NATCHAUG HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- NATCHAUG HOSPITAL INC (EIN 06-0966963)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-11
- IRS object ID
- 201102239349302275
- Schema version
- 2009v1.7
- 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 | 2011-08-11T15:05:10-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 55 Ivan Allen Jr Blvd Suite 1000 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 30308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | 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 | CFO | Title |
| Phone | 8604561311 | Phone |
| Date Signed | 2011-08-11 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4048748300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 43245123 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.NATCHAUG.ORG | WebSite |
| Type Of Organization Other | X | TypeOfOrganizationOther |
| 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 | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 623 | TotalNbrEmployees |
| Total Nbr Volunteers | 61 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 199924 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 152730 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 40166684 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 43075045 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 43747 | InvestmentIncomePriorYear |
| Investment Income Current Year | 17348 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 40410355 | TotalRevenuePriorYear |
| Total Revenue Current Year | 43245123 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31027479 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33901449 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 41958 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8876015 | OtherExpensePriorYear |
| Other Expenses Current Year | 8786033 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 39903494 | TotalExpensesPriorYear |
| Total Expenses Current Year | 42687482 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 506861 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 557641 | RevenuesLessExpensesCY |
| Total Assets BOY | 17214864 | TotalAssetsBOY |
| Total Assets EOY | 17697436 | TotalAssetsEOY |
| Total Liabilities BOY | 8646634 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8848155 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8568230 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8849281 | NetAssetsOrFundBalancesEOY |
| 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 | 15161250 | Expense |
| Revenue | 15564191 | 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.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 57 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 | 7724788 | Expense |
| Revenue | 8351409 | 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, after-school 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 in part 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 Natchaug Hospital vans that pick clients up 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 | 9179898 | Expense |
| Revenue | 10014248 | 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 School Students 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 | 9110365 | Expense |
| Revenue | 9145197 | 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 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 custody of the Connecticut Department of Children and Families. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 9110365 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 9145197 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 41176301 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | 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 |
| 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 | 1 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 56 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 623 | 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 |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 | 1 | 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 (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Colin K Rice | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Antoinette Ellzey | |||||||
| Planning Committee Chair | 2.00 | X | 0 | 0 | 0 | ||
| Rev Laurence AM LaPointe | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Harriotte W Wilson | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| William E Anderson Jr | |||||||
| Member-at-Large | 2.00 | X | 0 | 0 | 0 | ||
| Edward S Sawicki MD | |||||||
| Secretary | 2.00 | X | 0 | 0 | 0 | ||
| Carol A Wiggins PHD | |||||||
| Chairman | 2.00 | X | 0 | 0 | 0 | X | |
| Michael G Pallein CPA | |||||||
| Treasurer | 2.00 | X | 0 | 0 | 0 | ||
| Pedro J Johnson | |||||||
| Vice Chair | 2.00 | X | 0 | 0 | 0 | ||
| Karla Harbin Fox Esq | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Kimberly A Colfer Esq | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Elizabeth B Ritter | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Dana McGee Esq | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Stephen W Larcen PHD | |||||||
| President & CEO | 40.00 | 0 | 445279 | 68344 | X | ||
| Paul Maloney | |||||||
| CFO | 40.00 | 0 | 139551 | 31545 | X | ||
| David Klein PHD | |||||||
| VP., Comm OPS | 40.00 | 146119 | 0 | 34295 | X | ||
| Deborah Weidner | |||||||
| CMO | 40.00 | 55579 | 0 | 7006 | X | ||
| Peter J Smith | |||||||
| Psychiatrist | 40.00 | 206282 | 0 | 33503 | X | ||
| Jonathan L Chasen | |||||||
| Psychiatrist | 40.00 | 197504 | 0 | 32218 | X | ||
| Rajesh C Parekh | |||||||
| Psychiatrist | 40.00 | 185846 | 0 | 32188 | X | ||
| Teodora Andrei | |||||||
| Psychiatrist | 40.00 | 204727 | 0 | 32643 | X | ||
| Bonnie L Viens | |||||||
| Psychiatrist | 40.00 | 182219 | 0 | 14536 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1178276 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 584830 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 286278 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | 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 |
|---|---|---|---|---|---|
| United Community Family Services | |||||
| 34 East Town St | Norwich | CT | 06360 | Social Workers, RN's | 448784 |
| Hartford Provision Co | |||||
| Dept No 385 POBox 150473 | Hartford | CT | 06115 | Food Services | 285222 |
| Mansfield Family Practice | |||||
| Mansfield Professional Park | Storrs | CT | 06268 | Physician Consultations | 240678 |
| Medical Staffing Network | |||||
| PO Box 202996 | Dallas | TX | 75320 | Contract Nurses | 156249 |
| Shipman & Goodwin LLP | |||||
| One Constitution Plaza | Hartford | CT | 06103 | Legal | 137859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| All Other Contributions | 152730 | AllOtherContributions |
| Total Contributions | 152730 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Contract Revenue | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 43075045 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43075045 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 43075045 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17348 | TotalRevenueColumn |
| Exclusion | $17,348 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43245123 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43075045 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $17,348 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 999192 | Total |
| Management And General | 999192 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25136344 | Total |
| Program Services | 25117909 | ProgramServices |
| Fundraising | 18435 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1284228 | Total |
| Program Services | 1232619 | ProgramServices |
| Management And General | 50418 | ManagementAndGeneral |
| Fundraising | 1191 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4413704 | Total |
| Program Services | 4237377 | ProgramServices |
| Management And General | 173281 | ManagementAndGeneral |
| Fundraising | 3046 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2067981 | Total |
| Program Services | 1985383 | ProgramServices |
| Management And General | 81188 | ManagementAndGeneral |
| Fundraising | 1410 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401668 | Total |
| Program Services | 401668 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55081 | Total |
| Management And General | 55081 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92461 | Total |
| Management And General | 92461 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17602 | Total |
| Management And General | 17602 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1443028 | Total |
| Program Services | 1443028 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64128 | Total |
| Program Services | 64128 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2384961 | Total |
| Program Services | 2379456 | ProgramServices |
| Fundraising | 5505 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 613589 | Total |
| Program Services | 613589 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125684 | Total |
| Program Services | 125684 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43534 | Total |
| Program Services | 43534 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265707 | Total |
| Program Services | 265707 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 968333 | Total |
| Program Services | 968333 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 547897 | Total |
| Program Services | 547897 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|
| Bad Debt | 774964 | 774964 | |
| Purchased Services | 584093 | 571722 | 12371 |
| Repairs & Maintenance | 283348 | 283348 | |
| Dues & Subscriptions | 85368 | 85368 | |
| Education/Tech Training | 34587 | 34587 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42687482 | Total |
| Program Services | 41176301 | ProgramServices |
| Management And General | 1469223 | ManagementAndGeneral |
| Fundraising | 41958 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6700 | BOY |
| EOY | 6851 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 587390 | BOY |
| EOY | 982263 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 269096 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4443082 | BOY |
| EOY | 4221388 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120905 | BOY |
| EOY | 116117 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116288 | BOY |
| EOY | 417439 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 18650995 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7220504 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11469754 | BOY |
| EOY | 11430491 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 470745 | BOY |
| EOY | 253791 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17214864 | BOY |
| EOY | 17697436 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4138675 | BOY |
| EOY | 4653144 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4073412 | BOY |
| EOY | 3762124 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 434547 | BOY |
| EOY | 432887 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8646634 | BOY |
| EOY | 8848155 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8387400 | BOY |
| EOY | 8639928 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180830 | BOY |
| EOY | 209353 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8568230 | BOY |
| EOY | 8849281 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17214864 | BOY |
| EOY | 17697436 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | $17,602 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 17602 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | 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 Mr. Przybysz lobbies Connecticut State Legislators in the interest of a group of specialty hospitals in the State of Connecticut. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 195897 | OtherCostOrOtherBasis |
| Book Value | 195897 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12989350 | OtherCostOrOtherBasis |
| Depreciation | 3949376 | Depreciation |
| Book Value | 9039974 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 923146 | OtherCostOrOtherBasis |
| Depreciation | 163230 | Depreciation |
| Book Value | 759916 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3640124 | OtherCostOrOtherBasis |
| Depreciation | 2536180 | Depreciation |
| Book Value | 1103944 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 902478 | OtherCostOrOtherBasis |
| Depreciation | 571718 | Depreciation |
| Book Value | 330760 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11430491 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due To Affiliated Corporation | Description |
| Amount | $432,887 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 432887 | TotalOfAmounts |
| Total Revenue | 43245123 | TotalRevenue |
| Total Expenses | 42687482 | TotalExpenses |
| Excess Or Deficit For Year | 557641 | ExcessOrDeficitForYear |
| Other | -$276,590 | OtherAmount |
| Total Adjustments | -276590 | TotalAdjustments |
| Excess Or Deficit Per FS | 281051 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 42733656 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 42733656 | RevenueSubtotal |
| Other Revenues Not Included | 511467 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 511467 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 43245123 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 42284107 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 42284107 | ExpensesSubtotal |
| Other Expenses Not Included | 403375 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 403375 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 42687482 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Audited financial statement did not include a FIN 48 footnote. |
| Part XI, Line 8 - Other Adjustments: | Change in Net Assets Related to Pension Plan: -276590. | |
| Part XII, Line 4b - Other Adjustments: | Revenue Reclassed From Net Expenses: 403375. Restricted Contributions Not Reported In Operations: 152730. Net Assets Released From Restrictions: -44638. | |
| Part XIII, Line 4b - Other Adjustments: | Revenue Reclassed From Net Expenses: 403375. |
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 |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 177239 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 68 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 177171 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12913203 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11946217 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 966986 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1896367 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1833668 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62699 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14986809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13779953 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1206856 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02880 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 261611 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 261611 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 134151 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 134151 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 406131 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 406131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00970 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 198320 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 198320 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1000213 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1000213 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02380 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15987022 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13779953 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2207069 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05260 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 998 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 998 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 6375 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6375 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 7373 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7373 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $840,479 | BadDebtExpenseAmount |
| Amount Attributable To | 214658 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 4081086 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4591906 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -510820 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | OtherOther |
|---|---|---|---|---|---|
| Natchaug Hospital | |||||
| 189 Storrs Rd PO Box 260 | Mansfield Center | CT | 06250 | X | |
| Care Plus | |||||
| 1353 Gold Star Highway | Center Groton | CT | 06340 | Day Treatment Center | |
| Clinical Day Treatment Windham | |||||
| 345 Jackson Sreet | Willimantic | CT | 06226 | Day Treatment Center | |
| Joshua Center - Northeast | |||||
| 934 North Main Street | Danielson | CT | 06239 | Day Treatment Center | |
| Joshua Center - Enfield | |||||
| 72 Shaker Road Suite 7 | Enfield | CT | 06082 | Day Treatment Center | |
| Joshua Center - Montville | |||||
| 20 Maple Avenue | Uncasville | CT | 06382 | Day Treatment Center | |
| Quinebaug Day Treatment Center | |||||
| 320 Pomfret Street | Putnam | CT | 06260 | Day Treatment Center | |
| Rivereast Day Treatment Center | |||||
| 428 Hartford Tpke | Vernon | CT | 06066 | Day Treatment Center | |
| Thames Valley Clinical Day Program | |||||
| One Ohio Avenue | Norwich | CT | 06360 | Clinical Day Program | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: Natchaug Hospital used Federal Poverty Guidelines to determine eligibility. Beginning in fiscal year 2011, the hospital will increase the federal poverty guidlines for eligibility for free care and discounted care to 250% and 400% respectively. | IncomeBasedCriteria |
| Costing Method Used | Part I, Line 7: The organization used cost to charge ratio as determined by the Medicare Cost Report. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: The organization's financial statements are provided in accordance with Generally Accepted Accounting Principles (GAAP). GAAP does not require a footnote for bad debt expenses, however, the charity care footnote reads as follows: "A patient is classified as a charity patient by reference to the established policies of the Hospital. Essentially, these policies define charity care services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized poverty income levels for the State of Connecticut, but also includes certain cases where incurred charges are significant when compared to patients' incomes". In the event a patient fails to qualify for financial assistance or fails to pay their portion of discounted charges, and the patient does not pay timely their obligation to the Hospital, the Hospital reserves the right to institute and pursue collection actions and to pursue any remedies available at law or in equity, including but not limited to, imposing wage garnishments or filing and foreclosing on liens on primary residences or other assets, instituting and prosecuting legal actions and reporting the matter to one or more credit rating agencies. In the event the Hospital is unable to collect, the outstanding amounts are written off as bad debt. For those patients who qualify for financial assistance and are cooperating in good faith to resolve outstanding accounts, the Hospital may offer extended payment plans and will not impose collection efforts described above.The organization used cost to charge ratio as determined by the Medicare Cost Report. The Audited Financial Statement amount is the total amount of bad debt at contracted rates. The amount reported on Part III Line 2 is the corresponding cost determined by taking those services, grossing them back up to charge and then applying the Medicare Cost Report determined Cost to Charge ratio. The amount reported on Part III, Line 3 was determined by reviewing the demographics as well as the insurance plans of the patients for whom accounts were written off as Bad Debt during the year and extrapolating the likelihood that they would be eligible under the Hospital's Charity Care Program. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Providing care for those in need, including Medicare and Medicaid patients, and serving all patients regardless of ability to pay is an essential part of the community benefit standard, as well as our mission in our community. We serve these patients without regard to the payment shortfall. The organization used a cost to charge ratio as determined by the Medicare Cost report. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. Once a patient qualifies for financial assistance, the patient will be contacted via written communication and the patient account will be documented as appropriate to reflect the level of approval that was granted. Patient Accounting will make all necessary adjustments to the account. Other parties, such as collection agencies, and other billing parites will also be notified of the adjustments. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: A community needs assessment conducted by Natchaug Hospital at the request of health care providers and educators in the 12-town region of Greater Essex/Old Saybrook identified an unmet need for adolescent behavioral health care services, leading to the 2010 creation by Natchaug of a new Joshua Center program to provide adolescents with special education, partial hospitalization and intensive outpatient treatment programs. Surveys are conducted to assess the effectiveness of community benefit activities, and to assess whether Natchaug Hospital is meeting the needs of health care providers in the region. 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. In fact, this alerted Natchaug Hospital to the need to expand its child and adolescent inpatient program. Data from health needs assessments conducted by Backus Hospital, Lawrence & Memorial Hospital and the United Way is also reviewed. Natchaug Hospital conducted a needs analysis during 2009 with providers and educators in the 12-town region of Greater Essex/Old Saybrook regarding access to services for emotionally disturbed youth. Needs are also assessed through Systems of Care meetings, and by tracking waiting lists for admission to programs. A formal Community Health Needs Assessment of Windham County is planned for 2011. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Natchaug Hospital displays its Charity Care Policy in all waiting areas, sends in summary with our monthly statements, is part of the monthly statements sent by our collection agency, is distributed individually by front desk staff & social services and is displayed on the Hartford HealthCare Website. The Notice states in English and Spanish: NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE Financial assistance is offered by Natchaug Hospital which provides a reduced cost rate for medically necessary services incurred by state of Connecticut legal residents whose household income does not exceed 250% of the Federal Income Poverty Guidelines for a family unit. Patients must meet the State of CT definition of "uninsured", and need to apply and be denied eligibility for any medical or health care coverage provided under the General Assistance Program or the CT Medicaid program, or not be eligibility for coverage under Medicare or CHAMPUS programs, or any other governmental or privately sponsor health or accident insurance. Patients must furnish proof of income to qualify for Financial Assistance. There are Financial Counselors available to assist patients with the application for Financial Assistance. Please contact Financial Counseling at 860-456-1311, X-236 or X-236 for more information. | PatientEducationAssistance |
| Community Information | 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: during FY 2010, admissions were composed of 46% female, 54% male; .65% American Indian or Alaskan Native, .4% Asian, 6.9% African American, 85.9% Caucasian, .31% Native Hawaiian, 5.83% other or unknown; 62.8% of clients were age 19 or older,27.6% were between 12 and 18 years of age, 9.47% were age 4 to 11. 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, Medicare or SAGA. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: To reduce economic impact of untreated mental illness and improve the quality of life for those living with this disease (and the community in which they live) Natchaug Hospital pursues opportunities increase awareness of the symptoms of mental illness, awareness that mental illness is a treatable disease, a reduction in the stigma associated with mental illness (which is the largest barrier to treatment), and awareness of treatment resources.To these ends, Natchaug Hospital:1) Helps bring mental illness "out of the closet" by organizing community service projects for our students in which they give back to the community, improve the environment of the community, and allow themselves to be openly identified as a person with emotional disturbances who is getting help. 2) Created and chairs the Health Council at the Chamber of Commerce so as to ensure that behavioral health needs are an integral part of Chamber initiatives, and to make a business case for the cost benefit for businesses to support treatment for their employees.3) Participates in the Community Foundation's "Listen & Learn" program so as to ensure behavioral health needs are included in the Foundation's strategic plan as a priority for fund development and grant distributions4) Seeks opportunities to serve in leadership positions in regional initiatives with the potential to impact attitudes and resources for behavioral health, such as serving on the steering committee of Enfield's "Healthy Enfield Committee"5) Participates intensively in "Systems of Care" meetings, both regionally and locally, so as to advocate (when appropriate) for mental illness being considered as a potential underlying issue, maintain awareness that it is a treatable disease, and help identify resources for treatment. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Natchaug Hospital is one of only five hospitals in Connecticut offering inpatient treatment for children as young as five,and one of only nine for adolescents.Natchaug Hospital's ten-site network of community-based partial hospital, intensive outpatient and special education programs is unique within the state for its depth, breadth and accessibility. Natchaug Hospital's Journey House is the only locked behavioral health residential treatment program in Connecticut for parole status adolescent females.Natchaug Hospital serves the behavioral health needs of the Greater Windham area, the general hospital for which, Windham Memorial Community Hospital, does not have a psychiatric unit.All of our Board Member and management reside within our service area. Our all-volunteer Board of Directors represent the communities we serve. Natchaug Hospital's Chief Medical Officer, Dr. Weidner, is also serving as Medical Director of Behavioral Health Services at Windham Hospital, where she works with all Windham Hospital psychiatrists and physicians to assure quality care and enhanced coordination of services in inpatient and emergency department settings.Natchaug Hospital President & CEO, Stephen Larcen, served on the National Association of Psychiatric Health Systems, facilitating changes in Federal law to improve access to behavioral health care through 1) parity for insurance coverage and 2) modifications to criteria for CHAMPUS TriCare participants so as to improve access to behavioral health care for military personnel and their dependents.Natchaug Hospital offers the use of its facilities, for free, to recovery support groups, including AA, Al-Anon, ACOA, NAMI and other community groups. With regular weekly and monthly meetings, attendance over the course of each year is more than 3,000. Natchaug Hospital staff actively contributes to the community. For example, 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 President of CAPSEF, at least three Natchaug staff serve on their local Boards of Education, and Dr. Larcen serves on his town's Board of Finance.Natchaug Hospital extends medical staff privileges to all qualified physicians in its community. In a review of the entire tax return, it should be noted that a significant amount of the hospital resources are expended on community benefit activities. The Hospital also expends a large amount of its resources updating its facilities and employing the most qualified staff in order to enhance patient care. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: Natchaug Hospital is an affiliate of Hartford Health Care Corporation (HHC). The vision and mission of HHC is to be a national and local leader in elevating the standards of patient safety, quality, outcomes, scientific discovery and dissemination of clinical knowledge. In addition, HHC strives to provide compassionate care designed to supply the necessary health services needed by the community.The affiliation creates a strong and organized integrated health care delivery system capable of providing high quality and coordinated care for the benefit of the communities served by the affiliated hospitals, while containing costs to the maximum extent possible. The affiliated hospitals share a mutual commitment to offer expanded geographic coverage, a full continuum of care, strong local primary and secondary care services, the highest standards of clinical care, enhanced patient access, including for underserved populations, and the most advanced technologies. The affiliation further enhances the hospitals' abilities to support their missions, identity, and respective community roles. Through integration and planning to meet the changing needs of the region, including responsible decision making and appropriate sharing of services, resources and technologies, the hospitals achieve certain economies of scale that benefit the communities they serve. | AffiliatedHealthCareSystem |
| Reports Filed With States | CT | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| 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 | |||||||||||||
| 0 | 318420 | 0 | 88110 | 0 | 38749 | 0 | 45900 | 0 | 22444 | 0 | 513623 | 0 | 0 |
| Paul Maloney | |||||||||||||
| 0 | 134224 | 0 | 5120 | 0 | 207 | 0 | 14391 | 0 | 17154 | 0 | 171096 | 0 | 0 |
| David Klein PHD | |||||||||||||
| 137500 | 0 | 8594 | 0 | 25 | 0 | 9523 | 0 | 24772 | 0 | 180414 | 0 | 0 | 0 |
| Peter J Smith | |||||||||||||
| 194183 | 0 | 8250 | 0 | 3849 | 0 | 9859 | 0 | 23644 | 0 | 239785 | 0 | 0 | 0 |
| Jonathan L Chasen | |||||||||||||
| 193198 | 0 | 0 | 0 | 4306 | 0 | 9716 | 0 | 22502 | 0 | 229722 | 0 | 0 | 0 |
| Rajesh C Parekh | |||||||||||||
| 185821 | 0 | 0 | 0 | 25 | 0 | 8840 | 0 | 23348 | 0 | 218034 | 0 | 0 | 0 |
| Teodora Andrei | |||||||||||||
| 204702 | 0 | 0 | 0 | 25 | 0 | 9021 | 0 | 23622 | 0 | 237370 | 0 | 0 | 0 |
| Bonnie L Viens | |||||||||||||
| 182194 | 0 | 0 | 0 | 25 | 0 | 0 | 0 | 14536 | 0 | 196755 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| See Sch O | ||
| See Sch O | See Sch O | 0 |
| (no name) | ||
| 0 | ||
| (no name) | ||
| 0 | ||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | See detailed explanations on Schedule L, Part IV. | |
| Form 990, Part VI, Section A, line 6 | Natchaug Hospital is organized as a non-stock not for profit entity. Hartford Health Care 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 Hospital's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the CFO 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 CFO 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 organization, Hartford Health Care Corporation. All directors and officers of the organization shall complete and sign a Conflict of Interest statement. The statement will include an itemization and description of any actual or potential conflict of interest and all material facts related thereto for such director or officer by virtue of his or her activities or the activities of related persons. Directors and officers are urged to be inclusive in this disclosure since the disclosure of potential and actual conflicts of interest is essential to ensuring discussion of the conflict. Disclosure statements shall be returned to the Compliance Officer. All disclosures made will be reviewed by the Compliance Officer and the Director of Internal Audit, under the direction of the Chairman and the President, who shall exercise good faith judgment as to whether a conflict exists. The Chairman and President shall be responsible for monitoring transactions or arrangements in which a director or officer may have a conflict of interest and for assuring that the director or officer serves the hospital's best interests. The Compliance Officer, Director of Internal Audit, Chairman and/or President may consult with any director or officer and obtain information necessary for an ordinarily prudent person to make a judgment as to whether a conflict exists and each director and officer shall cooperate with such requests. The Compliance Officer, Director of Internal Audit, Chairman and/or the President shall provide guidance to the director or officer and to the board of directors as to the appropriate course of action. The Chairman and the President shall seek the advice and approval of the full Board of Directors in determining whether a conflict of interest exists and that the director or officer serves the organization's best interests. When a conflict of interest is discovered, such director and/or officer with the conflict will be required to refrain from participating in any discussion or action concerning such conflicted situation in accordance with the section entitled "Restraint on Participation" set forth in the Conflict of Interest policy. If, after completing and signing the annual disclosure statement, an actual or potential conflict arises, the director or officer with the conflict shall promptly notify the Compliance Officer and Director of Internal Audit in writing. | |
| Form 990, Part VI, Section B, line 15 | All except the CEO and CFO are reviewed against market using Connecticut Hospital Association (CHA) data, Hartford Hospital (HH) data and appropriate published compensation surveys periodically and reviewed with the Hospital's Executive Committee of the Board annually. The CEO and CFO scales are also reviewed annually against surveys and reviewed and approved by the Hartford Health Care Corporation Compensation Committee. | |
| Form 990, Part VI, Section C, line 19 | Form 990 and 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. | |
| Part XI, Line 2 | The organization's financial statements were audited by an independent accounting firm. In addition, the organization has a committee that assumes responsibility for oversight of the audit of its financial statements. | |
| Schedule L, Part IV | (a)Name of Person: William E. Anderson, Jr. (b)Relationship Between Interested Person and Organization: Member - at - Large (c)Amount of Transactions: $264,598.32 (d)Description of Transaction: Mr. William Anderson is a board member of Natchaug Hospital. Natchaug Hospital maintains deposit bank accounts at the Savings Insitute Bank. Mr. Anderson is an officer at the bank. (e)Sharing of Organization's Revenue? No | Business Transactions Involving Interested Persons: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| Eastern Rehabilitation Network | |||||||
| 181 Patricia M Genova Drive | Newington | CT | 06111 | 043276256 | Rehabilitation Services | CT | N/A |
| Midstate MSO LLC | |||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 204312072 | Management Services | CT | N/A |
| Clinical Laboratory Partners LLC | |||||||
| 129 Patricia M Genova Drive | Newington | CT | 06111 | 061525596 | Laboratory Services | CT | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Hartford Hospital | |||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 060646668 | Health Services | CT | 501 (c) (3) | 3 | N/A |
| Windham Community Memorial Hospital | |||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Health Services | CT | 501 (c) (3) | 3 | N/A |
| Windham Hospital Foundation Inc | |||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501 (c) (3) | 11 (a) | N/A |
| Midstate Medical Center | |||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Health Services | CT | 501 (c) (3) | 3 | N/A |
| Hartford Health Care Corp | |||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222672834 | Support and Management Svcs. to Hartford Hospital and Affiliates | CT | 501 (c) (3) | 11 (c) | |
| VNA Health Care Inc | |||||||||
| 103 Woodland Street | Hartford | CT | 06105 | 060646938 | Home Healthcare | CT | 501 (c) (3) | 7 | N/A |
| Rushford Center Inc | |||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501 (c) (3) | 7 | N/A |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||
| 80 Seymour Street | Hartford | CT | 06115 | 066040747 | Fundraising | CT | 501 (c) (3) | 11 (c) | N/A |
| Connecticut Health System Inc | |||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Delivery | CT | 501 (c) (3) | 11 (c) | N/A |
| Institute of Living | |||||||||
| 200 Retreat Avenue | Hartford | CT | 06106 | 060646683 | Psychiatric Services | CT | 501 (c) (3) | 11 (c) | N/A |
| VNA Resources Inc | |||||||||
| 103 Woodland Street | Hartford | CT | 06105 | 061161422 | Home Healthcare | CT | 501 (c) (3) | 9 | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Meriden Imaging Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 North Plains Industrial Road | AddressLine1 |
| City | Meriden | City |
| State | CT | State |
| ZIP Code | 06429 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061541468 | EIN |
| Primary Activity | Imaging | PrimaryActivity |
| Legal Domicile State | CT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Midstate Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Unrelated | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| HHMOB Corporation & Subsidiary | ||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061140244 | Real Estate Parking | CT | N/A | C |
| Immediate Medical Care Center | ||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061087544 | Primary Care | CT | N/A | C |
| Windham Health Services Inc | ||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061461101 | Home Healthcare | CT | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | 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 |
| 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |