 | $15,915 | $0 | $0 | $0 | $251,519 |
| Deborah Weidner | ||||||||||||||
| VP,Safety and Quality | $302,254 | $0 | $10,004 | $0 | $2,379 | $0 | $12,500 | $0 | $21,506 | $0 | $0 | $0 | $348,643 | $0 |
| Janet N Keown | ||||||||||||||
| VP, Human Resources | $108,957 | $0 | $4,636 | $0 | $25 | $0 | $5,471 | $0 | $15,892 | $0 | $0 | $0 | $134,981 | $0 |
| Jonathan L Chasen MD | ||||||||||||||
| Medical Director | $221,052 | $0 | $2,355 | $0 | $6,294 | $0 | $2,918 | $0 | $26,220 | $0 | $0 | $0 | $258,839 | $0 |
| Jonathan Raub MD | ||||||||||||||
| Psychiatrist | $217,507 | $0 | $10,600 | $0 | $175 | $0 | $11,378 | $0 | $32,822 | $0 | $0 | $0 | $272,482 | $0 |
| Pamela Shuman MD | ||||||||||||||
| Psychiatrist | $216,702 | $0 | $0 | $0 | $7,685 | $0 | $10,536 | $0 | $32,801 | $0 | $0 | $0 | $267,724 | $0 |
| Paul Weigle MD | ||||||||||||||
| Psychiatrist | $195,681 | $0 | $0 | $0 | $6,969 | $0 | $11,069 | $0 | $12,953 | $0 | $0 | $0 | $226,672 | $0 |
| Teodora Andrei MD | ||||||||||||||
| Psychiatrist | $218,910 | $0 | $0 | $0 | $25 | $0 | $0 | $0 | $26,064 | $0 | $0 | $0 | $244,999 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare Corporation (HHC), on behalf of Natchaug Hospital hires an outside consultant, Integrated Healthcare Strategies, to determine best practices in governing executive compensation. See Sch. O for details. |
| Part I, Line 4b | Hartford Healthcare Corporation, a related organization, maintains a 457(f) plan. Participants include certain officers and key employees at the President, Executive Vice President, Senior Vice President and Vice President levels that are reported by Natchaug Hospital on Form 990, Part VII. Contributions are made by Hartford Healthcare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause or upon reaching age 65. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2013 SERP accrual made on behalf of the following individuals - Stephen Larcen $51,981 |
| Part I, Line 7 | The hospital has an At Risk Plan that encourages and rewards achievements of significant functional goals for management that contribute to organization(s) strategic and financial direction. The Plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | See Part V | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | See Part V | RelationshipDescriptionTxt |
| Transaction | See Part V | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V | FormAndLineReferenceDesc |
| Explanation | (a) Name of Person: William E. Anderson, Jr. (b) Relationship Between Interested Person and Organization: Director(c) Amount of Transactions: $231,597.44(d) Descrption of Transactions: Mr. Anderson is a Board Member at Natchaug Hospital. Mr. Anderson is currently an Executive at the Savings Institute Bank & Trust. The bank does business with Windham Community Memorial Hospital and Natchaug Hospital. The Hospital paid the bank $231,597.44 for interest and principal payments on an outstanding loan.(e) Sharing of Organization's Revenue? No | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Natchaug Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. |
| Form 990, Part VI, Section A, line 7a | The sole member of the organization has the authority to approve/deny members of the governing body. |
| Form 990, Part VI, Section A, line 7b | The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc. |
| Form 990, Part VI, Section B, line 11 | The Form 990 was prepared by Hartford HealthCare Corporation's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the VP of Finance for review. The Form was then made available to the board for review. Once the entire review process was completed, the form was signed by the VP of Fiance and then filed with the Internal Revenue Service. |
| 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 will review 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 will 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, Lines 13 & 14 The organization does have a written Document Retention and Destruction policy as well as a written Whistleblower policy. Although the policies were not formally approved by the Board, they were in effect for the entire tax year. |
| 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 Natchaug Hospital, hires an outside consultant, Integrated Healthcare Strategies, to determine best practices in governing executive compensation. The following steps were taken: * Use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Natchaug Hospital, established and regularly reviews Executive Compensation Philosophy * The Committee regularly reviews the scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" * Benchmark peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors * Analysis of current total compensation versus market is performed by an independent third party compensation consulting firm, and is then reviewed by the committee * Recommendations are made based on data analysis to ensure appropriate competitive positioning within parameters of the compensation philosophy * The CEO compensation is determined by the Committee based on comparative market information and organizational performance * All changes are reviewed and approved by the Executive Compensation Committee The CEO compensation determination process is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. |
| Form 990, Part VI, Section C, line 18 | The Organization's Form 990, Form 1023 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The Organization's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. |
| Form 990, Part XI, line 9: | Change In Retirement & Pension Fund Obligation -1,728,912. Transfer to Affiliates 887,000. |
| Form 990 Part XII Lines 3a & b | Although the organization was not required to undergo A-133 Federal Audit, the results were included in a consolidated A-133 audit performed at the parent level, Hartford HealthCare Corporation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 060646668 | Health Services | CT | 501 (c) (3) | 3 | Hartford HealthCare Corp | Yes (1) | |
| Windham Community Memorial Hospital | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Health Services | CT | 501 (c) (3) | 3 | Hartford HealthCare Corp | Yes (1) | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501 (c) (3) | 11 (a) | Windham Community Memorial Hospital | Yes (1) | |
| Midstate Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Health Services | CT | 501 (c) (3) | 3 | Hartford HealthCare Corp | Yes (1) | |
| Hartford HealthCare Corporation | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 222672834 | Support and Management Services to Hartford Hospital and Affiliates | CT | 501 (c) (3) | 11 (c) | Yes (1) | N/A | |
| Hartford HealthCare At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501 (c) (3) | 7 | Hartford HealthCare Corp | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501 (c) (3) | 7 | Hartford HealthCare Corp | Yes (1) | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06115 | 066040747 | Fundraising | CT | 501 (c) (3) | 11 (c) | Hartford Hospital | Yes (1) | |
| Connecticut Health System Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Delivery | CT | 501 (c) (3) | 11 (c) | Hartford HealthCare Corp | Yes (1) | |
| Institute of Living | |||||||||||
| 200 Retreat Avenue | Hartford | CT | 06106 | 060646683 | Supporting Organization to Hartford Hospital | CT | 501 (c) (3) | 11 (c) | Hartford Hospital | Yes (1) | |
| VNA Health Resources Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Healthcare | CT | 501 (c) (3) | 9 | Hartford HealthCare Corp | Yes (1) | |
| The Hatch Hospital Corp | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 066076412 | Health Services | CT | 501 (c) (3) | 3 | Windham Community Memorial Hospital | Yes (1) | |
| WCMH Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501 (c) (3) | 11 (a) | Windham Community Memorial Hospital | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 060646768 | Health Services | CT | 501 (c) (3) | 3 | Hartford HealthCare Corp | Yes (1) | |
| Central CT Senior Health Svcs dba Southington Care | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501 (c) (3) | 9 | Hartford HealthCare Corp | Yes (1) | |
| Bradley Health Services Inc | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061367014 | Health Services | CT | 501 (c) (3) | 9 | Hartford HealthCare Corp | Yes (1) | |
| Central CT Health Alliance | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222785033 | Support and Management Svcs. to THOCC and Affiliates - Shell | CT | 501 (c) (3) | 11 (b) | Hartford HealthCare Corp | Yes (1) | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Citizens | CT | 501 (c) (3) | 9 | Central CT Senior Health Services Inc | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501 (c) (3) | 11(a) | Rushford Center Inc | Yes (1) | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501 (c) (3) | 9 | Central Ct Senior Health Services Inc | Yes (1) | |
| Midstate Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501 (c) (3) | 11(a) | Midstate Medical Center | Yes (1) | |
| HHC PhysiciansCare Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454456939 | Practice Medicine and Provide Health Care Services to the Public | CT | 501 (c) (3) | 9 | Hartford HealthCare Corp | Yes (1) | |
| Hartford HealthCare ACO Inc | |||||||||||
| 200 Retreat Avenue | Hartford | CT | 06102 | 460886367 | To Manage and Coordinate Care for Medicare Beneficiaries | CT | 501 (c) (3) | 7 | Hartford HealthCare Corp | Yes (1) | |
| Hartford HealthCare Corp Group (VEBA) | |||||||||||
| 777 Main Street | Hartford | CT | 06102 | 266671355 | To Provide Medical Benefits to Employees | CT | 501 (c) (9) | N/A | Hartford HealthCare Corp | Yes (1) | |
| Backus Corporation | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222757608 | Support | CT | 501 (c) (3) | 11(b) | Hartford HealthCare Corp | Yes (1) | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Hospital | CT | 501 (c) (3) | 3 | Hartford HealthCare Corp | Yes (1) | |
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Support | CT | 501 (c) (3) | 11(a) | Hartford HealthCare Corp | Yes (1) | |
| Caring for Colleagues Employee Crisis Fund | |||||||||||
| 100 Grand Street | New Britain | CT | 06052 | 264469178 | Employee Fund | CT | 501 (c) (3) | 7 | Hartford HealthCare Corp | Yes (1) | |
| Eva Sterns Faulkner Foundation | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066065398 | Support Services | CT | 501 (c) (3) | 3 | Midstate Medical Center | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| New Britain MRI Limited Partnership | |||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic Resonance Imaging | CT | N/A |
| Omni Home Health Services E CT LLC | |||||||
| 12 Case Street 317 | Norwich | CT | 06360 | 061458837 | Home Health Care | CT | N/A |
| Hartford HealthCare Endowment LLC | |||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Endowment Management | CT | N/A |
| Ambulance Service of Manchester LLC | |||||||
| POBox 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Services | CT | N/A |
| Glastonbury Endoscopy Center LLC | |||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Services | CT | N/A |
| Glastonbury Surgery Center LLC | |||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Services | CT | N/A |
| Hartford-Middlesex Clinical System LLC | |||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A |
| Med East Assoc LLC | |||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A |
| Connecticut Imaging Partners LLC | |||||||
| 111 Founders Plaza | East Hartford | CT | 06108 | 134298940 | Imaging Services | CT | N/A |
| HHC Southington Surgery Center | |||||||
| 81 Meriden Avenue | Southington | CT | 06489 | 465500829 | Surgery Services | CT | N/A |
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 | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HHMOB Corporation & Subsidiary | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||
| Hartford Healthcare Indemnity Services | |||||||||||||
| Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church St | Hamilton | BD | BD | ||||||
| Windham Health Services Inc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061461101 | Home Healthcare | CT | N/A | C | Yes (1) | ||||
| Windham Physician Hospital Organization | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061441614 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Windham Family Medical Services PC | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061491649 | Medical Services | CT | N/A | C | Yes (1) | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Holding Company | CT | N/A | C | Yes (1) | ||||
| Hartford Physician Services PC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Meriden Imaging Center | |||||||||||||
| 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | Imaging | CT | N/A | S | Yes (1) | ||||
| Hartford Physician Hospital Organization Inc | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222785918 | Physician & Hospital Support | CT | N/A | C | Yes (1) | ||||
| Aetna Ambulance Service Inc | |||||||||||||
| PO BOX 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | N/A | C | Yes (1) | ||||
| Metro Wheelchair Service Inc | |||||||||||||
| PO BOX 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | Yes (1) | ||||
| WWB Corporation | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094836 | Holding Company | CT | N/A | C | Yes (1) | ||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | N/A | C | Yes (1) | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | N/A | C | Yes (1) | ||||
| Windham Professional Office Condominium | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | Yes (1) | ||||
| Select Physicians Network | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061426901 | Managing offices of physicians and surgeons | CT | N/A | C | Yes (1) | ||||
| Midstate Medical Group PC | |||||||||||||
| 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hartford Hospital | ||
| M | $155,419 | FMV |
| Hartford Hospital | ||
| O | $298,948 | FMV |
| Rushford Hospital | ||
| S | $803,847 | FMV |
| Rushford Hospital | ||
| R | $800,000 | FMV |
| Rushford Hospital | ||
| A | $3,847 | FMV |