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        <Description>OUTPATIENT REHABILITATION SERVICES: INCLUDE MULTIDISCIPLINARY SERVICES TO MEET THE NEEDS OF PATIENTS WHO REQUIRE ASSISTANCE BUT DO NOT REQUIRE HOSPITALIZATION. PHYSICAL THERAPISTS FOCUS ON IMPROVING A PERSON'S MOVEMENT, MOBILITY AND STRENGTH TO RESTORE, MAINTAIN AND PROMOTE OPTIMAL PHYSICAL FUNCTION. OCCUPATIONAL THERAPISTS FOCUS ON IMPROVING A PERSON'S ABILITY TO PERFORM DAILY SELF-CARE NEEDS AND ROUTINES WHICH MAY INCLUDE DIFFICULTY WITH SEQUENCING AND PLANNING, ARM AND HAND MOVEMENTS, AND FINE-MOTOR COORDINATION. OUR SPEECH LANGUAGE PATHOLOGY SERVICES AND ASSESSMENTS ARE DESIGNED TO CONSIDER ALL OF THE VARIABLES THAT AFFECT A PATIENT'S ABILITY TO MEET HIS/HER GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY ACTIVITIES, MEDICATION AND QUALITY OF LIFE NEEDS. HSC OUTPATIENT FACILITIES INCLUDE A STATE-OF-THE-ART, FULLY ACCESSIBLE 27,000 SQUARE FOOT AQUATIC REHABILITATION CENTER, FEATURING 2 POOLS: A WARM WATER POOL TO HELP REDUCE PAIN DURING AQUATIC THERAPY AND A COOL WATER POOL FOR FITNESS, ATHLETIC TRAINING AND RECREATION. THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE LARGEST AND MOST COMPREHENSIVE IN THE STATE OF CONNECTICUT, INCLUDING MUSCULAR DYSTROPHY ASSOCIATION (MDA) CLINIC FOR ADULTS AND CHILDREN, AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION (ALSA) CERTIFIED CENTER PROGRAM &amp; CLINIC, NEUROPATHY &amp; GENERAL NEUROMUSCULAR DISEASE CLINIC, ELECTROMYOGRAPHY (EMG) &amp; NEURODIAGNOSTIC LAB, UCHC-HSC MUSCLE &amp; NERVE BIOPSY SERVICE, REHABILITATION SERVICES, SPEECH &amp; LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK SERVICES, SUPPORT GROUPS, NEUROMUSCULAR AND PULMONARY CLINIC. THE DEPARTMENT OF PSYCHOLOGY PROVIDES A VARIETY OF ASSESSMENT AND TREATMENT SERVICES IN ADULT NEUROPSYCHOLOGY, PEDIATRIC AND ADOLESCENT NEUROPSYCHOLOGY AND REHABILITATION PSYCHOLOGY AND COORDINATES SUPPORT GROUPS FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY AND SPINAL CORD INJURY. HSC ALSO OFFERS OUTPATIENT PULMONARY REHABILITATION PROGRAM TO HELP PERSONS WITH PULMONARY DISEASE REACH HIS OR HER MAXIMUM LEVEL OF INDEPENDENCE AND FUNCTION IN THE COMMUNITY BY OFFERING ENDURANCE EXERCISE GROUPS FOR FITNESS TRAINING AND INDIVIDUAL ONE-TO-ONE THERAPY SESSIONS FOR EVALUATION AND TRAINING IN TECHNIQUES TO DECREASE ENERGY EXPENDITURE FOR WALKING, CLIMBING STAIRS, COMPLETING SELF-CARE AND PERFORMING CHORES. IN FYE 2012, HSC OPENED A NEW AUTISM CENTER THAT PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL AND ACADEMIC EVALUATIONS AND A FULL RANGE OF THERAPY OPTIONS IN OCCUPATIONAL, SPEECH AND LANGUAGE, AND PHYSICAL THERAPIES FOR CHILDREN AND ADOLESCENTS WITH AUTISM SPECTRUM DISORDERS (ASD). THE AUTISM CENTER STAFF ALSO ASSIST IN THE DEVELOPMENT OF EDUCATIONAL AND BEHAVIORAL PLANS, AS WELL AS THE TRAINING OF CAREGIVERS, TEACHERS OR OTHERS INVOLVED IN THE LIFE OF THE CHILD. THESE SERVICES MAY BE CONTRACTED BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. (20,845 VISITS)</Description>
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      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
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        <BookValue>363049</BookValue>
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        <BookValue>2017682</BookValue>
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      <TotalOfBookValueLandBuildings>41907756</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>INSURANCE RESERVES</Description>
        <BookValue>1904601</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>PRESENT VALUE OF RETIREMENT BENEFITS</Description>
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      <OtherAssets>
        <Description>CHEFA OBLIGATION &amp; DISCOUNT AND ISSUANCE EXPENSE</Description>
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      <OtherAssets>
        <Description>DEBT SERVICES FUND</Description>
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      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
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      <OtherAssets>
        <Description>PATIENT TRUST</Description>
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      <OtherAssets>
        <Description>INVESTMENT IN FOUNDATION</Description>
        <BookValue>9012164</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>26187667</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYORS</Description>
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      </OtherLiabilities>
      <TotalOfAmounts>2540837</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>94420178</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>1948897</NetUnrealizedGainsInvestments>
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      <ExpensesNotRptdOnFinStmt>53140248</ExpensesNotRptdOnFinStmt>
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        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>FUNDS ARE HELD BY THE ORGANIZATION TO FUND FUTURE FACILITY MAINTENANCE, PURCHASE NEEDED FACILITY EQUIPMENT, PURCHASE EQUIPMENT AND SERVICES FOR PATIENT CARE, FUND LECTURES, RESEARCH AND EDUCATION AND IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS. IN FY10, A NEW FUND WAS ESTABLISHED FOR THE CONSTRUCTION OF A NEW OUTPATIENT FACILITY BEING FUNDED BY A CAPITAL CAMPAIGN.</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
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      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CONTRACTUAL ADJUSTMENTS 53,140,248.</Explanation>
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        <NetCommunityBenefitExpense>510908</NetCommunityBenefitExpense>
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      <CashAndInKindContributions>
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      <TotalCommunityBenefits>
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        <NetCommunityBuildingExpense>3118</NetCommunityBuildingExpense>
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        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
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      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
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        </Name>
        <Address>
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          <City>NEW BRITAIN</City>
          <State>CT</State>
          <ZIPCode>06053</ZIPCode>
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        <ConsultingProcess>X</ConsultingProcess>
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        <OwnWebsite>X</OwnWebsite>
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        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
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        <UsesFPGDiscounted>1</UsesFPGDiscounted>
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        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
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        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
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        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A - ANNUAL COMMUNITY BENEFIT:PER CONNECTICUT GENERAL STATUTE 19A-127K (A)(1) THE OFFICE OF THE HEALTHCARE ADVOCATE FOR THE STATE OF CONNECTICUT REQUIRES IT TO COLLECT DATA ON COMMUNITY BENEFIT PROGRAMS EVERY 2 YEARS, RATHER THAN ON AN ANNUAL BASIS. OUR REPORTING IS DESIGNED TO CONFORM TO THIS STANDARD. PART I, LINE 7A &amp; 7B - CHARITY CARE COST, UNREIMBURSED MEDICAID:OUR COST WAS DERIVED BASED ON USING WORKSHEET 2 COST TO CHARGE RATIO.PART I, LINE 7, COLUMN (F) - PERCENT OF TOTAL EXPENSE:THE PERCENTAGE WAS CALCULATED USING PART IX, LINE 25, COLUMN (A) TOTAL EXPENSES OF $143,051,683 DIVIDED BY THE NET COMMUNITY BENEFIT EXPENSE LINE 7, COLUMN (E).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: COMMUNITY SUPPORT: BASED ON EXPERIENCES WITH TRAGEDIES SUCH AS THE TERRORIST ATTACKS ON THE U.S. THAT OCCURRED ON 9-11-01 AND HURRICANE KATRINA, THE GOVERNMENT IDENTIFIED THAT HOSPITALS WERE A VITAL ELEMENT OF EMERGENCY RESPONSE BUT HAD NOT BEEN A PRIORITY IN REGARDS TO TRAINING AND USE OF THE NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS). IN ORDER TO ASSURE A COORDINATED EMERGENCY MANAGEMENT RESPONSE, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ESTABLISHED A HOSPITAL PREPAREDNESS PROGRAM (HPP). THE GOAL OF THIS PROGRAM IS TO ASSURE ADEQUATE AND COORDINATED TRAINING, RESOURCES AND POLICY DEVELOPMENT FOR HOSPITALS SO THAT IN A TIME OF LOCAL, STATE OR REGIONAL DISASTER, HOSPITALS WILL READILY SYNERGIZE THEIR EFFORTS VIA UNIFIED COMMAND WITH OTHER LOCAL, STATE AND FEDERAL EMERGENCY AGENCIES AND SERVICES.HOSPITAL FOR SPECIAL CARE (HSC) IS A MEMBER OF THE REGIONAL EMERGENCY SUPPORT PLAN, DESIGNATED AS A MEMBER OF EMERGENCY FUNCTION 8 ALONG WITH ALL AREA ACUTE CARE, LONG TERM CARE, MEDICAL OFFICES, COMMUNITY HEALTH SERVICES AND MEDICAL EMERGENCY RESPONSE ENTITIES. IN TOTAL, THERE ARE 20 EMERGENCY FUNCTIONS THAT ARE A PART OF THIS REGIONAL EMERGENCY SUPPORT PLAN THAT INCLUDES TRANSPORTATION, PUBLIC WORKS, ENGINEERING AND FIREFIGHTING FOR EXAMPLE. REGIONAL ESF 8 MEMBERS MEET QUARTERLY, COORDINATED BY THE DEPARTMENT OF PUBLIC HEALTH EMERGENCY MANAGEMENT SERVICES, TO WORK ON SHARED PROJECTS SUCH AS ALTERNATE CARE FACILITIES POLICIES, EVACUATION PLANS, PANDEMIC FLU PLANNING AND STATEWIDE DRILL PLANNING. HSC PARTICIPATES IN THE WARN COMMUNICATION SYSTEM THAT ALLOWS IMMEDIATE COMMUNICATION AMONGST ESF 8 MEMBERS THROUGHOUT THE STATE OF CONNECTICUT. HSC IS LOCATED IN THE HHS-DESIGNATED REGION 3 AND IS ALSO A MEMBER OF THE CAPITAL REGION EMERGENCY PLANNING COMMITTEE THAT MEETS MONTHLY TO ALLOW EFFECTIVE PLANNING AMONG THE ESP 8 MEMBERS IN THE CAPITOL REGION. HSC IS ALSO ACTIVE IN THE LOCAL ESF 8 THAT INCLUDES ESF 8 MEMBERS FROM NEW BRITAIN AND SOUTHINGTON. EDUCATION AND DRILLS ARE ESSENTIAL COMPONENTS TO TEST OUR ORGANIZATIONAL ABILITY TO RESPOND TO EMERGENCY SITUATIONS. AT A MINIMUM TWICE A YEAR DRILLS INVOLVING OUR COMMUNITY, STATE, AND/OR REGIONAL EMERGENCY MANAGEMENT PARTNERS ARE COMPLETED TO ALLOW TESTING OF PLANS/COMMUNICATIONS AND IDENTIFY OPPORTUNITIES FOR ENHANCING RESPONSES AND/OR COORDINATION OF EFFORT.WORKFORCE DEVELOPMENT: THE NEW BRITAIN ACADEMY FOR HEALTH PROFESSIONS (HEALTH ACADEMY) WAS ESTABLISHED DECEMBER 7, 2009. THE HEALTH ACADEMY EDUCATES AND PREPARES HIGH SCHOOL STUDENTS FOR CAREERS IN THE HEALTHCARE SERVICE INDUSTRY IN NEW BRITAIN AND IS A COLLABORATIVE EFFORT BETWEEN THE BUSINESS COMMUNITY, THE CONSOLIDATED SCHOOL DISTRICT OF NEW BRITAIN, AND NEW BRITAIN'S TWO HOSPITALS, HOSPITAL FOR SPECIAL CARE AND THE HOSPITAL OF CENTRAL CONNECTICUT. THE COMPREHENSIVE CURRICULUM PROVIDES STUDENTS WITH OPPORTUNITIES TO EXPLORE THE HEALTHCARE SERVICE INDUSTRY AND TO DEVELOP UP-TO-DATE SKILLS AND THE KNOWLEDGE-BASE NEEDED FOR CERTIFICATION IN A VARIETY OF HEALTHCARE OCCUPATIONS UPON GRADUATION FROM HIGH SCHOOL. IN ADDITION, STUDENTS CAN START EARNING CREDITS TOWARD A TWO-YEAR AND/OR A FOUR-YEAR COLLEGE DEGREE AND BE PREPARED FOR A 21ST CENTURY CAREER WHILE STILL IN HIGH SCHOOL. THE TARGET POPULATION OF THE ACADEMY IS NEW BRITAIN HIGH SCHOOL STUDENTS. MANY ARE ECONOMICALLY DISADVANTAGED AND UNDERREPRESENTED IN THE HEALTH PROFESSIONS, AND SO THEY HAVE THE POTENTIAL TO BENEFIT GREATLY FROM THE ACADEMY'S WORK-BASED SKILLS AND CAREER COMPETENCY-BUILDING STRATEGIES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: ACCOUNTS RECEIVABLE ARE CONSIDERED DELINQUENT AND WRITTEN OFF WHEN ALL ATTEMPTS TO COLLECT FROM INDIVIDUALS OR OTHER PAYOR SOURCES HAVE BEEN EXHAUSTED, AS DESCRIBED IN NOTE 1 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS. IT IS ALSO THE HOSPITAL'S PRACTICE TO REVIEW PATIENT ACCOUNTS REGULARLY AND RESERVE FOR ANY POTENTIAL BAD DEBTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: THE ORGANIZATION USES A COST TO CHARGE RATIO AS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE ITS MEDICARE COSTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. OUR HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS DETERMINED TO QUALIFY FOR CHARITY CARE. OUR POLICY PROVIDES THAT WE WILL NOT REFER ANY ACCOUNTS FOR COLLECTION UNTIL WE CAN DETERMINE WHETHER THE INDIVIDUAL IS INSURED AND THEREFORE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HOSPITAL FOR SPECIAL CARE</Identifier>
        <Explanation>PART V, SECTION B, LINE 3: THE CHNA WAS COMPRISED OF BOTH QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS:QUANTITATIVE DATA: A HOUSEHOLD TELEPHONE SURVEY WAS CONDUCTED WITH 630 RANDOMLY-SELECTED COMMUNITY RESIDENTS. THE SURVEY WAS MODELED AFTER THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) WHICH ASSESSES HEALTH STATUS, HEALTH RISK BEHAVIORS, PREVENTIVE HEALTH PRACTICES, AND HEALTH CARE ACCESS PRIMARILY RELATED TO CHRONIC DISEASE AND INJURY.QUALITATIVE DATA: KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 21 KEY COMMUNITY LEADERS, REPRESENTING A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY.KEY INFORMANT INTERVIEW PARTICIPANT LIST DR. MICHAEL GREY, DR. JEFFREY FINKELSTEIN AND KATHY SCALISE, THE HOSPITAL OF CENTRAL CONNECTICUTPAUL HUTCHEON, CENTRAL CONNECTICUT HEALTH DEPARTMENTSERGIO LUPO AND FRANCINE TRUGLIO, NEW BRITAIN HEALTH DEPARTMENTSHANE LOCKWOOD, PLAINVILLE/SOUTHINGTON HEALTH DEPARTMENTWENDY DEANGELO, WHEELER CLINICRAY GORMAN, COMMUNITY MENTAL HEALTH AFFILIATESYVETTE HIGHSMITH FRANCIS, COMMUNITY HEALTH CENTERSELLEN ROTHBERG, VNA HEALTHCAREPAT CIARDULLO, NEW BRITAIN EMSGRACE DAMIO, HISPANIC HEALTH COUNSELFATMA ANTAR, BERLIN MOSQUEMONSIGNOR DANIEL PLOCHARCZYK, SACRED HEART CHURCH OF NEW BRITAINSTEPHEN J. VARGA, NEW BRITAIN AREA INTER FAITH CONFERENCEJOHN MYERS, SOUTHINGTON YMCAROSEANNE BILODEAU, PATHWAY SENDEROSMARY ROYCE, NEW BRITAIN HOUSING AUTHORITYCAROL ZESUT, NEW BRITAIN POLICE DEPARTMENTTRISH WALDEN, CONNECTICUT SENIOR CARE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HOSPITAL FOR SPECIAL CARE</Identifier>
        <Explanation>PART V, SECTION B, LINE 4: HOSPITAL FOR SPECIAL CARE (HSC) CONDUCTED THE CHNA WITH THE HOSPITAL OF CENTRAL CONNECTICUT (HOCC) IN NEW BRITAIN, CT. THE TWO HOSPITALS OFTEN WORK TOGETHER TO MEET THE HEALTH NEEDS OF THE GREATER NEW BRITAIN COMMUNITY. AS A LONG TERM ACUTE CARE HOSPITAL (LTACH) AND AN ACUTE CARE HOSPITAL RESPECTIVELY, OUR MISSIONS AND SERVICES OFFERED TO THE COMMUNITY ARE QUITE DIFFERENT. HSC PRIORITIZED THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT BY DEVELOPING STRATEGIES RELATED TO THE CLINICAL EXPERTISE AND SERVICES OFFERED BY HSC AS AN LTACH. THE STRATEGIES DEVELOPED BY HOCC WILL ADDRESS THE HEALTH NEEDS OF OTHER MEMBERS OF OUR COMMUNITY BASED ON THE SERVICES PROVIDED BY AN ACUTE CARE FACILITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HOSPITAL FOR SPECIAL CARE</Identifier>
        <Explanation>PART V, SECTION B, LINE 7: HSC DID NOT ADDRESS COMMUNITY HEALTH ISSUES IDENTIFIED AS IT RELATES TO CERTAIN DEMOGRAPHIC GROUPS OF WHICH HSC DOES NOT HAVE EXISTING PROGRAMS OR EXPERTISE IN SERVING. EXAMPLES INCLUDE; ACCESS TO HEALTH CARE FOR HISPANICS, SUBSTANCE ABUSE RELATED TO BINGE DRINKING WITH EMPHASIS ON EDUCATION, PREVENTION, TREATMENT, SUPPORTIVE SERVICES AND CARE OF PEOPLE WITH DIABETES. HSC FOCUSED ITS RESOURCES IN AREAS OF NEED WHERE ITS EXISTING PROGRAMS AND EXPERTISE WOULD HAVE THE MOST IMPACT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: THE HOSPITAL CONTINUALLY WORKS WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY AND HAS PREPARED NEEDS ANALYSES RELATED TO SPECIFIC PROJECTS OVER THE PAST FOUR YEARS. THE HOSPITAL HAS RETAINED OUTSIDE CONSULTING FIRMS TO ASSIST IN THESE STUDIES. IN ADDITION, IT HAS REGULARLY WORKED WITH OTHER ORGANIZATIONS TO ASSIST IT TO DETERMINE THE ONGOING NEEDS OF THE COMMUNITY. AS A RESULT OF THIS PROCESS, THE HOSPITAL HAS IDENTIFIED THE NEED FOR EXPANSION OF NEUROBEHAVIORAL SERVICES, DENTAL SERVICES FOR THE INDIGENT, SPORTS AND TRAINING PROGRAMS, INCLUDING A CAMP FOR THE DISABLED AND HOUSING FOR THE DISABLED. RECENTLY, THE HOSPITAL HAS EXPANDED SERVICES TO MEET THE NEEDS OF THE BRAIN INJURED PATIENT IN THE COMMUNITY. THE HOSPITAL CONDUCTS MEETINGS WITH STAKE HOLDERS TO DETERMINE GAPS IN SERVICE FOR THE POPULATIONS IT SERVES. HSC HAS RECENTLY IDENTIFIED A NEED FOR ACCESS TO AUTISM SERVICES IN CONNECTICUT AND AS A RESULT HAS EXPANDED OUTPATIENT SERVICES WITH AN AUTISM CLINIC, IN PARTNERSHIP WITH UNIVERSITY OF SAINT JOSEPH AND IS PLANNING AN EXPANSION OF INPATIENT SERVICES FOR AUTISM IN THE FUTURE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: PATIENTS ARE NOTIFIED THAT FINANCIAL ASSISTANCE IS AVAILABLE AT THE TIME OF REGISTRATION. A STATEMENT IS INCLUDED ON THE FINANCIAL DISCLOSURE PAPERWORK WHICH IS COMPLETED AT THE TIME OF ADMISSION AND ON EACH PATIENT BILL AND SUBSEQUENT STATEMENT. FINANCIAL COUNSELING APPOINTMENTS ARE AVAILABLE UPON REQUEST AND INTERPRETER SERVICES ARE AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH. THE HOSPITAL'S CHARITY CARE PROGRAM IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: HOSPITAL FOR SPECIAL CARE (HSC) IS LICENSED BY STATE OF CONNECTICUT AS A CHRONIC-DISEASE HOSPITAL AND CERTIFIED BY MEDICARE AS A LONG TERM ACUTE CARE HOSPITAL. UNLIKE ACUTE CARE FACILITIES THAT SERVE THEIR SURROUNDING TOWNS, HSC PATIENTS ARE ADMITTED FROM THROUGHOUT CONNECTICUT AND SOUTHERN NEW ENGLAND.HOSPITAL FOR SPECIAL CARE IS THE ONLY LONG TERM ACUTE CARE HOSPITAL IN THE COUNTRY THAT PROVIDES A CONTINUUM OF CARE FROM PEDIATRICS THROUGH ADULTHOOD. IT IS NATIONALLY RENOWNED FOR TREATMENT IN THE AREAS OF PULMONARY DISEASE, ACQUIRED BRAIN INJURIES, COMPLEX PEDIATRICS, NEUROMUSCULAR DISEASE AND SPINAL CORD INJURIES. IN ADDITION TO ITS 205-BED INPATIENT FACILITY IN NEW BRITAIN, CONNECTICUT, HSC OPERATES A 23-BED SATELLITE SERVING THE GREATER HARTFORD AREA.HOSPITAL FOR SPECIAL CARE OFFERS A FULL SPECTRUM OF MEDICAL TREATMENT FOR COMPLEX REHABILITATION AND CHRONIC DISEASE. INPATIENT SERVICES ARE AUGMENTED BY A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING A FULL FITNESS CENTER SPECIALLY DESIGNED FOR THOSE LIVING WITH PHYSICAL DISABILITIES AS WELL AS THOSE RECOVERING FROM VARIOUS INJURIES AND ILLNESSES.HSC DOES NOT TARGET ANY SPECIFIC NEIGHBORHOOD, INCOME LEVEL, OR MINORITY OR IMMIGRANT POPULATIONS. THE DISEASES AND INJURIES THAT ITS PATIENTS HAVE EXPERIENCED STRIKE ANYONE, ANYWHERE. THE ONLY NEIGHBORHOOD-SPECIFIC PROGRAM THAT A SISTER ENTITY OF HSC PROVIDES IS THE SPECIAL CARE DENTAL CLINIC, OFFERING PREVENTIVE DENTAL CARE TO CHILDREN WITH TITLE 19 MEDICAID HEALTH COVERAGE. MANY OF THE 1,252 CHILDREN SEEN ANNUALLY ARE FROM LIMITED INCOME, IMMIGRANT, INNER CITY FAMILIES. HSC'S COMMUNITY EFFORTS EXTEND THROUGHOUT THE CITY OF NEW BRITAIN AND SURROUNDING TOWNS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN STRATEGIC PLANNING FOR THE HOSPITAL AND ITS SISTER ENTITIES IN FUNDRAISING, AND IN GENERAL STEWARDSHIP.MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN AND EXPAND ACCESS TO PATIENT SERVICES THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: INPATIENT RESPIRATORY SERVICES, REHABILITATION SERVICES INCLUDING BRAIN INJURY AND SPINAL CORD INJURY, SPECIALIZED PEDIATRIC CARE AND A COMPLEMENT OF OUTPATIENT SERVICES FOR THE CHRONIC CONDITIONS HSC TREATS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: THE HOSPITAL'S SOLE CORPORATE MEMBER IS CENTER OF SPECIAL CARE, INC, A 501(C)(3) CORPORATION (THE "CENTER"). THE CENTER PROVIDES GOVERNANCE OVERSIGHT AND STRATEGIC PLANNING FOR ITS SEVERAL WHOLLY OWNED SUBSIDIARIES. THESE SUBSIDIARIES INCLUDE THE HOSPITAL, AND ITS SISTER ENTITIES, HSC COMMUNITY SERVICES, INC. AND HOSPITAL FOR SPECIAL CARE FOUNDATION, INC. ALL OF THESE ENTITIES ARE 501(C)(3) CORPORATIONS WHOSE COLLECTIVE FOCUS IS TO PROVIDE EXEMPLARY CARE THAT ASSISTS PATIENTS AND THEIR FAMILIES TO IMPROVE THEIR QUALITY OF LIFE AND TO RESPOND AND BE ACCOUNTABLE TO THE NEEDS OF THE COMMUNITIES THEY SERVE.SPECIFIC EXAMPLES OF THESE AFFILIATED ENTITIES' SERVICE TO THESE COMMUNITIES INCLUDE THE OPERATION OF A DENTAL CLINIC SERVING INDIGENT CHILDREN AND DISABLED ADULTS; THE OPERATION OF A MULTI-FACETED SPORTS &amp; TRAINING LEADERSHIP PROGRAM FOR DISABLED CHILDREN AND ADULTS, WHICH PROVIDES A SUMMER SPORTS CAMP FOR DISABLED CHILDREN AND SPORTS TEAMS THAT ENABLE WHEELCHAIR-BOUND ATHLETES TO PARTICIPATE IN TRAINING AND COMPETITION IN TRACK &amp; FIELD, SOCCER, SWIMMING AND BASKETBALL; AND THE FUNDING OF SCHOLARSHIPS FOR NURSING AND RESPIRATORY CARE STUDENTS.IN ADDITION, HSC COMMUNITY SERVICES, INC. IS A CORPORATE MEMBER OF TWO OTHER 501(C)(3) CORPORATIONS, CSI RESIDENTIAL, INC., AND MANES &amp; MOTIONS THERAPEUTIC RIDING CENTER, INC. CSI RESIDENTIAL PROVIDES HUD-SUBSIDIZED HOUSING FOR DISABLED INDIVIDUALS IN THE COMMUNITY. MANES &amp; MOTIONS OPERATES A THERAPEUTIC HORSEBACK RIDING PROGRAM THAT SERVES CHILDREN WITH COGNITIVE AND PHYSICAL DISABILITIES, INCLUDING AUTISM, AND ADULTS AFFECTED BY TRAUMATIC BRAIN INJURY OR POST-TRAUMATIC STRESS DISORDER, INCLUDING COMBAT VETERANS.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIP</TypeOfGrant>
        <NumberOfRecipients>4</NumberOfRecipients>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: SCHOLARSHIP FUNDS ARE DISTRIBUTED DIRECTLY TO THE INSTITUTION WHICH THE RECIPIENT ATTENDS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <Form990ScheduleJPartII>
        <NamePerson>JOHN VOTTO DO</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
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        <NamePerson>PAUL SCALISE MD</NamePerson>
        <Title>SR VP MED. AFFAIRS &amp; CHIEF OF STAFF</Title>
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        <NamePerson>LAURIE ANN WHELAN</NamePerson>
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        <NamePerson>LYNN A RICCI</NamePerson>
        <Title>SENIOR VP ADMINISTRATION &amp; COO</Title>
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        <NamePerson>LISA A NEWTON</NamePerson>
        <Title>VP OF PATIENT CARE SERVICES</Title>
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        <NamePerson>DONALD CYR</NamePerson>
        <Title>VP FACILITIES &amp; HOSPITALITY SVCS</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>STANISLAW JANKOWSKI</NamePerson>
        <Title>VP CHIEF INFORMATION OFFICER</Title>
        <BaseCompensationFilingOrg>158359</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1182</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2006</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11520</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>173067</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JASON JAKUBOWSKI</NamePerson>
        <Title>VP GOVERNMENT RELATIONS</Title>
        <BaseCompensationFilingOrg>135709</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>12100</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1144</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17394</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>166347</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID CRANDALL</NamePerson>
        <Title>FORMER PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>356932</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>34824</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1545992</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>29657</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>2206</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26527</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>1973</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1959108</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>39003</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>580249</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRENDA NURSE MD</NamePerson>
        <Title>CHIEF, INFECTION DISEASE, EPIDEMIOLO</Title>
        <BaseCompensationFilingOrg>262586</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>982</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15993</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15703</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>295264</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN PELEGANO MD</NamePerson>
        <Title>CHIEF OF PEDIATRICS</Title>
        <BaseCompensationFilingOrg>226933</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1105</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>28524</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20206</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>276768</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEVEN PRUNK MD</NamePerson>
        <Title>ASSOC CHIEF INTERNAL &amp; PULMONARY MED</Title>
        <BaseCompensationFilingOrg>227788</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>5150</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1182</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2554</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17920</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>254594</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM PESCE</NamePerson>
        <Title>CHIEF OF PHYSICAL MEDICINE &amp; REHAB</Title>
        <BaseCompensationFilingOrg>229766</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>182</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2865</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16206</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>249019</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>THE PRESIDENT, CFO, COO AND VICE PRESIDENT OF GOVERNMENT AFFAIRS RECEIVED A MONTHLY ALLOWANCE IN CALENDAR YEAR 2012. THESE FUNDS ARE NOT CONTROLLED BY THE COMPANY, HOWEVER, AND THEY HAVE THE ABILITY TO SPEND THE MONEY AT THEIR DISCRETION. EFFECTIVE JANUARY 1, 2013, MONTHLY ALLOWANCES HAVE BEEN DISCONTINUED. THE COMPANY ALSO OFFERED, AND THE PRESIDENT ACCEPTED, THE SERVICES OF A FINANCIAL ADVISOR.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINES 4A-B</ReturnReference>
        <Explanation>CERTAIN OFFICERS AND HIGHLY PAID EMPLOYEES ARE ENROLLED IN A NON-QUALIFIED BENEFIT PLAN. PAYMENTS TO THE PLAN WERE AS FOLLOWS: JOHN VOTTO $56,000. LAURIE WHELAN $19,400. FELICIA DEDOMINICIS $21,000. LYNN RICCI $32,200. PAUL SCALISE $23,000. DAVID CRANDALL RECEIVED SEVERANCE OF $136,422 AND PAYMENT OF DEFERRED COMPENSATION OF $1,367,952 DURING CALENDAR YEAR 2012 FROM HOSPITAL FOR SPECIAL CARE.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CONNECTICUT HEALTH AND EDUCATION FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>060806186</IssuerEIN>
        <CUSIPNumber>20774UNN1</CUSIPNumber>
        <DateIssued>2007-06-28</DateIssued>
        <IssuePrice>47786346</IssuePrice>
        <DescriptionOfPurpose>TO REFUND A PORTION OF A PRIOR ISSUE AND CONSTRUCTION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CONNECTICUT HEALTH AND EDUCATION FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>060806186</IssuerEIN>
        <CUSIPNumber>20774U4T9</CUSIPNumber>
        <DateIssued>2010-07-18</DateIssued>
        <IssuePrice>11098250</IssuePrice>
        <DescriptionOfPurpose>TO REFUND A PORTION OF A PRIOR ISSUE AND CONSTRUCTION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceeds>3108035</TotalProceeds>
        <AmountInReserveFund>3108035</AmountInReserveFund>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceeds>11098250</TotalProceeds>
        <IssuanceCostsFromProceeds>206371</IssuanceCostsFromProceeds>
        <CreditEnhancement>256155</CreditEnhancement>
        <CapitalExpenditures>6169513</CapitalExpenditures>
        <OtherSpentProceeds>4466211</OtherSpentProceeds>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00710</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00710</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00710</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00710</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>PART II: PROCEEDS, COLUMN B, LINE #3</Identifier>
        <Explanation>HSC IS A MEMBER OF AN OBLIGATED GROUP AND IN 2012 A MEMBER OF THE OBLIGATED GROUP WAS SOLD AND THE REMAINING DEBT WAS TRANSFERRED TO HSC. THEREFORE INCREASING TOTAL PROCEEDS BY $779,750 IN 2012.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>HOSPITAL FOR SPECIAL CARE'S SOLE MEMBER IS THE CENTER OF SPECIAL CARE, INC. CENTER OF SPECIAL CARE, INC. IS THE PARENT ORGANIZATION OF HOSPITAL FOR SPECIAL CARE AND ALL ITS RELATED SUBSIDIARIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE CENTER OF SPECIAL CARE, INC. IS THE PARENT AND SOLE MEMBER OF THE HOSPITAL FOR SPECIAL CARE. AS SUCH, IT APPROVES THE APPOINTMENT OF ALL NEW MEMBERS OF THE HOSPITAL'S BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE CENTER OF SPECIAL CARE, INC. IS THE PARENT AND SOLE MEMBER OF HOSPITAL FOR SPECIAL CARE. AS SUCH, IT HAS FINAL APPROVAL OVER ALL STRATEGIC AND FINANCIAL DECISIONS MADE BY THE HOSPITAL'S BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE ORGANIZATION PROVIDES THE 990 TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR AN INDEPENDENT REVIEW. ANY QUESTIONS OR CONCERNS ARE ADDRESSED PRIOR TO THE 990 BEING FILED. PRIOR TO FILING, A COPY OF THE COMPLETED 990 IS PROVIDED TO THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION REQUIRES ALL OFFICERS, DIRECTORS, MANAGERS, AND OTHER KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. EVERY YEAR THE STATEMENT IS PRESENTED TO THOSE INDIVIDUALS REQUIRED TO COMPLETE THE FORM AND COMPLETION OF THE FORM IS MONITORED TO ENSURE COMPLIANCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE PROCESS FOR DETERMINING THE COMPENSATION FOR THE ORGANIZATION'S CEO, OFFICERS, AND KEY EMPLOYEES IS AS FOLLOWS. THE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE CONSISTING ENTIRELY OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. ANNUALLY, THE COMMITTEE IS GIVEN RECOMMENDATIONS FROM AN INDEPENDENT CONSULTANT REGARDING THE COMPENSATION OF THOSE EMPLOYEES IDENTIFIED ABOVE. THE COMMITTEE HAS THE SOLE DISCRETION TO ACCEPT OR REVISE THE RECOMMENDATIONS OF THE CONSULTANT IN SETTING THE COMPENSATION OF THE PREVIOUSLY IDENTIFIED EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND OTHER OPERATING DATA AVAILABLE TO THE GENERAL PUBLIC IN ITS SEC REQUIRED CONTINUING DISCLOSURE ON ITS OUTSTANDING MUNICIPAL DEBT. THESE FILINGS HAVE BEEN MADE TO THE NATIONALLY RECOGNIZED MUNICIPAL SECURITIES INFORMATION REPOSITORIES AS MANDATED BY THE SEC. ALL OF THESE FILINGS HAVE BEEN AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>EQUITY TRANSFERS TO AFFILIATES -1,133,842. CHANGE IN EQUITY INTEREST IN AFFILIATES 615,951. CHANGE IN MINIMUM PENSION LIABILITY 147,722. ROUNDING 4.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2150 CORBIN AVENUE</AddressLine1>
          <City>NEW BRITAIN</City>
          <State>CT</State>
          <ZIPCode>06053</ZIPCode>
        </AddressUS>
        <EIN>061534092</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11B, II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTER OF SPECIAL CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2150 CORBIN AVENUE</AddressLine1>
          <City>NEW BRITAIN</City>
          <State>CT</State>
          <ZIPCode>06053</ZIPCode>
        </AddressUS>
        <EIN>061464177</EIN>
        <PrimaryActivities>PARENT ENTITY FOR HOSPITAL AND AFFILIATES</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11B, II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HSC COMMUNITY SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2150 CORBIN AVENUE</AddressLine1>
          <City>NEW BRITAIN</City>
          <State>CT</State>
          <ZIPCode>06053</ZIPCode>
        </AddressUS>
        <EIN>061464179</EIN>
        <PrimaryActivities>COMMUNITY SUPPORT</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CSI RESIDENTIAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2150 CORBIN AVENUE</AddressLine1>
          <City>NEW BRITAIN</City>
          <State>CT</State>
          <ZIPCode>06053</ZIPCode>
        </AddressUS>
        <EIN>311584385</EIN>
        <PrimaryActivities>HOUSING FOR THE DISABLED</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MANES AND MOTIONS THERAPEUTIC RIDING CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2150 CORBIN AVENUE</AddressLine1>
          <City>NEW BRITAIN</City>
          <State>CT</State>
          <ZIPCode>06053</ZIPCode>
        </AddressUS>
        <EIN>061550599</EIN>
        <PrimaryActivities>THERAPEUTIC HORSEBACK RIDING</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>684939</AmountInvolved>
        <MethodOfAmtDetermination>AMOUNT TRANSFERRED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HSC COMMUNITY SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>423101</AmountInvolved>
        <MethodOfAmtDetermination>AMOUNT TRANSFERRED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>447682</AmountInvolved>
        <MethodOfAmtDetermination>AMOUNT TRANSFERRED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>502962</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HSC COMMUNITY SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>503076</AmountInvolved>
        <MethodOfAmtDetermination>SALARY ALLOCATION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>422992</AmountInvolved>
        <MethodOfAmtDetermination>SALARY ALLOCATION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MANES &amp; MOTIONS THERAPEUTIC RIDING CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>122676</AmountInvolved>
        <MethodOfAmtDetermination>SALARY ALLOCATION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HSC COMMUNITY SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>2609772</AmountInvolved>
        <MethodOfAmtDetermination>AMOUNT OF REIMBURSEMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>214807</AmountInvolved>
        <MethodOfAmtDetermination>AMOUNT OF REIMBURSEMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>106225</AmountInvolved>
        <MethodOfAmtDetermination>DONATIONS TRANSFERRED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>