FURP.ORG / PUBLIC DATA EXPLORER

CHARLOTTE HUNGERFORD HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CHARLOTTE HUNGERFORD HOSPITAL (EIN 06-0646678)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-14
IRS object ID
201932269349301103
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-14T08:37:04-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646678EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Charlotte Hungerford HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHARBusinessNameControlTxt
Phone8604966728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield Street PO Box 988AddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP067900988ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSusan M ShappPersonNm
Person TitleVP Finance & TreasurerPersonTitleTxt
Phone8604966728PhoneNum
Signature2019-08-14SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMike EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.231.28.240IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-14IPDt
IP Tm08:36:31IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD6D028B83EC7BAE48696A0FE418AC7215527A94EAtSubmissionCreationDeviceId
At Submission Filing Device IdE9C924457B5D275461852EC86B70A375E5271692AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSusan M SchappPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield StAddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06790ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$177,244,861GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.charlottehungerford.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1917FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTo provide quality, compassionate and cost effective healthcare to the community of Northwestern Connecticut.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1215TotalEmployeeCnt
Total Volunteers163TotalVolunteersCnt
Total Gross UBI$965,514TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$63,372NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,636,637PYContributionsGrantsAmt
CY Contributions Grants$326,050CYContributionsGrantsAmt
PY Program Service Revenue$116,969,824PYProgramServiceRevenueAmt
CY Program Service Revenue$122,958,685CYProgramServiceRevenueAmt
PY Investment Income$2,091,058PYInvestmentIncomeAmt
CY Investment Income$17,741,461CYInvestmentIncomeAmt
PY Other Revenue$250,415PYOtherRevenueAmt
CY Other Revenue$210,292CYOtherRevenueAmt
PY Total Revenue$121,947,934PYTotalRevenueAmt
CY Total Revenue$141,236,488CYTotalRevenueAmt
PY Grants And Similar Paid$12,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,612,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$69,031,643PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$69,748,411CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$408,841CYTotalFundraisingExpenseAmt
PY Other Expenses$56,099,026PYOtherExpensesAmt
CY Other Expenses$54,852,948CYOtherExpensesAmt
PY Total Expenses$125,142,669PYTotalExpensesAmt
CY Total Expenses$127,213,359CYTotalExpensesAmt
PY Revenues Less Expenses-$3,194,735PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$14,023,129CYRevenuesLessExpensesAmt
Total Assets BOY$149,068,856TotalAssetsBOYAmt
Total Assets EOY$171,943,101TotalAssetsEOYAmt
Total Liabilities BOY$81,120,257TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,848,922TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$67,948,599NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$113,094,179NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo improve the health and healing of the people and communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$112,248,247ExpenseAmt
Grant$2,612,000GrantAmt
Revenue$122,979,363RevenueAmt
DescThe Charlotte Hungerford Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping with this Hospital's commitment to serve all memebers of the community:-free care and/or subsidized care-care provided to persons covered by governmental programs at below cost-health activities and programs to support the community will be considered where the need and/or individuals inability to pay coexists. These activities include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved and a variety of broad community support activities.During FY 2018 the community has contributed over 13,000 hours toward the common purpose of servicing the healthcare of the community. The value of this contribution is approximately $130,000, which is given back to the community through lower costs in both patient services and other "wellness" programs. The Charlotte Hungerford Hospital renderded the following services during Fy 2018. Inpatient Services:Discharges - 5,342Patient Days - 23,319Special Services:Ambulatory Medical Cases - 2,189 Ambulatory Surgery Cases - 2,803 C.A.T. Scan Exams - 16,468 Cardiac Rehab Treatments - 3,043 Cardio Diagnostic Exams - 11,858 Delivery Room Deliveries - 355 Diagnostic Radiology Exams - 23,535 EEG Exams - 441 Emergency Department Visits - 32,136 Endoscopy Cases - 930 Laboratory Tests - 520,589 M.R.I. Exams - 1,699 Mammograpy Exams - 8,903 Nuclear Medicine Exams - 748 Occupational Therapy Treatments - 4,432 Operating Room Cases - 3,565 P.E.T. Scan Exams - 363 Partial Hospitalization - 4,219 Physical Therapy Treatments - 36,012 Post Anesthesia Care Unit Cases - 1,825 Professional Service Consults - 147,063 Psychiatric Clinic Visits - 38,052 Pulmonary Function Lab Tests - 1,522 Pulmonary Rehab Tests - 3,808 Radiation Therapy Treatments - 7,260 Renal Dialysis Visits - 201 Respiratory Therapy Treatments - 34,656 Sleep Study Tests - 633 Special Procedures (Radiology) Exams - 1,457 Speech Therapy Treatments - 848 Ultrasound Exams - 9,242 Walk In Center Visits - 15,252 Wound Care Cases - 3,518Desc
Total Program Service Expenses$112,248,247TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document218IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1215EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Susan M SchappBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8604966728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield Street PO Box 988AddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06790ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Edward Arum
Director2.00Yes (X)$0$0$0
Frank Buonocore Jr
Director2.00Yes (X)$0$0$0
Gladys Cerruto
Director2.00Yes (X)$0$0$0
Richard Dutton MD
Director2.00Yes (X)$0$0$0
Stephanie Fowler MD
Director2.00Yes (X)$0$0$0
Jamie Gregg
Director2.00Yes (X)$0$0$0
John Janco
Director2.00Yes (X)$0$0$0
John N Lavieri
Director2.00Yes (X)$0$0$0
Diane Libby CPA
Director2.00Yes (X)$0$0$0
Douglas O'Connell
Director2.00Yes (X)$0$0$0
James O'Leary
Director2.00Yes (X)$0$0$0
Rocco Orlando III MD
Director2.00Yes (X)$0$943,298$97,65660.00
Maria Countant Skinner
Director2.00Yes (X)$0$0$0
David Whitehead
Director2.00Yes (X)$0$1,005,456$74,88660.00
Carie Wolfberg MD
Director2.00Yes (X)$0$0$0
Jeffrey Borghesi
Chair3.00Yes (X)$0$0$0Yes (X)
Edwin G Booth
Vice Chair3.00Yes (X)$0$0$0Yes (X)
Margaret Marchak Esq
Director/Secretary3.00Yes (X)$0$691,694$136,35060.00Yes (X)
Daniel J McIntyre
Director/CEO & President60.00Yes (X)$505,037$0$81,479Yes (X)
Susan M Schapp
VP Finanace60.00$308,036$0$47,093Yes (X)
John J Capobianco
VP OP Services60.00$282,679$0$52,232Yes (X)
Brian Mattiello
VP Human Resources60.00$241,977$0$17,164Yes (X)
Timothy Gostkowski MD
Physician60.00$648,162$0$40,530Yes (X)
Richard Krinsky MD
Physician60.00$585,570$0$36,616Yes (X)
William McGeehin MD
Physician60.00$558,092$0$34,898Yes (X)
Ofer Sagiv MD
Physician60.00$452,084$0$28,269Yes (X)
Robert Kahan MD
Physician60.00$412,538$0$25,797Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,994,175TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,640,448TotReportableCompRltdOrgAmt
Total Other Compensation$672,970TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K84IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Quest Diagnostic Inc
12436 Collections Center DriveChicagoIL60693Laboratory Services$5,478,893
PAC Group LLC
126 South Main St Suite 200TorringtonCT06790Construction Management$5,109,227
Saint Francis Medical Group
114 Woodland StreetHartfordCT06105Medical Services$2,521,553
Crothall Healthcare Inc
1500 Liberty Ridge Drive Suite 210WaynePA19087Management Services/Cleaning$1,649,799
Adult & Pediatric Urology of NWCT PC
538 Litchfield StTorringtonCT06790Urology services$1,641,751
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K41CntrctRcvdGreaterThan100KCnt
Membership Dues$2,585MembershipDuesAmt
Fundraising$83,334FundraisingAmt
All Other Contributions$240,131AllOtherContributionsAmt
Total Contributions$326,050TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Revenue900099$114,327,559$114,327,559
Laboratory Services621500$8,631,126$7,686,290$944,836
FieldValueIRS element (for citing)
Total Program Service Revenue$122,958,685TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,888,559TotalRevenueColumnAmt
Exclusion$1,888,559ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$484,983RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$350,624RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$134,359RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$134,359TotalRevenueColumnAmt
Exclusion$134,359ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$51,441,712SecuritiesAmt
Other$25,800OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$35,590,376SecuritiesAmt
Other$24,234OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,851,336SecuritiesAmt
Other$1,566OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,852,902TotalRevenueColumnAmt
Exclusion$15,852,902ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$43,139FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$83,334ContriRptFundraisingEventAmt
Fundraising Direct Expenses$43,139FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Gain from Equity Method900001$55,255$55,255
MedConn561499$20,678$20,678
FieldValueIRS element (for citing)
Other Revenue Total$75,933OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,236,488TotalRevenueColumnAmt
Related Or Exempt Func Income$122,013,849RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$965,514UnrelatedBusinessRevenueAmt
Exclusion$17,931,075ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,612,000TotalAmt
Program Services$2,612,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,783,731TotalAmt
Program Services$1,337,798ProgramServicesAmt
Management And General$445,933ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$275,768TotalAmt
Program Services$275,768ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$56,677,637TotalAmt
Program Services$50,402,945ProgramServicesAmt
Management And General$6,072,526ManagementAndGeneralAmt
Fundraising$202,166FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,053,327TotalAmt
Program Services$6,246,296ProgramServicesAmt
Management And General$782,755ManagementAndGeneralAmt
Fundraising$24,276FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,957,948TotalAmt
Program Services$3,505,085ProgramServicesAmt
Management And General$439,240ManagementAndGeneralAmt
Fundraising$13,623FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$9,955,977TotalAmt
Program Services$8,833,755ProgramServicesAmt
Management And General$1,087,889ManagementAndGeneralAmt
Fundraising$34,333FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$254,078TotalAmt
Management And General$254,078ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$120,999TotalAmt
Management And General$120,999ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,115TotalAmt
Management And General$19,115ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,591TotalAmt
Program Services$3,591ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,263,914TotalAmt
Program Services$7,020,880ProgramServicesAmt
Management And General$1,205,642ManagementAndGeneralAmt
Fundraising$37,392FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$375,085TotalAmt
Program Services$332,168ProgramServicesAmt
Management And General$41,626ManagementAndGeneralAmt
Fundraising$1,291FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$372,928TotalAmt
Program Services$330,258ProgramServicesAmt
Management And General$41,386ManagementAndGeneralAmt
Fundraising$1,284FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,736,104TotalAmt
Program Services$1,537,462ProgramServicesAmt
Management And General$192,667ManagementAndGeneralAmt
Fundraising$5,975FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,219,252TotalAmt
Program Services$2,850,910ProgramServicesAmt
Management And General$357,262ManagementAndGeneralAmt
Fundraising$11,080FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,024TotalAmt
Program Services$24,818ProgramServicesAmt
Management And General$3,110ManagementAndGeneralAmt
Fundraising$96FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$159,572TotalAmt
Program Services$141,314ProgramServicesAmt
Management And General$17,709ManagementAndGeneralAmt
Fundraising$549FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,931,806TotalAmt
Program Services$6,138,678ProgramServicesAmt
Management And General$769,270ManagementAndGeneralAmt
Fundraising$23,858FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,271,627TotalAmt
Program Services$2,897,291ProgramServicesAmt
Management And General$363,075ManagementAndGeneralAmt
Fundraising$11,261FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies$12,102,540$10,717,783$1,343,100$41,657
Physician Fees$7,963,334$6,964,445$998,889
Hospital Auxiliary$75,002$75,002

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$127,213,359TotalAmt
Program Services$112,248,247ProgramServicesAmt
Management And General$14,556,271ManagementAndGeneralAmt
Fundraising$408,841FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$80,299BOYAmt
EOY$67,114EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,352,512BOYAmt
EOY$19,234,395EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,819,471BOYAmt
EOY$14,090,604EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,143,657BOYAmt
EOY$2,406,814EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$922,535BOYAmt
EOY$1,677,154EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$177,167,608LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$119,356,358LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,538,274BOYAmt
EOY$57,811,250EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$53,021,573BOYAmt
EOY$42,894,586EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,621,630BOYAmt
EOY$28,719,026EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,568,905BOYAmt
EOY$5,042,158EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$149,068,856BOYAmt
EOY$171,943,101EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,425,298BOYAmt
EOY$14,312,642EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$218,302BOYAmt
EOY$136,933EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,874,876BOYAmt
EOY$11,240,455EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,601,781BOYAmt
EOY$33,158,892EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,120,257BOYAmt
EOY$58,848,922EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,147,205BOYAmt
EOY$79,718,837EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,427,383BOYAmt
EOY$1,780,202EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,374,011BOYAmt
EOY$31,595,140EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,948,599BOYAmt
EOY$113,094,179EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$149,068,856BOYAmt
EOY$171,943,101EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$14,023,129ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$10,574,033NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$41,696,484OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$19,115OtherActivitiesAmt
Total Lobbying Expenditures$19,115TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Charlotte Hungerford Hospital paid annual dues 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 FY18 was $19,115.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,374,011BeginningYearBalanceAmt
Contributions$4,127,143ContributionsAmt
Investment Earnings Or Losses$3,840,950InvestmentEarningsOrLossesAmt
Other Expenditures$619,821OtherExpendituresAmt
Administrative Expenses$6,459AdministrativeExpensesAmt
End Year Balance$35,715,824EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,064,717BeginningYearBalanceAmt
Investment Earnings Or Losses$4,624,213InvestmentEarningsOrLossesAmt
Other Expenditures$314,919OtherExpendituresAmt
End Year Balance$28,374,011EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,396,887BeginningYearBalanceAmt
Investment Earnings Or Losses$1,839,701InvestmentEarningsOrLossesAmt
Other Expenditures$1,171,871OtherExpendituresAmt
End Year Balance$24,064,717EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,641,803BeginningYearBalanceAmt
Investment Earnings Or Losses$2,554,961InvestmentEarningsOrLossesAmt
Other Expenditures$799,877OtherExpendituresAmt
End Year Balance$23,396,887EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,101,688BeginningYearBalanceAmt
Investment Earnings Or Losses$3,608,194InvestmentEarningsOrLossesAmt
Other Expenditures$2,068,079OtherExpendituresAmt
End Year Balance$21,641,803EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,560,000OtherCostOrOtherBasisAmt
Book Value$3,560,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,821,223OtherCostOrOtherBasisAmt
Depreciation$68,112,575DepreciationAmt
Book Value$35,708,648BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,973,898OtherCostOrOtherBasisAmt
Depreciation$46,655,080DepreciationAmt
Book Value$15,318,818BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,812,487OtherCostOrOtherBasisAmt
Depreciation$4,588,703DepreciationAmt
Book Value$3,223,784BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$57,811,250TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Indenture Agreement - Held by Others$876,263C
Assets - Held in Trust by Others$27,842,763C
FieldValueIRS element (for citing)
Total Book Value Securities$28,719,026TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to Third Party Reimbursement Agencies$6,222,398
Current Liabilities$351,314
Accrued Self-Insurance Liabilities$6,888,595
Accrued Pension Liability$19,696,585
FieldValueIRS element (for citing)
Total Liability$33,158,892TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$88,800GrossReceiptsEvent1Amt
Charitable Contri Event1$54,179CharitableContriEvent1Amt
Gross Revenue Event1$34,621GrossRevenueEvent1Amt
Non Cash Prizes Event1$452NonCashPrizesEvent1Amt
Rent Facility Costs Event1$20,628RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,060FoodAndBeverageEvent1Amt
Entertainment Event1$200EntertainmentEvent1Amt
Other Direct Expenses Event1$1,281OtherDirectExpensesEvent1Amt
Event2Fall Fund RaisingEvent2Nm
Gross Receipts Event2$24,245GrossReceiptsEvent2Amt
Charitable Contri Event2$24,245CharitableContriEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$13,428GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$4,910CharitableContriOtherEventsAmt
Gross Revenue Other Events$8,518GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$8,518OthDirectExpnssOtherEventsAmt
Gross Receipts Total$126,473GrossReceiptsTotalAmt
Charitable Contributions Tot$83,334CharitableContributionsTotAmt
Gross Revenue Total Events$43,139GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$452NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$20,628RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$12,060FoodAndBeverageTotalEventsAmt
Entertainment Total Events$200EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$9,799OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$43,139DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$512,833TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$512,833NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,903,720TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,036,463DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,867,257NetCommunityBenefitExpnsAmt
Total Expense0.06180TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,416,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,036,463DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,380,090NetCommunityBenefitExpnsAmt
Total Expense0.06580TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$200,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,733DirectOffsettingRevenueAmt
Net Community Benefit Expns$199,100NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,974TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,974NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,643,226TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,789,603DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,853,623NetCommunityBenefitExpnsAmt
Total Expense0.03030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,604,255TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,604,255NetCommunityBenefitExpnsAmt
Total Expense0.02050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,454,288TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,791,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,662,952NetCommunityBenefitExpnsAmt
Total Expense0.05240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,870,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,827,799DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,043,042NetCommunityBenefitExpnsAmt
Total Expense0.11820TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,429TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,429NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,429TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,429NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,033,000BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$37,671,171ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$39,906,349CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,235,178MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Charlotte Hungerford HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1540 Litchfield StreetAddressLine1Txt
CityTorringtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06790ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://www.charlottehungerford.org/WebsiteAddressTxt
State License0042StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Charlotte Hungerford HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted17CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Page 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Page 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Page 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Page 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
The Charlotte Hungerford HospitalPart V, Section B, Line 5: To solicit input from key informants and individuals who have broad interest in the health of the community, the hospital performed surveys, community forums, focus groups and interviews with key informants. The key informants were selected by community leader(s) or liaison(s). Additionally, focus groups were used to identify any other resource.Focus group was conducted on February 16, 2018. Community forums, and individual key informant interviews were conducted between February and May 2018.Key informants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the overall community. They were asked to rate the degrees to which various health issues were of concern in the Northwest Region. Follow-up questions were asked to describe why they identified areas as such, and how these might be better addressed. The key informants included Physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following:Northwest Connecticut YMCAPrime Time House McCarthy Senior Center Sullivan Senior Center NWCT Community Foundation Winchester Schools Family Resource Center NWCT Chamber of Commerce Torrington Area Health District NW Hills Council of Governments NW Hills Credit Union Community Health and Wellness Center NW Connecticut Transitions Committee McCall Center for Behavioral Health NW Arts Council Litchfield Community Center Torrington Savings Bank City of Torrington Mayor's Office Brooker Memorial Visiting Nurse Services New Opportunities Waterbury NWCT Chamber of Commerce Town of Winchester Mayor's Office The NW United Way CHH Primary Care and PediatricsThe 2018 CHNA took a close look at social determinants of health such as poverty, housing, transportation, education, fresh food availability, and neighborhood safety. Social determinants of health have become a national priority for identifying and addressing health disparities, and Charlotte Hungerford Hospital is committed to addressing these disparities through the Community Health Improvement Plan that will follow this Assessment. Thru this process, input was gathered from individuals whose organizations can provide information for the following data elements:Medically Underserved AreasHealth Professional Shortage AreasDemographicsEthnicity DistributionsMedian Household IncomesHomeownership RatesPoverty MetricsUnemployment RatesEducational MetricsChildren in Poverty and Single Parent HouseholdsLinguistically Isolated PopulationsUninsured Population EstimatesClinical Provider RatiosPhysical Environment MetricsCrime RatesGeneral Health Status IndicatorsCancer Prevalence and Screening IndicatorsCardiovascular DiseaseRespiratory DiseaseDiabetesInfectious DiseasesSexually Transmitted DiseasesBirths and Prenatal CareHealth BehaviorsBenchmark Metrics (HealthyPeople 2020)Part V, Section B, Line 7a:https://www.charlottehungerford.org/about-us/community-health-needs-assessment
The Charlotte Hungerford HospitalPart V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the hospital's website. In addition, electronic copies are available upon request.Part V, Section B, Line 10a:https://hartfordhealthcare.org/about-us/community-health-needs-assessment
The Charlotte Hungerford HospitalPart V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the 2018 CHNA process, the community representatives met on May 31, 2018 to determine the health needs that will be prioritized for action. The review of the identified needs were followed by a wide ranging discussion, after which the representatives were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews, these are the top community health needs and priorities identified for the Charlotte Hungerford Hospital focus area: Greater Torrington Core Community Health Issues - include depth of poverty across the area, poor quality of older mill housing for lower-income residents, and low population density (lowest of any county in Connecticut) that contributes to areas of isolation and poor access to services. * Lack of resources compared to other Connecticut towns that get more attention: Torrington is the center of a dispersed population where there are issues with living wage and employment. Jobs are not competitive with other areas salary-wise. * Lack of broadband and poor or non-existent reception are big issues in the area and impacts ability to implement and leverage tele-health.Widespread Opioid and Substance Abuse Issues Across All Income Levels:* Limited access to treatment, including the need for timely intervention * Opioid crisis is widespread in the Northwest region. While there is not comparable data available, recent years have seen increases in opioid arrests, deaths, and treatment.Transportation Issues, Including Limited Hours and Services That Are Not Convenient to Bus Lines * Need for more in-home services for the senior population as their needs are impacted by transportation issues.* Funding, number of bus lines, hours of operation, access to providers.Access to Care: * Need for primary, specialty care, mental health services, and dental care. * Shortage of primary care physicians leads to emergency department overuse, often as a substitute for primary or urgent care, for care that could be delivered in lower cost settings.* Behavioral health wait times are long.* Designation of Litchfield County as a mental health shortage area. Access to Healthy Food, Especially for Children: * Teachers, school systems, and social services offer support for providing meals for children, but there are still not enough resources in the community. In the region, geographically Torrington and the Plymouth area scored significantly worse in physical and mental health indicators. Lack of Coordination Among and Between Providers and Community-Based Organizations Limits the Overall Effectiveness of the Programs That Are Going To Help Serve The Populations Most in Need. * Communication, education, and awareness: especially between providers * Fragmented services and too many silos * Need more community educational events as part of preventive care, including education of parents for children's health issues - Need comprehensive and dynamic asset mapping of available servicesThe results were then grouped into 4 Areas of Concern that were addressed in Community Health Improvement Plan (CHIP):1. Enhance Coordination of Services: this category includes Access to Care and Lack of Coordination Among and Between Providers and Community-Based Organizations.CHIP addressed this need in the following manner:a. Evaluate and use information exchange portal resources, linking healthcare providers with community-based organizations.b. Improve IT resources to enable community focus and better measurement of outcomes.c. Develop a playbook for infrastructure, dashboard of health, governance, and community workflows.d. Enable dynamic and up-to-date asset mapping.e. Develop innovation network for learning, research, co-creation, and rapid knowledge dissemination (bi-directional communication platform).f. Implement new or increased use of Community Health Workers (CHW).g. Evaluate and use adaptive technology (e.g., geo-fencing, GIS mapping, artificial intelligence, biometric risk assessment, Epic tie-ins.2. Promote Healthy Behaviors and Lifestyle: this category includes Food Concerns and Chronic Disease and Poor Physical and Mental Health. CHIP addresses this need in the following manner:a. Screen for healthy food need identification in community population and provide assessment at points of care.b. Enhance Promotion and Marketing, including continuing the 5-2-1-0 initiative, at schools, workplaces, public spaces, faith communities, and healthcare events.c. Provide voucher/prescription programs for fruits and vegetables.d. Promote and improve healthy food donation.e. Screen for healthy food need identification in community population and provide assessment at points of care.f. Enhance Promotion and Marketing, including continuing the 5-2-1-0 initiative, at schools, workplaces, public spaces, faith communities, and healthcare events.g. Provide voucher/prescription programs for fruits and vegetables.h. Promote and improve healthy food donation.3. Improve Community Behavioral Health: CHIP addresses this need in the following manner: a. Embed behavioral health services in primary care.b. Recruit more mental health providers, with focus on community outpatient services (e.g., family therapists).c. Implement Recovery Coach program in ED.d. Provide more depression screening growth and at more points of care with referrals (including at public schools) and integrate into Epic.e. Further Mental Health First Aid training and grow community behavioral health training at the local level.f. Enhance services in virtual mental health, including tele-psychiatry.g. Build on tobacco prevention and cessation programs.h. Continue development of Opioid Task Force.4. Reduce the Burden of Chronic DiseaseCHIP addresses this need in the following manner:a. Congestive Heart Failure discharge programs and CHF clinic.b. Growth in diabetes programs, including Diabetes Center at CHH with specialists and prevention program at YMCA (Measurable Progress Unlimited Support Diabetes Prevention Program).c. Leverage CHW dietician (see Coordination of Services initiative).d. Case management, self-management (including access to self-measure devices or monitors), at-home programs, and support groups.
The Charlotte Hungerford HospitalPart 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 HospitalPart 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://www.charlottehungerford.org/billing/financial-assistance-billingPart V, Section B, Line 16b: FAP Application Website:https://www.charlottehungerford.org/billing/financial-assistance-billingPart V, Section B, Line 16c: FAP Plain Language Summary:https://www.charlottehungerford.org/billing/financial-assistance-billing
The Charlotte Hungerford HospitalPart V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy.
FieldValueIRS element (for citing)
Facility13FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Northwest Connecticut Medical Walk-In
1598 East Main StreetTorringtonCT06790Walk-in Medical Clinic
2 - The Hungerford Center
780 Litchfield StreetTorringtonCT06790Cardiac and Pulmonary Rehab Serices
3 - The Center for Cancer Care
200 Kennedy DriveTorringtonCT06790Cancer Treatment Center
4 - Hungerford Diagnostic Center
220 Kennedy DriveTorringtonCT06790Radiology Services
5 - The Center for Youth and Families
50 Litchfield StreetTorringtonCT06790Psych Services for Children and Families
6 - Winsted Behavioral Health Center
294 Main StreetTorringtonCT06790Psych Services
7 - Surgical Associates of CHH
538 Litchfield StreetTorringtonCT06790Surgical Physicians Practice
8 - Neurology PBC
780 Litchfield StreetTorringtonCT06790Neurology Physcians Practice
9 - CHH Primary Care
780 Litchfield StreetTorringtonCT06790Primary Care Physicians Practice
10 - CHH Cardiovascular Medicine Service
1215 New Litchfield StreetTorringtonCT06790Cardiovascular Physicians Practice
11 - CHH Wound Care and Hyperbaric Medicine
7 Felicity LaneTorringtonCT06790Wound Care Physicians Practice
12 - CHH Urology Medicine
538 Litchfield StreetTorringtonCT06790Adult and Pediatric Urology Physicians Practice
13 - Hungerford Emergency and Medical Care
115 Spencer StreetWinstedCT06098Emergency Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 II, Community Building Activities:The Charlotte Hungerford Hospital (CHH) interacts with the community to address needs and facilitate appropriate responses. For FY18, CHH expended $12,429 on community building activities.
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 2018 would be immaterial.
Part III, Line 4:Please see the text of the footnote that describes bad debt expense beginning on page 26 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 2.
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:The Financial Assistance Policy states: In the event a patient fails to qualify for Financial Assistance or fails to pay their portion of discounted charges pursuant to this Policy, and the patient does not pay timely their obligations to Charlotte Hungerford Hospital, the Hospital reserves the right to begin collection actions, including but not limited to, imposing wage garnishments or liens on primary residences, instituting legal action and reporting the matter to one or more credit rating agencies. For those patients that qualify for Financial Assistance and who are cooperating in good faith to resolve the Hospital's outstanding accounts, the Hospital may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to outside collection agencies and will cease all collection efforts. No Extraordinary Collection Actions (ECA) will be initiated during the first 120 days following the first post-discharge billing statement to a valid address or during the time that patient's Financial Assistance Application is processing. Before initiating any ECA, a notice will be provided to the patient 30 days prior to initiating such event.If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, any ECA's such as negative reporting to a credit bureau or liens that have been filed will be removed.
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:The Charlotte Hungerford Hospital (CHH) provides information about its Financial Assistance Policy as follows: (i) provide signs regarding this Policy and written plain language summary information describing the Policy along with Financial Assistance contact information in the Emergency Department, Labor and Delivery areas and other patient registration areas; (ii) provide to each patient written plain language summary information describing the Policy along with Financial Assistance contact information in admission, patient registration, discharge, billing and collection written communications; (iii) make paper copies of the Policy, financial assistance application, and plain language summary of the Policy available upon request and without charge, both by mail and in public locations in the hospital facility, including the emergency room (if any) and admissions areas; (iv) post the Policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the HH's home page; (v) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy; and (vi) include the tag line "Please ask about our Financial Assistance Policy" in CHH written publications.
Part VI, Line 5:Majority of Charlotte Hungerford Hospital's 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 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.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 StatesCT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Northwestern Connecticut YMCA Inc
259 Prospect StreetTorringtonCT06790222878484501(C)(3)$100,000Sponsorship to assist in the Organization's mission to build a healthy spirit, mind and body, in children and adults, through programs that foster caring, honesty, respect and responsibility.
Northwest Connecticut Community Foundation Inc
33 East Main StreetTorringtonCT06790061565733501(C)(3)$2,500,000Sponsorship Charlotte Hungerford Hospital/HHC etablished a $2,500,000 fund with the assistance of the Northwest Connecticut Community Foundation for the express purpose of "enhancing the economic and community well-being of the Greater Torrington Region".
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationUpon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Rocco Orlando III MD
Director$0$638,805$0$174,327$0$130,166$0$35,100$0$62,556$0$1,040,954$0$0
David Whitehead
Director$0$665,725$0$231,500$0$108,231$0$18,900$0$55,986$0$1,080,342$0$0
Margaret Marchak Esq
Director/Secretary$0$516,132$0$151,455$0$24,107$0$81,414$0$54,936$0$828,044$0$0
Daniel J McIntyre
Director/CEO & President$505,037$0$0$0$0$0$49,898$0$31,581$0$586,516$0$0$0
Susan M Schapp
VP Finanace$308,036$0$0$0$0$0$27,831$0$19,262$0$355,129$0$0$0
John J Capobianco
VP OP Services$282,679$0$0$0$0$0$34,556$0$17,676$0$334,911$0$0$0
Brian Mattiello
VP Human Resources$241,977$0$0$0$0$0$2,033$0$15,131$0$259,141$0$0$0
Timothy Gostkowski MD
Physician$499,250$0$148,912$0$0$0$0$0$40,530$0$688,692$0$0$0
Richard Krinsky MD
Physician$428,838$0$156,732$0$0$0$0$0$36,616$0$622,186$0$0$0
William McGeehin MD
Physician$472,302$0$85,790$0$0$0$0$0$34,898$0$592,990$0$0$0
Ofer Sagiv MD
Physician$341,374$0$110,710$0$0$0$0$0$28,269$0$480,353$0$0$0
Robert Kahan MD
Physician$292,724$0$119,814$0$0$0$0$0$25,797$0$438,335$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of The Charlotte Hungerford Hospital hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O.
Part I, Line 4bHartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the CEO, President, Executive Vice President, Senior Vice President and Vice President levels that are reported by The Hospital of Central Connecticut 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. 2017 SERP Accruals were made on behalf of the following individuals: Margaret Marchak $62,514 Rocco Orlando $75,150 David Whitehead $75,587 2017 SERP Payouts were made on behalf of the following individuals: Rocco Orlando $25,803* David Whitehead $28,467* *For these individuals, vesting occured, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into each employee SERP account.
Part I, Line 7Hartford 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1The State of Connecticut Health and Educational Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN060806186BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2016-02-01BondIssuedDt
Issue Price$13,000,000IssuePriceAmt
PurposeSee Part VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$13,091,216TotalProceedsAmt
Issuance Costs From Proceeds$178,284IssuanceCostsFromProceedsAmt
Capital Expenditures$12,036,670CapitalExpendituresAmt
Unspent$876,262UnspentAmt
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part 1, Column F - Description of PurposeTo expand the Hospital's Emergency Department and relocate their Cardio Diagnostics Department.
Part II, Line 3The amount reported on Part II, Line 3 includes investment earnings of $91,216.
Part III, Line 9Procedures of the Organization: The Hospital follows the procedures outlined in the bond document to ensure all of the proceeds are used for qualified uses, and employs an individual to oversee the project financed by the bond issue.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMichael Fowler MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSee Part VRelationshipDescriptionTxt
Transaction$275,768TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSch L, Part V, Business Transasctions Involving Interested PersonsFormAndLineReferenceDesc
Explanation(b) Dr. Fowlers wife is a Board Member of the Hospital (d) Ms Stephanie Fowler is a Board member of the organization. Her husband is currently employed as a Physician by the organizations and was paid a salary of $275,768.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4Effective January 1st, 2018 at 12:01am, the Board of Directors approved an amendment and restatement of the Corporation's Certificate of Incorporation, (the Restated Certificate"). The Restate Certificate includes the following substantive amendments: 1. The section relating to the Corporation's purpose has been revised but is consistent with its charitable purpose. 2. The section relating to the indemnification of directors, officers and committee members of the corporation has been added consistent with Connecticut law. 3. The section relating to the single member has been amended to name Hartford HealthCare as a sole member with exclusive powers. The organization's governing documents are available upon request.
Form 990, Part VI, Section A, line 6The 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 7aThe sole member of the organization has the authority to approve/remove members of the governing body.
Form 990, Part VI, Section A, line 7bThe 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 11bThe Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the VP of Finance for review. The 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 12cThe 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 Conflict of Interest Committee ("COIC") (the Committee) which includes representation from the Medical Staff, the Legal Department, Human Resources, Finance Administration, Management and Compliance. The Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/The Charlotte Hungerford Hospital 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 15The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of The Charlotte Hungerford Hospital hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., 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 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 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 18The Hospital's Form 990, 990T and form 1023 and its attachments are available upon request.
Form 990, Part VI, Section C, line 19The 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 XI, line 9:Pension Adjustment 28,644,000. Transfer to Affiliated Entities 13,058,000. Miscellaneous -5,516.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
The William W Backus Hospital
326 Washington StreetNorwichCT06360060250773Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Backus HealthCare Inc
326 Washington StreetNorwichCT06360222481794Supporting OrganizationCT501(C)(3)12(a)Hartford HealthCare CorporationYes (1)
Caring for Colleagues Employee Crisis Fund
100 Grand StreetNew BritainCT06052264469178Employee FundCT501(C)(3)7Hartford HealthCare CorporationYes (1)
Hartford HealthCare Senior Services Inc
45 Meriden AvenueSouthingtonCT06489222635676Sub-Acute & Long Term HealthcareCT501(C)(3)10Hartford HealthCare CorporationYes (1)
Connecticut Health System Inc
80 Seymour StreetHartfordCT06102222779421Coordination of Health DeliveryCT501(C)(3)12(c)Hartford HealthCare CorporationYes (1)
Hartford HealthCare At Home Inc
1290 Silas Deane Hwy Suite 4BWethersfieldCT06109060646938Home HealthcareCT501(C)(3)10Hartford HealthCare CorporationYes (1)
Hartford HealthCare Corporation
One State Street Suite 19HartfordCT06103222672834Support & Management Svcs. To HH and AffiliatesCT501(C)(3)12(c)0
Hartford HealthCare Medical Group Inc
1290 Silas Deane Highway 2nd FloorWethersfieldCT06109454456939Medical ServicesCT501(C)(3)10Hartford HealthCare CorporationYes (1)
Hartford HealthCare ACO Inc
1290 Silas Deane Highway 2nd FloorWethersfieldCT06109460886367Government ContractsCT501(C)(3)7Hartford HealthCare Medical Group IncYes (1)
Hartford HealthCare Endowment LLC
80 Seymour StreetHartfordCT06102454181103Investment ManagementCT501(C)(3)12(a)Hartford HealthCare CorporationYes (1)
Hartford Hospital
80 Seymour Street PO Box 5037HartfordCT06102060646668Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Hartford Hospital Auxiliary co Hartford Hospital
80 Seymour StreetHartfordCT06115060640747FundraisingCT501(C)(3)12(a)Hartford HospitalYes (1)
The Hospital of Central CT and Bradley Memorial
100 Grand StreetNew BritainCT06050060646768Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Midstate Medical Center
435 Lewis AvenueMeridenCT06451060646715Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Midstate Medical Center Auxiliary
435 Lewis AvenueMeridenCT06451066063082FundraisingCT501(C)(3)12(a)Midstate Medical CenterYes (1)
Mulberry Gardens of Southington LLC
58 Mulberry StreetPlantsvilleCT06479820586577Assisted Living & Adult Day Care FacilityCT501(C)(3)10Hartford HealthCare Senior Services IncYes (1)
Natchaug Hospital Inc
189 Storrs RoadMansfield CenterCT06226060966963Behavioral HealthCT501(C)(3)3Hartford HealthCare CorporationYes (1)
The Orchards of Southington
34 Hobart StreetSouthingtonCT06489061490803Residential Services for Senior CitizensCT501(C)(3)10Hartford HealthCare Senior Services IncYes (1)
Rushford Center Inc
883 Paddock AvenueMeridenCT06450060932875Substance Abuse Healthcare ServicesCT501(C)(3)10Hartford HealthCare CorporationYes (1)
Rushford Foundation Inc
883 Paddock AvenueMeridenCT06450061432692Supporting OrganizationCT501(C)(3)12(a)Rushford Center IncYes (1)
Hartford HealthCare Independence Home
1290 Silas Deane Highway 2nd FloorWethersfieldCT06109061161422Home HealthcareCT501(C)(3)10Hartford HealthCare at Home IncYes (1)
Windham Community Memorial Hospital
112 Mansfield AvenueWillimanticCT06226060646966Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Windham Hospital Foundation Inc
112 Mansfield AvenueWillimanticCT06226562546632Supporting OrganizationCT501(C)(3)12(a)Windham Community Memorial HospitalYes (1)
WCMH Women's Auxiliary Inc
112 Mansfield AvenueWillimanticCT06226060677728FundraisingCT501(C)(3)12(a)Windham Community Memorial HospitalYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
Advanced Medical Imaging of NW CT LLC
57 Commercial BlvdTorringtonCT06790061594854Magnetic Resonance ImagingCTCharlotte HungerfordRelated$617,907$278,592000.50000
Ambulance Service of ManchesterLLC
PO Box 300ManchesterCT06450061557358Ambulatory ServiceCTN/A
Central Connecticut Endoscopy Center
440 New Britain AvenuePlainvilleCT06062141855010Endoscopy ServicesCTN/A
Connecticut Imaging Partners LLC
c/o Jefferson Radiology 111 FounderEast HartfordCT06108134298940Imaging ServicesCTN/A
Constituition Surgery Center East LLC
174 Cross RoadWaterfordCT06385061574704Surgery ServicesCTN/A
CT GI Endoscopy Center LLC ( Bloomfield)
4 Northwestern DriveBloomfieldCT06002061573358GI ServicesCTN/A
The Endoscopy Center of Northwest Connecticut LLC
245 Alvord Park RoadTorringtonCT06790061609993Endoscopy SvcsCTCharlotte HungerfordRelated$142,430000.51000
Glastonbury Endoscopy Center LLC
300 Western Blvd Suite BGlastonburyCT06033261721234Endoscopy ServicesCTN/A
Glastonbury Surgery Center LLC
195 Eastern BoulevardGlastonburyCT06033262600828Surgery ServicesCTN/A
Hartford-Middlesex Clinical System LLC
80 Seymour StreetHartfordCT06110061543605Affiliate Support ServicesCTN/A
HHC Hartford Surgery Center LLC
100 Avon Meadow LaneAvonCT06001812637261Surgery ServicesCTN/A
HHC Southington Surgery Center LLC
100 Avon Meadow Lane PO Box 1281AvonCT06001465500829Surgery ServicesCTN/A
HHC Urgent Care Go Health LLC
2711 Centerville Road Suite 400WillmingtonDE19808815112698Urgent Care ServicesDEN/A
Med East Assoc LLC
1703 West Main StreetWillimanticCT06226061469575Outpatient Care ClinicCTN/A
New Britain MRI Limited Partnership
100 Grand StreetNew BritainCT06050061271349Magnetic resonance imagingCTN/A
Urology Center of NW CT LLC
538 Litchfield StreetTorringtonCT06790582674029Equipment RentalCTCharlotte HungerfordRelated000.62500
Wallingford Endoscopy Center LLC
85 Seymour Street Suite 1000HartfordCT06106824601730Endoscopy ServicesCTN/A
Omni Home Health Services E CT LLC dba Backus Home Health Care
12 Case Street 317NorwichCT06360061458837Home Health CareCTN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Aetna Ambulance Service Inc
PO Box 1150ManchesterCT06045060795431Ambulance ServicesCTN/ACYes (1)
Backus Medical Center Condo Assoc Inc
330 Washington StreetNorwichCT06360061542647Condo AssociationCTN/ACYes (1)
CenConn Services Inc
100 Grand StreetNew BritainCT06050222836001Holding CompanyCTN/ACYes (1)
Hartford HealthCare Indemnity Services Ltd
Captive InsuranceN/ACYes (1)FB Perry Bld 40 Church StreetHamiltonBDBD
ConnCare Inc
326 Washington StreetNorwichCT06360061387598Health Care ServicesCTN/ACYes (1)
HHMOB Corporation
80 Seymour Street PO Box 5037HartfordCT06102061140244Real Estate & ParkingCTN/ACYes (1)
Hartford Physician Services PC
80 Seymour StreetHartfordCT06102061254082Medical ServicesCTN/ACYes (1)
Meriden Imaging Center
101 North Plains Industrial RoadMeridenCT06429061541468Imaging ServicesCTN/ASYes (1)
Midstate Medical Group PC
435 Lewis AvenueMeridenCT06450204327968Medical ServicesCTN/ACYes (1)
Litchfield County Healthcare Service Corporation
540 Litfchfield StreetTorringtonCT06790061227655Management ServicesCTCYes (1)Charlotte Hungerford$5051.00000
Metro Wheelchair Service Inc
PO Box 300ManchesterCT06045060878432Wheelchair ServicesCTN/ACYes (1)
WWB Corporation
326 Washington StreetNorwichCT06360061094836Holding CompanyCTN/ACYes (1)
Windham Professional Office Condominium Association Inc
112 Mansfield AvenueWillimanticCT06226061090041Condo AssociationCTN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HHC Endowment LLC
R$35,676,454FMV
Hartford Hospital
S$2,000,000FMV
Hartford HealthCare Medical Group Inc
M$69,269FMV