WINDHAM COMMUNITY MEMORIAL HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WINDHAM COMMUNITY MEMORIAL HOSPITAL INC (EIN 06-0646966)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-08
- IRS object ID
- 201422209349300607
- Schema version
- 2012v2.1
- 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 F
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-08T08:22:58-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 346565596 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 Market St 700 | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646966 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windham Community Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WIND | NameControl |
| Phone | 8604566821 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1 |
| City | Willimantic | City |
| State | CT | State |
| ZIP Code | 06226 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas Marchozzi | Name |
| Title | President & CEO | Title |
| Phone | 8604566821 | Phone |
| Date Signed | 2014-08-08 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Wendy J Clavin | Name |
| PTIN | P00870950 | PTIN |
| Phone | 2154485000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | David Whitehead | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1 |
| City | Willimantic | City |
| State | CT | State |
| ZIP Code | 06226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 80692518 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WCMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1908 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | Windham Hospital's primary mission is to enhance the health of the residents in our 17-town service area, primarily Windham county and Tolland county. The Hospital works to achieve its mission by maintaining suitable facilities in the town of Windham for the provision of healthcare. Additionally, Windham Hospital has always encouraged progress and flexibility to meet the changing needs of our patients and all residents in our service areas. The Hospital confronted the issues required to enhance the health and welfare of the residents by providing quality healthcare regardless of ethnic background, age or ability to pay, all the while maintaining a high degree of responsiveness to changes, particularly those of the community. The Hospital is committed to serve all members of its community regardless of ability to pay. This is accomplished through various means-tested programs (i.e., Medicare and Medicaid). | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 904 | TotalNbrEmployees |
| Total Nbr Volunteers | 246 | TotalNbrVolunteers |
| Total Gross UBI | 853396 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -78532 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3487639 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2456891 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 85165168 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 74955965 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 31783 | InvestmentIncomePriorYear |
| Investment Income Current Year | 221336 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1664667 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2548186 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 90349257 | TotalRevenuePriorYear |
| Total Revenue Current Year | 80182378 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 58243227 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 54423477 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 64539 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 32284811 | OtherExpensePriorYear |
| Other Expenses Current Year | 34118282 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 90528038 | TotalExpensesPriorYear |
| Total Expenses Current Year | 88541759 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -178781 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8359381 | RevenuesLessExpensesCY |
| Total Assets BOY | 78468684 | TotalAssetsBOY |
| Total Assets EOY | 78266860 | TotalAssetsEOY |
| Total Liabilities BOY | 122636279 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 87584585 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -44167595 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -9317725 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To enhance the lives and well being of people in the communities we serve by providing quality healthcare. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 15154306 | Expense |
| Revenue | 13077166 | Revenue |
| Description | The Emergency Team consists of nurses, physicians' assistants, APRNs, physicians, patient care technicians, and paramedics who are trained to handle any type of emergency that might arise...morning, noon, or night. The Windham Hospital Emergency Department provides treatment for approximately 38,000 patients annually.Wait times in the ED are posted on the hospital's website, and are available by downloading a free iPhone app (from the Apple store). The physicians in the Emergency Department strive to see each patient within 30 minutes of their arrival at the hospital.At Windham Hospital, the Emergency Department physicians are from Northeast Emergency Medicine Specialists, a private practice group. They are dedicated to providing prompt access to healthcare, understanding the concerns of their patients, ensuring safety, and using a respectful and friendly approach.The Emergency Department is located on the first floor. Signs are conveniently posted outside the hospital for visitors. In 2006, a major expansion of the Emergency Department was funded by contributions from the community, and named for its major benefactor, Jeffrey P. Ossen. The department doubled in size, and includes 20 treatment rooms, 2 critical care suites, isolation and decontamination rooms, and state of the art equipment and systems throughout the department.A new computer-based Emergency Department Informatics System (EDIS) provides staff with a centralized data system that makes accurate tracking and treatment information available to all caregivers on the Hospital's secure network. The Picture Archival and Communications System (PACS) allows images obtained at the Hospital to be read onsite by physicians from Jefferson Radiology, or sent to their specialists through special high-speed computer connections. The new, efficient space allows optimal privacy, security, and comfort for our patients. Many of the rooms feature personal TVs. In-room, bedside registration improves confidentiality and reduces the amount of time patients wait before their treatment.Windham Hospital is proud to offer the Emergency Department services as a community resource 24 hours a day, 365 days a year. We are grateful to the many individuals and organizations that played vital roles in design, fundraising and operational implementation of this facility.Patients arriving at the Emergency Center can expect the following process:1. A trained nurse with experience in emergency medicine will give the patient a rapid assessment of the patient's condition, called "triage," and will determine the patient's acuity.2. The patient will be placed in a treatment room according to availability.3. Patients are then treated by appropriate staff members.4. While the patient is in the treatment room, registration personnel will complete the registration process. Registration ensures that the hospital has the patient's correct contact information as well as information required of all patients.All Emergency Department patients (whether insured or not) will be given the opportunity to pay either their insurance co-pay or a deposit on charges at the time of the discharge. Insurance or payment (or lack of) will not affect the quality of care. Patients receive top-quality care, regardless of ability to pay.At Windham Hospital's Emergency Center, there is an assortment of physicians with differing specialties. This ensures that patients will have the best care during their visit to the Center. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6543204 | Expense |
| Revenue | 6721651 | Revenue |
| Description | Scope of Service - The Operating Room is a five-room suite on the second floor of the Windham Hospital, with operational hours Monday - Friday and a call system in place to provide care for after-hours surgical procedures. The average utilization is 75%. Service is provided to patients of all ages from infants to geriatrics. * Care is provided for patients undergoing: 1. One Day Surgical Procedures 2. Same Day Admission Procedures 3. Inpatients * Procedures include the following specialties: 1. Orthopaedic 2. General Gastrointestinal 3. ENT 4. GYN 5. GU 6. Laser Laparoscopic Procedures 7. Peripheral Vascular 8. Pediatric 9. Ophthalmic Staffing Plan - A modified primary nursing care model is used as the method to deliver care on this unit. There is a Surgical Services Manager assigned five days a week. There is a Clinical Coordinator who facilitates the day-to-day operative schedule. An RN is assigned to all patients undergoing invasive procedures. The RNs, and Surgical Technologists are required to take call for emergent and urgent procedures. The OR Associates and OR Technicians are required to take call for housekeeping duties related to weekend and holiday emergent and urgent procedures. Direct hours exclude the Manager. * The unit is comprised of individuals who work 8 or 10-hour shifts - RNs - Surgical Technologists - OR Technicians - OR Associates - Surgical Schedulers | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6297997 | Expense |
| Revenue | 6294251 | Revenue |
| Description | Shortness of breath associated with lung disease can certainly compromise your lifestyle, but there are always ways to better manage your breathing problems. Windham Hospital's Outpatient Pulmonary Rehabilitation Program can help those coping with lung disease breath easier and more efficiently.The Outpatient Pulmonary Rehabilitation Program is individually tailored to meet each patient's needs and include classes, which take place on Tuesdays and Thursdays at Windham Hospital, held for eight consecutive weeks. The program emphasizes physical conditioning, education about breathing and energy conservation. It also highlights education about their specific lung disease and respiratory medications associated with them. Aerobic and strengthening exercises have been shown to be beneficial in reducing the effects of lung disease on daily activities and reducing physician office visits and hospitalization.Those interested in joining the program need a referral from their physician.Some preadmission testing is necessary, including:* Pulmonary function test * Exercise oximetry * Arterial blood gas samplingAfter a physician's referral is obtained, and preadmission testing is complete, an interview will be scheduled with the respiratory therapist and physical therapists.Payment for the Outpatient Pulmonary Rehabilitation at Windham Hospital is usually covered by Medicare, Anthem Blue Cross, PHS and other insurance providers.For those who are uninsured or underinsured we now have additional resources from the Senior Resources Area Agency on Aging to help seniors continue their Pulmonary Maintenance Program even after insurance benefits expire.For more information about the Outpatient Pulmonary Rehabilitation program, contact Renee Clinton at Windham Hospital Pulmonary Rehabilitation Program at 860 456-6879. The hours are: Phase 1 (for new clients) 10 am -12 pm. Maintenance Phase 8-10am or 12-3:00pm. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 50240066 | Expense |
| Revenue | 50024114 | Revenue |
| Description | Windham Hospital Operations serve health care needs with numerous inpatient and outpatient services to the communities of Andover, Ashford, Brooklyn Canterbury, Chaplin, Colchester, Columbia, Coventry, Eastford, Franklin, Hampton, Hebron, Lebanon, Mansfield, Scotland, Sprague, Willington and Windham Connecticut. The hospital also offers specific needs within those communities. These programs include student health services, diabetes and nutritional education, pre-natal services, senior wellness services and paramedic intercept program. Windham hospital operates its mobile Healthlink van throughtout its service area, providing regular health screenings for blood sugar and cholesterol, as well as other screenings such as skin cancer and hearing, numerous times during the year. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 50240066 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 50024114 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 78235573 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 133 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 904 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Whitehead | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8604566821 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1 |
| City | Willimantic | City |
| State | CT | State |
| ZIP Code | 06226 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Theodore Armata | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Catina Caban-Owen MD | |||||||||
| Director (Thru Dec. 2012) | 2.00 | X | 0 | 0 | 0 | ||||
| Diane Wishnafski | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Nadia Nashid MD | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Karla Fox | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Bruce Johnson | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Linda Klein PhD | |||||||||
| Chair | 3.00 | X | 0 | 0 | 0 | X | |||
| Delia Berlin | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Kenneth Porter | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Rheo Brouillard | |||||||||
| Vice Chair | 3.00 | X | 0 | 0 | 0 | X | |||
| Ethan Foxman MD | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Charles Shooks MD | |||||||||
| Director (Thru Dec. 2012) | 2.00 | X | 0 | 0 | 0 | ||||
| Pat Crosbie | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| David Whitehead | |||||||||
| President & CEO | 30.00 | X | 0 | 1054517 | 39768 | X | 30.00 | ||
| Stephen W Larcen | |||||||||
| Interim Pres & CEO (Thru Aug. 2013) | 30.00 | X | 0 | 605497 | 131389 | X | 30.00 | ||
| Carmen Cid | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Craig Elliott MD | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Gerald G Hertkorn Jr | |||||||||
| Interim VP Finance | 60.00 | 147880 | 0 | 0 | X | ||||
| Carolyn Trantalis | |||||||||
| Secretary / VP Operations | 60.00 | 188854 | 0 | 21380 | X | ||||
| Martin L Levine | |||||||||
| VP Human Resources | 60.00 | 136817 | 0 | 36595 | X | ||||
| Michael Dion | |||||||||
| VP Patient Care Services | 60.00 | 149274 | 0 | 33249 | X | ||||
| Shawn Maynard | |||||||||
| Director (Foundation) | 60.00 | 83438 | 0 | 19301 | X | ||||
| Kismatkumar Detroja | |||||||||
| Physician | 60.00 | 356272 | 0 | 44370 | X | ||||
| Robert Bundy | |||||||||
| Medical Director | 36.00 | 165000 | 251885 | 45137 | 24.00 | X | |||
| Anne B Lovejoy | |||||||||
| Physician | 60.00 | 208160 | 0 | 29760 | X | ||||
| Melisha Cumberland | |||||||||
| Physician | 60.00 | 277703 | 0 | 30003 | X | ||||
| Syera Mathews | |||||||||
| Physician | 60.00 | 202903 | 0 | 35121 | X | ||||
| James N Papadakos | |||||||||
| Former- VP Finance & CFO | 0.00 | 119995 | 0 | 39279 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2036296 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1911899 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 505352 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| The Casle Corporation | |||||
| 200 Fisher Drive | Avon | CT | 06001 | Construction | 3975940 |
| Siemens Medical Solutions USA Inc | |||||
| PO Box 120001 | Dallas | TX | 75312 | Software Services | 544622 |
| Medical Solutions Inc | |||||
| 9101 Western Ave Ste 101 | Omaha | NE | 68114 | Medical Services | 455728 |
| Comphealth Medical Staffing Inc | |||||
| PO Box 972670 | Dallas | TX | 75397 | Medical Services | 304601 |
| Clinical Lab Partners LLC | |||||
| 129 Patricia M Genova Drive | Newington | CT | 06111 | Laboratory Services | 284502 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 31 | NumberOfContractorsGT100K |
| Related Organizations | 199393 | RelatedOrganizations |
| All Other Contributions | 2257498 | AllOtherContributions |
| Total Contributions | 2456891 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Inpatient & Outpatient Services | 621400 | 74102569 | 74102569 | |
| Ref. Testing & Fees | 621500 | 853396 | 853396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 74955965 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 207738 | TotalRevenueColumn |
| Exclusion | $207,738 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 813453 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 501228 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 312225 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 312225 | TotalRevenueColumn |
| Exclusion | $312,225 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15094 | Securities |
| Other | 7416 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8912 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6182 | Securities |
| Other | 7416 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13598 | TotalRevenueColumn |
| Exclusion | $13,598 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Other Operating Income | 900099 | 1803978 | 1803978 | |
| Cafeteria Income | 722210 | 246975 | $246,975 | |
| Classes/Tuition | 900099 | 210635 | 210635 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -25627 | TotalRevenueColumn |
| Exclusion | -$25,627 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2235961 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80182378 | TotalRevenueColumn |
| Related Or Exempt Function Income | 76117182 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 853396 | UnrelatedBusinessRevenue |
| Exclusion | $754,909 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1619566 | Total |
| Program Services | 1200796 | ProgramServices |
| Management And General | 418770 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40162811 | Total |
| Program Services | 38925607 | ProgramServices |
| Management And General | 1187656 | ManagementAndGeneral |
| Fundraising | 49548 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4192625 | Total |
| Program Services | 4026457 | ProgramServices |
| Management And General | 161196 | ManagementAndGeneral |
| Fundraising | 4972 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5443787 | Total |
| Program Services | 5228031 | ProgramServices |
| Management And General | 209300 | ManagementAndGeneral |
| Fundraising | 6456 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3004688 | Total |
| Program Services | 2885602 | ProgramServices |
| Management And General | 115523 | ManagementAndGeneral |
| Fundraising | 3563 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117202 | Total |
| Management And General | 117202 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340175 | Total |
| Management And General | 340175 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18556 | Total |
| Management And General | 18556 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 906431 | Total |
| Program Services | 882098 | ProgramServices |
| Management And General | 24333 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 713666 | Total |
| Program Services | 6299 | ProgramServices |
| Management And General | 707367 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 738625 | Total |
| Program Services | 568901 | ProgramServices |
| Management And General | 169724 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1544324 | Total |
| Program Services | 1391422 | ProgramServices |
| Management And General | 152902 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60014 | Total |
| Program Services | 19562 | ProgramServices |
| Management And General | 40452 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117566 | Total |
| Program Services | 51360 | ProgramServices |
| Management And General | 66206 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1122124 | Total |
| Program Services | 38705 | ProgramServices |
| Management And General | 1083419 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1360155 | Total |
| Program Services | 1205914 | ProgramServices |
| Management And General | 154241 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4154949 | Total |
| Program Services | 4154949 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 543025 | Total |
| Program Services | 543025 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Purchased Services | 11173455 | 7645383 | 3528072 |
| Medical Supplies | 7273089 | 7120102 | 152987 |
| Service Agreements | 2861448 | 1676290 | 1185158 |
| Repairs & Maintenance | 408687 | 369731 | 38956 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 664791 | Total |
| Program Services | 295339 | ProgramServices |
| Management And General | 369452 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88541759 | Total |
| Program Services | 78235573 | ProgramServices |
| Management And General | 10241647 | ManagementAndGeneral |
| Fundraising | 64539 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3194557 | BOY |
| EOY | 7021350 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 610831 | BOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109514 | BOY |
| EOY | 75402 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20670040 | BOY |
| EOY | 11889554 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1105979 | BOY |
| EOY | 1150602 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147150 | BOY |
| EOY | 241110 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 118978181 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 75000515 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40433345 | BOY |
| EOY | 43977666 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1619196 | BOY |
| EOY | 1949967 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 411373 | BOY |
| EOY | 383679 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10166699 | BOY |
| EOY | 11577530 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78468684 | BOY |
| EOY | 78266860 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10065013 | BOY |
| EOY | 6209709 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2156071 | BOY |
| EOY | 8309976 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231199 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110183996 | BOY |
| EOY | 73064900 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122636279 | BOY |
| EOY | 87584585 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -48579469 | BOY |
| EOY | -14071036 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1033637 | BOY |
| EOY | 1218970 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3378237 | BOY |
| EOY | 3534341 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -44167595 | BOY |
| EOY | -9317725 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78468684 | BOY |
| EOY | 78266860 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -8359381 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1195600 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 42013649 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $18,556 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 18556 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Windham Community Memorial Hospital paid American Hospital Association (AHA) and Connecticut Hospital Association (CHA) annual dues. Both AHA and CHA allocate a portion of their dues as lobbying expenses for their lobbying efforts on behalf of the organization during the fiscal year. Efforts mainly include the lobbying of Connecticut State Legislators in the interest of a group of affiliated hospitals in the State of Connecticut. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. AHA and CHA conduct lobbying activities under current Medicare rules. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1747544 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 234012 | InvestmentEarningsOrLosses |
| Other Expenditures | 17314 | OtherExpenditures |
| End Of Year Balance | 1964242 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1752043 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 272346 | InvestmentEarningsOrLosses |
| Other Expenditures | 276546 | OtherExpenditures |
| End Of Year Balance | 1747544 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2056455 | BeginningOfYearBalance |
| Contributions | 350 | Contributions |
| Investment Earnings Or Losses | -8245 | InvestmentEarningsOrLosses |
| Other Expenditures | 296517 | OtherExpenditures |
| End Of Year Balance | 1752043 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2164017 | BeginningOfYearBalance |
| Contributions | 5121 | Contributions |
| Investment Earnings Or Losses | 168421 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2000 | GrantsOrScholarships |
| Other Expenditures | 279104 | OtherExpenditures |
| End Of Year Balance | 2056455 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2866917 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 67938 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1500 | GrantsOrScholarships |
| Other Expenditures | 9887 | OtherExpenditures |
| End Of Year Balance | 2923468 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.59000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.41000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 107910 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1331371 | OtherCostOrOtherBasis |
| Book Value | 1439281 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 833124 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 57255068 | OtherCostOrOtherBasis |
| Depreciation | 24975939 | Depreciation |
| Book Value | 33112253 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 539223 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5700245 | OtherCostOrOtherBasis |
| Depreciation | 4093156 | Depreciation |
| Book Value | 2146312 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 78222 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 53126603 | OtherCostOrOtherBasis |
| Depreciation | 45931420 | Depreciation |
| Book Value | 7273405 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6415 | OtherCostOrOtherBasis |
| Book Value | 6415 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 43977666 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Receivable | 5168601 |
| Current Assets Whose Use Is Limited | 551749 |
| Beneficial Interest In Perpetual Trust | 2371175 |
| Unamortized Bond Discount | 263600 |
| Debt Service Reserve Fund | 1439934 |
| Deposits & Other Assets | 881094 |
| Deferred Expenses | 339595 |
| Motor Service | 561782 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 11577530 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension & Other Long-Term Liabilities | $5,090,126 |
| Interest Rate Swap Obligation | $2,701,010 |
| Accrued Pension Plan - Other | $9,596,072 |
| Other Liabilities | $2,813,677 |
| IBNR Malpractice Reserve | $302,884 |
| Accrued Post Ret - Non Pension | $16,661,390 |
| Long Term Debt - Intercompany Bonds | $19,157,649 |
| Long Term Debt - Other | $59,406 |
| Due to Affiliates | $16,682,686 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 73064900 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | The primary objective of the endowment fund is to provide long-term support for the Hospital's capital and operating programs. The Hospital's investment goals are to maximize total return (capital appreciation, dividends and interest) while also protecting the Hospital's inflation adjusted value over time. Management evaluates endowment spending in light of capital replacement and expansion plans. The spending policy does not apply a prescribed rate of spending in a given year but does consider expenditures based on need and current market conditions as well as long term investment goals. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | North America/Caribbean | Region |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | Insurance | SpecificServicesProvided |
| Total Expenditures | 400452 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 400452 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 400452 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1224611 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1224611 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23676715 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15173898 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8502817 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24901326 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15173898 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9727428 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10980 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 638824 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10536 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 628288 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 735156 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 735156 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 399632 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 399632 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 408154 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 208254 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 199900 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2181766 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 218790 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1962976 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02220 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27083092 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15392688 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11690404 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13200 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1125 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1125 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 93 | PersonsServed |
| Total Community Building Expense | 10924 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10924 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 93 | PersonsServed |
| Total Community Building Expense | 12049 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12049 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,079,212 | BadDebtExpenseAmount |
| Amount Attributable To | 663051 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 29717806 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33457774 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3739968 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windham Community Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 Mansfield Avenue | AddressLine1 |
| City | Willimantic | City |
| State | CT | State |
| ZIP Code | 06226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windham Community Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 250.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Windham Middle School Health Center | ||||
| 123 Quarry Street | Willimantic | CT | 06226 | In-depth health and mental health assessment |
| Windham High School Wellness Center | ||||
| 355 High Street | Willimantic | CT | 06226 | In-depth health and mental health assessment |
| Charles H Barrows STEM Academy | ||||
| 141 Tuckie Road | North Windham | CT | 06256 | School based health center |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: Organization uses Federal Poverty Guidelines (FPG) to determine eligibility. | ||
| Part I, Line 7: The organization utilizes the Medicare cost report developed Ratio of Cost to Charges (RCC) to accumulate actual costs related to Part I, Lines 7 b, e, & f. This same percentage is applied to the Financial Assistance amount on Part I line 7a. | ||
| Part I, Line 7g: No physician clinic costs were included in the subsidized Health Services cost calculations. | ||
| Part II: Our participation in Community Building activities plays an important role in promoting the health and well being of our community. We work closely with key community partners, such as fire, police, health districts and town governments to ensure the safety of the community and to prepare for potential disasters. Windham Hospital also partners with Windham County SafeKids to ensure that all children have access to car seats and bicycle helmets as well as other safety information to keep our children safe. Many of the community initiatives would not be successful or effective without the involvement, support and expertise of hospital administrative and clinical staff on an in-kind basis. The Hospital spent approximately $12,000 on community building activities in fiscal year 2013. | ||
| Part III, Line 4: Please see the text of the footnote that describes bad debt expense beginning on page 16 of the Audited Financial Statement.Bad debt attributable to patients eligible for charity care taken from procedure analysis report. 98-Bad Debt Payment / 09518-BD ADJ-IP Charity Care 09226-BD ADJ-OP Charity Care | ||
| Part III, Line 8: Providing for those in need, including Medicare patients, and serving all patients regardless of ability to pay is an essential part of our community benefit standards, as well as our mission in our community. We serve those patients without regard to any payment shortfall. Therefore the Medicare shortfall should be considered to be a community benefit. The organization utilizes the Medicare cost report developed ratio of cost to charge. | ||
| Part III, Line 9b: The following is included in the Financial Assistance Policy: For those that qualify for financial assistance the Hospital will not impose wage garnishments or liens on primary residences, will not send unpaid bills to outside collection agencies and will cease all collection efforts. Once a patient qualifies for financial assistance, the patient will be contacted via written communication and the patient account will be documented as appropriate to reflect the level of approval that was granted. Patient Accounting will make all necessary adjustments to the account. Other parties such as collection agencies, and other billing parties will also be notified of the adjustments. | ||
| Part V, Section B, Line 3: The needs assessment took into account the comments and observation of seven focus groups that were made up of first responders, Latinos, community leaders, school based health providers, boomers, faith based groups and youth groups. The telephone survey consisted of 630 interviews of residents from 15 municipalities. | Windham Community Memorial Hospital | |
| Part V, Section B, Line 4: Windham conducted the hospital facility's CHNA with Natchaug Hospital and Day Kimball HealthCare. | Windham Community Memorial Hospital | |
| Part V, Section B, Line 5c: The Needs Assessment results were posted on the hospital's website and made available upon request. In addition, a news release on the completion of the needs assessment was made to the local media. | Windham Community Memorial Hospital | |
| Part V, Section B, Line 7: For the hospital to be the most effective and make the greatest impact on our community, it is understood that not all needs can be addressed at once. The following areas of need uncovered in the 2011 Needs assessment that are not being directly addressed by Windham Hospital are health insurance, physical activity, dental visits, heart attacks, stroke, smoking, flu shots, prostate cancer screening, fruit and vegetables. The two key priority areas identified, diabetes and access to care, are expected to also have a significantly influential impact on BMI's, diets containing fruits and vegetables, physical activity, cardiac disease and strokes. In order to avoid duplication of efforts, behavioral and mental health issues in the community will be led by the specialists at Natchaug Hospital and United Services. However, the hospital is currently working on a strategic initiative with Natchaug Hospital to develop and implement an inpatient program to identify behavioral and mental health issues as comorbidities to coordinate care and decrease length of stay for the patient. | Windham Community Memorial Hospital | |
| Part V, Section B, Line 18e: Financial Assistance Policy is also availabe upon request | Windham Community Memorial Hospital | |
| Part V, Section B, Line 20d: Part V, Section B, Linde 19b: Windham Hospital is in the process of adopting proposed 501r regulations. Once the regulations are final, the hospital will be in compliance. | Windham Community Memorial Hospital | |
| Part VI, Line 2: A variety of methods is used to assess needs for programs that we offer to the community. Needs assessment data is collected when applying for grants at the local, state, and federal level utilizing census data, public health district data, state agency data, as well as federal data from the Centers for Disease Control and Prevention and other sources. More informal methods to assess needs include feedback from Advisory Councils, support groups, and individuals who may need assistance in accessing healthcare services. We coordinate closely with the federally qualified health center in Willimantic, which serves the healthcare needs of low-income residents, as well as numerous other organizations including the public schools, other non-profit organizations, senior centers, and government agencies in our region. The statewide Connecticut Hospital Association, of which we are a member, provides data collection and networking opportunities with other hospitals in Connecticut so that we can share best practices in this area. Secondary data from other organizations is also utilized to take advantage of other resources such as the United Way, Eastern Highlands Health District, Visiting Nurses, and partner organizations within Hartford Healthcare. | ||
| Part VI, Line 3: Windham Hospital disseminates information about its Financial Assistance Policy as follows: (i) provide signage regarding the policy and written summary information describing the Policy along with financial assistance contact information in the Emergency Department, Labor and Delivery areas and all other Hospital patient registration areas; (ii) directly provide to each patient written summary information describing the Policy along with financial assistance contact information in all admission, patient registration discharge, billing and collection written communications; (iii) post the Policy on the Hospital's home web page; (iv) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy. | ||
| Part VI, Line 4: Windham Hospital services 17 towns in Eastern Connecticut which include a portion of Windham County and several towns in New London and Tolland counties. Census data for 2010 reports a population of 118,145 in Windham County. People of Hispanic origin make up 10.9 percent of Connecticut population, and 14.4 percent of the total U.S. population, however in four Connecticut counties, including Windham County, the Hispanic population more than doubled between 1990 and 2005. In the Town of Windham, where the Hospital is located, 29.9% ( 2010 Census) of the population is of Hispanic origin.The poverty rate in Windham County is 10.3% ( 2010 Census) as compared to 8.7 % statewide. The unemployment rate is 9.3 in Windham County (October 2012), with a rate of 7.8% for the State of Connecticut (December 2012). Average income per median household in Windham County is $60,063 as compared to $69,243 in CT, based on 2010 census data. County Health Rankings, a program of the Robert Wood Johnson Foundation and the University of Wisconsin Population Institute reported in 2010 that Windham County ranked last of eight counties with respect to health outcomes (mortality and morbidity), as well as health behaviors including tobacco use, diet & exercise, alcohol use and unsafe sex. Social and economic factors including education, employment, income, family & social support and community safety were also ranked last in Windham County. Windham Hospital receives 50% of its revenue from Medicare and Medicaid. Payers include:* Commercial insurance 40% * Medicare 31% * Medicaid 19% * Charity care, self-pay, other 10% | ||
| Part VI, Line 5: Windham Community Memorial Hospital was formed to serve its community and has been an important resource for nearly 80 years. A local community board governs the hospital, is responsible for maintaining outstanding quality services, and credentials its medical staff. All members of the Board of Directors reside in our service area and are neither employees, family members, nor contractors of the Hospital. The Hospital extends medical staff privileges to all qualified physicians in its community. The Windham Hospital Foundation, a related organization, raises funds to assure that the latest advancements in technology are available to our patients, as well as a range of community benefit programs that are not funded by other sources. We are a true community resource as we offer space for other community groups to meet at no charge, bring together other health providers for health fairs and educational sessions for the community, and encourage the involvement of our staff on various boards and councils that promote the overall health of the community. The Hospital uses its surplus funds to provide additional benefits to its patients and the community it serves. | ||
| Part VI, Line 6: Windham Community Memorial Hospital is a subsidiary of Hartford HealthCare Corporation (HHC). HHC strives to provide compassionate care designed to deliver the necessary health services needed by the community. The Strategic Planning and Community Benefit Committee of the HHC Board of directors ensures the oversight for these services by each hospital community. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care."HHC affiliation creates a strong integrated health care delivery system with a full continuum of care across a broader geographic area. This allows the small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital, the flagship tertiary medical center.The affiliation further enhances the hospitals' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. | ||
| CT | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Whitehead | ||||||||||||||
| President & CEO | 0 | 664686 | 0 | 0 | 0 | 389831 | 0 | 22000 | 0 | 17768 | 0 | 1094285 | 0 | 0 |
| Stephen W Larcen | ||||||||||||||
| Interim Pres & CEO (Thru Aug. 2013) | 0 | 396648 | 0 | 161500 | 0 | 47349 | 0 | 102350 | 0 | 29039 | 0 | 736886 | 0 | 0 |
| Carolyn Trantalis | ||||||||||||||
| Secretary / VP Operations | 183684 | 0 | 0 | 0 | 5170 | 0 | 11457 | 0 | 9923 | 0 | 210234 | 0 | 0 | 0 |
| Martin L Levine | ||||||||||||||
| VP Human Resources | 134797 | 0 | 0 | 0 | 2020 | 0 | 8635 | 0 | 27960 | 0 | 173412 | 0 | 0 | 0 |
| Michael Dion | ||||||||||||||
| VP Patient Care Services | 144170 | 0 | 0 | 0 | 5104 | 0 | 9051 | 0 | 24198 | 0 | 182523 | 0 | 0 | 0 |
| Shawn Maynard | ||||||||||||||
| Director (Foundation) | 82921 | 0 | 0 | 0 | 517 | 0 | 5197 | 0 | 14104 | 0 | 102739 | 0 | 0 | 0 |
| Kismatkumar Detroja | ||||||||||||||
| Physician | 347731 | 0 | 1000 | 0 | 7541 | 0 | 13228 | 0 | 31142 | 0 | 400642 | 0 | 0 | 0 |
| Robert Bundy | ||||||||||||||
| Medical Director | 165000 | 250012 | 0 | 100 | 0 | 1773 | 0 | 10088 | 9577 | 25472 | 174577 | 287445 | 0 | 0 |
| Anne B Lovejoy | ||||||||||||||
| Physician | 203624 | 0 | 0 | 0 | 4536 | 0 | 12132 | 0 | 17628 | 0 | 237920 | 0 | 0 | 0 |
| Melisha Cumberland | ||||||||||||||
| Physician | 277656 | 0 | 0 | 0 | 47 | 0 | 0 | 0 | 30003 | 0 | 307706 | 0 | 0 | 0 |
| Syera Mathews | ||||||||||||||
| Physician | 199941 | 0 | 0 | 0 | 2962 | 0 | 6203 | 0 | 28918 | 0 | 238024 | 0 | 0 | 0 |
| James N Papadakos | ||||||||||||||
| Former- VP Finance & CFO | 117070 | 0 | 0 | 0 | 2925 | 0 | 21682 | 0 | 17597 | 0 | 159274 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | Hartford HealthCare Executive Compensation Committee approves CEO and other Executive compensation. See detailed explanation on Sch O. |
| Part I, Line 7 | The hospital has an At Risk Plan that encourages and rewards achievements of significant functional goals for management that contribute to organization(s) strategic and financial direction. The Plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | See Part V | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | See Part V | Relationship |
| Description Of Transaction | See Part V | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule L Part IV | Identifier |
| Return Reference | Business Transactions Involving Interested Persons: | ReturnReference |
| Explanation | (a)Name of Person: Dr. Ethan Foxman(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $743,846(d)Description of Transaction: Dr. Ethan Foxman is a board member of Windham Community Memorial Hospital, an affiliate of Hartford HealthCare Corporation (HHC). HHC has a professional services agreement with Jefferson Radiology P.C. where Dr. Foxman is a partner and serves as President & CEO. HHC paid Jefferson Radiology approximately $743,846 during the year. (e)Sharing of Organization's Revenue? No(a)Name of Person: Rheo Brouillard(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $286,648(d)Description of Transaction: Rheo Brouillard is a board member at Windham Community Memorial Hospital. Mr. Brouillard is currently the President of the Savings Institute Bank & Trust. The bank does business with Windham Community Memorial Hospital. During the year, the Hospital paid the bank $286,648 worth of interest and principal payments on a an outstanding loan.(e)Sharing of Organization's Revenue? No | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Windham Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. | |
| Form 990, Part VI, Section A, line 7a | The sole member of the organization has the authority to approve/remove members of the governing body. | |
| Form 990, Part VI, Section A, line 7b | The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc. | |
| Form 990, Part VI, Section B, line 11 | The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the CFO for review. The final Form was then sent to each member of the board for review. Once the entire review process was completed, the form was signed by the CEO and then filed with the Internal Revenue Service. | |
| Form 990, Part VI, Section B, line 12c | The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of Interest disclosure statements are maintained by the HHC Office of Compliance, Audit & Privacy (OCAP). All employee disclosures are reviewed by OCAP to determine if there is a potential conflict. Legal counsel will review all cases where the individual has a significant financial interest and these cases are forwarded to the System Executive Compliance Steering Committee. The System Executive Compliance Steering Committee will assess and may recommend 1) the conflict be eliminated, 2) the proposed activity be prohibited, or 3) a Conflict of Interest management plan be implemented. Results of the survey of board members are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. | |
| Form 990, Part VI, Section B, line 15 | The Independent Executive Compensation Committee hires an outside consultant, Integrated Healthcare Strategies, to determine best practices in governing executive compensation for those employees who report directly to the CEO of Hartford HealthCare Corporation. The following steps are taken: - Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Windham Community Memorial Hospital, established and regularly reviews Executive Compensation Philosophy - Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" - National and regional peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors - Analysis of current total compensation versus market performed by independent third party compensation consulting firm, reviewed by the committee - Recommendations made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - CEO compensation determined by Committee based on comparative market information and organizational performance - All changes reviewed and approved by Executive Compensation Committee The CEO compensation determination process is reviewed on an annual basis. All other executive compensation are regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. | |
| Form 990, Part VI, Section C, line 18 | The Form 990, 990T and 1023 and its attachments are available for public inspection at the organization's address upon request. | |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, financial statements and Conflict of Interest statements are also made available upon request. | |
| Form 990, Part XI, line 9: | K-1 Adjustments 25,942. Change In Funding Status of Pension 34,385,130. Transfer From Hartford HealthCare Corp. 7,324,652. Transfer From Windham Foundation 199,393. Reference Testing UBIT 78,532. | Changes in Net Assets or Fund Balances: |
| Part XII, Line 2 | The organization's financial statements were audited by an independent accounting firm as part of a consolidated financial statement. In addition, the organization has a committee that assumes responsibility for oversight of the audit of its financial statements. | Organization's Financial Statements |
| Form 990 Part XII Line 3a & b | Although the organization was not required to undergo A-133 Federal Audit, the results were included in a consolidated A-133 audit performed at the parent level Hartford HealthCare Corporation. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 060646668 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | 1 | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(C)(3) | 11(A) | Windham Community Memorial Hospital | 1 | |
| Midstate Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | 1 | |
| Hartford HealthCare Corporation | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 222672834 | Support & Management Svcs.to HH and Affiliates | CT | 501(C)(3) | 11(C) | 1 | N/A | |
| Natchaug Hospital Inc | |||||||||||
| 189 Storrs Road | Mansfield Ctr | CT | 06226 | 060966963 | Behavioral Health | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | 1 | |
| Hartford HealthCare At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501(C)(3) | 7 | Hartford HealthCare Corporation | 1 | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(C)(3) | 7 | Hartford HealthCare Corporation | 1 | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06115 | 066040747 | Fundraising | CT | 501(C)(3) | 11(C) | Hartford Hospital | 1 | |
| Connecticut Health System Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Care Delivery | CT | 501(C)(3) | 11(C) | 1 | N/A | |
| Institute of Living | |||||||||||
| 200 Retreat Avenue | Hartford | CT | 06106 | 060646683 | Supporting Organization to Hartford Hospital | CT | 501(C)(3) | 11(C) | Hartford HealthCare Corporation | 1 | |
| VNA Health Resources Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Healthcare | CT | 501(C)(3) | 9 | Hartford HealthCare Corporation | 1 | |
| WCMH Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(C)(3) | 11(A) | Windham Community Memorial Hospital | 1 | |
| The Hatch Hospital Corporation | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 066076412 | Healthcare Services | CT | 501(C)(3) | 3 | Windham Community Memorial Hospital | 1 | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 060646768 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | 1 | |
| Central CT Senior Healh Svc dba Southington Care Center | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(C)(3) | 9 | Hartford HealthCare Corporation | 1 | |
| Bradley Health Services | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061367014 | Healthcare Services | CT | 501(C)(3) | 9 | Hartford HealthCare Corporation | 1 | |
| Central CT Health Alliance | |||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222785033 | Support & Management Svcs. To THOCC and Affiliates - Shell | CT | 501(C)(3) | 11(B) | Hartford HealthCare Corporation | 1 | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(C)(3) | 11(A) | Rushford Center Inc | 1 | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Care | CT | 501(C)(3) | 9 | Central CT Senior Health Services Inc | 1 | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(C)(3) | 9 | Central CT Senior Health Services Inc | 1 | |
| Midstate Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(C)(3) | 3 | Midstate Medical Center | 1 | |
| HHC PhysiciansCare Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454456939 | Practice Medicine and Provide Health Care Services to the Public | CT | 501(C)(3) | 9 | Hartford HealthCare Corporation | 1 | |
| Hartford HealthCare Accountable Care Org Inc | |||||||||||
| 200 Retreat Avenue Fl 9 | Hartford | CT | 06102 | 460886367 | To Manage and Coordinate Care for Medicare Beneficiares | CT | 501(C)(3) | HHC PhysiciansCare Inc | 1 | ||
| Hartford HealthCare Corp Group (VEBA) | |||||||||||
| 777 Main Street | Hartford | CT | 06102 | 266671355 | To Provide Medical Benefits to Employees | CT | 501(C)(9) | N/A | Hartford HealthCare Corporation | 1 | |
| Backus Corporation | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222757608 | Support | CT | 501(C)(3) | 11(B) | Hartford HealthCare Corporation | 1 | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Support | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | 1 | |
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Support | CT | 501(C)(3) | 11(A) | Hartford HealthCare Corporation | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| New Britain MRI Limited Partnership | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic Resonance Imaging | CT | N/A | ||||||
| Hartford HealthCare Endowment LLC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Endowment Management | CT | 55472 | 1906098 | 0 | 0 | 0.00260 | ||
| Ambulance Service of Manchester LLC | |||||||||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Services | CT | N/A | ||||||
| Connecticut Imaging Partners LLC | |||||||||||||
| 111 Founders Plaza | East Hartford | CT | 06108 | 134298940 | Imaging Services | CT | N/A | ||||||
| Glastonbury Endoscopy Center LLC | |||||||||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Services | CT | N/A | ||||||
| Glastonbury Surgery Center LLC | |||||||||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Services | CT | N/A | ||||||
| Hartford-Middlesex Clinical System LLC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A | ||||||
| Med-East Assoc LLC | |||||||||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A | -24589 | 278400 | 0 | 0 | 0.50000 | Related |
| Omni Home Health Services E CTLLC | |||||||||||||
| 12 Case Street 317 | Norwich | CT | 06360 | 061458837 | Home Health Care | CT | N/A | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Windham Health Services Inc | |||||||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061461101 | Home Healthcare | CT | Windham Community Memorial Hospital | C | -250 | 152638 | 1.00000 | 1 | |||||
| HHMOB Corporation & Subsidiary | |||||||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061140244 | Real Estate Parking | CT | C | 1 | N/A | ||||||||
| CHS Insurance LTD | |||||||||||||||||
| Captive Insurance | C | 1 | N/A | 40 Church Street | Hamilton | BD | BD | ||||||||||
| Windham Physician Hospital Organization | |||||||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061441614 | Medical Services | CT | Windham Community Memorial Hospital | C | -1087 | 65633 | 0.50000 | 1 | |||||
| Windham Family Medical Services | |||||||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061491649 | Medical Services | CT | Windham Community Memorial Hospital | C | 1 | ||||||||
| CenConn Services Inc | |||||||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Holding Company | CT | C | 1 | N/A | ||||||||
| Grand Indemnity Co LTD FB Perry Building | |||||||||||||||||
| 980609499 | Professional Liability | C | 1 | N/A | 40 Church Street | Hamilton | BD | BD | |||||||||
| Hartford Physician Services PC | |||||||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | C | 1 | N/A | ||||||||
| Meriden Imaging Center | |||||||||||||||||
| 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | Imaging | CT | S | 1 | N/A | ||||||||
| Hartford Physician Hospital Organization Inc | |||||||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222785918 | Physician & Hospital Support | CT | C | 1 | N/A | ||||||||
| Aetna Ambulance Service Inc | |||||||||||||||||
| PO BOX 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | C | 1 | N/A | ||||||||
| Metro Wheelchair Service Inc | |||||||||||||||||
| PO BOX 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | C | 1 | N/A | ||||||||
| WWB Corporation | |||||||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094836 | Holding Company | CT | C | 1 | N/A | ||||||||
| ConnCare Inc | |||||||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | C | 1 | N/A | ||||||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | C | 1 | N/A | ||||||||
| Windham Professional Office Condominium | |||||||||||||||||
| 1120 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | Windham Community Memorial Hospital | C | 0.60000 | 1 | |||||||
| Select Physicians Network | |||||||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061426901 | Managing offices of physicians and surgeons | CT | C | 1 | N/A | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Hartford Hospital | ||
| M | 4079182 | FMV |
| Hartford Hospital | ||
| O | 967382 | FMV |
| Hartford Hospital | ||
| R | 7324652 | FMV |
| Hartford HealthCare Physicians Care Inc | ||
| A | 340874 | FMV |
| Immediate Medical Care Center | ||
| A | 25977 | FMV |
| The Hospital Of Central Connecticut | ||
| Q | 58873 | FMV |
| Hartford HealthCare Rehabilitation Network LLC | ||
| M | 223617 | FMV |
| Natchaug Hospital | ||
| A | 15547 | FMV |
| Natchaug Hospital | ||
| O | 71366 | FMV |
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