2022-08-10T11:57:11-05:00 2021-09-30 990 2020-10-01 060646678 The Charlotte Hungerford Hospital CHAR 8604966728 540 Litchfield Street PO Box 988 Torrington CT 067900988 Susan M Schapp VP Finance 8604966728 2022-08-10 Susan Schapp 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Susan Schapp 540 Litchfield Street PO Box 988 Torrington CT 067900988 190152836 0 X https://www.charlottehungerford.org/ X 1917 CT To provide quality, compassionate and cost effective healthcare to the community of Northwestern Connecticut. 15 14 1185 96 -6293 -6293 3387597 3181257 151651163 181629384 9877212 4708576 520984 66741 165436956 189585958 17512 2000 0 0 95187443 93645066 0 0 340452 75198180 85414664 170403135 179061730 -4966179 10524228 188994381 194929840 105195621 65379831 83798760 129550009 X To improve the health and healing of the people and communities we serve. 0 0 17542356 15009529 Charlotte Hungerford Hospital (CHH) offers a variety of behavioral health services for adults, adolescents, children, and families.The Adult Behavioral Health Center (BHC) at Charlotte Hungerford Hospital (CHH) provides comprehensive behavioral health services to adults ages 18 years and older and their families based on individual need and stage of recovery. Treatment can include medication services, as well as group, individual, couples, and family therapy. Treatment interventions include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), motivational enhancement, medication evaluation and management, and relapse prevention. Our goals to manage psychiatric, behavioral, emotional, and substance use symptoms including:Assist in developing successful coping and stress management skills.Provide medication evaluation and monitoring as needed.Assist in the transition to and from higher levels of care, such as Partial Hospital and Intensive Outpatient Programs.Help in developing communication, leisure, and relational skills to improve overall quality of life and functioning. The Hospital's outstanding substance abuse program caters to the treatment of teenage and adolescent. Our substance abuse treatment centers treat psychiatric, behavioral and emotional symptoms. CHH's substance abuse treatment centers offer an Intensive Outpatient Program that provides a confidential, highly structured, intensive intermediate level of care between inpatient and outpatient programs.The Adolescent Partial Hospital Program (PHP) is a highly-structured, intensive group program that offers treatment to adolescent's ages 13 to 18 seeking help with acute emotional and behavioral disorders. The program offers treatment for adolescents with psychiatric and co-occurring psychiatric and substance abuse disorders. Our staff utilizes evidenced based treatment approaches including: Group Therapy, Individual Therapy (as needed), Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy, Solutions Focused Brief Therapy, art therapy and narrative therapy.Together with the individual and the parents/guardians, we develop an individualized treatment plan to address their unique areas of concern, which can help manage psychiatric, behavioral, emotional, and substance use symptoms.The Center for Youth and Families is a Child Advocacy Center and professional mental health service that assists children, adolescents and their families with emotional, behavioral, developmental, and family difficulties. The Center's approach is wide-ranging, beginning with a thorough and sensitive evaluation of the "whole" child in the context of the family, school and the community. To further this understanding, the Center staff work closely with schools, guidance counselors, local area pediatricians and other community providers. The Center's interdisciplinary team includes professionals from the following disciplines:Licensed TherapistsChild and Adolescent PsychiatristAdvanced Practice NurseStudent interns from the above areas of studyDuring FY21, CHH provided behavioral health services to approximately 536 inpatients with an average length of stay of 8.14 days. The department had 47 Providers and saw 6,157 inpatient days. The department had approximately 35,536 outpatient visits and saw approximately 3,237 patients. The CHH Center for Youth and Families has been an accredited member of the National Children's Alliance since 1999 and services children and families throughout Northwest Connecticut. 11681178 13390600 Our affiliated gastroenterologists are board-certified and perform all major endoscopic procedures including colonoscopy, EGD, GRCP and Capsule Endoscopy.Pediatric Gastroenterology services at Charlotte Hungerford Hospital such as liver cirrhosis treatment and treatment of jaundice provide a wide range of services to diagnose and treat disorders of the colon, intestines, gall bladder, liver, pancreas and esophagus, and stomach.Among the most frequent gastroenterology services and gastroenterological disease conditions they treat and diagnose are the following:Cancers of the colon and rectum, esophagus, gallbladder, pancreasCirrhosis of the LiverCrohn's Disease and Ulcerative ColitisJaundiceDiverticulosis and DiverticulitisGall StonesGastroesophageal Reflux Disease and Barrett's EsophagusHepatitis, acute and chronicHiatal HerniaIrritable Bowel SyndromeLactose IntolerancePancreatitisPeptic UlcerColonoscopies utilizing advanced imaging technology can be performed as an outpatient procedure at CHH. Every attention to detail is paid by our staff to ensure that our gastroenterology services patients have a safe, comfortable screening procedure as part of our colon cancer prevention effort. In addition, radiofrequency Ablation Therapy to destroy pre-cancerous tissue of the esophagus is one of the newer outpatient procedures performed at CHH. During FY21, the department was made up of 8 Endoscopists and 1 Surgeon. There were 894 cases and 759 patients during the year. 9714028 12035361 Hartford HealthCare Corporation (HHC) is a national leader in heart disease prevention, treatment, surgery and research. As a patient or family member, there are many reasons to choose the Hartford HealthCare Heart and Vascular Institute. Whether you enter our system through one of our board-certified cardiologist in an outpatient setting, in an emergency by way of LIFE STAR helicopter, or at one of our seven hospitals, including a tertiary care level teaching hospital, we provide the coordinated, evidence-based care that you need to get back on your feet again. Charlotte Hungerford Hospital (CHH) is one of the seven hospitals in the HHC System. CHH provides Heart & Vascular services to patients in the Northwest Connecticut region.The Hartford HealthCare Heart & Vascular Institute offers the latest in high-tech treatments such as robotic surgery and the following procedures in a comfortable and caring setting:Clinical CardiologyA cardiologist is your first stop for a specialist who treats a full range of heart issues, from aortic disease to a heart attack.. Our cardiologists treat common heart problems like angina, and also help stabilize high cholesterol and high blood pressure. We also perform the most cardiac surgeries in Connecticut.ElectrophysiologyThe average human heart beats about 100,000 times a day, pumping almost 2,000 gallons of blood through the body. We treat irregularities of the electrical system that controls the heart rate and rhythm, whether with a nonsurgical procedure (catheter ablation), heat ablation or cryoablation. We also implant, program and monitor pacemakers, cardioverter defibrillators and loop recorders.Center for Advanced Heart Failure & Pulmonary Vascular DiseaseThe Heart & Vascular Institute's Center for Advanced Heart Failure & Pulmonary Vascular Disease has developed extraordinary resources to help patients with advanced heart failure, whether it's with life-support ECMO (extracorporeal membrane oxygenation) technology during cardiac or respiratory failure, heart pumps that restore normal blood flow or a heart transplant.Interventional CardiologyAn interventional cardiologist treats cardiovascular disease with procedures that use a catheter, like angioplasty and stenting. The Heart & Vascular Institute's cardiac catheterization program, with more than 4,500 procedures each year, ranks among the most substantial in the Northeast.Other services include: Preventive Cardiology; Structural Heart Disease program; Vascular and Endovascular Surgery; and Women's Heart Wellness ProgramResidents in Northwest Connecticut have easy access to highly trained and educated cardiology experts. CHH's Heart & Vascular department had approximately 19,360 visits with an average length of stay of 3.5 days during FY21. 129703443 2000 141193894 129703443 2000 141193894 168641005 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 110 0 1 1185 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CT X Susan M Schapp 8604966728 540 Litchfield Street PO Box 988 Torrington CT 06790 Margaret Marchak Former Secretary 0.00 60.00 X 0 923811 44292 Daniel McIntyre Director, CEO & President 60.00 0.00 X X 0 851642 92167 Mark Prete Former VP, Medical Affairs 0.00 60.00 X 0 665823 109743 Paul Scalise MD VP, Medical Affairs 60.00 0.00 X 0 527148 67054 Sami El Hamwi MD Physician 60.00 0.00 X 517184 0 48346 Richard Krinsky MD Physician 60.00 0.00 X 460551 0 66800 Susan Schapp VP, Finance 60.00 0.00 X 0 415971 62060 Lisa Diamond MD Dir. Behavioral Health 60.00 X 426400 0 45089 John Capobianco VP, OP Services 60.00 0.00 X 0 368529 68302 Misbahul Hafeez Siddiqi MD Physician 60.00 0.00 X 345233 0 75757 Clifford Kye MD Physician 60.00 0.00 X 346047 0 58977 Brian Mattiello Former VP, HR 0.00 60.00 X 0 319682 65525 Teresa Calendrillo-Fuller VP, Patient Care 60.00 0.00 X 0 223617 54614 Edward Arum Director (Thru 12/20) 2.00 X 0 0 0 Frank Buonocore Jr Director 2.00 X 0 0 0 Gladys Cerruto Director (Thru 12/20) 2.00 X 0 0 0 Richard Dutton MD Director 2.00 X 0 0 0 Stephanie Fowler MD Director 2.00 X 0 0 0 Jamie Gregg Director (Thru 12/20) 2.00 X 0 0 0 John Janco Director 2.00 X 0 0 0 John Lavieri Director 2.00 X 0 0 0 Diane Libby Director 2.00 X 0 0 0 Douglas O'Connell Director 2.00 X 0 0 0 James O'Leary Director 2.00 X 0 0 0 Terrence Ryan MD Director (Thru 9/21) 2.00 X 0 0 0 Maria Countant Skinner Director 2.00 X 0 0 0 Jeffrey Borghesi Chair 3.00 X X 0 0 0 Edwin Booth Jr Vice Chair 3.00 X X 0 0 0 Cathy-Lynne Coyle Director 2.00 X 0 0 0 Maria Gonzalez Director 2.00 X 0 0 0 Neal Mandell MD Director 2.00 X 0 0 0 2095415 4296223 858726 118 1 1 0 Medical Solutions LLC PO Box 310737 Des Moines IA 50331 Staffing Services 4380405 Morrison Management SP Inc Acute Care 400 Northbridge Road Sandy Springs GA 30350 Food Services 2180857 Crothall HealthCare Inc 1500 Liberty Ridge Drive Ste 210 Wayne PA 19087 Environmental Services 1511275 Adult & Pediatric Urology PC 538 Litchfield Street Torrington CT 06790 Medical Services 1354391 Quest Diagnostics Nichols Institute Inc PO Box 844217 Boston MA 02284 Medical Services 784649 20 2571392 609865 3181257 Patient Revenue 900099 180661386 180661386 Income from JVs 900003 967998 967998 181629384 864157 864157 610783 537749 73034 73034 73034 3873548 0 29129 3873548 -29129 3844419 3844419 MedConn 561499 -6293 -6293 -6293 189585958 181629384 -6293 4781610 X 2000 2000 80184133 77167209 2755830 261094 1390044 1337744 47774 4526 7867223 7571219 270387 25617 4203666 3972871 210821 19974 121806 121806 25921 25921 57146 57146 20888617 20888617 72081 550 71531 1846527 1112533 733994 3993947 2931720 1062227 3539167 2906279 632888 19673 17971 1702 98664 68480 30184 146447 86404 60043 8249720 7588211 661509 7488575 6718973 769602 1892748 1848421 44327 Medical Supplies 18316595 18316595 Hospital Provider Fee 9987104 9987104 Purchased Services 4853300 3121868 1731432 Repairs Maintenance 2956931 2622369 334562 859695 373867 456587 29241 179061730 168641005 10080273 340452 52165 94531 16566740 6230318 8018 13918340 16740140 3055731 3327858 614760 702112 184558546 131150734 53720063 53407812 2540455 2607618 74232394 92147067 24293733 19664366 188994381 194929840 12724177 9852057 219073 1375 92252371 55526399 105195621 65379831 X 50024658 92988995 33774102 36561014 83798760 129550009 188994381 194929840 X 10524228 14359176 20867845 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 0 0 1 25918 25918 0 Part II-B, Line 1: The Charlotte Hungerford Hospital paid annual dues to CT Community Nonprofit Alliance and to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. The Organization occasionally asks its employees to volunteer their time to contact state legislators in an effort to lobby on its behalf. The total amount of dues allocated for lobbying expenses for FY21 was $25,918. 58887000 16198000 75085000 44892000 16632000 4574000 -7211000 58887000 35715824 9470172 -59000 235000 44892000 28374011 4127143 3840950 619821 6459 35715824 24064717 4624213 314919 28374011 0.69400 0.26460 0.04140 0 1 1 3560000 3560000 107234328 78450241 28784087 5222119 2051999 3170120 65050922 50648494 14402428 3491177 3491177 53407812 Investment in Endowment 75488381 F Assets - Held in Trust by Others 13347758 F Other Investments 3310928 F 92147067 Other Assets 13729837 Due from Affiliates 3339915 Other Non Current Assets 2232754 Patient Refunds 348515 Security Deposits 13345 19664366 Other Program Related Net Liabilities 31194694 Tax Exempt Bonds/ Long-Term 9507758 Accrued Post Retirement Expenses 8215034 Hospital Provider User Fee 2393058 SERP Liability 2144131 LT Accrued Malpractice Claims 1657923 Current Accrued Malpractice Claims 411832 Bond Accrued Liabilities 1969 55526399 Part V, Line 4: The Hospital has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Hospital must hold in perpetuity or for a donor-specific period(s). Under this policy, the endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of at least 4% over the long term. Actual returns in any given year may vary from this amount. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes including but not limited to patient care, research and capital needs. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. 1 1 X 1 X 250.000000000000 1 X 1 1 0 0 697815 697815 0.00390 46230214 38832274 7397940 0.04130 46928029 38832274 8095755 0.04520 646457 646457 0.00360 8547 8547 0.00000 2282149 1621297 660852 0.00370 135347 135347 0.00080 3072500 1621297 1451203 0.00810 50000529 40453571 9546958 0.05330 0 5673073 0 35781423 35984975 -203552 X 1 1 1 1 The Charlotte Hungerford Hospital 540 Litchfield Street Torrington CT 06790 https://www.charlottehungerford.org/ 0042 X X X X The Charlotte Hungerford Hospital 1 0 0 1 X X X X X X X X 20 1 1 0 1 X See Part V, Page 8 X 1 20 0 1 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 The Charlotte Hungerford Hospital Part V, Section B, Line 5: Community health needs were identified by collecting and analyzing data from multiple sources. Statistics for numerous community health status, health care access, and related indicators were analyzed, including data provided by local, state, and federal government agencies, local community service organizations, and Hartford HealthCare. Comparisons to benchmarks were made where possible. Input from persons representing the broad interests of the community was taken into account through key informant interviews with sixteen (16) individuals. Stakeholders included: individuals with special knowledge of or expertise in public health; local public health departments; hospital staff and providers; representatives of social service organizations; and leaders, representatives, and members of medically underserved, low-income, and minority populations.Data from multiple sources were gathered and assessed, including secondary data published by others and primary data obtained through community input. Input from the community was received through key stakeholder interviews. Interviewees represented the broad interests of the community and included individuals with special knowledge of or expertise in public health as listed below;Brooker MemorialCenter for Healthy AgingCharlotte Hungerford Hospital Emergency DepartmentCommunity Health & Wellness Center (CHWC)Connecticut Alliance for Basic Human NeedsDepartment of Social Services, Town of WinchesterFoodShare/CT Food BankMcCall Center for Behavioral HealthNew Opportunities, Inc.Northwestern Connecticut YMCAOur Culture is BeautifulPrime Time HouseSullivan Senior CenterTorrington Area Health DistrictUnited Way of Central and Northeastern Connecticut In addition, data were gathered to evaluate the impact of various services and programs identified in the hospital's previous CHNA process.Significant Community Health Needs were determined by analyzing secondary community health data and gathering input provided by community stakeholders.Individual key informant interviews were conducted from 3/26/21 thru 5/21/21 with representatives from Hartford HealthCare, the Hospital and numerous community-based organizations and social services agencies. The Charlotte Hungerford Hospital Part V, Section B, Line 6a: For this community health assessment, Charlotte Hungerford Hospital collaborated with the following Hartford Healthcare hospitals: Backus Hospital, Hartford Hospital, Hospital of Central Connecticut, MidState Medical Center, Natchaug Hospital, and Windham Hospital. These facilities collaborated by gathering and assessing secondary data together, scheduling and conducting interviews together, and by relying on shared methodologies, report formats, and staff to manage the CHNA process.Part V, Section B, Line 7a;https://charlottehungerford.org/community-health-needs-assessment The Charlotte Hungerford Hospital Part V, Section B, Line 7d: The needs assessment was published in September 2021 and is available on the hospital's website. In addition, electronic copies are available upon request. The Charlotte Hungerford Hospital Part V, Section B, Line 11: As determined by analyses of secondary community health data and of input provided by community stakeholders, significant health needs in the community served by Charlotte Hungerford Hospital are:*Mental health status in Torrington and for racial and ethnic minorities across the Charlotte Hungerford HSA and the state:- Above average age-adjusted suicide rate- Impacts of the COVID-19 pandemic on mental health of children and adults*Social Determinants of Health, which are most problematic for racial and ethnic minorities, including:- Poverty- Unemployment- Levels of educational achievement- Access to affordable housing- Food insecurity in Torrington *Transportation challenges, particularly for low-income, rural, and elderly populations*Health disparities and outcomes for low-income, Black, Hispanic (or Latino), migrant and undocumented worker, and immigrant populations:*Mental health status in Torrington and for racial and ethnic minorities across the Charlotte Hungerford HSA and the state:- Above average age-adjusted suicide rate- Impacts of the COVID-19 pandemic on mental health of children and adults*Social Determinants of Health, which are most problematic for racial and ethnic minorities, including:- Poverty- Unemployment- Levels of educational achievement- Access to affordable housing- Food insecurity in Torrington*Transportation challenges, particularly for low-income, rural, and elderly populations*Health disparities and outcomes for low-income, Black, Hispanic (or Latino), migrant and undocumented worker, and immigrant populations:- Systemic racism and a lack of trust in the healthcare system among minority populations- Language barriers- The cost of health services and gaps in health insurance coverage (particularly for Latino populations)- A comparatively high Black maternal mortality rate in Connecticut*Comparatively few primary care physicians, dentists, and mental health professionals per-capita in Litchfield County*Substance abuse (particularly opioids including fentanyl)*Comparatively high rates of smoking in Torrington area*In Torrington, a comparatively percentage of women who receive late or no prenatal care*Comparatively high prevalence of obesity in Torrington and in Litchfield County*The COVID-19 pandemic, which has caused virus-related illness and death, increased isolation and mental health problems, and economic challengesThis CHIP is organized across four focus areas that are intended to address root causes of community health issues while recognizing where the Northwest Region in partnership with the community can be most effective in impacting change. The plan for each of these areas is outlined on the following pages. The driving rationale for each of these can be summarized as follows:1. Promote Healthy Behaviors and Lifestyles;Research has repeatedly shown that good eating and exercise choices are critical to averting lost or unproductive time at school or work, growing and maintaining cognitive and physical functioning, promoting mental health, and preventing and managing many chronic diseases such as heart disease, cancer, stroke, diabetes, and osteoporosisRationale for Action ;*Comparatively high prevalence of obesity in Litchfield County*Comparatively high rates of smoking in Torrington*One of the most problematic Social Determinant of Health is Food Insecurity , especially for minorities in Torrington*Area residents more frequently reported heavy drinking and current smoking vs. state residentsCHIP addressed this need in the following manner: *Increase participation in evidence-based tobacco cessation treatments *Promote the Habits, Activities and Principles of 5210 *Improve access to healthy foods (population-based initiatives)*Promote Oral Health as part of Overall Health2. Improve Access to Care by addressing Health Equity, Social Determinants of Health, and Care Coordination:There are many factors that shape and confine health outcomes including obstacles related to accessing care and services, awareness of available resources, and tracking patients as they move to and from points of care. More systemically, racial and economic inequities and other unfavorable environmental conditions provide powerful influencers in limiting individuals and communities from reaching their health potential. Rationale for Action; *Thirty-two percent of the Charlotte Hungerford HSA's households are cost-burdened, meaning they spend at least 30 percent of their total income on housing costs.*In the Charlotte Hungerford HSA, 3,013 residents, or 3 percent of the population age 5 and older, are linguistically isolated and qualitatively systemic racism and a lack of trust in the healthcare system among minorities was cited. *Throughout the state, people of color face greater rates and earlier onset of many chronic diseases and risk factors, particularly those that are linked to socioeconomic status and access to resources. For example - Diabetes is much more common among older adults than younger ones, yet middle-aged Black adults in Connecticut have higher diabetes rates than white seniors.- Black residents ages 13 and up were more than 10 times more likely to be diagnosed with HIV than white residents.*Comparatively high percentage of women who receive late or no prenatal care*Comparatively fewer primary care physicians and dentists per-capita in Litchfield County*Comparatively high Black maternal mortality rate in CTCHIP addressed this need in the following manner: *Assure Equitable access to Vaccines*Expand SDOH Screening and Utilization of Connections that Matter *Provide for Health Clinics and Health Fairs throughout service area and in partnership with others*Promote Health Education Opportunities*Integrate DEIB work and activities with community members*Increase direct involvement of HHC Leadership in Community Boards/Commissions and activities*Assess and plan for gaps in timely and convenient transportation *Provider Recruitment*Assure adequacy and sufficiency of Medical Interpretation options for patients/consumers*Nurture role of Community Health Alliance and ensure they are meaningfully engaged and all sectors are represented and partnering*Improve access to healthy foods (target population-based initiatives)*Improve access to prenatal care and address any known inequities to the service3. Reduce the Burden of Chronic Disease:Proven interventions can prevent and reduce the effects of chronic and infectious diseases and are aimed at the six most common and costly health conditions tobacco use, high blood pressure, healthcare-associated infections, asthma, unintended pregnancies, and diabetes these conditions can be countered by proven specific interventions as highlighted by the CDC.Rationale for Action;*68.2% of deaths in NW related to chronic disease vs. 61.2% in CT*6.9% COPD in NW with mortality rate of 33.6% vs. 5.5% and 15.9% respectively in state overall*ED visit rates for selected diagnoses show rates for heart disease and stroke were higher in Litchfield County vs. state overallCHIP addressed this need in the following manner:*Provide Support Groups with resources to assure they are optimally functioning*Increase Participation in Chronic Disease Management Programs4. Enhance Community-Based Behavioral Health ServicesMental health and substance abuse were also consistently identified as a top issue by the community and a root cause impacting all aspects of health. These services and interventions include more accessible screening, improved and timelier referrals, expanded programming and public awareness and empowerment.Rationale for Action*Above average age-adjusted suicide rate in Torrington*Qualitative concerns expressed about the impacts of COVID-19 on mental health of adults and children and substance use disorders, particularly opioids including fentanyl *Comparatively fewer mental health professionals per-capita in Litchfield CountyCHIP addressed this need in the following manner: *Assure the adequacy and sufficiency of Harm Reduction activities*Establish and develop Community Care Team in the NW Region*MAT Provider education and network development*Support for Recovery Coach and CCAR referrals*Community and Mobile Service DevelopmentAll needs identified in the CHNA are currently being addressed. The Charlotte Hungerford Hospital Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of the health care expenses. The Charlotte Hungerford Hospital Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Section B, Line 16a: FAP Website:https://charlottehungerford.org/patients-visitors/billing-insurance/financial-assistance-billingPart V, Section B, Line 16b: FAP Application Website:https://charlottehungerford.org/patients-visitors/billing-insurance/financial-assistance-billingPart V, Section B, Line 16c: FAP Plain Language Summary:https://charlottehungerford.org/patients-visitors/billing-insurance/financial-assistance-billing The Charlotte Hungerford Hospital Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. 11 1 - The Hungerford Center 780 Litchfield Street Torrington CT 06790 Cardiac and Pulmonary Rehab Serices 2 - The Center for Cancer Care 200 Kennedy Drive Torrington CT 06790 Cancer Treatment Center 3 - Hungerford Diagnostic Center 220 Kennedy Drive Torrington CT 06790 Radiology Services 4 - The Center for Youth and Families 50 Litchfield Street Torrington CT 06790 Psych Services for Children and Families 5 - Winsted Behavioral Health Center 294 Main Street Torrington CT 06790 Psych Services 6 - Surgical Associates of CHH 538 Litchfield Street Torrington CT 06790 Surgical Physicians Practice 7 - Neurology PBC 780 Litchfield Street Torrington CT 06790 Neurology Physcians Practice 8 - CHH Cardiovascular Medicine Service 1215 New Litchfield Street Torrington CT 06790 Cardiovascular Physicians Practice 9 - CHH Wound Care and Hyperbaric Medicine 7 Felicity Lane Torrington CT 06790 Wound Care Physicians Practice 10 - CHH Urology Medicine 538 Litchfield Street Torrington CT 06790 Adult and Pediatric Urology Physicians Practice 11 - Hungerford Emergency and Medical Care 115 Spencer Street Winsted CT 06098 Emergency Services Part I, Line 3c: The Charlotte Hungerford Hospital used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:The Organization submits quarterly reports to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Strategy (OHS) annually. Part I, Line 7: The organization utilized an overall cost to charge ratio (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations. Part III, Line 3: A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2021 would be immaterial. Part III, Line 4: Please see the text of the footnote that describes bad debt expense beginning on page 27 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 4. Part III, Line 8: Cost Reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, Hospitalist Programs, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The Hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 65% of unpaid amounts. The table reconciles the shortfall or surplus from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as Community Benefits. Part III, Line 9b: Charlotte Hungerford Hospital has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: Patients who are deemed ineligible for financial assistance or who receive a partial discount and do not pay their bills may be subject to the following Extraordinary Collection Action (ECAs):*Wage Garnishments*Liens on primary and secondary residences, bank or investment accounts, or other assets*Legal actions and reporting the matter to one or more credit rating agencies*Other ECAs not listed aboveIf an individual has not submitted an application within the first 120 days from the date on which Hartford HealthCare first issues its first, post-discharge billing statement, then Hartford HealthCare may begin engaging in the ECAs described above.ECAs may begin after the first 120 days from the date on which Hartford HealthCare issues its first, post-discharge billing statement. If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, Hartford HealthCare will take all reasonable available measures to remove any collection actions such as negative reporting to a credit bureau or liens that have been filed.Before Hartford HealthCare initiates any collection actions, it will issue a written notice to the last known address of record for the patient (or his/her family) that describes the specific collection activities it intends to initiate (or resume), provides a deadline after which such action(s) will be initiated (or resumed), and includes a plain language summary of this Policy. ECAs can begin no sooner than 30 days from the date written notice is transmitted. Patients who are ineligible for financial assistance, or qualify for partial financial assistance and who are cooperating in good faith to resolve the outstanding accounts, may be offered extended payment plans. No further collection action will be taken as long as the patient continues to meet the terms of the payment plan. Part VI, Line 2: The Charlotte Hungerford Hospital uses Emergency Room data to track increases in medical conditions such as falls, flu, drug overdoses, etc. Periodically information is surveyed to determine additional patients needs. Information is also tracked from other entities such as local area non-profits, government agencies and public schools. Part VI, Line 3: Charlotte Hungerford Hospital provides information about its Financial Assistance Policy as follows: (i) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication; (ii) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail; (iii) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page; (iv) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients; (v) Includes the tag line 'Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications. Part VI, Line 4: As of 2019, the population of the Charlotte Hungerford HSA is 99,685, including 7,039 residents (7%) who are foreign-born. 12% of the Charlotte Hungerford HSA's residents are people of color.19% of Charlotte Hungerford HSA's residents are children under age 18, and 20 percent are adults ages 65 and up. As Connecticut's predominantly white Baby Boomers age, younger generations are driving the state's increased racial and ethnic diversity. Black and Latino populations in particular skew much younger than white populations. In Charlotte Hungerford HSA, 32% of Black and Latino residents are children, compared to 17% of white residents.Linguistic isolation is characterized as speaking English less than "very well." People who struggle with English proficiency may have difficulty in school, seeking health care, accessing social services, or finding work in a largely English-speaking community. In the Charlotte Hungerford HSA, 3,013 residents, or 3% of the population age 5 and older, are linguistically isolated. Latinos and Asian Americans are more likely to be linguistically isolated than other racial/ethnic groups. Part VI, Line 5: The mission of Charlotte Hungerford Hospital is to improve the health and healing of the people and communities we serve. Charlotte Hungerford Hospital is committed and focused on efforts to promote health and wellness.Majority of Charlotte Hungerford Hospital's regional governing board is comprised of persons who either reside or work in its primary service area, and they are neither employees nor contractors of the Hospital. Charlotte Hungerford Hospital extends medical staff privileges to all qualified physicians in its community. The Hospital has partnered with the Community Health Center to provide health services to the underserved in the community. In addition, the Hospital participates in Community Vision to improve community health and well-being.The Hospital has contracted to use the services of an organization to assist its patients in determining eligibility and applying for state and federal means-tested programs, as well as for the Hospital's Financial Assistance Program. Additionally, Charlotte Hungerford Hospital provides medical care regardless of patient's ability to pay for services.Charlotte Hungerford Hospital provides specialized services not available at other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O. Part VI, Line 6: Hartford HealthCare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including The Charlotte Hungerford Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care".The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. Part VI, Line 7, Reports Filed With States CT 1 1 0 0 0 0 0 1 0 Margaret Marchak Former Secretary 0 156673 0 152082 0 615056 0 10053 0 34239 0 968103 0 18671 Daniel McIntyre Director, CEO & President 0 508128 0 241502 0 102012 0 19950 0 72217 0 943809 0 0 Mark Prete Former VP, Medical Affairs 0 479038 0 180845 0 5940 0 77258 0 32485 0 775566 0 0 Paul Scalise MD VP, Medical Affairs 0 392703 0 128830 0 5615 0 19950 0 47104 0 594202 0 0 Sami El Hamwi MD Physician 488688 0 28317 0 179 0 19950 0 28396 0 565530 0 0 0 Richard Krinsky MD Physician 381224 0 78295 0 1032 0 19950 0 46850 0 527351 0 0 0 Susan Schapp VP, Finance 0 306293 0 106686 0 2992 0 19950 0 42110 0 478031 0 0 Lisa Diamond MD Dir. Behavioral Health 387256 0 37560 0 1584 0 19950 0 25139 0 471489 0 0 0 John Capobianco VP, OP Services 0 263843 0 102106 0 2580 0 19950 0 48352 0 436831 0 0 Misbahul Hafeez Siddiqi MD Physician 323666 0 21356 0 211 0 19950 0 55807 0 420990 0 0 0 Clifford Kye MD Physician 335264 0 10600 0 183 0 19950 0 39027 0 405024 0 0 0 Brian Mattiello Former VP, HR 0 234339 0 83069 0 2274 0 19950 0 45575 0 385207 0 0 Teresa Calendrillo-Fuller VP, Patient Care 0 170226 0 53026 0 365 0 15096 0 39518 0 278231 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of The Charlotte Hungerford Hospital hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher, to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. Part I, Lines 4a-b Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by Natchaug Hospital, Inc. on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. In 2020, Margaret Marchak (Former Officer) received a lump sum severance payment in the amount of $583,803. 2020 SERP Payouts were made on behalf of the following individuals: Margaret Marchak $18,671 Daniel McIntyre $21,003* *For this individual, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. Part I, Line 7 Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. Maria Capobianco See Part V 85237 See Part V 0 Sch L, Part V, Business Transactions Involving Interested Persons MR John Capobianco is a Key Employee of Charlotte Hungerford Hospital (CHH). His wife, Maria is an employee of CHH. For calendar year 2020, Maria's compensation from CHH totalled $85,237. Form 990, Part VI, Section A, line 6 The Charlotte Hungerford Hospital is organized as a non-stock not-for-profit entity. Hartford HealthCare Corporation is the sole member. Form 990, Part VI, Section A, line 7a The sole member of the organization has the authority to approve/remove 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 11b The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then forwarded to the the VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS. Form 990, Part VI, Section B, line 12c The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee. The Conflict of Interest Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Oversight review of physician disclosures is provided by the HHC Physician Conflict Resolution Committee. The Physician Conflict Resolution Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. Form 990, Part VI, Section B, line 15 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of the Charlotte Hungerford Hospital, hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of the Charlotte Hungerford Hospital, established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; -The President & CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the President & CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. Form 990, Part VI, Section C, line 18 The Hospital's Form 990, 990T, Form 1023 and its attachments are available upon request. Form 990, Part VI, Section C, line 19 The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Hospital's address. Form 990, Part IX, line 11g Medical Professional Fees: Program service expenses 20,888,617. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,888,617. Form 990, Part XI, line 9: Change in Pension and Post-Retirement Funding Obligation 21,985,118. Transfer to Affiliated Entity 420,909. Net Unrestricted Other Changes in Joint Ventures -611,940. Other Investment (JV) -961,705. Adjustment for additional amount from prior yesr's Auxiliary 35,463. Backus HealthCare Inc 326 Washington Street Norwich CT 06360 222481794 Supporting Organization CT 501(c)(3) 12 (a) Hartford HealthCare Corporation 1 Connecticut Health System Inc 80 Seymour Street Hartford CT 06102 222779421 Coordination of Health Care Delivery CT 501(c)(3) 12 (c) Hartford HealthCare Corporation 1 Hartford HealthCare ACO Inc 1290 Silas Deane Hwy 2nd Floor Wethersfield CT 06109 460886367 Government Contracts CT 501(c)(3) 7 Hartford HealthCare Medical Group Inc 1 Hartford HealthCare at Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield CT 06109 060646938 Home Healthcare CT 501(c)(3) 10 Hartford HealthCare Corporation 1 Hartford HealthCare Corporation One State Street Suite 19 Hartford CT 06102 222672834 Support & Management Svcs. To HH and Affiliates CT 501(c)(3) 12 (c) N/A 0 Hartford HealthCare Endowment LLC 80 Seymour Street Hartford CT 06102 454181103 Investment Management CT 501(c)(3) 12 (a) Hartford HealthCare Corporation 1 Hartford HealthCare Independence at Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield CT 06109 061161422 Home Healthcare CT 501(c)(3) 10 Hartford HealthCare at Home Inc 1 Hartford Healthcare Medical Group Specialists PLLC 1290 Silas Deane Highway 2nd Floor Wethersfield CT 06109 371911194 Medical Services CT 501(c)(3) 10 Hartford HealthCare Medical Group Inc 1 Hartford HealthCare Medical Group Inc 1290 Silas Deane Highway 2nd Floor Wethersfield CT 06109 454456939 Medical Services CT 501(c)(3) 10 Hartford HealthCare Corporation 1 Hartford HealthCare Senior Services Inc 45 Meriden Avenue Southington CT 06489 222635676 Sub-Acute & Long Term Healthcare CT 501(c)(3) 10 Hartford HealthCare Corporation 1 Hartford Hospital 80 Seymour Street PO Box 5037 Hartford CT 06102 060646668 Healthcare 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Street Bridgeport CT 06606 832550272 Hospital CT 501(c)(3) 3 Hartford HealthCare Corporation 1 The Hospital of Central CT and Bradley Memorial 100 Grand Street New Britian CT 06052 060646768 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 The Orchards of Southington 34 Hobart Street Southington CT 06489 061490803 Residential Services for Senior Citizens CT 501(c)(3) 10 Hartford HealthCare Senior Services Inc 1 The William W Backus Hospital 326 Washington Street Norwich CT 06360 060250773 Hospital CT 501(c)(3) 3 Hartford HealthCare Corporation 1 WCMH Women's Auxiliary Inc 112 Mansfield Avenue Willimantic CT 06226 060677728 Fundraising CT 501(c)(3) 12 (a) Windham Community Memorial Hospital 1 Windham Community Memorial Hospital 112 Mansfield Avenue Willimantic CT 06226 060646966 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Windham Hospital Foundation Inc 112 Mansfield Avenue Willimantic CT 06226 562546632 Supporting Organization CT 501(c)(3) 12 (a) Windham Community Memorial Hospital 1 Advanced Medical Imaging of NW CT LLC 57 Commercial Blvd Torrington CT 06790 061594854 Magnetic Resonance Imaging CT The Charlotte Hungerford Hospital Related 232141 221545 0 0 0.50000 Ambulance Service of Manchester LLC PO Box 300 Manchester CT 06450 061557358 Ambulatory Service CT N/A 0 0 Central Connecticut Endoscopy Center 440 New Britain Avenue Plainville CT 06062 141855010 Endoscopy Svcs CT N/A 0 0 Connecticut Imaging Partners LLC c/o Jefferson Radiology 1500 Concor Sunrise FL 33323 134298940 Imaging Services CT N/A 0 0 Connecticut Orthopaedic Surgery Center LLC 205 Sub Way Milford CT 06461 134298940 Surgery Svcs CT N/A 0 0 Connecticut Proton Therapy Center LLC 789 Howard Ave Suite CB 230 New Haven CT 06519 Proton Therapy Services CT N/A 0 0 Constitution Surgery Center East LLC 174 Cross Road Waterford CT 06385 061574704 Surgery Svcs CT N/A 0 0 CT GI Endoscopy Center LLC ( Bloomfield) 4 Northwestern Drive Bloomfield CT 06002 061573358 GI Services CT N/A 0 0 Glastonbury Endoscopy Center LLC 300 Western Blvd Suite B Glastonbury CT 06033 261721234 Endoscopy Svcs CT N/A 0 0 Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury CT 06033 262600828 Surgery Svcs CT N/A 0 0 Hartford-Middlesex Clinical System LLC 80 Seymour Street Hartford CT 06110 061543605 Affiliate Support Services CT N/A 0 0 HHC Hartford Surgery Center LLC 100 Avon Meadow Lane Avon CT 06001 812637261 Surgery Svcs CT N/A 0 0 HHC Southington Surgery Center LLC 100 Avon Meadow Lane Avon CT 06001 465500829 Surgery Svcs CT N/A 0 0 HHC Southington Surgery Center LLC 100 Avon Meadow Lane Avon CT 06001 465500829 Surgery Svcs CT N/A 0 0 Hartford HealthCare-GoHealth Urgent Care LLC 5555 Glenridge Connector Suite 700 Atlanta GA 30342 815112698 Urgent Care Services DE N/A 0 0 Med East Assoc LLC 1703 West Main Street Willimantic CT 06226 061469575 Outpatient Care Clinic CT N/A 0 0 MedConn Collection Agency 2049 Silas Deane Highway Suite 305 Rocky Hill CT 06067 061408854 Collections Services CT The Charlotte Hungerford Hospital Related -6293 9481 0 0 0.33330 New Britain MRI Limited Partnership 100 Grand Street New Britain CT 06050 061271349 Magnetic resonance imaging CT N/A 0 0 Rocky Hill Surgery Center LLC 1111 Cromwell Avenue Building 1 Rocky Hill CT 06067 833096156 Surgery Svcs CT N/A 0 0 The Endoscopy Center of Northwest Connecticut LLC 245 Alvord Park Road Torrington CT 06790 061609993 Endoscopy Svcs CT The Charlotte Hungerford Hospital Related 722482 215997 0 0 0.51000 Wallingford Endoscopy Center LLC 863 North Main Street Ext Suite 300 Wallingford CT 06492 824601730 Endoscopy Svcs CT N/A 0 0 Aetna Ambulance Service Inc PO Box 1150 Manchester CT 06045 060795431 Ambulance Services CT N/A C 0 Backus Medical Center Condo Assoc Inc 330 Washington Street Norwich CT 06360 061542647 Condo Association CT N/A C 0 CenConn Services Inc 100 Grand Street New Britain CT 06050 222836001 Billing Services CT N/A C 0 ConnCare Inc 326 Washington Street Norwich CT 06360 061387598 Health Care Services CT N/A C 0 HHMOB Corporation 80 Seymour Street PO Box 5037 Hartford CT 06102 061140244 Real Estate & Parking CT N/A C 0 Hartford HealthCare Indemnity Services Ltd FB Perry Bld 40 Church Street Hamilton BD Captive Insurance BD N/A C 0 Hartford Physician Services PC 80 Seymour Street Hartford CT 06102 061254082 Medical Services CT N/A C 0 Litchfield County Healthcare Service Corporation 540 Litchfield Street Torrington CT 06790 061227655 Management Services CT N/A C 0 Meriden Imaging Center Inc 101 North Plains Industrial Road Meriden CT 06429 061541468 Imaging CT N/A S 0 Metro Wheelchair Service Inc PO Box 300 Manchester CT 06045 060878432 Wheelchair Services CT N/A C 0 Midstate Medical Group PC 435 Lewis Avenue Meriden CT 06450 204327968 Medical Services CT N/A C 0 The Cancer Care Fund Of The Litchfield Hills Inc 200 Kennedy Drive Torrington CT 06790 510474072 Cancer Care Fund CT N/A C 0 Windham Professional Office Condo Assoc 112 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