CHARLOTTE HUNGERFORD HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: CHARLOTTE HUNGERFORD HOSPITAL (EIN 06-0646678)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-09
IRS object ID: 201742219349301024
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-09T14:00:08-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	175 Powder Forest Drive	AddressLine1Txt
City	Simsbury	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	060897902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646678	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Charlotte Hungerford Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHAR	BusinessNameControlTxt
Phone	8604966728	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET PO BOX 988	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	067900988	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUSAN M SCHAPP	PersonNm
Person Title	VP FINANCE/TREASURER	PersonTitleTxt
Signature	2017-04-25	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KRISTIN ANDERSON	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	8606789200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN M SCHAPP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET PO BOX 988	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	067900988	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$134,985,928	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHARLOTTEHUNGERFORD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1917	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE QUALITY, COMPASSIONATE AND COST EFFECTIVE HEALTHCARE TO THE COMMUNITY OF NORTHWESTERN CONNECTICUT.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	1213	TotalEmployeeCnt
Total Volunteers	161	TotalVolunteersCnt
Total Gross UBI	$974,875	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,042,196	PYContributionsGrantsAmt
CY Contributions Grants	$3,407,167	CYContributionsGrantsAmt
PY Program Service Revenue	$117,560,638	PYProgramServiceRevenueAmt
CY Program Service Revenue	$113,594,092	CYProgramServiceRevenueAmt
PY Investment Income	$3,147,645	PYInvestmentIncomeAmt
CY Investment Income	$3,373,388	CYInvestmentIncomeAmt
PY Other Revenue	$457,183	PYOtherRevenueAmt
CY Other Revenue	$443,813	CYOtherRevenueAmt
PY Total Revenue	$124,207,662	PYTotalRevenueAmt
CY Total Revenue	$120,818,460	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$71,960,031	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,849,166	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$392,448	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,378,090	PYOtherExpensesAmt
CY Other Expenses	$55,493,992	CYOtherExpensesAmt
PY Total Expenses	$122,350,121	PYTotalExpensesAmt
CY Total Expenses	$125,356,158	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,857,541	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,537,698	CYRevenuesLessExpensesAmt
Total Assets BOY	$133,432,509	TotalAssetsBOYAmt
Total Assets EOY	$143,816,112	TotalAssetsEOYAmt
Total Liabilities BOY	$62,057,302	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$87,951,626	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$71,375,207	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$55,864,486	NetAssetsOrFundBalancesEOYAmt
Mission	THE 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 WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS 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 AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGAMS FOR THE ELDERLY, HANDICAPPED, THE MEDICALLY UNDERSERVED AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$110,190,132	ExpenseAmt
Grant	$13,000	GrantAmt
Revenue	$112,811,363	RevenueAmt
Desc	DURING FY 2016 THE HOSPITAL CONTRIBUTED OVER 13,000 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE NEEDS OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $128,000, WHICH IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND OTHER "WELLNESS" PROGRAMS. IN ADDITION THE HOSPITAL GRANTED CHARITY CARE IN THE AMOUNT OF $695,328 DURING FISCAL YEAR 2015. THE CHARLOTTE HUNGERFORD HOSPITAL RENDERED THE FOLLOWING SERVICES DURING FY 2016: INPATIENT SERVICES: DISCHARGES 5,557 PATIENT DAYS 23,247 SPECIAL SERVICES: OPERATING ROOM CASES 3,617 AMBULATORY SURGERY CASES 2,892 ENDOSCOPY CASES 1,023 AMBULATORY MEDICAL CASES 2,457 WOUND CARE CASES 6,837 POST ANESTHESIA CARE UNIT CASES 2,054 DELIVERY ROOM DELIVERIES 397 RESPIRATORY THERAPY TREATMENTS 35,037 PULMONARY REHAB TESTS 4,807 PULMONARY FUNCTION LAB TESTS 1,764 CARDIO DIAGNOSTIC EXAMS 12,315 EEG EXAMS 513 PHYSICAL THERAPY TREATMENTS 38,800 CARDIAC REHAB TREATMENTS 3,286 SPEECH THERAPY TREATMENTS 668 OCCUPATIONAL THERAPY TREATMENTS 3,803 SLEEP STUDY TESTS 591 DIAGNOSTIC RADIOLOGY EXAMS 23,917 MAMMOGRAPHY EXAMS 8,922 NUCLEAR MEDICINE EXAMS 754 ULTRASOUND EXAMS 9,300 C.A.T. SCAN EXAMS 14,637 P.E.T. SCAN EXAMS 195 M.R.I. EXAMS 1,483 SPECIAL PROCEDURES (RADIOLOGY) EXAMS 1,278 RADIATION THERAPY TREATMENTS 7,721 LABORATORY TESTS 520,319 PSYCHIATRIC CLINIC VISITS 39,184 PHP-ADULT/ADOLESCENT VISITS 4,545 RENAL DIALYSIS VISITS 293 EMERGENCY DEPARTMENT VISITS 34,412 WALK IN CENTER VISITS 13,285 PROFESSIONAL SERVICE CONSULTS 125,530 HUNGERFORD EMERGENCY MEDICAL CENTER: CARDIAC REHAB TREATMENTS 1,697 DIAGNOSTIC RADIOLOGY EXAMS 3,450 LABORATORY TESTS 16,326 EMERGENCY DEPARTMENT VISITS 6,011 PULMONARY REHAB TESTS 2,075	Desc
Total Program Service Expenses	$110,190,132	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	216	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1213	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN M SCHAPP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8604966728	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06790	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE LIBBY CPA
VICE CHAIRMAN	8.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID J FRAUENHOFER
SECRETARY	2.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN JANCO
CHAIRMAN	8.0	Yes (X)	Yes (X)	$0	$0	$0
EDWARD ARUM
GOVERNOR	3.0	Yes (X)		$0	$0	$0
RICHARD DUTTON MD
GOVERNOR	2.0	Yes (X)		$0	$0	$0
GLADYS CERRUTO
GOVERNOR	2.0	Yes (X)		$0	$0	$0
JAMIE GREG
GOVERNOR	2.0	Yes (X)		$0	$0	$0
KENDRICK HOM MD
GOVERNOR	40.0	Yes (X)		$211,692	$0	$28,299
JOHN LAVIERI
GOVERNOR	2.0	Yes (X)		$0	$0	$0
JAMES O' LEARY
GOVERNOR	2.0	Yes (X)		$0	$0	$0
EDWIN G BOOTH JR
GOVERNOR	2.0	Yes (X)		$0	$0	$0
FRANK BUONOCORE JR
GOVERNOR	2.0	Yes (X)		$0	$0	$0
STEPHANIE FOWLER MD
GOVERNOR	2.0	Yes (X)		$0	$0	$0
MICHAEL PATTERSON
GOVERNOR	2.0	Yes (X)		$0	$0	$0
CHARLES W RORABACK
GOVERNOR	2.0	Yes (X)		$0	$0	$0
ANDREW SZCZEPENSKI MD
GOVERNOR	2.0	Yes (X)		$0	$0	$0
DANIEL J MCINTYRE
CEO/PRESIDENT	60.0		Yes (X)	$531,366	$0	$108,732
SUSAN M SCHAPP
VP FINANCE/ TREASURER	60.0		Yes (X)	$315,742	$0	$64,165
JOHN J CAPOBIANCO
VP OPERATIONS	60.0			$283,162	$0	$60,926	Yes (X)
MARK PRETE MD
VP MEDICAL AFFAIRS	60.0			$321,135	$0	$71,917	Yes (X)
BRIAN MATTIELLO
VP ORGANIZATIONAL DEVELOPMENT / HR	60.0			$224,038	$0	$32,056	Yes (X)
MUSTAFA UGURLU
PHYSICIAN	60.0			$407,752	$0	$52,842		Yes (X)
TIMOTHY GOSTKOWSKI MD
PHYSICIAN	60.0			$504,156	$0	$64,532		Yes (X)
WILLIAM MCGEEHIN MD
PHYSICIAN	60.0			$482,756	$0	$62,782		Yes (X)
DAVID FRECCERO MD
PHYSICIAN	60.0			$594,585	$0	$67,567		Yes (X)
Robert Kahan MD
Physician	60.0			$348,333	$0	$45,005		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,224,717	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$658,823	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	78	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Quest Diagnostics Inc
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	LABORATORY SERVICES / TESTS	$4,882,998
Morrison Health Care Inc
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICES	$1,597,074
ADULT & PEDIATRIC UROLOGY OF NW CONNECTICUT
538 LITCHFIELD STREET	TORRINGTON	CT	06790	UROLOGY SERVICES	$1,582,659
Crothall Healthcare Inc
1500 Liberty Ridge Drive	Wayne	PA	19087	Cleaning/management services	$1,253,540	Suite 210
PAC Group LLC
126 South Main Street	Torrington	CT	06790	Construction management	$1,060,250	Suite 200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Membership Dues	$1,630	MembershipDuesAmt
Government Grants	$1,964,900	GovernmentGrantsAmt
All Other Contributions	$1,440,637	AllOtherContributionsAmt
Total Contributions	$3,407,167	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$101,564,718	$101,564,718
LABORATORY SERVICES	621500	$8,677,343	$7,735,998	$941,345
OTHER HOSPITAL SERVICES	900099	$3,352,031	$3,352,031

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$113,594,092	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,478,902	TotalRevenueColumnAmt
Exclusion	$1,478,902	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$502,635	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$344,019	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$158,616	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$158,616	TotalRevenueColumnAmt
Related Or Exempt Func Income	$158,616	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,536,755	SecuritiesAmt
Other	$32,090	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$13,651,104	SecuritiesAmt
Other	$23,255	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,885,651	SecuritiesAmt
Other	$8,835	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,894,486	TotalRevenueColumnAmt
Exclusion	$1,894,486	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$172,258	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$61,399	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,859	TotalRevenueColumnAmt
Exclusion	$110,859	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$176,086	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$87,691	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,395	TotalRevenueColumnAmt
Exclusion	$88,395	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INCOME FROM JOINT VENTURES	900001	$52,413	$52,413
MEDCONN	561499	$33,530		$33,530

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$85,943	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,818,460	TotalRevenueColumnAmt
Related Or Exempt Func Income	$112,811,363	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$974,875	UnrelatedBusinessRevenueAmt
Exclusion	$3,625,055	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$13,000	TotalAmt
Program Services	$13,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,843,360	TotalAmt
Program Services	$1,382,520	ProgramServicesAmt
Management And General	$460,840	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,296,961	TotalAmt
Program Services	$48,383,599	ProgramServicesAmt
Management And General	$5,721,981	ManagementAndGeneralAmt
Fundraising	$191,381	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,037,981	TotalAmt
Program Services	$1,806,588	ProgramServicesAmt
Management And General	$224,446	ManagementAndGeneralAmt
Fundraising	$6,947	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,970,247	TotalAmt
Program Services	$7,065,301	ProgramServicesAmt
Management And General	$877,776	ManagementAndGeneralAmt
Fundraising	$27,170	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,700,617	TotalAmt
Program Services	$3,280,447	ProgramServicesAmt
Management And General	$407,555	ManagementAndGeneralAmt
Fundraising	$12,615	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,085,851	TotalAmt
Program Services	$8,054,239	ProgramServicesAmt
Management And General	$1,000,639	ManagementAndGeneralAmt
Fundraising	$30,973	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$341,694	TotalAmt
Program Services	$302,898	ProgramServicesAmt
Management And General	$37,631	ManagementAndGeneralAmt
Fundraising	$1,165	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$114,996	TotalAmt
Program Services	$101,939	ProgramServicesAmt
Management And General	$12,665	ManagementAndGeneralAmt
Fundraising	$392	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,441,106	TotalAmt
Program Services	$5,709,779	ProgramServicesAmt
Management And General	$709,369	ManagementAndGeneralAmt
Fundraising	$21,958	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$399,985	TotalAmt
Program Services	$354,570	ProgramServicesAmt
Management And General	$44,051	ManagementAndGeneralAmt
Fundraising	$1,364	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$344,398	TotalAmt
Program Services	$305,295	ProgramServicesAmt
Management And General	$37,929	ManagementAndGeneralAmt
Fundraising	$1,174	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,750,192	TotalAmt
Program Services	$1,551,475	ProgramServicesAmt
Management And General	$192,751	ManagementAndGeneralAmt
Fundraising	$5,966	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,132,206	TotalAmt
Program Services	$2,776,573	ProgramServicesAmt
Management And General	$344,955	ManagementAndGeneralAmt
Fundraising	$10,678	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,182	TotalAmt
Program Services	$17,004	ProgramServicesAmt
Management And General	$2,113	ManagementAndGeneralAmt
Fundraising	$65	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,335,613	TotalAmt
Program Services	$5,616,264	ProgramServicesAmt
Management And General	$697,751	ManagementAndGeneralAmt
Fundraising	$21,598	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,748,446	TotalAmt
Program Services	$1,549,927	ProgramServicesAmt
Management And General	$192,559	ManagementAndGeneralAmt
Fundraising	$5,960	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$15,559,386	$13,792,765	$1,713,579	$53,042
PHYSICIAN FEES	$8,379,952	$6,284,964	$2,094,988
HOSPITAL AUXILIARY EXPENSE	$78,527	$78,527

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,762,458	TotalAmt
Program Services	$1,762,458	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$125,356,158	TotalAmt
Program Services	$110,190,132	ProgramServicesAmt
Management And General	$14,773,578	ManagementAndGeneralAmt
Fundraising	$392,448	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$124,676	BOYAmt
EOY	$106,274	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,611,256	BOYAmt
EOY	$6,646,122	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,732,468	BOYAmt
EOY	$12,967,654	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,017,265	BOYAmt
EOY	$2,067,977	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,057,686	BOYAmt
EOY	$962,403	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$169,263,250	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$126,819,150	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,832,770	BOYAmt
EOY	$42,444,100	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$69,400,703	BOYAmt
EOY	$76,842,559	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,655,685	BOYAmt
EOY	$1,779,023	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,432,509	BOYAmt
EOY	$143,816,112	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,545,979	BOYAmt
EOY	$12,311,129	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$126,909	BOYAmt
EOY	$141,819	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$12,675,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,384,414	BOYAmt
EOY	$62,823,678	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,057,302	BOYAmt
EOY	$87,951,626	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,714,983	BOYAmt
EOY	$28,888,801	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,263,337	BOYAmt
EOY	$2,910,968	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,396,887	BOYAmt
EOY	$24,064,717	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$71,375,207	BOYAmt
EOY	$55,864,486	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,432,509	BOYAmt
EOY	$143,816,112	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,537,698	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,006,880	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,979,903	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$19,967	OtherActivitiesAmt
Total Lobbying Expenditures	$19,967	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The hospital paid dues to the Connecticut Hospital Association. $19,967 represents the portion of these dues used for lobbying expenses on behalf of its' members.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The hospital paid dues to the Connecticut Hospital Association. $19,967 represents the portion of these dues used for lobbying expenses on behalf of its' members.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,641,803	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$2,554,961	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$799,877	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$23,396,887	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,101,688	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$3,608,194	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,068,079	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$21,641,803	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,620,532	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$2,762,341	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$281,185	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$20,101,688	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,113,030	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,802,455	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$294,953	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$17,620,532	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$155,467	OtherCostOrOtherBasisAmt
Book Value	$155,467	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,737,950	OtherCostOrOtherBasisAmt
Depreciation	$63,652,669	DepreciationAmt
Book Value	$24,085,281	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,184,457	OtherCostOrOtherBasisAmt
Depreciation	$42,895,414	DepreciationAmt
Book Value	$11,289,043	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,185,376	OtherCostOrOtherBasisAmt
Depreciation	$20,271,067	DepreciationAmt
Book Value	$6,914,309	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$42,444,100	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED AMOUNTS DUE TO THIRD PARTY REIMBURSEMENT AGENCIES	$4,408,534
MISCELLANEOUS CURRENT LIABILITIES	$402,041
ESTIMATED SELF-INSURANCE LIABILITIES	$4,200,015
ACCRUED PENSION LIABILITY	$53,813,088

Field	Value	IRS element (for citing)
Total Liability	$62,823,678	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$122,411,137	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,006,880	NetUnrealizedGainsInvstAmt
Other Revenue	$682,505	OtherRevenueAmt
Revenue Not Reported	$1,689,385	RevenueNotReportedAmt
Revenue Subtotal	$120,721,752	RevenueSubtotalAmt
Other Revenues Not Included	$96,708	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$96,708	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$120,818,460	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$137,324,444	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$12,059,813	OtherExpensesIncludedAmt
Expenses Not Reported	$12,059,813	ExpensesNotReportedAmt
Expenses Subtotal	$125,264,631	ExpensesSubtotalAmt
Other Expenses Not Included	$91,527	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$91,527	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$125,356,158	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ENDOWMENT FUNDS ARE USED PRIMARILY FOR CAPITAL PURCHASES, INDIGENT CARE AND OTHER USES AS APPROVED BY THE BOARD IN ACCORDANCE WITH DONOR RESTRICTIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740, "INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2016 OR 2015. AS OF SEPTEMBER 30, 2016 OR 2015, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL WOULD RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE HOSPITAL'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Change in beneficial interest in assets - 667830 Contributions from CHH Auxilliary - 14675
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	Auxiliary Income - 102494 Auxiliary Fashion Show Expense - -5786
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	Pension related changes - 12059813
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	Auxiliary expenses - 97313 Auxiliary fashion show expense - -5786

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$103,524	GrossReceiptsEvent1Amt
Gross Revenue Event1	$103,524	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$6,810	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$26,269	RentFacilityCostsEvent1Amt
Event2	Aniversary Gala	Event2Nm
Gross Receipts Event2	$57,741	GrossReceiptsEvent2Amt
Gross Revenue Event2	$57,741	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$22,534	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$10,993	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$10,993	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$5,786	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$172,258	GrossReceiptsTotalAmt
Gross Revenue Total Events	$172,258	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$6,810	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$26,269	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$28,320	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$61,399	DirectExpenseSummaryEventsAmt
Net Income Summary	$110,859	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	1756	PersonsServedCnt
Total Community Benefit Expns	$816,287	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,101	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$720,186	NetCommunityBenefitExpnsAmt
Total Expense	0.0057	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	49167	PersonsServedCnt
Total Community Benefit Expns	$30,167,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,631,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,536,243	NetCommunityBenefitExpnsAmt
Total Expense	0.1080	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	558	PersonsServedCnt
Total Community Benefit Expns	$196,105	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,600	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	51481	PersonsServedCnt
Total Community Benefit Expns	$31,180,092	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,845,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,335,029	NetCommunityBenefitExpnsAmt
Total Expense	0.1144	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	3387	PersonsServedCnt
Total Community Benefit Expns	$177,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,604	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	95	PersonsServedCnt
Total Community Benefit Expns	$527	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$527	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	82899	PersonsServedCnt
Total Community Benefit Expns	$3,963,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,963,487	NetCommunityBenefitExpnsAmt
Total Expense	0.0316	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1200	PersonsServedCnt
Total Community Benefit Expns	$560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$560	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	87581	PersonsServedCnt
Total Community Benefit Expns	$4,142,178	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,142,178	NetCommunityBenefitExpnsAmt
Total Expense	0.0330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	139062	PersonsServedCnt
Total Community Benefit Expns	$35,322,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,845,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,477,207	NetCommunityBenefitExpnsAmt
Total Expense	0.1474	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,054,040	BadDebtExpenseAmt
Reimbursed By Medicare	$45,521,116	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$41,360,107	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,161,009	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ADVANCED MEDICAL IMAGING OF NORTHWEST CT LLC
IMAGING CENTER	0.5	0.5
UROLOGY CENTER OF NW CT
UROLOGY CENTER	0.625	0.375

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHARLOTTE HUNGERFORD HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06790	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHARLOTTEHUNGERFORD.ORG	WebsiteAddressTxt
State License	0042	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHARLOTTE HUNGERFORD HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	Yes (true)	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.charlottehungerford.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.charlottehungerford.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.charlottehungerford.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.charlottehungerford.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility , 1

Facility , 1 - Charlotte Hungerford Hospital:. THE STUDY WAS CONDUCTED BY THE CENTER FOR HEALTHY SCHOOLS AND COMMUNITIES AT EDUCATION CONNECTION IN LITCHFIELD, CT. THE STEERING COMMITTEE INCLUDED THE FOLLOWING INDIVIDUALS AND ORGANIZATIONS: Joanne Borduas, BSN, MSN, MBA, Chief Executive Officer, Community Health and Wellness Center, Heather Cappabianca, RN, MHA, Director, CT Office of Rural Health, Coordinator, NCCC, Allied Health, Stephanie K. Fowler, M.D., Charlotte Hungerford Hospital Board of Governors, Ruthann Horvay, Director, Winsted Family Resource Center, Winchester Public Schools, John N. Lavieri, President, Sterling Engineering, Tim J. LeBouthillier, Director of Public Relations, Charlotte Hungerford Hospital, Brian E. Mattiello, VP for Organizational Development, Charlotte Hungerford Hospital, Thomas Narducci, LCSW, Administrative Director, Outpatient Behavioral Health, Charlotte Hungerford Hospital, Leslie Polito, BSN, RN, Public Health Nurse, Torrington Area Health District, Frank R. Vanoni, M.D., Community resident/Former member CHH staff.

Schedule H, Part V, Section B, Line 22 Facility , 1

Facility , 1 - Charlotte Hungerford Hospital. Charges for FAP clients are completely written off up to the cost of charges, using the appropriate cost to charge ratio.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NORTHWEST CONNECTICUT MEDICAL WALK IN
1598 EAST MAIN STREET	TORRINGTON	CT	06790	WALK IN MEDICAL CLINIC
THE HUNGERFORD CENTER
780 LITCHFIELD STREET	TORRINGTON	CT	06790	CARDIAC AND PULMONARY REHAB SERVICES
THE CENTER FOR CANCER CARE
200 KENNEDY DRIVE	TORRINGTON	CT	06790	CANCER TREATMENT CENTER
HUNGERFORD DIAGNOSTIC CENTER
220 KENNEDY DRIVE	TORRINGTON	CT	06790	RADIOLOGY SERVICES
THE CENTER FOR YOUTH AND FAMILIES
50 LITCHFIELD STREET	TORRINGTON	CT	06790	PSYCH SERVICES FOR CHILDREN AND FAMILIES
WINSTED BEHAVIORAL HEALTH CENTER
294 MAIN STREET	WINSTED	CT	06098	PSYCH SERVICES
SURGICAL ASSOCIATES OF CHH
538 LITCHFIELD STREET	TORRINGTON	CT	06790	SURGICAL PHYSICIANS PRACTICE
NEUROLOGY PBC
780 LITCHFIELD STREET	TORRINGTON	CT	06790	NEUROLOGY PHYSICIANS PRACTICE
CHH PRIMARY CARE
780 LITCHFIELD STREET	TORRINGTON	CT	06790	PRIMARY CARE PHYSICIANS PRACTICE
CHH CARDIOVASCULAR MEDICINE SERVICE
1215 NEW LITCHFIELD STREET	TORRINGTON	CT	06790	CARDIOVASCULAR PHYSICIANS PRACTICE
CHH WOUND CARE AND HYPERBARIC MEDICINE
7 FELICITY LANE	TORRINGTON	CT	06790	WOUND CARE PHYSICIANS PRACTICE
CHH UROLOGY MEDICINE
538 LITCHFIELD STREET	TORRINGTON	CT	06790	ADULT AND PEDIATRIC UROLOGY PHYSICIANS PRACTICE
HUNGERFORD EMERGENCY AND MEDICAL CARE
115 SPENCER STREET	WINSTED	CT	06098	EMERGENCY SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE	CARE WILL BE PROVIDED FREE FOR THOSE WHO QUALIFY AS UNINSURED AND VERIFICATION HAS DETERMINED THAT THEIR ANNUAL INCOME IS LESS THAN 200% OF THE FEDERAL INCOME POVERTY LEVEL. CARE WILL BE PROVIDED AT HOSPITAL COST, AS ESTABLISHED BY THE OFFICE OF HEALTH CARE ACCESS (OCHA), FOR THOSE UNINSURED PATIENTS WHO REQUEST ASSISTANCE AND VERIFICATION HAS DETERMINED THAT THEIR ANNUAL INCOME IS BETWEEN 200% AND 250% OF THE FPL. CARE WILL BE DISCOUNTED BY 30% FOR THOSE UNISURED PATIENTS WHO REQUEST ASSISTANCE AND VERIFICATION HAS DETERMINED THAT THEIR ANNUAL INCOME IS BETWEEN 250% AND 400% OF THE FPL. THE HOSPITAL WILL ALSO CONSIDER THE TOTAL MEDICAL EXPENSES FACED BY THE FAMILY AND THE FAMILY'S ABILITY TO PAY FOR THOSE EXPENSES, AND WILL CONSIDER OFFERING GREATER ASSISTANCE WHEN POSSIBLE TO THOSE FAMILIES FACING CATASTROPHIC MEDICAL EXPENSES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A cost to charge ratio based on charity care charges and expenses.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	COSTING METHODOLOGY USED - THE HOSPITAL USES A MODEL CONSISTING OF OUR ACCOUNTS RECEIVABLE BALANCE DIVIDED INTO EIGHT AGING CATEGORIES AS FOLLOWS: 0-30 DAYS, 31-60 DAYS, 61-90 DAYS, 91-120 DAYS, 121-210 DAYS, 211-365 DAYS, AND GREATER THAN 365 DAYS. A PERCENTAGE IS THEN ASSIGNED TO EACH AGING BUCKET BASED ON AGE, WITH A HIGHER PERCENTAGE ASSIGNED AS THE DAYS OUTSTANDING INCREASES. THE RESULTING CALCULATION IS USED TO COMPARE WITH THE RESERVE AND A MONTHLY ADJUSTMENT IS MADE TO DETERMINE THE EXPENSE. ANNUALLY, THIS CALCULATION IS COMPARED TO AN AUDIT OF THE BAD DEBT RESERVES TO DETERMINE IF ANY ADJUSTMENTS ARE REQUIRED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS NOTE 3 ON PAGE 14 OF THE ATTACHED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	EXPLANATION: THE MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. THE MEDICARE ALLLOWABLE COSTS OF CARE ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE HOSPITAL ATTEMPTS TO HAVE INDIVIDUALS FILL OUT ALL PAPER WORK REQUIRED FOR CHARITY CARE. IF THE PERSON IS NOT CAPABLE OF DOING THIS OR IS KNOWN TO BE UNABLE TO DO THIS (SUCH AS A KNOWN HOMELESS PERSON), THEN THE FINANCIAL ASSISTANCE COMMITTEE WILL ADJUST THE ACCOUNT TO CHARITY CARE AND IT WILL NOT BE REPORTED AS BAD DEBT. IF THE ACCOUNT HAS BEEN REPORTED AS BAD DEBT AND INFORMATION COMES FORTH INDICATING AN INABILITY TO PAY, THEN THE ACCOUNT WOULD BE REMOVED FROM BAD DEBT AND MOVED TO CHARITY CARE.
Schedule H, Part V, Section B, Line 16a FAP website	- CHARLOTTE HUNGERFORD HOSPITAL: Line 16a URL: www.charlottehungerford.org;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CHARLOTTE HUNGERFORD HOSPITAL: Line 16b URL: www.charlottehungerford.org;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CHARLOTTE HUNGERFORD HOSPITAL: Line 16c URL: www.charlottehungerford.org;
Schedule H, Part VI, Line 2 Needs assessment	THE HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE HOSPITAL ALSO OFFERS FREE HEALTH SCREENINGS, FREE HEALTH EDUCATION AND LECTURES AT VARIOUS COMMUNITY EVENTS INCLUDING FAIRS, EXPOS, PRIVATE COMPANIES, PUBLIC MUNICIPALITIES, AND PUBLIC GATHERINGS. THESE EVENTS PROVIDE A FORUM FOR RECEIVING INFORMATION AND INPUT FROM THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL COUNSELS SELF PAY PATIENTS BY PROVIDING A MEETING WITH A FINANCIAL COUNSELOR OR SOCIAL WORKER. ALL STATEMENTS DISTRIBUTED TO PATIENTS INCLUDE FINANCIAL COUNSELING INFORMATION. SIGNS ARE POSTED THROUGHOUT THE HOSPITAL, INCLUDING THE EMERGENCY ROOM, WHICH STATE CHARITY CARE POLICIES AND FINANCIAL ASSISTANCE INFORMATION.
Schedule H, Part VI, Line 4 Community information	The Charlotte Hungerford Hospital (CHH) is located in the northwest part of Connecticut (Litchfield County) in the town of Torrington. The service area of the hospital is comprised of thirteen towns with a total population of approximately 100,000 people. In recent years, the area is becoming more racially and ethnically diverse. In the past decade, the number of White residents increased at a slower rate compared to African American, Asian, and Hispanic residents. The local population is also aging, and has a lower percentage of persons under age 18 and a higher percentage of persons age 65 and older than in the state. This is evident in the high percentage of Medicare and Medicaid revenue (approximately 70%) the hospital receives as part of its operations. Of the 13 service area towns served by CHH, the towns of Torrington (11%) and Cornwall (12%) had the highest poverty levels. Both towns were above the state average of 10%. In terms of educational achievement, the overall county average for high school completion of 96% exceeded the state average of 89%. Lower levels of achievement are found in the towns of Torrington and Winchester. Both of these towns also have higher poverty rates and lower median household incomes than other towns served by the hospital. The school districts in these two towns had the highest percentage of students eligible for free or reduced meals with Torrington at 47% and Winchester at 61%.The vast majority of county residents speak English (91%) with 9% having a primary language other than English and 3% speaking English less than "very well". In terms of services provided to communities, Torrington generates 52% of hospital charges with 12% generated from Winsted.
Schedule H, Part VI, Line 5 Promotion of community health	All board of directors members reside in the community served by the Charlotte Hungerford Hospital. The hospital extends medical staff privileges to all providers who meet the qualification standards and requirements set forth in the Charlotte Hungerford Hospital medical staff by-laws.
Schedule H, Part VI, Line 7 State filing of community benefit report	CT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	HEALTHCARE SCHOLARSHIPS	GrantTypeTxt
Recipient	13	RecipientCnt
Cash Grant	$13,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE CHARLOTTE HUNGERFORD HOSPITAL AUXILIARY AWARDS SCHOLARSHIPS IN THE AMOUNT OF $1,000 EACH TO STUDENTS PURSUING HEALTHCARE EDUCATION. THE STUDENTS MUST LIVE IN THE AREA SERVED BY THE HOSPITAL. THEY MUST ALSO PROVIDE EVIDENCE OF ACCEPTANCE INTO A COLLEGE PROGRAM OR THEIR CURRENT GRADES IN COLLEGE. APPLICANTS MUST SUBMIT LETTERS OF RECOMMENDATION FROM THEIR TEACHERS AND ALSO FROM NON-FAMILY PERSONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENDRICK HOM MD
GOVERNOR	$211,692	$0	$0	$0	$0	$0	$5,780	$0	$22,519	$0	$239,991	$0	$0	$0
DANIEL J MCINTYRE
CEO/PRESIDENT	$531,366	$0	$0	$0	$0	$0	$52,207	$0	$56,525	$0	$640,098	$0	$0	$0
SUSAN M SCHAPP
VP FINANCE/ TREASURER	$315,742	$0	$0	$0	$0	$0	$30,577	$0	$33,588	$0	$379,907	$0	$0	$0
JOHN J CAPOBIANCO
VP OPERATIONS	$283,162	$0	$0	$0	$0	$0	$30,804	$0	$30,122	$0	$344,088	$0	$0	$0
MARK PRETE MD
VP MEDICAL AFFAIRS	$321,135	$0	$0	$0	$0	$0	$37,756	$0	$34,161	$0	$393,052	$0	$0	$0
BRIAN MATTIELLO
VP ORGANIZATIONAL DEVELOPMENT / HR	$224,038	$0	$0	$0	$0	$0	$8,223	$0	$23,833	$0	$256,094	$0	$0	$0
MUSTAFA UGURLU
PHYSICIAN	$407,752	$0	$0	$0	$0	$0	$9,467	$0	$43,375	$0	$460,594	$0	$0	$0
TIMOTHY GOSTKOWSKI MD
PHYSICIAN	$504,156	$0	$0	$0	$0	$0	$10,901	$0	$53,631	$0	$568,688	$0	$0	$0
WILLIAM MCGEEHIN MD
PHYSICIAN	$482,756	$0	$0	$0	$0	$0	$11,428	$0	$51,354	$0	$545,538	$0	$0	$0
DAVID FRECCERO MD
PHYSICIAN	$594,585	$0	$0	$0	$0	$0	$4,317	$0	$63,250	$0	$662,152	$0	$0	$0
Robert Kahan MD
Physician	$348,333	$0	$0	$0	$0	$0	$7,950	$0	$37,055	$0	$393,338	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	060806186	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2016-02-01	BondIssuedDt
Issue Price	$13,000,000	IssuePriceAmt
Purpose	To expand the hospital's emergency department and relocate their cardio diagnostics department.	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$13,000,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$172,784	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$1,992,112	CapitalExpendituresAmt
Unspent	$10,851,304	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK PRETE MD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	KEY EMPLOYEE	RelationshipDescriptionTxt
Transaction	$714,977	TransactionAmt
Transaction	PARTNER IN NWCT EMERGENCY MEDICINE P.C. WHICH PROVIDES EMERGENCY ROOM SERVICES TO THE HOSPITAL.	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a	COMPENSATION FOR THE CEO IS DETERMINED USING THE FOLLOWING STEPS: - A MARKET SURVEY BASED ON CT HOSPITAL ASSOCIATION - ADJUSTMENTS BASED ON THE CANDIDATE'S CURRENT SALARY AND PRIOR EXPERIENCE - REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS THE LAST COMPENSATION REVIEW OCCURRED IN AUGUST 2015.
Form 990, Part VI, Line 15b	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS DETERMINED USING THE FOLLOWING STEPS: - A MARKET SURVEY BASED ON CT HOSPITAL ASSOCIATION - ADJUSTMENTS BASED ON THE CANDIDATE'S CURRENT SALARY AND PRIOR EXPERIENCE. - REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS THE LAST COMPENSATION REVIEW OCCURRED IN AUGUST 2015.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COPY OF FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. THIS ENABLES THE BOARD TO ASK QUESTIONS, AND TO APPROVE THE DISCLOSURES MADE IN THE RETURN.
Form 990, Part VI, Line 12c Conflict of interest policy	THE HOSPITAL DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY TO ITS BOARD OF DIRECTORS, ALL MANAGEMENT PERSONNEL, AND PURCHASING AGENTS.
Form 990, Part VI, Line 19 Required documents available to the public	THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Pension related changes other than net periodic pension costs - -12059813; Net assets released from restrictions - -587920; Change in benefitical interest in assets - 667830;
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION	Operating Room Cases 3,617 Ambulatory Surgery Cases 2,892 Endoscopy Cases 1,023 Ambulatory Medical Cases 2,457 Wound Care Cases 6,837 Post Anesthesia Care Unit Cases 2,054 Delivery Room Deliveries 0 Respiratory Therapy Treatments 35,037 Pulmonary Rehab Tests 4,807 Pulmonary Function Lab Tests 1,764 Cardio Diagnostic Exams 12,315 EEG Exams 513 Physical Therapy Treatments 38,800 Cardiac Rehab Treatments 3,286 Speech Therapy Treatments 668 Occupational Therapy Treatments 3,952 Sleep Study Tests 591 Diagnostic Radiology Exams 23,917 Mammograpy Exams 8,922 Nuclear Medicine Exams 754 Ultrasound Exams 9,300 C.A.T. Scan Exams 14,637 P.E.T. Scan Exams 195 M.R.I. Exams 1,483 Special Procedures (Radiology) Exams 1,278 Radiation Therapy Treatments 7,721 Laboratory Tests 520,319 Psychiatric Clinic Visits 39,184 PHP-Adult / Adolescent Visits 4,545 Renal Dialysis Visits 293 Emergency Department Visits 34,412 Walk In Center Visits 13,285 Professional Service Consults 125,530 Hungerford Emergency Medical Center Cardiac Rehab Visits 1,697 Diagnostic Radiology Exams 3,450 Emergency Department Visits 6,011 Laboratory Tests 16,326 Pulmonary Rehab Tests 2,075

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ADVANCED MEDICAL IMAGING OF NW CT LLC
57 COMMERCIAL BLVD	TORRINGTON	CT	06790	061594854	MAGNETIC RESONANCE IMAGING	CT	NA	Related	$572,938	$276,274	false	false	0.5
UROLOGY CENTER OF NW CT LLC -
538 LITCHFIELD STREET	TORRINGTON	CT	06790	582674029	EQUIPMENT RENTAL	CT	NA	Related	$10,154	$48,133	false	false	0.625

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LITCHFIELD COUNTY HEALTHCARE SERVICE CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	540 LITCHFIELD STREET	AddressLine1Txt
City	TORRINGTON	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06790	ZIPCd

Field	Value	IRS element (for citing)
EIN	061227655	EIN
Primary Activities	MANAGEMENT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	CT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	THE CHARLOTTE HUNGERFORD HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$505	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd