2017-08-15T17:44:33-05:00 2016-09-30 111986323 Marcum LLP 53 State Street Boston MA 02109 990 2015-10-01 222546079 EASTERN CONNECTICUT HEALTH NETWORK INC EAST 8606461222 71 HAYNES STREET MANCHESTER CT 06040 ROBERT A SCHWARTZ MD PRESIDENT 8606461222 2017-08-15 1 DOUGLAS FARRINGTON P00370668 6178075000 2017-08-15 2015 2021-01-29 14:40:06Z ROBERT A SCHWARTZ MD 71 HAYNES STREET MANCHESTER CT 06040 33725185 0 X WWW.ECHN.ORG X 1995 CT INTEGRATED HEALTHCARE SYSTEM. 11 6 0 0 0 0 305848 286499 31403999 33413776 13248 24910 0 0 31723095 33725185 0 0 0 0 0 0 0 0 0 31608723 39323246 31608723 39323246 114372 -5598061 21859754 26779124 17774777 27870479 4084977 -1091355 X ECHN'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES WITH COMPETENCE AND COMPASSION. WE WILL PROVIDE HEALTH CARE SERVICES THAT EXCEED THE EXPECTATIONS OF OUR PATIENTS, PHYSICIANS AND COMMUNITY. 0 0 39323246 33413776 ECHN PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED AND CONTRACTUAL RATES. ECHN DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; AS SUCH, THESE AMOUNTS ARE NOT REPORTED AS REVENUE. CHARITY CARE FOR FY 2016 WAS $3,805,246, FOR 1,450 TOTAL APPROVED APPLICANTS AT MMH AND RGH. EXPENSES RELATED TO SERVICES PERFORMED FOR PATIENTS OF ECHN, INC. CONTRIBUTE IMPORTANTLY TO ITS EXEMPT PURPOSE BECAUSE THE EXPENSES ARE INCURRED IN THE DIAGNOSIS, CURE, MITIGATION, TREATMENT AND PREVENTION OF DISEASE, AND FOR MEDICAL PURPOSES AFFECTING THE STRUCTURE OR FUNCTION OF THE HUMAN BODY. ECHN, INC. PROVIDED NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. AT MMH AND RGH, 11,494 INPATIENTS WERE CARED FOR IN FY16 REPRESENTING 54,797 PATIENT DAYS; 266,281 OUTPATIENT VISITS WERE RECORDED. INCLUDED IN THE 11,494 INPATIENTS WERE 7,717 GOVERNMENT RELATED PATIENTS. THE GOVERNMENT INPATIENTS FALL INTO THE FOLLOWING GROUPS.MEDICARE 3,475 MEDICARE MGD 1,311 MEDICAID 2,881 CHAMPUS 50 TOTAL GOV 7,717 INCLUDED IN THE 266,281 OUTPATIENT VISITS WERE 155,361 GOVERNMENT RELATED VISITS. THE VISITS ARE A PRODUCT OF GROSS REVENUE RELATIONSHIP TO TOTAL VISITS. THE GOVERNMENT VISITS FALL INTO THE FOLLOWING GROUPS.MEDICARE 82,362 MEDICARE MGD 35,797 MEDICAID 36,275 CHAMPUS 927 TOTAL GOV 155,361 MMH AND RGH PROVIDED UNCOMPENSATED CARE TO 64,329 MEDICAID PATIENTS FOR A NET COMMUNITY BENEFIT AMOUNT OF $18,490,975 AFTER MEDICAID REIMBURSEMENT. ADDITIONAL INFORMATION REGARDING PROGRAMS FOR THE COMMUNITY AT MMH AND RGH: 2016 PERSONS 2016 BENEFITS COMMUNITY HEALTH IMPROVEMENT SERVICES (A) COMMUNITY HEALTH EDUCATION (A1) 138,828 537,190 COMMUNITY BASED CLINICAL SERVICES (A2) 202 28,329 HEALTH CARE SUPPORT SERVICES (A3) 3,869 422,171 **** COMMUNITY HEALTH IMPROVEMENT SERVICES 142,899 987,690 HEALTH PROFESSIONS EDUCATION (B) PHYSICIANS/MEDICAL STUDENTS (B1) 102 1,971,444 NURSES/NURSING STUDENTS (B2) 531 614,449 OTHER HEALTH PROFESSIONAL EDUCATION (B3) 528 205,670 **** HEALTH PROFESSIONS EDUCATION 1,161 2,791,563 SUBSIDIZED HEALTH SERVICES (C) NEONATAL INTENSIVE CARE (C2) 192 1,646,107 HOSPITAL OUTPATIENT SERVICES (C3) 1,563 273,045 WOMEN'S AND CHILDREN'S SERVICES (C5) 973 513,786 RENAL DIALYSIS SERVICES (C6) 553 206,176 BEHAVIORAL HEALTH SERVICES (C8) 0 524,757 **** SUBSIDIZED HEALTH SERVICES 3,281 3,163,871 RESEARCH (D) OTHER RESEARCH (D3) 0 49,674 **** RESEARCH 0 49,674 FINANCIAL AND IN-KIND CONTRIBUTIONS (E) CASH DONATIONS (E1) 0 23,598 GRANTS (E2) 0 61,886 IN-KIND DONATIONS (E3) 12,423 112,558 **** FINANCIAL AND IN-KIND CONTRIBUTIONS 12,423 198,042 COMMUNITY BUILDING ACTIVITIES (F) COMMUNITY SUPPORT (F3) 686 153,418 COALITION BUILDING (F6) 0 42,683 WORKFORCE DEVELOPMENT (F8) 25 63,146 **** COMMUNITY BUILDING ACTIVITIES 711 259,247 COMMUNITY BENEFIT OPERATIONS (G) DEDICATED STAFF (G1) 0 159,395 COMMUNITY NEEDS/HEALTH ASSETS ASSESSMENT (G2) 0 55,000 **** COMMUNITY BENEFIT OPERATIONS 0 214,395 FINANCIAL ASSISTANCE FINANCIAL ASSISTANCE 1,450 888,210 **** FINANCIAL ASSISTANCE 1,450 888,210 GOVERNMENT SPONSORED HEALTH CARE MEDICAID 64,329 18,490,974 **** GOVERNMENT SPONSORED HEALTH CARE 64,329 18,490,974 TOTALS - COMMUNITY BENEFIT 226,254 27,043,666 TOTALS INCLUDING MEDICARE AND BAD DEBT 226,254 27,043,666 39323246 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 1 CJ 0 0 0 0 0 0 X 11 6 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X NICHOLAS JAMIESON 8606461222 320 MAIN STREET MANCHESTER CT 06040 Dennis O'Neill MD Chairman 1.00 4.00 X X 0 0 0 Joy Dorin Vice Chair 1.00 2.00 X X 0 0 0 Michele Conlon MD Secretary 1.00 2.00 X X 0 0 0 Donald Genovesi Treasurer 1.00 2.00 X X 0 0 0 Thomasina Clemons Trustee 1.00 2.00 X 0 0 0 Anthony DiStefano MD Trustee 1.00 2.00 X 0 0 0 David Gonci Trustee 1.00 2.00 X 0 0 0 Eric Kloter Trustee 1.00 4.00 X 0 0 0 Kathleen A O'Neill Trustee 1.00 4.00 X 0 0 0 Maher Suede Trustee 1.00 2.00 X 0 0 0 Peter J Karl President and CEO 1.00 60.00 X X 0 866048 23743 Michael D Veillette Senior Vice President, Chief Financial Officer 1.00 60.00 X 0 495281 23743 Dennis McConville Senior Vice President, Strategic Planning 1.00 60.00 X 0 357372 9272 Joel Reich MD Senior Vice President, Medical Affairs 1.00 60.00 X 0 487147 17694 Mary Powers SVP, PATIENT CARE SERVICES 1.00 60.00 X 0 259352 9316 Robert Carroll MD Medical Director, Emergency Department 1.00 60.00 X 0 557457 23743 Joyce Tichy General Counsel 1.00 60.00 X 0 423800 23743 Deborah Parker Executive Vice President, Chief Clinical Officer 1.00 60.00 X 0 226407 1655 Deborah Gogliettino Senior Vice President, Human Resouces 1.00 60.00 X 0 141600 1159 0 3814464 134068 0 1 1 0 0 286499 286499 Affiliation Charge 900099 31048979 31048979 Other Healthcare related 621990 1406066 1406066 partnership and other 900099 958731 958731 33413776 24910 24910 33725185 33413776 0 24910 462003 462003 43914 43914 37500 37500 1718318 1718318 509053 509053 2618797 2618797 5493462 5493462 640392 640392 10316 10316 97215 97215 48687 48687 83756 83756 3498986 3498986 Allocated wages & benef 13014637 13014637 depreciation - impairme 5632432 5632432 Due diligence 2652415 2652415 Outside Services 1694576 1694576 1066787 1066787 39323246 39323246 0 0 93135 1122332 79222 121520 624630 1580658 1768409 1381953 14354398 144456 4939960 22428205 21859754 26779124 1432414 1045328 61740 63594 1128686 545401 15151937 26216156 17774777 27870479 X 3761845 -1091355 323132 0 4084977 -1091355 21859754 26779124 X -5598061 421729 X 0 1 X 1 0 X X 3 MANCHESTER MEMORIAL HOSPITAL 060646710 3 1 0 0 ROCKVILLE GENERAL HOSPITAL 060653151 3 1 0 0 ECHN ELDERCARE SERVICES INC 061149193 9 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 Part IV, Section D, Line 3: THERE IS SIGNIFICANT OVERLAP OF THE TRUSTEES, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION AND THE SUPPORTED ORGANIZATIONS. THE TRUSTEES, OFFICERS AND KEY EMPLOYEES OF THE SUPPORTED ORGANIZATIONS HAVE CLOSE WORKING RELATIONSHIPS WITH THE TRUSTEES, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION REGARDING ITS INVESTMENT POLICIES AND USE OF FUNDS. Part IV, Section E, Line 3a: FOR MANCHESTER MEMORIAL HOSPITAL (MMH) AND ROCKVILLE GENERAL HOSPITAL (RGH), THE OFFICERS, DIRECTORS AND TRUSTEES ARE THE SAME AS THOSE AT THE ORGANIZATION. FOR ECHN ELDERCARE SERVICES, INC. AND VISITING NURSE & HEALTH SERVICES OF CT, INC. THE ORGANIZATION HAS THE POWER TO APPOINT OFFICERS, DIRECTORS AND TRUSTEES. Part IV, Section E, Line 3b: AS THE SOLE MEMBER OF EACH SUPPORTED ORGANIZATION, THE ORGANIZATION HAS THE POWER TO MAKE THE FINAL DECISIONS OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 37500 0 0 37500 0 Part II-B, Line 1: WE ARE MEMBERS AND PAY DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE CONNECTICUT HOSPITAL ASSOCIATION. THESE ASSOCIATIONS ENGAGE IN DIRECT COMMUNICATIONS WITH MEMBERS OF FEDERAL, STATE AND LOCAL GOVERNMENTS TO INFLUENCE LEGISLATION AFFECTING THE HEALTH CARE INDUSTRY. LOBBYING FEES OF $37,500 WERE PAID TO A LOBBYING FIRM TO INFLUENCE HEALTH CARE RELATED LEGISLATION. 0 Due From Affliates 22428205 22428205 Due to Affiliates 26216156 26216156 X Part X, Line 2: The network accounts for uncertain tax positions in accordance with provisions of FASB ASC 740, "income taxes" which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their consolidated financial statements. The network may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The network does not have any uncertain tax positions as of september 30, 2016 and 2015. The network's policy is to include penalties and interest as a component of income tax expense, when applicable. As of September 30, 2016 and 2015, the network did not record any penalties or interest associated with uncertain tax positions. Generally, the network's prior three tax years are open and subject to examination by the internal revenue service. X X X X X 0 1 0 0 0 0 0 0 0 Peter J Karl President and CEO 0 607548 0 258500 0 0 0 0 0 23743 0 889791 0 0 Michael D Veillette Senior Vice President, Chief Financi 0 364031 0 131250 0 0 0 0 0 23743 0 519024 0 0 Dennis McConville Senior Vice President, Strategic Pla 0 226122 0 131250 0 0 0 0 0 9272 0 366644 0 0 Joel Reich MD Senior Vice President, Medical Affai 0 355897 0 131250 0 0 0 0 0 17694 0 504841 0 0 Mary Powers SVP, PATIENT CARE SERVICES 0 244352 0 15000 0 0 0 0 0 9316 0 268668 0 0 Robert Carroll MD Medical Director, Emergency Departme 0 410665 0 146792 0 0 0 0 0 23743 0 581200 0 0 Joyce Tichy General Counsel 0 292550 0 131250 0 0 0 0 0 23743 0 447543 0 0 Deborah Parker Executive Vice President, Chief Clin 0 126407 0 100000 0 0 0 0 0 1655 0 228062 0 0 Deborah Gogliettino Senior Vice President, Human Resouce 0 141600 0 0 0 0 0 0 0 1159 0 142759 0 0 SCHEDULE J, PART I, LINE 3 THE BOARD OF TRUSTEES (THE "BOARD") APPOINTS AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") AND HAS DELEGATED THE RESPONSIBILITY OF COMPLETING AN ANNUAL MARKET ANALYSIS OF THE CEO'S COMPENSATION AND OTHER SENIOR EXECUTIVES AND COMPLETION OF THE CEO'S ANNUAL PERFORMANCE REVIEW. THE EVALUATION OF THE CEO IS AN IMPORTANT RESPONSIBILITY OF THE BOARD AND IS CRITICAL TO THE GOVERNANCE RESPONSIBILITIES OF THE BOARD. THE EXECUTIVE COMPENSATION COMMITTEE SOLICITS FEEDBACK ABOUT THE PERFORMANCE OF THE CEO FROM EVERY ACTIVE BOARD MEMBER WHICH WHEN RECEIVED IS ANALYZED AND REVIEWED BY THE MEMBERS OF THE COMMITTEE. THE CEO COMPLETES A SELF-EVALUATION AND AN EVALUATION FOR ALL ELIGIBLE MEMBERS OF THE SENIOR LEADERSHIP TEAM, WHO COMPLETE BOTH A SELF-EVALUATION AND A PEER EVALUATION. THE RESULTS OF THE ASSESSMENTS COMPLETED BY MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED BY THE CEO WHO DISCUSSES THE RESULTS WITH THE MEMBERS OF THE COMMITTEE ON AN ANNUAL BASIS. THE EXECUTIVE COMPENSATION COMMITTEE IN COLLABORATION WITH THE CEO EVALUATES AND APPROVES ORGANIZATIONAL PERFORMANCE OBJECTIVES BOTH ON AN ANNUAL AND LONG TERM BASIS AND FOCUSES ON THOSE GOALS WITH THE GREATEST IMPACT TO THE ORGANIZATION'S STRATEGY AND MISSION. THE COMMITTEE ENSURES AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE IN RELATION TO THESE GOALS; REVIEWS THE TALLY SHEETS TO UNDERSTAND THE ECONOMICS OF THE EMPLOYEE BENEFITS; RETAINS AND ENSURES THE INDEPENDENCE OF ITS EXTERNAL CONSULTANTS AND ADVISORS AND INVOLVES RELEVANT ORGANIZATIONAL RESOURCES AS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES. THE COMMITTEE ENSURES TRANSPARENCY AND DISCLOSURE TO THE BOARD BY PRESENTING THE RESULTS OF THE ANNUAL PERFORMANCE AND MARKET REVIEWS PROVIDING THE BOARD WITH THE OPPORTUNITY FOR FURTHER INPUT AND CONSIDERATION AND ASKING THAT THE BOARD TAKE ACTION ON THE RECOMMENDATION OF THE COMMITTEE IF THE RECOMMENDATION IS APPROPRIATE. THE BOARD HAS THE OPPORTUNITY TO CHANGE ANY RECOMMENDATIONS OF THE COMMITTEE IF IT SO DESIRES. MEMBERS OF THE BOARD AND OF THE COMMITTEE WHO MAY BE INTERESTED PARTIES ARE ASKED TO RECUSE THEMSELVES FROM ANY REQUIRED VOTES TO AVOID CONFLICTS OF INTEREST. THE COMMITTEE ENSURES THAT THE PROCESS MEETS COMPLIANCE STANDARDS. SCHEDULE J, PART I, LINE 5 THE ECHN EXECUTIVE INCENTIVE COMPENSATION PLAN IS A PLAN THAT HAS BEEN DEVELOPED, REVIEWED AND IS ANNUALLY APPROVED BY MEMBERS OF THE BOARD EXECUTIVE COMPENSATION COMMITTEE WITH CONSULTANT THIRD PARTY OVERSIGHT. THE PLAN ESTABLISHES GOALS IN 4 AREAS OF PERFORMANCE: SYSTEM-WIDE FINANCIAL PERFORMANCE BASED ON PROFIT FROM OPERATIONS, TWO QUALITY OUTCOMES IN CLINICAL CORE MEASURES AND PATIENT SATISFACTION AND AN INDIVIDUAL GOAL (WHICH HAS A SEPARATE MEASUREMENT FOR TEAM ASSESSMENT) FOR EACH MEMBER OF THE INCENTIVE PROGRAM. THERE IS NO EXECUTIVE COMPENSATION TIED TO THE REVENUES OF THE REPORTING ORGANIZATION OR OTHER RELATED ENTITIES. THERE IS EXECUTIVE COMPENSATION TIED TO THE NET EARNINGS (INCOME FROM OPERATIONS), AS NOTED IN THE PRIOR PARAGRAPH, HOWEVER IT IS ONE OF FOUR PERFORMANCE LEVERS THAT DETERMINE THE LEVEL OF COMPENSATION. THE AGGREGATE NET EARNINGS OF THE ECHN "SYSTEM NOT ANY ONE REPORTING ORGANIZATION OR RELATED ENTITIES OF ECHN DETERMINE THIS COMPENSATION. SO TO CONCLUDE, THE ANSWER TO THESE 4 QUESTIONS IS "NO" WITH THE CLARIFICATION THAT IT IS THE PERFORMANCE OF THE ENTIRE SYSTEM AS A WHOLE THAT DETERMINES EXECUTIVE COMPENSATION, NOT ONE REPORTING ORGANIZATION OR A RELATED ENTITY. MEMBERS OF THE INCENTIVE PROGRAM INCLUDE THE FOLLOWING: POSITION TITLE - KEY EMPLOYEE NAME PRESIDENT AND CEO - PETER J. KARL SVP, CHIEF FINANCIAL OFFICER - MICHAEL D. VEILLETTE SVP, HUMAN RESOURCES - DEBORAH GOGLIETTINO SVP, STRATEGIC PLANNING - DENNIS MCCONVILLE SVP, MEDICAL AFFAIRS - JOEL REICH, MD SVP, GENERAL COUNSEL - JOYCE TICHY Addendum for calendar year 2015: The ECHN Board of Trustees and the Board Compensation Committee replaced the executive short term incentive compensation program with a retention (or "stay") program pertaining to key senior ECHN executives. The purpose of this change was to ensure that the Prospect Medical Holdings (PMH) acquisition process be successfully executed through the closing date, and help provide a smooth transition of ownership. The move to this program and away from the short term incentive compensation structure was approved by the ECHN Board, as recommended by the Compensation Committee in the latter part of calendar year 2013. This decision was driven by the acquisition process and the Board's concern around executive departure. SCHEDULE J, PART II THE SALARY INFORMATION PROVIDED WITHIN SCHEDULE J REPRESENTS CALENDAR YEAR 2015 WAGES AND BENEFITS. DR DENNIS O'NEILL DR MICHELE CO DRS. O'NEILL AND CONLON, ECHN trustees each owning more than 5% of Eastern 0 Amount of transaction $0. Payments of $631,312 were reported on the MMH and RGH 990 Schedule L. ECHN, Inc. does not make any payment to ECPC, PC as MMH pays 2/3 and RGH pays 1/3.ECPC contracts with ECHN, Inc. to provide pathology services and lab management services to MMH and RGH. All payments made to ECPC are for purposes of operating the business and maintaining operating cashflow; payments are not directly to any of the owners. 0 Kathleen O'Neill ECHN trustee and the wife of Dr. Dennis O'Neill, trustee for all affiliates 0 ECNN TRUSTEE AND THE WIFE OF DR. DENNIS O'NEILL, TRUSTEE FOR ALL AFFILIATES REPORTABLE who has a reportable TRANSACTION AS NOTED ABOVE. 0 Dr Gordon Brodie ECHN trustee with ownership in Healthwise Medical Associates, LLP (HMA). 196992 Payment of $196,992 reported on ECHN 990 Schedule L only. Payment made directly to HMA, LLP not Dr. Brodie. HMA leases office space to ECMPF, an affiliate of ECHN, Inc.; payments represent total paid by ECMPF, a related entity of ECHN, Inc. 0 Anthony Distefano MD Former ECHN trustee and spouse of Lizanne DiStefano, RGH employee 0 Lizanne DiStefano, spouse, is employed by Rockville General Hospital, an affiliate of ECHN.Payment of $22,469 made by RGH. ECHN did not make any payments. Salary paid to Lizanne DiStefano as an employee of RGH. 0 Jeffrey Heidtman Former ECHN trustee owning more than 5% of Fibro Cheney LLC. 294088 Payment of $294,088 reported on ECHN 990 Schedule L only. Payment made directly to Fibro Cheney, not Mr. Heidtman. Fibro Cheney leases office space to ECMPF, an affiliate of ECHN; payments represent total paid by ECMPF, a related entity of ECHN, Inc. 0 Wilson Vega Former ECHN trustee and president of Connecticut Business Systems (CBS). 0 Payment of $296,437 reported on the MMH and RGH 990 Schedule L. ECHN, Inc. does not make any payments to CBS. Approximately 2/3 is paid by MMH and 1/3 by RGH. CBS contracts with ECHN, Inc. to provide copier services to MMH and RGH. 0 Form 990, Part VI, Section A, line 2 DENNIS O'NEILL AND MICHELE CONLON -BUSINESS RELATIONSHIP DENNIS O'NEILL AND KATHLEEN O'NEILL -FAMILY RELATIONSHIP Form 990, Part VI, Section A, line 7a CORPORATORS HAVE THE AUTHORITY TO ELECT BOARD MEMBERS. Form 990, Part VI, Section A, line 7b CORPORATORS HAVE THE AUTHORITY TO VOTE ON SIGNIFICANT ISSUES. Form 990, Part VI, Section B, line 11 PRIOR TO THE FILING OF THE FORM 990, THE FOLLOWING STEPS ARE TAKEN: 1) THE ACCOUNTING MANAGER, TOGETHER WITH OTHER MEMBERS OF THE FINANCE DEPARTMENT, CONDUCT A REVIEW OF THE FORM 990 ALONG WITH A REVIEW AND RECONCILIATION OF THE FORM 990 TO THE AUDITED FINANCIAL STATEMENTS; 2) THE ACCOUNTING MANAGER CONDUCTS AN EXTENSIVE REVIEW AND DISCUSSION OF THE FORM 990 WITH THE CPA FIRM THAT PREPARES THE RETURN; 3) AN ELECTRONIC COPY OF THE FORM 990 IS MADE AVAILABLE TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (THE GOVERNING BOARD), AND SENIOR MANAGEMENT OF THE ORGANIZATION, FOR REVIEW. Form 990, Part VI, Section B, line 12c ANNUALLY, THE CORPORATE COMPLIANCE/INTERNAL AUDIT DEPARTMENT PROVIDES TO OFFICERS, DIRECTORS, OR TRUSTEES AND KEY EMPLOYEES THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND DISCLOSURE STATEMENT, AND EACH INDIVIDUAL IS REQUIRED TO RETURN TO THE DEPARTMENT, A SIGNED DOCUMENT, ACKNOWLEDGING RECEIPT OF THE POLICY AND DISCLOSURE STATEMENT AND DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. A SUMMARY OF THE DISCLOSURES IS SHARED WITH THE CHAIRMAN OF THE BOARD OF TRUSTEES AND WITH THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD. INDIVIDUALS WHO ARE IDENTIFIED AS HAVING A CONFLICT OF INTEREST ARE PROHIBITED IN PARTICIPATING IN THE GOVERNING BODIES DELIBERATIONS AND DECISIONS RELATED TO THE TRANSACTION. THE RETURNED STATEMENTS ARE RETAINED BY THE CORPORATE COMPLIANCE/INTERNAL AUDIT DEPARTMENT Form 990, Part VI, Section B, line 15 THE COMPENSATION COMMITTEE TAKES THE FOLLOWING STEPS WITH AN INDEPENDENT COMPENSATION CONSULTANT (1) REVIEWS DATA RELATED TO CURRENT MARKET VALUES CONSISTENT FOR ORGANIZATION'S EXECUTIVES BY REVIEW OF COMPENSATION LEVELS AND PLANS CONSISTENT WITH HOSPITALS AND HEALTH SYSTEMS OF COMPARABLE SIZE AND LOCATION; (2) COMPLETES A REVIEW OF DATA ON CURRENT AND FUTURE PLANS FOR THE ORGANIZATION, INCLUDING STRUCTURE AND JOB DESCRIPTIONS; (3) REVIEWS AND APPROVES AND RECOMMEND SALARY RANGES FOR EACH POSITION, ALONG WITH RELATED BENEFITS; (4) REVIEWS AND APPROVES A TIERED EXECUTIVE STRUCTURE WITH APPROPRIATE INCENTIVE OPPORTUNITY, BENEFITS, AND COMPENSATION. THE DATE OF THE LAST COMPENSATION REVIEW WAS 3/19/15. Form 990, Part VI, Section C, line 19 THE ORGANIZATION, WILL, UPON REQUEST, ALLOW FOR REVIEW OF OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND MOST RECENT ANNUAL AUDITED FINANCIAL STATEMENTS AT AN OFFICE OF THE ORGANIZATION. Form 990, Part XI, line 9: Other transfers to/from affiliates Transfers from Foundation 779,233. Transfers from RGH 1,729,425. Transfers from MMH 3,934,812. Transfers to ECMPF -6,021,741. clinically integrated network of eastern connecticut llc 26 haynes street manchester CT 06040 464998303 health care management services CT 0 0 eastern connecticut health network inc VISITING NURSE & HEALTH SERVICES OF CT INC 8 KEYNOTE DRIVE KEYNOTE DRIVE CT 06066 060645795 HOME HEALTHCARE SERVICES CT 501(c)(3) Line 9 echn 1 MANCHESTER MEMORIAL HOSPITAL 71 HAYNES STREET MANCHESTER CT 06040 060646710 Hospital CT 501(c)(3) Line 3 ECHN 1 ROCKVILLE GENERAL HOSPITAL INC 31 UNION STREET Rockville CT 06066 060653151 Hospital CT 501(c)(3) Line 3 ECHN 1 ECHN ELDERCARE SERVICES INC 26 SHENIPSIT LAKE ROAD Tolland CT 06084 061149193 Skilled Nursing Facility CT 501(c)(3) Line 9 ECHN 1 EASTERN CONNECTICUT MEDICAL PROFESSIONAL FOUNDATION iNc 71 HAYNES STREET MANCHESTER CT 06040 222546078 Physician Services CT 501(c)(3) Line 3 ECHN 1 ECHN COMMUNITY HEALTHCARE FOUNDATION INC 71 HAYNES STREET MANCHESTER CT 06040 222546080 Fundraising/Support CT 501(c)(3) Line 7 ECHN 1 ECHN ENTERPRISES INC 71 HAYNES STREET MANCHESTER CT 06040 222546828 real estate holding CT ECHN C 2334681 1.00000 1 HAYNES STREET PROPERTY MANAGEMENT LLC 71 HAYNES STREET MANCHESTER CT 06040 222546028 REAL ESTATE PROPERTY MANAGEMENT CT N/A C 1 CONNECTICUT HEALTHCARE INSURANCE COMPANY PO BOX 1109 cayman islands CJ 980623043 CAPTIVE INSURANCE CJ ECHN C -6672044 7164461 1.00000 1 ECHN CORPORATE SERVICES 71 HAYNES STREET MANCHESTER CT 06040 271596320 BILLING AND OTHER PRACTICE MANAGEMENT SERVICES CT echn C -175468 1077917 1.00000 1 1 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 Eastern CT Medical Professionals Foundation J 50112 MARKET VALUE Eastern CT Medical Professionals Foundation L 150000 CONTRACT ECHN Community HealthCare Foundation Inc M 36535 COST ECHN Corporate Services Inc D 0 CASH ECHN ElderCare Services Inc L 364701 COST Manchester Memorial Hospital L 20891594 COST Manchester Memorial Hospital M 45008 COST Rockville General Hospital L 9792458 COST