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            <State>CA</State>
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        <ProgramServices>22088710</ProgramServices>
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      <OtherExpenses>
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      <OtherExpenses>
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        <EOY>135450881</EOY>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>The Connecticut Hospital Association (CHA) has determined that for its fiscal year ending April 30,2010 that 7.63% of its membership dues were used for lobbying purposes. The total lobbying portion from CHA for Manchester Memorial Hospital Inc. was $12,932. The American Hospital Association (AHA) has indicated that 23.76% of 2009 dues were used for lobbying purposes.The total lobbying portion from AHA for Manchester Memorial Hospital Inc. was $9,952.</Explanation>
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        <BookValue>26267197</BookValue>
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        <BookValue>199081</BookValue>
      </OtherLandBuildings>
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        <Description>Mutual Funds</Description>
        <BookValue>6905928</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Beneficial Interest in Trust Assets</Description>
        <BookValue>5044846</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>11950774</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Due from affiliates</Description>
        <BookValue>24151431</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other, net</Description>
        <BookValue>2458502</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Current portion of assets whose use is limited</Description>
        <BookValue>694111</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Interest in net access of ECHN Community Health Care Foundation, Inc</Description>
        <BookValue>4852903</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets whose use is limited-board designed investments</Description>
        <BookValue>8564485</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets whose use is limited-investments held in trust for est, self ins liab</Description>
        <BookValue>2651750</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Investment in Joint Ventures</Description>
        <BookValue>3825778</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Estimated settlements due from third party payors</Description>
        <BookValue>906337</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets whose use is limited-invstmnts held under bond indentures</Description>
        <BookValue>3261508</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>51366805</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Conditional retirement asset obligations</Description>
        <Amount>260265</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>other current liabilities</Description>
        <Amount>6944195</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated self insurance liabilities</Description>
        <Amount>2344478</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued pension and other post retirement benefits,net of current portion</Description>
        <Amount>39765402</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to affiliated entities</Description>
        <Amount>14838492</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>estimated settlement due to thrid parties</Description>
        <Amount>281399</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>64434231</TotalOfAmounts>
      <TotalRevenue>176437620</TotalRevenue>
      <TotalExpenses>170078125</TotalExpenses>
      <ExcessOrDeficitForYear>6359495</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>957677</NetUnrealizedGLOnInvestments>
      <OtherAmount>-14053652</OtherAmount>
      <TotalAdjustments>-13095975</TotalAdjustments>
      <ExcessOrDeficitPerFS>-6736480</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>177716687</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>957677</NetUnrealizedGainsInvestments>
      <OtherRevenues>100773</OtherRevenues>
      <RevenueNotRptdF990>1058450</RevenueNotRptdF990>
      <RevenueSubtotal>176658237</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-220617</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-220617</RevenueNotRptdOnFinStmt>
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      <OtherExpensesIncluded>156623</OtherExpensesIncluded>
      <ExpensesNotRptdF990>156623</ExpensesNotRptdF990>
      <ExpensesSubtotal>170078125</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>170078125</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4:</Identifier>
        <ReturnReference>Description of Intended Use of Endowment Funds:</ReturnReference>
        <Explanation>The principal and income from the unrestricted endowment funds and the income from the term endowments are for capital and operating needs of Manchester Memorial Hospital. The income from the permanent endowments and principal from the term endowments are for the use of Manchester Memorial Hospital as restricted by the donors.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>The Hospital accounts for uncertain tax positions in accordance with provisions of FASB ASC 740, "Income Taxes" which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their financial statements. The Hospital may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The Hospital does not have any uncertain tax positions as of September 30, 2010 and 2009. As of September 30, 2010 and 2009, the Hospital did not record any penalties or interest associated with uncertain tax positions.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Equity transfer to ECHN Health Services per AFS: -5024696. Change in accrued pension and post retirement (AFS): -9183064. Change in Beneficial interest in Trust Assets AFS (Permanent): 156562. Transfers to affiliates, Net (AFS - Unrestricted): 43741. Net loss on interest rate swap: -61076. Transfers from affiliates, Net (AFS - Temp Restricted): 14881. TOTAL OTHER ADJUSTMENTS -14,053,652: 0.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Temporarily restricted net assets - net assets released from restriction: 100773.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>temporarily restricted net assets - Change in net assets of ECHN foundation: 762013. Temporarily restricted net assets - Investment income: 16121. cost of goods sold: -156623. Non operating income, net: -842128.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>cost of goods sold: 156623.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>673</PersonsServed>
        <TotalCommunityBenefitExpense>818600</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10824</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>807776</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00470</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>40760</PersonsServed>
        <TotalCommunityBenefitExpense>22471398</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>17284291</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5187107</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03050</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <PersonsServed>41433</PersonsServed>
        <TotalCommunityBenefitExpense>23289998</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>17295115</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5994883</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03520</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>32</NumberOfActivitiesOrPrograms>
        <PersonsServed>93704</PersonsServed>
        <TotalCommunityBenefitExpense>524841</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1946</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>522895</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00310</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>13</NumberOfActivitiesOrPrograms>
        <PersonsServed>366</PersonsServed>
        <TotalCommunityBenefitExpense>489160</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1150</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>488010</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00290</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>175</PersonsServed>
        <TotalCommunityBenefitExpense>2572860</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>986168</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1586692</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00930</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>39233</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>39233</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>12</NumberOfActivitiesOrPrograms>
        <PersonsServed>10989</PersonsServed>
        <TotalCommunityBenefitExpense>182916</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>160</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>182756</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00110</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>59</NumberOfActivitiesOrPrograms>
        <PersonsServed>105234</PersonsServed>
        <TotalCommunityBenefitExpense>3809010</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>989424</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2819586</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01660</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>59</NumberOfActivitiesOrPrograms>
        <PersonsServed>146667</PersonsServed>
        <TotalCommunityBenefitExpense>27099008</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>18284539</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8814469</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05180</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>3469</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>3469</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>78</PersonsServed>
        <TotalCommunityBuildingExpense>2917</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>2917</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>12121</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>12121</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>1931</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>1931</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>9</NumberOfActivitiesOrPrograms>
        <PersonsServed>591</PersonsServed>
        <TotalCommunityBuildingExpense>6870</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>6870</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>19</NumberOfActivitiesOrPrograms>
        <PersonsServed>669</PersonsServed>
        <TotalCommunityBuildingExpense>27308</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>27308</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>6712599</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>48494330</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>54224999</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-5730669</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
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          <BusinessNameLine1>NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>ONCOLOGY SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.25000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
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        <NameOfEntity>
          <BusinessNameLine1>TOLLAND IMAGING CENTER</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MEDICAL IMAGING SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.35000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
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        <NameOfEntity>
          <BusinessNameLine1>EVERGREEN ENDOSCOPY CENTER</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>ENDOSCOPY SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>EVERGREEN IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MEDICAL IMAGING SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>MEDICAL PRACTICE PARTNERS</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MANAGEMENT SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Manchester Memorial Hosptial</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>71 Haynes Street</AddressLine1>
          <City>Manchester</City>
          <State>CT</State>
          <ZIPCode>06040</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <GeneralExplanation>Manchester Memorial Hospital is a not-for-profit 249-bed acute care hospital that provides inpatient, outpatient and emergency care services for residents of Manchester, CT and surrounding towns. The Hospital is a subsidiary of Eastern Connecticut Health Network, Inc., which was formed in 1995 by a merger of MMH Corp. and Rockville Area Health Services, Inc. ECHN was organized to provide a broader health care system for the surrounding communities with quality medical care at a reasonable cost and to foster an environment conducive to health and well being whether in the home or in the community.Manchester Memorial Hospital provides care to patients who meet certain criteria under its charity care policies without charge or at amounts less than its established and contractual rates. Manchester Memorial Hospital does not pursue collection of amounts determined to qualify as charity care; such as, these amounts are not reported as revenue. Charity care for FY 2010 was $2,236,613, for 673 total approved applicants.Expenses related to services performed for patients of Manchester Memorial Hospital contribute importantly to its exempt purpose because the expenses are incurred in the diagnosis, cure, mitigation, treatment and prevention of disease, and for medical purposes affecting the structure or function of the human body.Manchester Memorial Hospital provided needed medical care to the community regardless of any individual's ability to pay. Nine thousand one hundred nine (9,109) inpatients were cared for in FY10 representing 44,935 patient days. Two hundred thirty nine thousand four hundred eighty six (239,486) outpatient visits were recorded.Included in the 9,109 inpatients were 5,459 government related patients. The government inpatients fall into the following groups.Medicare 3,205Medicare Managed Care 569Medicaid 452Medicaid Managed Care 843Saga 356Champus 34Total Gov Patients 5,459Total Non Gov Patients 3,650Total Patients 9,109 Included in the 239,486 outpatient visits the following were government related. The visits are a product of gross revenue relationship to total visits.Medicare 79,220Medicare Managed Care 17,495Medicaid 5,756Medicaid Managed Care 18,843Saga 5,435Champus 889Total Gov Patients 126,638Total Non Gov Patients 111,848Total Outpatient Visits 239,486The Hospital provided uncompensated care to 40,760 Medicaid patients for a net community benefit amount of $5,187,107 after Medicaid reimbursement. Additional information regarding programs for the Community at MMH: PersonsCommunity Benefit Services Benefit Served Community Health Improvement Services Community Health Education $ 347,268 90,726 Community Based Clinical Services $ 11,783 766 Health Care Support Services $ 41,083 2,212Total $ 400,134 93,704 Health Professions Education Physicians/Medical Students $ 37,746 42 Nurses/Nursing Students $ 374,634 213 Other Health Professional Education $ 75,630 111Total $ 488,010 366 Subsidized Health Services Neonatal Intensive Care $1,586,692 175 Emergency and Trauma Services 148 0Total $1,586,840 175 Total Research $ 39,233 0Financial and In-Kind Contributions Cash Donations $ 2,210 0 In-Kind Donations $180,546 10,989Total $182,756 10,989 Community Building Activities Economic Development $ 3,469 0 Community Support $ 2,917 78 Coalition Building $ 12,121 0 Community Health Improvement Advocacy $ 1,931 0 Workforce Development $ 6,870 591Total $ 27,308 669 Community Benefit Operations Dedicated Staff $ 62,313 0 Cummunity Needs/Health Assets Assessmnt $ 60,448 0Total $ 122,761 0 Grand Total $2,847,042 105,903 Financial Services Detail Persons Benefit ServedTraditional Charity Care $ 807,776 673Unpaid Costs of Medicaid $5,187,107 40,760Total Community Benefit $8,841,925 147,336</GeneralExplanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIPS</TypeOfGrant>
        <NumberOfRecipients>17</NumberOfRecipients>
        <AmountOfCashGrant>17376</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Other Information:</Identifier>
        <ReturnReference>Part IV:</ReturnReference>
        <Explanation>The scholarships are awarded to ECHN employees wishing to further their nursing education or become a nurse. The primary purpose is to provide financial assistance to ECHN employees enrolled in an accredited nursing program that leads to becoming a Registered Nurse. Furthermore, a portion of the funds may be awarded to an ECHN Registered Nurse to assist that person in obtaining an advanced degree. Scholarships are awarded based on the determination of a nursing scholarship committee. Nursing students who need financial assistance to complete their education and who demonstrate scholastic ability and professional promise are eligible if they are an employee of an ECHN affiliate, at least 20 hours part- or full-time, for at least one year; and currently enrolled in an accredited traditional or non-traditional nursing program. Baccalaureate applicants must have completed the 2nd year of a 4-year program and associate degree applicants must have completed all prerequisites and be accepted into a nursing program. In making the awards, the committee uses job performance evaluation and recommendation, grade point average and professional goals. In addition, the number of credits in which an applicant is enrolled and the cost per credit is factored into any award. If awarded a scholarship, the recipient agrees to maintain employment, whether full or part-time, at an affiliate of ECHN for a minimum of one year. Awards are mailed directly to the educational institution.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>O'NEILL DENNIS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Executive, Governance, Compensation, Finance, Health Services, ECPHO</Relationship>
        <AmountOfTransaction>576914</AmountOfTransaction>
        <DescriptionOfTransaction>President of Eastern Connecticut Pathology Consultants (ECPC) which provides laboratory management services by contract to ECHN</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRODIE GORDON MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Executive, PA&amp;I, Planning, ECPHO</Relationship>
        <AmountOfTransaction>818292</AmountOfTransaction>
        <DescriptionOfTransaction>Partner in Practice Management Advisors</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CONLON MICHELLE MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Executive, Governance, MEC</Relationship>
        <AmountOfTransaction>576914</AmountOfTransaction>
        <DescriptionOfTransaction>Partner, Eastern CT Pathology Consultants which has contract with ECHN to provide pathology services</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>dISTEFANO ANTHONY MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Health Services, PA&amp;I, MEC</Relationship>
        <AmountOfTransaction>195000</AmountOfTransaction>
        <DescriptionOfTransaction>Owner and Bd Member of Continental Connecticut Lithotripsy, LLC, which provides services to ECHN.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>PRIOR TO THE FILING THE 990, THE FOLLOWING STEPS ARE TAKEN: 1) THE DIRECTOR OF ACCOUNTING AND TAXATION CONDUCTS AN EXTENSIVE REVIEW OF THE 990 WITH THE CPA FIRM THAT PREPARES THE RETURN, ALONG WITH OTHER MEMBERS OF THE FINANCE DEPARTMENT ALSO REVIEW THE RETURN. 2) AN ELECTRONIC COPY OF THE 990 IS MADE AVAILABLE TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (THE GOVERNING BOARD) AND THE COMMITTEE MEMBERS ARE REQUESTED TO REVIEW THE 990; ALONG WITH A DISCUSSION OF THE PREPARATION OF THE 990 AT A COMMITTEE MEETING. 3) A DISCUSSION OF THE 990 PREPARATION AND ITS KEY COMPONENTS IS HELD AT A FULL BOARD OF TRUSTEES MEETING AND AN ELECTRONIC COPY OF THE 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES. PRESENT AT BOTH OF THESE MEETINGS ARE THE OFFICERS (CEO, CFO) AND SENIOR MANAGEMENT OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>Annually, the Corporate Compliance/Internal Audit department provides to Officers, Directors, or Trustees and key employees the Organization's Conflict of Interest Policy and Disclosure Statement, and each individual is required to return to the Department, a signed document, acknowledging receipt of the Policy and Disclosure statement and disclose any interests that could give rise to conflicts. A summary of the disclosures is shared with the Chairman of the Board of Trustees and with the Audit and Corporate Compliance Committee of the Board. Individuals who are identified as having a conflict of interest are prohibited in participating in the governing bodies deliberations and decisions related to the transaction. The returned statements are retained by the Corporate Compliance/Internal Audit department.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The compensation committee takes the following steps with an independent compensation consultant (1) Reviews data related to current market values consistent for organization's executives by review of compensation levels and plans consistent with hospitals and health systems of comparable size and location; (2) Completes a review of data on current and future plans for the organization, including structure and job descriptions; (3) Reviews and approves and recommend salary ranges for each position, along with related benefits; (4) Reviews and approves a tiered executive structure with appropriate incentive opportunity, benefits, and compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization, will, upon request, allow for review of our Governing documents, conflict of interest policy, and most recent Annual Audited Financial statements at an office of the organization.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>71 haynes street</AddressLine1>
          <City>manchester</City>
          <State>CT</State>
          <ZIPCode>06040</ZIPCode>
        </AddressUS>
        <EIN>222546079</EIN>
        <PrimaryActivities>INTEGRATED HEALTH CARE SYSTEM</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rockville General Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>31 Union Street</AddressLine1>
          <City>Rockville</City>
          <State>CT</State>
          <ZIPCode>06066</ZIPCode>
        </AddressUS>
        <EIN>060653151</EIN>
        <PrimaryActivities>The provision of health care</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ECHN Wellness Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2800 Tamarack Avenue</AddressLine1>
          <City>South Windsor</City>
          <State>CT</State>
          <ZIPCode>06074</ZIPCode>
        </AddressUS>
        <EIN>061360082</EIN>
        <PrimaryActivities>The provision of health care</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>echn community healthcare foundation inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>71 haynes street</AddressLine1>
          <City>manchester</City>
          <State>CT</State>
          <ZIPCode>06040</ZIPCode>
        </AddressUS>
        <EIN>222546080</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>echn eldercare services inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>26 shenipsit lake road</AddressLine1>
          <City>tolland</City>
          <State>CT</State>
          <ZIPCode>06084</ZIPCode>
        </AddressUS>
        <EIN>061149193</EIN>
        <PrimaryActivities>The provision of health care</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>echn health services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>71 haynes street</AddressLine1>
          <City>Manchester</City>
          <State>CT</State>
          <ZIPCode>06040</ZIPCode>
        </AddressUS>
        <EIN>222546079</EIN>
        <PrimaryActivities>The provision of health care</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>echn enterprises inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>71 Haynes Street</AddressLine1>
          <City>MANCHESTER</City>
          <State>CT</State>
          <ZIPCode>06040</ZIPCode>
        </AddressUS>
        <EIN>222546828</EIN>
        <PrimaryActivity>Real estate holding</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Eastern Connecticut Health Network Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>haynes street property management LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>71 Haynes Street</AddressLine1>
          <City>MANCHESTER</City>
          <State>CT</State>
          <ZIPCode>06040</ZIPCode>
        </AddressUS>
        <EIN>222546028</EIN>
        <PrimaryActivity>real estate property management</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>echn enterprises inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>8544022</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EASTERN CONNECTICUT HEALTH NETWORK INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>6956988</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>