NATCHAUG HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: NATCHAUG HOSPITAL INC (EIN 06-0966963)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-12
IRS object ID: 201432249349301103
Schema version: 2012v2.1
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)
Timestamp	2014-08-12T09:34:04-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	346565596	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2005 Market Street 700	AddressLine1
City	Philadelphia	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	060966963	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Natchaug Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NATC	NameControl
Phone	8604561311	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	PAUL V MALONEY	Name
Title	VP of Finance	Title
Phone	8604561311	Phone
Date Signed	2014-08-12	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Wendy J Clavin	Name
PTIN	P00870950	PTIN
Phone	2154485000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Stephen W Larcen PHD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	49616593	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.NATCHAUG.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1954	YearFormation
State Legal Domicile	CT	StateLegalDomicile
Activity Or Mission Description	To provide inpatient and outpatient psychiatric healthcare services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	674	TotalNbrEmployees
Total Nbr Volunteers	53	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	132429	ContributionsGrantsPriorYear
Contributions Grants Current Year	194294	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	47287791	ProgramServiceRevenuePriorYear
Program Service Revenue CY	49384706	ProgramServiceRevenueCY
Investment Income Prior Year	10344	InvestmentIncomePriorYear
Investment Income Current Year	9172	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	28421	OtherRevenueCurrentYear
Total Revenue Prior Year	47430564	TotalRevenuePriorYear
Total Revenue Current Year	49616593	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	38561375	SalariesEtcPriorYear
Salaries Etc Current Year	40549447	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	59044	TotalFundrsngExpCurrentYear
Other Expense Prior Year	7850394	OtherExpensePriorYear
Other Expenses Current Year	8302046	OtherExpensesCurrentYear
Total Expenses Prior Year	46411769	TotalExpensesPriorYear
Total Expenses Current Year	48851493	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1018795	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	765100	RevenuesLessExpensesCY
Total Assets BOY	19504685	TotalAssetsBOY
Total Assets EOY	24761311	TotalAssetsEOY
Total Liabilities BOY	11646884	TotalLiabilitiesBOY
Total Liabilities EOY	12866773	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	7857801	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	11894538	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	17787438	Expense
Revenue	18451768	Revenue
Description	Inpatient TreatmentNatchaug 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, and a treatment plan is developed. The treatment team works closely with the client, 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 clients on a daily basis at the Mansfield location. Inpatient treatment includes: Comprehensive bio-psycho-social assessment Formulation of a treatment plan developed with the client/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 services Client referral to in-patient programs: Majority (over 80%) come from emergency rooms Self-referral via phone call or walk-in Referral from a Natchaug Program (PHP, IOP, school) Referral from community providersTypical client experience: The majority of our clients arrive via ambulance through the ambulance entrance. All clients receive an initial assessment by a registered nurse and psychiatrist which is completed within 8 hours of admission. Clients are oriented to the unit, the milieu, and the schedule. Our clients are closely monitored for the first 24-48 hours, depending on presentation and symptoms. Groups are scheduled from morning through evening. In addition, the clients 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 clients 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. Staffing pattern: Each inpatient unit is staffed 24-7 with: Registered NursesPsychiatristsMental Health Workers Licensed Practical Nurses (Adult Unit only) Also on the clinical treatment team are:Nurse Manager Licensed Primary TherapistsCase Manager (Adult Unit Only)Unit ClerkDieticianCertified Occupational Therapists (COTA)Occupational Therapist (OT)Family Practice Physician on site M-FInpatient Units: Adult rooms all semi-private plus one four-bed room. Child/Adolescent rooms are all private Units include group room space Meals are served in the dining roomOther points:Licensed by Connecticut Department of Public Health.Surveyed by Joint Commission under the Hospital StandardsSurveyed by the Center for Medicaid Services (federal program)	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	8863943	Expense
Revenue	10335096	Revenue
Description	Joshua CentersPartial 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, 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 PHP, IOP & EDT: Most of this transportation is provided by Natchaug Hospital staff, driving the Hospital vans that pick up clients from their school or home. - Average length of stay in PHP/IOP program, 6 - 8 weeks; EDT and IICAPS, 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	8692062	Expense
Revenue	10065210	Revenue
Description	EducationClinical 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 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.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	12238548	Expense
Revenue	10532632	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	12238548	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	10532632	TotalOfOtherProgramServiceRev
Total Program Service Expense	47581991	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	96	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	674	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Paul V Maloney	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8604561311	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Harriotte W Wilson
Director	2.00	X	0	0	0
William E Anderson Jr
Vice Chair	3.00	X	0	0	0	X
James E Watson MD
Chair	3.00	X	0	0	0	X
Judith M Caracausa
Director	2.00	X	0	0	0
Pedro J Johnson
Director (Ended June 2013)	2.00	X	0	0	0
Charles A Shooks
Director	2.00	X	0	0	0
Stephen W Larcen PHD
President & CEO	60.00	X	0	605497	131389	X	0.00
Kimberly A Colfer Esq
Director	2.00	X	0	0	0
Elizabeth B Ritter
Director	2.00	X	0	0	0
Dana R McGee Esq
Director	2.00	X	0	0	0
Nancy A Brouillet Esq
Director	2.00	X	0	0	0
Michael G Pallein CPA
Director	2.00	X	0	0	0
Carolyn S Drescher
Director	2.00	X	0	0	0
Michael Kurland
Director	2.00	X	0	0	0
Michael C Nee MD
Director (Ended May 2013)	2.00	X	0	0	0
Bernice Szafarek DMD
Director	2.00	X	0	0	0
Alexis Ann
Director	2.00	X	0	0	0
Paul Maloney
VP Finance, Behavioral Health Ntwk	30.00		0	146387	33781	X	30.00
David Klein PHD
VP & COO, Comm. Programs	60.00		201033	0	43257	X
Deborah Weidner
CMO	60.00		281543	0	24284			X
Paul Weigle MD
Psychiatrist	60.00		209122	0	38972				X
Jonathan L Chasen MD
Psychiatrist	60.00		220037	0	36526				X
Pamela Shuman MD
Psychiatrist	60.00		214237	0	41434				X
Teodora Andrei MD
Psychiatrist	60.00		220036	0	36782				X
Carl Washburn MD
Psychiatrist	60.00		197440	0	35381				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1543448	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	751884	TotalReportableCompFrmRltdOrgs
Total Other Compensation	421806	TotalOtherCompensation
Number Individuals GT100 K	35	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Rose Construction
348 Orchard Hill Road	Pomfret Center	CT	06259	Construction	310709
United Community & Family Services
34 East Town St	Norwich	CT	06360	Medical Services	299128
Windham Community Memorial Hospital
112 Mansfield Avenue	Willimantic	CT	06226	Medical Services	173254
Staff Care Inc
P O Box 281923	Atlanta	GA	30384	Staffing Services	157141
Barton & Associates Inc
10 Dearborn Road	Pleabody	MA	01960	Staffing Services	151964

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
All Other Contributions	194294	AllOtherContributions
Total Contributions	194294	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Net Patient Revenue	Description
Business Code	624100	BusinessCode
Total Revenue Column	49384706	TotalRevenueColumn
Related Or Exempt Function Income	49384706	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	49384706	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9172	TotalRevenueColumn
Exclusion	$9,172	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	28421	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	28421	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	28421	TotalRevenueColumn
Exclusion	$28,421	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	49616593	TotalRevenueColumn
Related Or Exempt Function Income	49384706	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$37,593	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2531282	Total
Program Services	1600593	ProgramServices
Management And General	930689	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	28381764	Total
Program Services	28353933	ProgramServices
Fundraising	27831	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2161738	Total
Program Services	2039171	ProgramServices
Management And General	120941	ManagementAndGeneral
Fundraising	1626	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5143963	Total
Program Services	5118847	ProgramServices
Management And General	19674	ManagementAndGeneral
Fundraising	5442	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2330700	Total
Program Services	2304016	ProgramServices
Management And General	24555	ManagementAndGeneral
Fundraising	2129	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	819471	Total
Program Services	819471	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	25541	Total
Management And General	25541	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	53250	Total
Management And General	53250	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	19443	Total
Management And General	19443	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	889461	Total
Program Services	889461	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	73143	Total
Program Services	73143	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2138488	Total
Program Services	2134794	ProgramServices
Fundraising	3694	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	668475	Total
Program Services	668475	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	152694	Total
Program Services	152694	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	45768	Total
Program Services	45768	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	213963	Total
Program Services	213963	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	683846	Total
Program Services	667481	ProgramServices
Management And General	16365	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	977268	Total
Program Services	977268	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	198718	Total
Program Services	198718	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising
Medical Supplies	469612	469612
Purchased Services	410830	392508	18322
Repairs & Maintenance	347302	347302
Dues & Subscriptions	83076	83076

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	31697	Total
Program Services	31697	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	48851493	Total
Program Services	47581991	ProgramServices
Management And General	1210458	ManagementAndGeneral
Fundraising	59044	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8749	BOY
EOY	11350	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1863528	BOY
EOY	3938258	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	19168	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6058802	BOY
EOY	7468221	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	121434	BOY
EOY	148693	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	137645	BOY
EOY	168012	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	20893128	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8066018	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	11135137	BOY
EOY	12827110	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	53611	BOY
EOY	53611	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	106611	BOY
EOY	146056	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	19504685	BOY
EOY	24761311	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	7999515	BOY
EOY	7636724	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2809866	BOY
EOY	2656457	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	837503	BOY
EOY	2573592	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	11646884	BOY
EOY	12866773	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7647801	BOY
EOY	11649538	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	168000	BOY
EOY	203000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	42000	BOY
EOY	42000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7857801	BOY
EOY	11894538	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19504685	BOY
EOY	24761311	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	765100	ReconcilationRevenueExpenses
Reconcilation Other Changes	3271635	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$19,443	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	19443	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
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 lobbies Connecticut State Legislators in the interest of a group of affiliated hospitals in the State of Connecticut.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	440040	OtherCostOrOtherBasis
Book Value	440040	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14799701	OtherCostOrOtherBasis
Depreciation	4764575	Depreciation
Book Value	10035126	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1145517	OtherCostOrOtherBasis
Depreciation	303437	Depreciation
Book Value	842080	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3515067	OtherCostOrOtherBasis
Depreciation	2277749	Depreciation
Book Value	1237318	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	992803	OtherCostOrOtherBasis
Depreciation	720257	Depreciation
Book Value	272546	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	12827110	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Due To Affiliates	$1,746,962
Professional Liability	$826,630

Field	Value	IRS element (for citing)
Total Of Amounts	2573592	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	250.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	159884	TotalCommunityBenefitExpense
Net Community Benefit Expense	159884	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17231085	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13787937	DirectOffsettingRevenue
Net Community Benefit Expense	3443148	NetCommunityBenefitExpense
Percent Of Total Expense	0.07050	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	864554	TotalCommunityBenefitExpense
Direct Offsetting Revenue	627985	DirectOffsettingRevenue
Net Community Benefit Expense	236569	NetCommunityBenefitExpense
Percent Of Total Expense	0.00480	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18255523	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14415922	DirectOffsettingRevenue
Net Community Benefit Expense	3839601	NetCommunityBenefitExpense
Percent Of Total Expense	0.07860	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	415372	TotalCommunityBenefitExpense
Direct Offsetting Revenue	60	DirectOffsettingRevenue
Net Community Benefit Expense	415312	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36795	TotalCommunityBenefitExpense
Net Community Benefit Expense	36795	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23963049	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22804788	DirectOffsettingRevenue
Net Community Benefit Expense	1158261	NetCommunityBenefitExpense
Percent Of Total Expense	0.02370	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	334751	TotalCommunityBenefitExpense
Net Community Benefit Expense	334751	NetCommunityBenefitExpense
Percent Of Total Expense	0.00690	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24749967	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22804848	DirectOffsettingRevenue
Net Community Benefit Expense	1945119	NetCommunityBenefitExpense
Percent Of Total Expense	0.03990	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43005490	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37220770	DirectOffsettingRevenue
Net Community Benefit Expense	5784720	NetCommunityBenefitExpense
Percent Of Total Expense	0.11850	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$1,224,762	BadDebtExpenseAmount
Amount Reimbursed By Medicare	3682285	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4324640	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-642355	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Natchaug Hospital	BusinessNameLine1

Address Address

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	X	LicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Natchaug Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	250.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	13	NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Care Plus & Jashua Center Southeast
1353 Gold Star Highway	Center Groton	CT	06340	Day Treatment Center
Joshua Center-Windham CDT
345 Jackson Street	Willimantic	CT	06226	Day Treatment Center
Joshua Center-Northeast
934 North Main St	Danielson	CT	06239	Day Treatment Center
Joshua Center-Enfield
72 Shaker Road Suite 7	Enfield	CT	06082	Day Treatment Center
River East Day Treatment Center
428 Hartford Tpke	Vernon	CT	06066	Day Treatment Center
Joshua Center-Shoreline
5 Research Parkway	Old Saybrook	CT	06475	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-Mansfield
189 Storrs Road	Mansfield Center	CT	06250	Day Treatment Center
Journey House
189 Storrs Road	Mansfield Center	CT	06250	Day Treatment Center
Quinebaug Treatment Center
11 Dog Hill Road	Dayville	CT	06241	Day Treatment Center
Sachem House
189 Storrs Road	Mansfield Center	CT	06250	Day Treatment Center
Joshua Center-Thames Valley
11A Stott Avenue	Norwich	CT	06360	Day Treatment Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 3c: Natchaug Hospital used Federal Poverty Guidelines to determine eligibility.
Part I, Line 7: The organization used cost to charge ratio as determined by the Medicare Cost Report.
Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations.
Part I, L7 Col(f): The organization reported bad debt expense in accordance with Generally Accepted Accounting Principles (GAAP) Provision for Bad Debt ASU 2011-07. The provision require certain health care entities to present the provision for bad debts associated with patient services revenue as a deduction from patient service revenue rather than as an operating expense.
Part III, Line 4: Plase see the text of the footnote that describes bad debt expense beginning on page 22 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 are 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 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.	Natchaug Hospital, Inc.
Part V, Section B, Line 4: Windham Community Memorial Hospital & Day Kimball HealthCare.	Natchaug Hospital, Inc.
Part V, Section B, Line 5c: The Needs Assessment results were posted on the hospital's website and made available upon request. In addition, 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.	Natchaug Hospital, Inc.
Part V, Section B, Line 14g: Policy is posted on internet	Natchaug Hospital, Inc.
Part V, Section B, Line 18e: Financial Assistance Policy is available upon request.	Natchaug Hospital, Inc.
Part V, Section B, Line 20d: Part V, Section B, Linde 19b: Natchaug Hospital is in the process of adopting proposed 501r regulations. Once the regulations are final, the hospital will be in compliance.	Natchaug Hospital, Inc.
Part VI, Line 2: In addition to the formal Windham County health needs assessment, 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 and the United Way is also reviewed. Needs are also assessed through Systems of Care meetings, and by tracking waiting lists for admission to programs. Natchaug utilizes all this data to respond to the needs of community served.
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 service area is comprised of 62 towns, primarily 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.The majority of Natchaug Hospital clients (approximately 76%) are financially stressed, as measured by the number of students meeting Federal free/reduced lunch criteria and the number of clients overall who are un insured or participating in a public support plan such as HUSKY, Medicaid or Medicare.
Part VI, Line 5: Natchaug Hospital staff actively contributes 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; Natchaug's Director of School Programs, Jill Bourbeau, serves as the Past President of CAPSEF, where she also sits on the Strategic Planning, Finance and Membership committees; Paul Kindall, Program Director of Natchaug's Enfield Joshua Center, serves on Healthy Enfield; 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.Natchaug Hospital provides Professional Development seminars on behavioral health topics for professionals working with school-age youth (school nurses, guidance counselors, teachers, etc), for free. The goals of these seminars 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.All members of the Board of Directors reside in our service area and are neither employees, family members, nor contractors of the Hospital. The Hospital extends medical staff privileges to all qualified physicians in its community. The Hospital uses its surplus funds to provide additional benefits to its patients and the community it serves.
Part VI, Line 6: Natchaug Hospital is a subsidiary of Hartford HealthCare Corporation (HHC). HHC strives to provide compassionate care designed to deliver the necessary health services needed by the community. 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 flagship tertiary medical center of the system hospitals.The affiliation further enhances the hospitals' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning an 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 cost containment strategies.
CT	Reports Filed With States	Part VI, Line 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Stephen W Larcen PHD
President & CEO	0	396648	0	161500	0	47349	0	102350	0	29039	0	736886	0	0
Paul Maloney
VP Finance, Behavioral Health Ntwk	0	145897	0	0	0	490	0	18591	0	15190	0	180168	0	0
David Klein PHD
VP & COO, Comm. Programs	189008	0	12000	0	25	0	14966	0	28291	0	244290	0	0	0
Deborah Weidner
CMO	273233	0	0	0	8310	0	12500	0	11784	0	305827	0	0	0
Paul Weigle MD
Psychiatrist	197678	0	7500	0	3944	0	10536	0	28436	0	248094	0	0	0
Jonathan L Chasen MD
Psychiatrist	214343	0	0	0	5694	0	11532	0	24994	0	256563	0	0	0
Pamela Shuman MD
Psychiatrist	210771	0	0	0	3466	0	11378	0	30056	0	255671	0	0	0
Teodora Andrei MD
Psychiatrist	219531	0	480	0	25	0	11069	0	25713	0	256818	0	0	0
Carl Washburn MD
Psychiatrist	197415	0	0	0	25	0	9574	0	25807	0	232821	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
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	2012 SERP accrual made on behalf of the following individual - Stephen Larcen $55,350.
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

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	See Part V	NamePerson

Field	Value	IRS element (for citing)
Relationship	See Part V	Relationship
Amount Of Transaction	286648	AmountOfTransaction
Description Of Transaction	See Part V	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Return Reference	Business Transactions Involving Interested Persons:	ReturnReference
Explanation	(a) Name of Person: William E. Anderson, Jr. (b) Relationship Between Interested Person and Organization: Director(c) Amount of Transactions: $286,648(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 $286,648 for interest and principal payments on an outstanding loan.(e) Sharing of Organization's Revenue? No	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 1) the conflict be eliminated, 2) the proposed activity be prohibited, or 3) a Conflict of Interest management plan be implemented. Results of the survey of board members are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable.
Form 990, Part VI, Section B, line 15b	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: - 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 - Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors - Analysis of current total compensation versus market performed by independent third party compensation consulting firm, reviewed by the committee - Recommendations made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - CEO compensation determined by Committee based on comparative market information and organizational performance - All changes reviewed and approved by Executive Compensation Committee The CEO compensation determination process is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability.
Form 990, Part VI, Section C, line 19	Form 990 and Form 1023 and its attachments are available upon request. The Hospital's governing documents, financial statements and Conflict of Interest statements are also made available upon request.
Form 990, Part XI, line 9:	Change In Retirement & Pension Funding 1805635. Transfer to Affiliates 1466000.	Changes in Net Assets or Fund Balances:
Part XII, Lines 2 a & c	The organization's financial statement was not audited by an independent accounting firm. However, its operating results were including the the consolidated audited financial statement of the parent company. In addition, the parent organization has a committee that assumes responsibility for oversight of the audit of its financial statements.
Form 990 Part XII Line 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

Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Hartford Hospital
80 Seymour Street	Hartford	CT	06102	060646668	Health Services	CT	501 (c) (3)	3	Hartford HealthCare Corp	1
Windham Community Memorial Hospital
112 Mansfield Avenue	Willimantic	CT	06226	060646966	Health Services	CT	501 (c) (3)	3	Hartford HealthCare Corp	1
Windham Hospital Foundation Inc
112 Mansfield Avenue	Willimantic	CT	06226	562546632	Supporting Organization	CT	501 (c) (3)	11 (a)	Windham Community Memorial Hospital	1
Midstate Medical Center
435 Lewis Avenue	Meriden	CT	06451	060646715	Health Services	CT	501 (c) (3)	3	Hartford HealthCare Corp	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)		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	1
Rushford Center Inc
883 Paddock Avenue	Meriden	CT	06450	060932875	Substance Abuse Healthcare Services	CT	501 (c) (3)	7	Hartford HealthCare Corp	1
Hartford Hospital Auxiliary co Hartford Hospital
80 Seymour Street	Hartford	CT	06115	066040747	Fundraising	CT	501 (c) (3)	11 (c)	Hartford Hospital	1
Connecticut Health System Inc
80 Seymour Street	Hartford	CT	06102	222779421	Coordination of Health Delivery	CT	501 (c) (3)	11 (c)		1	N/A
Institute of Living
200 Retreat Avenue	Hartford	CT	06106	060646683	Supporting Organization to Hartford Hospital	CT	501 (c) (3)	11 (c)	Hartford Hospital	1
VNA Resources Inc
1290 Silas Deane Hwy Suite 4B	Wethersfield	CT	06109	061161422	Home Healthcare	CT	501 (c) (3)	9	VNA Health Care Inc	1
The Hatch Hospital Corp
112 Mansfield Avenue	Willimantic	CT	06226	066076412	Health Services	CT	501 (c) (3)	3	Windham Community Memorial Hospital	1
WCMH Women's Auxiliary Inc
112 Mansfield Avenue	Willimantic	CT	06226	060677728	Fundraising	CT	501 (c) (3)	11 (a)	Windham Community Memorial Hospital	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	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	1
Bradley Health Services
100 Grand Street	New Britain	CT	06050	061367014	Health Services	CT	501 (c) (3)	9	Hartford HealthCare Corp	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	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	1
Rushford Foundation Inc
883 Paddock Avenue	Meriden	CT	06450	061432692	Supporting Organization	CT	501 (c) (3)	11(a)	Rushford Center Inc	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	1
Midstate Medical Center Auxiliary
435 Lewis Avenue	Meriden	CT	06451	066063082	Fundraising	CT	501 (c) (3)	3	Midstate Medical Center	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	1
Hartford HealthCare Accountable Care Org Inc
200 Retreat Avenue	Hartford	CT	06102	460886367	To Manage and Coordinate Care for Medicare Beneficiaries	CT	501 (c) (3)	Application Pending	HHC PhysiciansCare Inc	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	1
Backus Corporation
326 Washington Street	Norwich	CT	06360	222757608	Support	CT	501 (c) (3)	11(b)	Hartford HealthCare Corp	1
The William W Backus Hospital
326 Washington Street	Norwich	CT	06360	060250773	Hospital	CT	501 (c) (3)	3	Hartford HealthCare Corp	1
Backus HealthCare Inc
326 Washington Street	Norwich	CT	06360	222481794	Support	CT	501 (c) (3)	11(a)	Hartford HealthCare Corp	1

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
HHMOB Corporation & Subsidiary
80 Seymour Street	Hartford	CT	06102	061140244	Real Estate & Parking	CT	N/A	C	1
CHS Insurance LTD
					Captive Insurance		N/A	C	1	40 Church Street	Hamilton	BD	BD
Windham Health Services Inc
112 Mansfield Avenue	Willimantic	CT	06226	061461101	Home Healthcare	CT	N/A	C	1
Windham Physician Hospital Organization
112 Mansfield Avenue	Willimantic	CT	06226	061441614	Medical Services	CT	N/A	C	1
Windham Family Medical Services
112 Mansfield Avenue	Willimantic	CT	06226	061491649	Medical Services	CT	N/A	C	1
CenConn Services Inc
100 Grand Street	New Britain	CT	06050	222836001	Holding Company	CT	N/A	C	1
Grand Indemnity Co LTD FB Perry Building
				980609499	Professional Liability		N/A	C	1	40 Church Street	Hamilton	BD	BD
Hartford Physician Services PC
80 Seymour Street	Hartford	CT	06102	061254082	Medical Services	CT	N/A	C	1
Meriden Imaging Center
101 North Plains Industrial Road	Meriden	CT	06429	061541468	Imaging	CT	N/A	S	1
Hartford Physician Hospital Organization Inc
80 Seymour Street	Hartford	CT	06102	222785918	Physician & Hospital Support	CT	N/A	C	1
Aetna Ambulance Service Inc
PO BOX 1150	Manchester	CT	06045	060795431	Ambulance Services	CT	N/A	C	1
Metro Wheelchair Service Inc
PO BOX 300	Manchester	CT	06045	060878432	Wheelchair Services	CT	N/A	C	1
WWB Corporation
326 Washington Street	Norwich	CT	06360	061094836	Holding Company	CT	N/A	C	1
ConnCare Inc
326 Washington Street	Norwich	CT	06360	061387598	Health Care Services	CT	N/A	C	1
Backus Medical Center Condo Assoc Inc
330 Washington Street	Norwich	CT	06360	061542647	Condo Association	CT	N/A	C	1
Windham Professional Office Condominium
112 Mansfield Avenue	Willimantic	CT	06226	061090041	Condo Association	CT	N/A	C	1
Select Physicians Network
112 Mansfield Avenue	Willimantic	CT	06226	061426901	Managing offices of physicians and surgeons	CT	N/A	C	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Hartford Hospital
M	810458	FMV
Hartford Hospital
O	630387	FMV
Windham Community Memorial Hospital
A	15547	FMV
Windham Community Memorial Hospital
O	71366	FMV
Rushford Center Inc
O	67652	FMV