LEGACY RGH INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LEGACY RGH INC (EIN 06-0653151)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-13
- IRS object ID
- 201302259349301865
- Schema version
- 2011v1.2
- 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 H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T11:17:25-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060903326 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITTLESEY & HADLEY PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 147 CHARTER OAK AVE | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 061065100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060653151 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKVILLE GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ROCK | NameControl |
| Phone | 8606461222 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 31 UNION STREET | AddressLine1 |
| City | ROCKVILLE | City |
| State | CT | State |
| ZIP Code | 06066 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL D VEILLETTE | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8606461222 | Phone |
| Date Signed | 2013-08-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT W MCCALL | Name |
| PTIN | P00592560 | PTIN |
| Phone | 8605223111 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL D VEILLETTE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 31 UNION STREET | AddressLine1 |
| City | ROCKVILLE | City |
| State | CT | State |
| ZIP Code | 06066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 74581064 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ECHN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1921 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | ROCKVILLE GERNERAL HOSPITAL IS A 102 BED HOSPITAL OFFERING VARIOUS HEALTHCARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING THE INDIGENT AND UNDERSERVED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 615 | TotalNbrEmployees |
| Total Nbr Volunteers | 128 | TotalNbrVolunteers |
| Total Gross UBI | 892045 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 968143 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 663448 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 66490894 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 73307595 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 442844 | InvestmentIncomePriorYear |
| Investment Income Current Year | 495855 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -596128 | OtherRevenuePriorYear |
| Other Revenue Current Year | 83143 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 67305753 | TotalRevenuePriorYear |
| Total Revenue Current Year | 74550041 | 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 | 38374407 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40311117 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29606237 | OtherExpensePriorYear |
| Other Expenses Current Year | 33696814 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 67980644 | TotalExpensesPriorYear |
| Total Expenses Current Year | 74007931 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -674891 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 542110 | RevenuesLessExpensesCY |
| Total Assets BOY | 82393533 | TotalAssetsBOY |
| Total Assets EOY | 79868772 | TotalAssetsEOY |
| Total Liabilities BOY | 53376169 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 58553761 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 29017364 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21315011 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ROCKVILLE GENERAL HOSPITAL IS A 102 BED HOSPITAL OFFERING VARIOUS HEALTHCARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING THE INDIGENT AND UNDERSERVED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14042160 | Expense |
| Revenue | 32214661 | Revenue |
| Description | INPATIENT SERVICES - ROCKVILLE GENERAL HOSPITAL OFFERS COMPREHENSIVE MEDICAL SERVICES IN A 102 BED ACCUTE CARE COMMUNITY HOSPITAL, WITH A TOTAL OF 2519 INPATIENTS TREATED IN FISCAL YEAR 2012. SERVICES ARE OFFERED TO THE COMMUNITY, REGARDLESS OF ANY INDIVIDUALS ABILITY TO PAY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5091840 | Expense |
| Revenue | 4911206 | Revenue |
| Description | RADIOLOGY - A WIDE RANGE OF IMAGING DIAGNOSTIC AND TREATMENT SERVICES IS OFFERED, INCLUDING X-RAYS, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE, AND MAMMOGRAPHY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6424997 | Expense |
| Revenue | 17426143 | Revenue |
| Description | EMERGENCY DEPARTMENT - EMERGENCY CARE IS OFFERED 24 HOURS PER DAY, AND PROVIDES NEEDED EMERGENCY MEDICAL CARE TO THE COMMUNITY, REGARDLESS OF ANY INDIVIDUALS ABILITY TO PAY. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 37374137 | Expense |
| Revenue | 17926726 | Revenue |
| Description | SEE SCHEDULE H, PART VI | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 37374137 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 17926726 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 62933134 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 174 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 615 | 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | 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 | 0 | LocalChapters |
| 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 | JAMES RAY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8606461222 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 HAYNES STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | CT | State |
| ZIP Code | 06040 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (39 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | FormerFormer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| DENNIS O'NEILL MD | |||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| ROBIN MURDOCK MEGGERS | |||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |||
| MICHELE CONLON MD | |||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| CRAIG LAPPEN | |||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| PAUL BERTE | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| GORON BRODIE MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| GLORIA BROOKS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| THOMASINA CLEMONS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ANTHONY DISTEFANO MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| MILTON DOREMUS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JOY DORIN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID ENGELSON | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID GONCI | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JEFFREY HEIDTMAN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| REBECCA JANENDA | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JOSEPH JEAMEL JR | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| CLAUDIO MILITE MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| PETER MULLIGAN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ROSEMARIE PAPA | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| THOMAS SCANLON | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| WILSON VEGA | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| LENORA WILLIAMS MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| PETER J KARL | |||||||||
| PRESIDENT AND CEO | 37.50 | X | 0 | 766216 | 125567 | ||||
| KEVIN G MURPHY | |||||||||
| EVP, TREASURER | 37.50 | X | 0 | 435547 | 77082 | ||||
| MICHAEL D VEILLETTE | |||||||||
| SVP, CHIEF FINANCIAL OFFICER | 37.50 | X | 0 | 301364 | 51959 | ||||
| DEBORAH GOGLIETTINO | |||||||||
| SVP, HUMAN RESOUCES | 37.50 | 0 | 281288 | 47022 | X | ||||
| DENNIS MCCONVILLE | |||||||||
| SVP, STRATEGIC PLANNING | 37.50 | 0 | 258851 | 37601 | X | ||||
| DEBORAH PARKER | |||||||||
| SVP, PATIENT CARE | 37.50 | 0 | 267792 | 51529 | X | ||||
| JOEL REICH MD | |||||||||
| SVP, MEDICAL AFFAIRS | 37.50 | 0 | 388378 | 49746 | X | ||||
| CHARLES COVIN | |||||||||
| VP AND CIO | 37.50 | 0 | 208398 | 20047 | X | ||||
| LEONA CROSSKEY | |||||||||
| VP, QUALITY | 37.50 | 0 | 183913 | 23753 | X | ||||
| KATHLEEN SIMS | |||||||||
| VP, OPERATIONS | 37.50 | 0 | 211111 | 31762 | X | ||||
| ROBERT CARROLL MD | |||||||||
| MED DIR, EMERGENCY DEPARTMENT | 37.50 | 0 | 388212 | 37540 | X | ||||
| CAROLYN MCKENNA | |||||||||
| SVP, CHIEF LEGAL OFFICER (FORMER) | 37.50 | 0 | 107944 | 8609 | X | ||||
| DAVID NEUHAUS MD | |||||||||
| MEDICAL DIRECTOR | 37.50 | 290240 | 0 | 10538 | X | ||||
| ELLEN G NEUHAUS MD | |||||||||
| MEDICAL DIRECTOR | 37.50 | 208610 | 0 | 25591 | X | ||||
| PAMELA LORD | |||||||||
| RN | 37.50 | 123172 | 0 | 17428 | X | ||||
| SALVATORE NAPOLITANO | |||||||||
| RN | 37.50 | 124726 | 0 | 3741 | X | ||||
| KATHLEEN RYAN | |||||||||
| RN | 37.50 | 135152 | 0 | 11556 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 881900 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3799014 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 631071 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | 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 |
|---|---|---|---|---|---|
| ARUP LABORATORIES | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | LABORATORY | 1603029 |
| CONNECTICUT HOSPITAL ASSOCIATION | |||||
| PO BOX 90 | WALLINGFORD | CT | 06492 | VARIOUS SERVICES | 509319 |
| ALLIANCE HEALTHCARE SERVICES INC | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | RADIOLOGY | 383184 |
| PATHOLOGY & LABORATORY SERVICES LLC | |||||
| 11 RESEARCH DR 4 | WOODBRIDGE | CT | 06525 | PATHOLOGY SERVICES | 245333 |
| HEALOGICS WOUND CARE & HYPERBARIC SERVIC | |||||
| 3087 MOMENTUM PLACE | CHICAGO | IL | 60689 | WOUND SERVICES | 234903 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 345288 | GovernmentGrants |
| All Other Contributions | 318160 | AllOtherContributions |
| Total Contributions | 663448 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES REVEN | 900099 | 67847638 | 67847638 | |
| OTHER HEALTHCARE REVEN | 621500 | 5459957 | 4567912 | 892045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 73307595 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 495855 | TotalRevenueColumn |
| Exclusion | $495,855 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 51430 | GrossSalesOfInventory |
| Cost Of Goods Sold | 31023 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20407 | TotalRevenueColumn |
| Exclusion | $20,407 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 242697 | 242697 |
| NON-OPERATING GAIN/LOS | 621500 | -179961 | -179961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 62736 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 74550041 | TotalRevenueColumn |
| Related Or Exempt Function Income | 72478286 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 892045 | UnrelatedBusinessRevenue |
| Exclusion | $516,262 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30268404 | Total |
| Program Services | 25728143 | ProgramServices |
| Management And General | 4540261 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1726119 | Total |
| Program Services | 1467201 | ProgramServices |
| Management And General | 258918 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6552372 | Total |
| Program Services | 5569516 | ProgramServices |
| Management And General | 982856 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1764222 | Total |
| Program Services | 1499589 | ProgramServices |
| Management And General | 264633 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 356436 | Total |
| Management And General | 356436 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3300572 | Total |
| Program Services | 1980343 | ProgramServices |
| Management And General | 1320229 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36824 | Total |
| Management And General | 36824 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132562 | Total |
| Program Services | 66281 | ProgramServices |
| Management And General | 66281 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114152 | Total |
| Program Services | 57076 | ProgramServices |
| Management And General | 57076 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1729940 | Total |
| Program Services | 1470449 | ProgramServices |
| Management And General | 259491 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3342 | Total |
| Program Services | 2841 | ProgramServices |
| Management And General | 501 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15394 | Total |
| Program Services | 13085 | ProgramServices |
| Management And General | 2309 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 719106 | Total |
| Program Services | 719106 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3811952 | Total |
| Program Services | 2287171 | ProgramServices |
| Management And General | 1524781 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1757862 | Total |
| Program Services | 1494183 | ProgramServices |
| Management And General | 263679 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 11345950 | 11345950 | |
| ECHN ALLOCATION | 3862268 | 3282928 | 579340 |
| BAD DEBT | 3309948 | 3309948 | |
| PHYSICIAN FEES | 2427226 | 2427226 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 773280 | Total |
| Program Services | 212098 | ProgramServices |
| Management And General | 561182 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74007931 | Total |
| Program Services | 62933134 | ProgramServices |
| Management And General | 11074797 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4739455 | BOY |
| EOY | 1463822 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10246785 | BOY |
| EOY | 10959584 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1576971 | BOY |
| EOY | 1519666 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270651 | BOY |
| EOY | 218800 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 93619303 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 63146530 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31151850 | BOY |
| EOY | 30472773 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16854373 | BOY |
| EOY | 20261427 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17553448 | BOY |
| EOY | 14972700 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82393533 | BOY |
| EOY | 79868772 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4898569 | BOY |
| EOY | 5969615 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25775116 | BOY |
| EOY | 24199518 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1332509 | BOY |
| EOY | 1466237 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21369975 | BOY |
| EOY | 26918391 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53376169 | BOY |
| EOY | 58553761 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24688727 | BOY |
| EOY | 17066097 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 912532 | BOY |
| EOY | 615748 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3416105 | BOY |
| EOY | 3633166 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29017364 | BOY |
| EOY | 21315011 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82393533 | BOY |
| EOY | 79868772 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 542110 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -8244463 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $13,293 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 13293 | 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 | THE CONNECTICUT HOSPITAL ASSOCIATION (CHA) HAS DETERMINED THAT FOR ITS FISCAL YEAR ENDING APRIL 30,2012 THAT 8% OF ITS MEMBERSHIP DUES WERE USED FOR LOBBYING PURPOSES. THE TOTAL LOBBYING PORTION FROM CHA FOR ROCKVILLE GENERAL HOSPITAL WAS $8,747. THE AMERICAN HOSPITAL ASSOCIATION (AHA) HAS INDICATED THAT 25% OF 2012 DUES WERE USED FOR LOBBYING PURPOSES.THE TOTAL LOBBYING PORTION FROM AHA FOR ROCKVILLE GENERAL HOSPITAL WAS $4,546. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9113580 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1593536 | InvestmentEarningsOrLosses |
| End Of Year Balance | 10707116 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9026890 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 86690 | InvestmentEarningsOrLosses |
| End Of Year Balance | 9113580 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8595357 | BeginningOfYearBalance |
| Contributions | 8524 | Contributions |
| Investment Earnings Or Losses | 423119 | InvestmentEarningsOrLosses |
| Administrative Expenses | 110 | AdministrativeExpenses |
| End Of Year Balance | 9026890 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9683898 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1088541 | InvestmentEarningsOrLosses |
| End Of Year Balance | 8595357 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.84000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.12000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.04000 | 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) |
|---|---|---|
| Other Cost Or Other Basis | 1152087 | OtherCostOrOtherBasis |
| Book Value | 1152087 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46922917 | OtherCostOrOtherBasis |
| Depreciation | 20189205 | Depreciation |
| Book Value | 26733712 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1458506 | OtherCostOrOtherBasis |
| Depreciation | 460312 | Depreciation |
| Book Value | 998194 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43997511 | OtherCostOrOtherBasis |
| Depreciation | 42497013 | Depreciation |
| Book Value | 1500498 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 88282 | OtherCostOrOtherBasis |
| Book Value | 88282 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30472773 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 3401900 |
| INTEREST IN NET ACCESS OF ECHN COMMUNITY HEALTH CARE FOUNDATION | 3254583 |
| OTHER, NET | 831619 |
| BOND INDENTURES | 931964 |
| BENEFICIAL INTEREST IN TRUST ASSETS | 2104303 |
| ESTIMATED SETTLEMENTS DUE FROM THIRD PARTY PAYORS | 853555 |
| CURRENT PORTION OF ASSETS WHOSE USE IS LIMITED | 467223 |
| INVESTMENTS IN JOINT VENTURES | 3127553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 14972700 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED SELF INSURANCE | $3,307,458 |
| ACCRUED PENSION BENEFITS | $17,147,802 |
| CURRENT POSTRETIREMENT BENEFITS | $1,164,039 |
| CONDITIONAL ASSET RETIREMENT OBLIGATION | $128,578 |
| DUE TO AFFILIATED ENTITIES | $3,297,171 |
| ESTIMATED SRTTLEMENT DUE TO 3RD PARTY PAYORS | $1,157,913 |
| OTHER CURRENT LIABILITIES | $715,430 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 26918391 | TotalOfAmounts |
| Total Revenue | 74550041 | TotalRevenue |
| Total Expenses | 74007931 | TotalExpenses |
| Excess Or Deficit For Year | 542110 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 3532935 | NetUnrealizedGLOnInvestments |
| Other | -$11,777,398 | OtherAmount |
| Total Adjustments | -8244463 | TotalAdjustments |
| Excess Or Deficit Per FS | -7702353 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 66336601 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3532935 | NetUnrealizedGainsInvestments |
| Other Revenues | -11777398 | OtherRevenues |
| Revenue Not Rptd F990 | -8244463 | RevenueNotRptdF990 |
| Revenue Subtotal | 74581064 | RevenueSubtotal |
| Other Revenues Not Included | -31023 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -31023 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 74550041 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 74038954 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 31023 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 31023 | ExpensesNotRptdF990 |
| Expenses Subtotal | 74007931 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 74007931 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE PRINCIPAL AND INCOME FROM THE UNRESTRICTED ENDOWMENT FUNDS AND THE INCOME FROM THE TERM ENDOWMENTS ARE FOR CAPITAL AND OPERATING NEEDS OF ROCKVILLE GENERAL HOSPITAL. THE INCOME FROM THE PERMANENT ENDOWMENTS AND PRINCIPAL FROM THE TERM ENDOWMENTS ARE FOR THE USE OF ROCKVILLE GENERAL HOSPITAL AS RESTRICTED BY THE DONORS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740,"INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2012 AND 2011. AS OF SEPTEMBER 30, 2012 AND 2011, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN BENEFICIAL TRUST ASSETS 217,061. CHANGE IN ACCRUED PENSION AND POST RETIREMENT -3,804,398. TRANSFERS TO AFFILIATES, NET -8,190,061. TOTAL TO SCHEDULE D, PART XI, LINE 8: -11,777,398. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN BENEFICIAL TRUST ASSETS 217,061. CHANGE IN ACCRUED PENSION AND POST RETIREMENT -3,804,398. TRANSFERS TO AFFILIATES -8,190,061. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | COST OF GOODS SOLD - GIFT SHOP -31,023. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD - GIFT SHOP 31,023. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | 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 | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1026 | PersonsServed |
| Total Community Benefit Expense | 747729 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5645 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 742084 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01180 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14094 | PersonsServed |
| Total Community Benefit Expense | 10464938 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6833581 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3631357 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05790 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15120 | PersonsServed |
| Total Community Benefit Expense | 11212667 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6839226 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4373441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 40751 | PersonsServed |
| Total Community Benefit Expense | 1170622 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1170622 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01870 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 183 | PersonsServed |
| Total Community Benefit Expense | 285701 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 285701 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 8604 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8604 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 700 | PersonsServed |
| Total Community Benefit Expense | 35611 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 35611 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 41634 | PersonsServed |
| Total Community Benefit Expense | 1500538 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1500538 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02400 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 56754 | PersonsServed |
| Total Community Benefit Expense | 12713205 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6839226 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5873979 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09370 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 342 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 342 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 83 | PersonsServed |
| Total Community Building Expense | 1770 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1770 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 103 | PersonsServed |
| Total Community Building Expense | 1132 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1132 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 186 | PersonsServed |
| Total Community Building Expense | 3244 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3244 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,309,948 | BadDebtExpenseAmount |
| Amount Attributable To | 2192753 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 19857848 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 23069217 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3211369 | 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 |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| 1 NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC | |
| ONCOLOGY SERVICES | 0.25000 |
| 2 TOLLAND IMAGING CENTER | |
| MEDICAL IMAGING SERVICES | 0.35000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | ROCKVILLE GENERAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 31 UNION STREET | AddressLine1 |
| City | VERNON | City |
| State | CT | State |
| ZIP Code | 06066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| 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 | ROCKVILLE GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 125.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| 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 |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART II: AS PART OF EASTERN CONNECTICUT HEALTH NETWORK, ROCKVILLE GENERAL HOSPITAL (RGH) PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY COMMITTING THE EXPERTISE AND RESOURCES OF THE ORGANIZATION TO A NUMBER OF COMMUNITY BUILDING ACTIVITIES THAT SUPPORT ASSOCIATIONS, BUSINESSES, PROGRAMS, INITIATIVES AND OTHER VALUABLE LOCAL COMMUNITY ASSETS. EFFORTS INCLUDE SUPPORTING THE ANNUAL FOOD DRIVE AND YOUTH GROUP OF THE HOCKANUM VALLEY COMMUNITY COUNCIL, A HUMAN SERVICES AGENCY IN VERNON; SERVING ON THE ROTARY CLUB OF ROCKVILLE, WHICH WORKS TO ADDRESS MANY HUNGER, HEALTH, AND HUMANITY ISSUES IN THE TOWNS OF VERNON, TOLLAND AND ELLINGTON; HOSTING ART EXHIBITS OF THE VERNON ART ASSOCIATION; AND PARTNERING WITH THE LOCAL SCHOOL SYSTEM TO SUPPORT THE SCHOOL TO BUSINESS AND ALLIED HEALTH WORKFORCE DEVELOPMENT PROGRAMS AT ROCKVILLE HIGH SCHOOL. | ||
| PART V, SECTION B, LINE 11H: FAMILY SIZE IS USED WITH INCOME LEVEL. | ROCKVILLE GENERAL HOSPITAL | |
| PART V, SECTION B, LINE 19D: CHARGES ARE UNIFORMALLY SET FOR ALL PATIENTS REGARDLESS OF PAYOR, AND CHARITY CARE DISCOUNT IS APPLIED BASED ON INCOME. | ROCKVILLE GENERAL HOSPITAL | |
| PART VI, LINE 2: ROCKVILLE GENERAL HOSPITAL, AS PART OF THE EASTERN CONNECTICUT HEALTH NETWORK, CONDUCTS A REGULAR COMMUNITY HEALTH NEEDS ASSESSMENT TO GATHER CURRENT STATISTICS AND QUALITATIVE INPUT TO DETERMINE THE KEY HEALTH ISSUES FACING RESIDENTS OF ITS 19-TOWN SERVICE AREA. THE ASSESSMENT IS COMPRISED OF TWO RESEARCH COMPONENTS: 1. A SECONDARY DATA PROFILE, WHICH COLLECTS DATA FROM COMMUNITY, CIVIC AND SOCIAL SERVICE AGENCIES TO DEPICT THE DEMOGRAPHICS, MORBIDITY AND MORTALITY STATISTICS AND HEALTH INDICATORSWITHIN THE SERVICES AREA. 2, PRIMARY STATISTICAL RESEARCH USING THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TOOL. THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2010 AND IDENTIFIED SPECIFIC AREAS OF NEED, WHICH HAVE BEEN USED TO DEVELOP TARGETED COMMUNITY BENEFIT AND EDUCATION PROGRAMS AND INITIATIVES THROUGHOUT THE ORGANIZATION.WITH THE SUPPORT OF A COMMUNITY PROGRAM ADVISORY COMMITTEE, CONSISTING OF MEDICAL STAFF LEADERSHIP AND ECHN ADMINISTRATION, THE ORGANIZATIONS COMMUNITY BENEFIT & EDUCATION DEPARTMENT EVALUATES, COORDINATES AND IMPLEMENTS PROGRAMS TO ADDRESS THESE NEEDS. EFFORTS INCLUDE FREE HEALTH EDUCATION LECTURES PRESENTED BY THE MEDICAL STAFF, HEALTH SCREENINGS, HEALTH FAIR PARTICIPATION, AND SUPPORT GROUPS.COMMUNITY HEALTH NEEDS ARE ALSO IDENTIFIED THROUGH REGULAR SOLICITATION OF THE GENERAL PUBLIC AND THEMEDICAL COMMUNITY TO IDENTIFY PERTINENT HEALTH NEEDS THEY FEEL NEED TO BE ADDRESSED. | ||
| PART VI, LINE 4: ROCKVILLE GENERAL HOSPITAL, PART OF THE EASTERN CONNECTICUT HEALTH NETWORK, PRIMARILY SERVES THE FOLLOWING TOWNS LOCATED EAST OF THE CONNECTICUT RIVER IN NORTHERN CONNECTICUT: VERNON, ELLINGTON,TOLLAND, WILLINGTON, MANCHESTER, SOUTH WINDSOR, BOLTON, COVENTRY AND ANDOVER. ITS SECONDARY SERVICE AREA INCLUDES THE TOWNS OF ASHFORD, SOMERS, STAFFORD, UNION, EAST HARTFORD, EAST WINDSOR, GLASTONBURY,HEBRON, COLUMBIA AND MANSFIELD. THE SERVICE AREAS CONTAIN MUNICIPALITIES IN HARTFORD, TOLLAND AND WINDHAM COUNTIES.BASED ON DATA COLLECTED IN 2010, THE POPULATION OF THE RGH/ECHN SERVICE AREA IS OVER 328,000; 49 PERCENT MALE, 51 PERCENT FEMALE. RESIDENTS BETWEEN 45 AND 64 YEARS OF AGE REPRESENT THE HIGHEST PERCENTAGE OF THE POPULATION (28%), FOLLOWED BY RESIDENTS BETWEEN 25 AND 44 YEARS OF AGE (26%) AND OVER THE AGE OF 65 YEARS OF AGE (18%). THE RACE OF THE RESIDENTS IS PREDOMINANTLY WHITE (83%) FOLLOWED BY BLACK/AFRICAN AMERICAN (7.5) AND HISPANIC OR LATINO (7%).EIGHTY-SEVEN PERCENT OF THE POPULATION AGE 25 AND OVER HAVE A HIGH SCHOOL DEGREE AND 32 PERCENT HAVE A BACHELORS DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA IS $71,280.SEVEN PERCENT OF HOUSEHOLDS HAVE ANNUAL INCOME LESSTHAN $15,000.THE UNEMPLOYMENT RATE IS 2.6%. | ||
| PART VI, LINE 5: COMMUNITY HEALTH EDUCATION INITIATIVES/PROGRAMS ARE OFFERED TO THE COMMUNITY AND INCLUDE LECTURE PRESENTATIONS, DEVELOPMENT AND DISTRIBUTION OF A WELLNESS MAGAZINE TO MORE THAN 150,000 HOUSEHOLDS IN THE SERVICE AREA, DEMONSTRATIONS, AND HEALTH FAIR PARTICIPATION. AREAS OF PARTICULAR FOCUS INCLUDE: ARTHRITIS, BREAST HEALTH, CARDIOVASCULAR DISEASE, CHOLESTEROL AWARENESS, COLORECTAL CANCER, DIABETES, HYPERTENSION AWARENESS, LYME DISEASE AND PRE-NATAL CARE, WHICH WERE IDENTIFIED AS AREAS OF NEED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2010. MORE THAN 40,000 PEOPLE BENEFITTED FROM THESE SERVICES IN FY 12.FREE HEALTH SCREENINGS INCLUDING DIABETIC FOOT CHECKS, PROSTATE AND SKIN CANCER SCREENINGS, MAMMOGRAMS, BLOOD PRESSURE, STROKE SCREENINGS, VITAL SIGN CHECKS AND MEDICAL EXAMS ARE OFFERED IN THE COMMUNITY. TARGETING UNINSURED/UNDERINSURED POPULATIONS, 493 PEOPLE BENEFITTED FROM THESE SERVICES IN FY 12.HEALTHCARE SUPPORT SERVICES ARE PROVIDED BY THE HOSPITAL TO INCREASE ACCESS AND QUALITY OF CARE TO INDIVIDUALS IN NEED. EFFORTS INCLUDE REFERRALS TO SOCIAL SERVICES AND PHYSICIANS ACCEPTING MEDICAID OR OTHER GOVERNMENT PROGRAMS, FREE LIFELINE PERSONAL RESPONSE SYSTEM SERVICE. 63 PEOPLE BENEFITTED FROM THESE EFFORTS IN FY 12.PARTNERING WITH LOCAL EDUCATIONAL INSTITUTIONS, MANCHESTER MEMORIAL HOSPITAL PROVIDES A CLINICAL SETTING FOR PHYSICIANS, NURSES, RADIOLOGIC TECHNICIANS, RESPIRATORY TECHNICIANS AND PHYSICAL THERAPISTS AND OTHERSFROM THE UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE, UNIVERSITY OF CONNECTICUT, CENTRAL CONNECTICUT STATE UNIVERSITY, CAPITAL COMMUNITY COLLEGE, QUINNIPIAC UNIVERSITY AND UNIVERSITY OF HARTFORD.SPECIFIC RESEARCH INITIATIVES CONDUCTED BY THE HOSPITAL INCLUDE AN INSTITUTIONAL REVIEW COMMITTEE.FINANCIAL AND IN-KIND SERVICES AND GOODS ARE DONATED TO COMMUNITY GROUPS AND OTHER NOT FOR PROFIT ORGANIZATIONS INCLUDING PATIENT MEALS, LOCAL FUNDRAISERS, FACILITY SPACE TO HOST FIVE BLOOD DRIVES AND 10 HEALTH SUPPORT GROUP ORGANIZATIONS MEETINGS. | ||
| PART VI, LINE 6: ROCKVILLE GENERAL HOSPITAL (RGH) IS AN AFFILIATE OF EASTERN CONNECTICUT HEALTH NETWORK (ECHN). THE ECHN NETWORK OF AFFILIATES INCLUDES:RGH, A COMMUNITY HOSPITAL LICENSED FOR 102 BEDS, THAT OFFERS MEDICAL AND SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, CARDIAC & PULMONARY REHABILITATION, PHYSICAL REHABILITATION, HOSPICE CARE, A MATERNITY CARE CENTER FOR UNINSURED WOMEN, OUTPATIENT ADOLESCENT BEHAVIORAL HEALTH SERVICES, AND LABORATORY SERVICES.MANCHESTER MEMORIAL HOSPITAL, A COMMUNITY HOSPITAL LICENSED FOR 249 BEDS AND 34 BASSINETS, THAT OFFERS MEDICAL AND SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, A MODERN FAMILY BIRTHING CENTER AND NEONATOLOGY SERVICES, REHABILITATION SERVICES, A CERTIFIED SLEEP DISORDERS CENTER, INTENSIVE CARE SUITES, A WOUND HEALING CENTER WITH HYPERBARIC THERAPY, HOSPICE CARE, DIABETES SELF-MANAGEMENT PROGRAM, CARDIAC & PULMONARY REHABILITATION, A COMPREHENSIVE RANGE OF ADOLESCENT AND ADULT INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, NUTRITION COUNSELING, LABORATORY SERVICES, AND THE EASTERN CONNECTICUT CANCER INSTITUTE AT THE JOHN A. DEQUATTRO CANCER CENTER.WOODLAKE AT TOLLAND SKILLED NURSING & REHABILITATION CENTER, A 130-BED LONG-TERM SKILLED NURSING CARE AND SHORT-TERM REHABILITATION FACILITY. CUSTOMIZED REHABILITATION TREATMENT SERVICES INCLUDE JOINT REPLACEMENT REHABILITATION, ORTHOPEDIC POST-HOSPITAL CARE, STROKE/NEUROLOGICAL REHAB, POSTMEDICAL/ SURGICAL RECONDITIONING, AND PERSONALIZED, PROGRESSIVE, AND INTERDISCIPLINARY CARE SERVICES.EASTERN CONNECTICUT MEDICAL PROFESSIONALS (ECMP) FOUNDATION, INC., A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT OFFERS A FULL RANGE OF HEALTHCARE SERVICES, INCLUDING PRIMARY AND SPECIALTY CARE IN THE TOWNS OF EAST HARTFORD, ELLINGTON, MANCHESTER, SOMERS, SOUTH WINDSOR, TOLLAND, AND VERNON/ROCKVILLE. | ||
| THE ROCKVILLE GENERAL HOSPITAL, INC. IS A NOT-FOR-PROFIT 102-BED ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF VERNON-ROCKVILLE, CT AND SURROUNDING TOWNS. THE HOSPITAL IS A SUBSIDIARY OF THE EASTERN CONNECTICUT HEALTH NETWORK, INC., WHICH WAS FORMED IN 1995 BY A MERGER OF MMH CORP. AND ROCKVILLE AREA HEALTH SERVICES, INC. ECHN WAS ORGANIZED TO PROVIDE A BROADER HEALTH CARE SYSTEM FOR THE SURROUNDING COMMUNITIES WITH QUALITY MEDICAL CARE AT A REASONABLE COST AND TO FOSTER AN ENVIRONMENT CONDUCIVE TO HEALTH AND WELL BEING WHETHER IN THE HOME OR IN THE COMMUNITY.ROCKVILLE GENERAL HOSPITAL PATIENTS NOT HAVING INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY QUALIFIED CARE (UNINSURED PATIENTS), AS WELL AS UNDERINSURED PATIENTS, SUBJECT TO INCOME LIMITS AND FAMILY SIZE RECEIVE FREE OR DISCOUNTED CARE. ROCKVILLE GENERAL HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. CHARGES FOR CARE PROVIDED TO PATIENTS ARE DETERMINED BY ESTABLISHED RATES, SUBJECT TO POSSIBLE ADJUSTMENTS OR DISCOUNTS FOR LOW INCOME PATIENTS; CONTRACTUAL DISCOUNTS, OR DISCOUNTS FOR PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES. CHARITY CARE FOR FY 2012 WAS $2,192,753 FOR 1026 APPROVED APPLICANTS. EXPENSES RELATED TO SERVICES PERFORMED FOR PATIENTS OF ROCKVILLE GENERAL HOSPITAL CONTRIBUTE IMPORTANTLY TO ITS EXEMPT PURPOSE BECAUSE THE EXPENSES ARE INCURRED IN THE DIAGNOSIS, CURE, MITIGATION, TREATMENT AND PREVENTION OF DISEASE, AND FOR MEDICAL PURPOSES AFFECTING THE STRUCTURE OR FUNCTION OF THE HUMAN BODY.ROCKVILLE GENERAL HOSPITAL PROVIDED NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUALS ABILITY TO PAY. TWO THOUSAND FIVE HUNDRED NINTEEN (2,519) INPATIENTS WERE CARED FOR IN FY12 REPRESENTING 13,056 PATIENT DAYS. ONE HUNDRED FIVE THOUSAND FOUR HUNDRED FIFTY THREE (105,453) OUTPATIENT VISITS WERE RECORDED.INCLUDED IN THE 2,519 INPATIENTS WERE 1,998 GOVERNMENT RELATED PATIENTS. THE GOVERNMENT INPATIENTS FALL INTO THE FOLLOWING GROUPS.MEDICARE 1,309 MEDICARE MANAGED CARE 346MEDICAID 252MEDICAID MANAGED CARE 18CHAMPUS 63TOTAL GOV PATIENTS 1,852TOTAL NON GOV PATIENTS 531TOTAL PATIENTS 2,519INCLUDED IN THE 105,453 OUTPATIENT VISITS THE FOLLOWING WERE GOVERNMENT RELATED. THE VISITS ARE A PRODUCT OF GROSS REVENUE RELATIONSHIP TO TOTAL VISITS.MEDICARE 20,478MEDICARE MANAGED CARE 6,269MEDICAID 16,683MEDICAID MANAGED CARE 2,670CHAMPUS 2,976TOTAL GOV PATIENTS 49,076TOTAL NON GOV PATIENTS 56,377TOTAL OUTPATIENT VISITS 105,453THE HOSPITAL PROVIDED UNCOMPENSATED CARE TO 14,094 MEDICAID PATIENTS FOR A NET COMMUNITY BENEFIT AMOUNT OF $3,631,357 AFTER MEDICAID REIMBURSEMENT. ADDITIONAL INFORMATION REGARDING PROGRAMS FOR THE COMMUNITY AT RGH: COMMUNITY HEALTH IMPROVEMENT SERVICES (A) COMMUNITY HEALTH EDUCATION (A1) 40,195 $ 108,900 COMMUNITY BASED CLINICAL SERVICES (A2) 493 $1,000,090 HEALTH CARE SUPPORT SERVICES (A3) 63 $ 718**** COMMUNITY HEALTH IMPROVEMENT SERVICES 40,751 $1,109,708HEALTH PROFESSIONS EDUCATION (B) PHYSICIANS/MEDICAL STUDENTS (B1) 5 $ 87,437 NURSES/NURSING STUDENTS (B2) 65 $ 161,766 OTHER HEALTH PROFESSIONAL EDUCATION (B3) 113 $ 36,498**** HEALTH PROFESSIONS EDUCATION 183 $ 285,701RESEARCH (D) OTHER RESEARCH (D3) 0 $ 8,604**** RESEARCH 0 $ 8,604FINANCIAL AND IN-KIND CONTRIBUTIONS (E) CASH DONATIONS (E1) 0 $ 13,857 IN-KIND DONATIONS (E3) 700 $ 21,754**** FINANCIAL AND IN-KIND CONTRIBUTIONS 700 $ 35,611COMMUNITY BUILDING ACTIVITIES (F) ECONOMIC DEVELOPMENT (F2) 0 $ 342 COMMUNITY SUPPORT (F3) 83 $ 1,770 WORKFORCE DEVELOPMENT (F8) 103 $ 1,132**** COMMUNITY BUILDING ACTIVITIES 186 $ 3,244COMMUNITY BENEFIT OPERATIONS (G) DEDICATED STAFF (G1) 0 $ 60,914**** COMMUNITY BENEFIT OPERATIONS 0 $ 60,914FINANCIAL ASSISTANCE FINANCIAL ASSISTANCE 1,026 $ 742,084**** FINANCIAL ASSISTANCE 1,026 $ 742,084GOVERNMENT SPONSORED HEALTH CARE MEDICAID 14,094 $3,631,357**** GOVERNMENT SPONSORED HEALTH CARE 14,094 $3,631,357TOTALS - COMMUNITY BENEFIT 56,940 $5,877,223GRAND TOTALS 56,940 $5,877,223 | ADDITIONAL INFORMATION | |
| CT | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER J KARL | |||||||||||||
| 0 | 560216 | 0 | 206000 | 0 | 0 | 0 | 103459 | 0 | 22108 | 0 | 891783 | 0 | 0 |
| KEVIN G MURPHY | |||||||||||||
| 0 | 351064 | 0 | 84483 | 0 | 0 | 0 | 52124 | 0 | 24958 | 0 | 512629 | 0 | 0 |
| MICHAEL D VEILLETTE | |||||||||||||
| 0 | 233486 | 0 | 67878 | 0 | 0 | 0 | 32701 | 0 | 19258 | 0 | 353323 | 0 | 0 |
| DEBORAH GOGLIETTINO | |||||||||||||
| 0 | 232603 | 0 | 48685 | 0 | 0 | 0 | 31939 | 0 | 15083 | 0 | 328310 | 0 | 0 |
| DENNIS MCCONVILLE | |||||||||||||
| 0 | 207451 | 0 | 51400 | 0 | 0 | 0 | 22062 | 0 | 15539 | 0 | 296452 | 0 | 0 |
| DEBORAH PARKER | |||||||||||||
| 0 | 220350 | 0 | 47442 | 0 | 0 | 0 | 30078 | 0 | 21451 | 0 | 319321 | 0 | 0 |
| JOEL REICH MD | |||||||||||||
| 0 | 323358 | 0 | 65020 | 0 | 0 | 0 | 34478 | 0 | 15268 | 0 | 438124 | 0 | 0 |
| CHARLES COVIN | |||||||||||||
| 0 | 179710 | 0 | 28688 | 0 | 0 | 0 | 5548 | 0 | 14499 | 0 | 228445 | 0 | 0 |
| LEONA CROSSKEY | |||||||||||||
| 0 | 153009 | 0 | 30904 | 0 | 0 | 0 | 4875 | 0 | 18878 | 0 | 207666 | 0 | 0 |
| KATHLEEN SIMS | |||||||||||||
| 0 | 181487 | 0 | 29624 | 0 | 0 | 0 | 11978 | 0 | 19784 | 0 | 242873 | 0 | 0 |
| ROBERT CARROLL MD | |||||||||||||
| 0 | 383712 | 0 | 4500 | 0 | 0 | 0 | 17738 | 0 | 19802 | 0 | 425752 | 0 | 0 |
| CAROLYN MCKENNA | |||||||||||||
| 0 | 62142 | 0 | 45802 | 0 | 0 | 0 | 1585 | 0 | 7024 | 0 | 116553 | 0 | 0 |
| DAVID NEUHAUS MD | |||||||||||||
| 290240 | 0 | 0 | 0 | 0 | 0 | 9338 | 0 | 1200 | 0 | 300778 | 0 | 0 | 0 |
| ELLEN G NEUHAUS MD | |||||||||||||
| 208610 | 0 | 0 | 0 | 0 | 0 | 5795 | 0 | 19796 | 0 | 234201 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 3 | THE BOARD OF TRUSTEES (THE "BOARD") APPOINTS AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") AND HAS DELEGATED THE RESPONSIBILITY OF COMPLETING AN ANNUAL MARKET ANALYSIS OF THE CEOS COMPENSATION AND OTHER SENIOR EXECUTIVES AND COMPLETION OF THE CEOS ANNUAL PERFORMANCE REVIEW. THE EVALUATION OF THE CEO IS AN IMPORTANT RESPONSIBILITY OF THE BOARD AND IS CRITICAL TO THE GOVERNANCE RESPONSIBILITIES OF THE BOARD. THE EXECUTIVE COMPENSATION COMMITTEE SOLICITS FEEDBACK ABOUT THE PERFORMANCE OF THE CEO FROM EVERY ACTIVE BOARD MEMBER WHICH WHEN RECEIVED IS ANALYZED AND REVIEWED BY THE MEMBERS OF THE COMMITTEE. THE CEO COMPLETES A SELF- EVALUATION AND AN EVALUATION FOR ALL ELIGIBLE MEMBERS OF THE SENIOR LEADERSHIP TEAM, WHO COMPLETE BOTH A SELF-EVALUATION AND A PEER EVALUATION. THE RESULTS OF THE ASSESSMENTS COMPLETED BY MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED BY THE CEO WHO DISCUSSES THE RESULTS WITH THE MEMBERS OF THE COMMITTEE ON AN ANNUAL BASIS. THE EXECUTIVE COMPENSATION COMMITTEE IN COLLABORATION WITH THE CEO EVALUATES AND APPROVES ORGANIZATIONAL PERFORMANCE OBJECTIVES BOTH ON AN ANNUAL AND LONG TERM BASIS AND FOCUSES ON THOSE GOALS WITH THE GREATEST IMPACT TO THE ORGANIZATIONS STRATEGY AND MISSION. THE COMMITTEE ENSURES AN ANNUAL REVIEW OF THE CEOS PERFORMANCE IN RELATION TO THESE GOALS; REVIEWS THE TALLY SHEETS TO UNDERSTAND THE ECONOMICS OF THE EMPLOYEE BENEFITS; RETAINS AND ENSURES THE INDEPENDENCE OF ITS EXTERNAL CONSULTANTS AND ADVISORS AND INVOLVES RELEVANT ORGANIZATIONAL RESOURCES AS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES. THE COMMITTEE ENSURES TRANSPARENCY AND DISCLOSURE TO THE BOARD BY PRESENTING THE RESULTS OF THE ANNUAL PERFORMANCE AND MARKET REVIEWS PROVIDING THE BOARD WITH THE OPPORTUNITY FOR FURTHER INPUT AND CONSIDERATION AND ASKING THAT THE BOARD TAKE ACTION ON THE RECOMMENDATION OF THE COMMITTEE IF THE RECOMMENDATION IS APPROPRIATE. THE BOARD HAS THE OPPORTUNITY TO CHANGE ANY RECOMMENDATIONS OF THE COMMITTEE IF IT SO DESIRES. MEMBERS OF THE BOARD AND OF THE COMMITTEE WHO MAY BE INTERESTED PARTIES ARE ASKED TO RECUSE THEMSELVES FROM ANY REQUIRED VOTES TO AVOID CONFLICTS OF INTEREST. THE COMMITTEE ENSURES THAT THE PROCESS MEETS COMPLIANCE STANDARDS. |
| PART I, LINE 4B | PETER KARL - $77,249 KEVIN MURPHY - $35,201 MICHAEL VEILLETTE - $17,626 DEBORAH GOGLIETTINO - $17,625 DEBORAH PARKER - $15,814 DENNIS MCCONVILLE - $15,421 JOEL REICH - $24,383 |
| PART I, LINE 6 | THE ECHN EXECUTIVE INCENTIVE COMPENSATION PLAN IS A PLAN THAT HAS BEEN DEVELOPED, REVIEWED AND IS ANNUALLY APPROVED BY MEMBERS OF THE BOARD EXECUTIVE COMPENSATION COMMITTEE WITH CONSULTANT THIRD PARTY OVERSIGHT. THE PLAN ESTABLISHES GOALS IN 4 AREAS OF PERFORMANCE: SYSTEM- WIDE FINANCIAL PERFORMANCE BASED ON PROFIT FROM OPERATIONS, TWO QUALITY OUTCOMES IN CLINICAL CORE MEASURES AND PATIENT SATISFACTION AND AN INDIVIDUAL GOAL FOR EACH MEMBER OF THE INCENTIVE PROGRAM MEMBERS OF THE INCENTIVE PROGRAM INCLUDE THE FOLLOWING: POSITION TITLE - KEY EMPLOYEE NAME PRESIDENT AND CEO - PETER J. KARL EVP, TREASURER - KEVIN G. MURPHY SVP, CHIEF FINANCIAL OFFICER - MICHAEL D. VEILLETTE SVP, HUMAN RESOURCES - DEBORAH GOGLIETTINO SVP, STRATEGIC PLANNING - DENNIS MCCONVILLE SVP, PATIENT CARE SERVICES - DEBORAH PARKER SVP, MEDICAL AFFAIRS - JOEL REICH, M.D. VP AND CIO - CHARLES COVIN VP QUALITY - LEONA CROSSKEY VP, OPERATIONS - KATHERINE SIMS MED. DIR. EMERGENCY DEPARTMENT - ROBERT CARROLL, M.D. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| STATE OF CONNECTICUT HEALTH & EDL FACS AUTH REV SERIES E | |||||||
| 060806186 | 20774U5W1 | 2010-12-21 | 20145000 | REDEEM PRIOR ISSUE AND FUND INTEREST RATE SWAP TERMINATION PAYMENTS | 0 | 0 | 0 |
| STATE OF CONNECTICUT HEALTH & EDL FACS AUTH REV SERIES C | |||||||
| 060806186 | 20774UAZ8 | 2005-11-09 | 37579404 | ADVANCE REFUND AND DEFEASE A PORTION OF THE SERIES 2000A BONDS. | 0 | 0 | 0 |
| STATE OF CONNECTICUT HEALTH & EDL FACS AUTH REV SERIES D | |||||||
| 060806186 | NONEAVAIL | 2009-05-14 | 15250000 | WOODLAKE EXPANSION, EQUIPMENT PURCHASE, PRIOR ISSUE REFUND. | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 20145000 | 1065002 | 17048821 | 402900 | 92225 | 1536052 | 2011 | 1 | 0 | 1 | 1 | |
| 37579404 | 3556957 | 32759288 | 632013 | 631146 | 2006 | 0 | 1 | 1 | 1 | ||
| 15250000 | 9966919 | 305000 | 2009 | 1 | 0 | 1 | 1 | 4978081 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||
| 0 | 1 | 0 | 0 | 0 | 1 | |||
| (no name) | ||||||||
| 0 | 0 | 0 | 0 | 0 | 1 | |||
| TD BANK | ||||||||
| 0 | 1 | 1 | 0 | 0 | 1 | 5.000000000000 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DR DENNIS O'NEILL | |||
| RGH TRUSTEE OWNING MORE THAN 5% OF P.C.; 20% SHARE | 209715 | ECPC, PC PROVIDES PATHOLOGY SERVICES AND LAB MANAGEMENT SERVICES TO MMH; PAYMENTS REPORTED REPRESENT TOTAL BY RGH. | 0 |
| DR MICHELE CONLON | |||
| RGH TRUSTEE OWNING MORE THAN 5% OF P.C.; 20% SHARE | 209715 | ECPC, PC PROVIDES PATHOLOGY SERVICES AND LAB MANAGEMENT SERVICES TO MMH; PAYMENTS REPORTED REPRESENT TOTAL BY RGH. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS DENNIS O'NEILL AND MICHELE CONLON ARE BUSINESS PARTNERS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | CORPORATORS HAVE THE AUTHORITY TO ELECT BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CORPORATORS HAVE THE AUTHORITY TO VOTE ON SIGNIFICANT ISSUES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO THE FILING THE 990, THE FOLLOWING STEPS ARE TAKEN: 1) THE DIRECTOR OF ACCOUNTING AND TAXATION, TOGETHER WITH OTHER MEMBERS OF THE FINANCE DEPARTMENT, CONDUCT A REVIEW OF THE 990 ALONG WITH A REVIEW AND RECONCILATION OF THE 990 TO THE AUDITED FINANCIAL STATEMENTS; 2) DIRECTOR OF ACCOUNTING AND TAXATION CONDUCTS AN EXTENSIVE REVIEW AND DISCUSSION OF THE 990 WITH THE CPA FIRM THAT PREPARES THE RETURN; 3) AN ELECTRONIC COPY OF THE 990 IS MADE AVAILABLE TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (THE GOVERNING BOARD), AND SENIOR MANAGEMENT OF THE ORGANIZATION, FOR REVIEW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE CORPORATE COMPLIANCE/INTERNAL AUDIT DEPARTMENT PROVIDES TO OFFICERS, DIRECTORS, OR TRUSTEES AND KEY EMPLOYEES THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND DISCLOSURE STATEMENT, AND EACH INDIVIDUAL IS REQUIRED TO RETURN TO THE DEPARTMENT, A SIGNED DOCUMENT, ACKNOWLEDGING RECEIPT OF THE POLICY AND DISCLOSURE STATEMENT AND DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. A SUMMARY OF THE DISCLOSURES IS SHARED WITH THE CHAIRMAN OF THE BOARD OF TRUSTEES AND WITH THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD. INDIVIDUALS WHO ARE IDENTIFIED AS HAVING A CONFLICT OF INTEREST ARE PROHIBITED IN PARTICIPATING IN THE GOVERNING BODIES DELIBERATIONS AND DECISIONS RELATED TO THE TRANSACTION. THE RETURNED STATEMENTS ARE RETAINED BY THE CORPORATE COMPLIANCE/INTERNAL AUDIT DEPARTMENT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE TAKES THE FOLLOWING STEPS WITH AN INDEPENDENT COMPENSATION CONSULTANT (1) REVIEWS DATA RELATED TO CURRENT MARKET VALUES CONSISTENT FOR ORGANIZATIONS EXECUTIVES BY REVIEW OF COMPENSATION LEVELS AND PLANS CONSISTENT WITH HOSPITALS AND HEALTH SYSTEMS OF COMPARABLE SIZE AND LOCATION; (2) COMPLETES A REVIEW OF DATA ON CURRENT AND FUTURE PLANS FOR THE ORGANIZATION, INCLUDING STRUCTURE AND JOB DESCRIPTIONS; (3) REVIEWS AND APPROVES AND RECOMMEND SALARY RANGES FOR EACH POSITION, ALONG WITH RELATED BENEFITS; (4) REVIEWS AND APPROVES A TIERED EXECUTIVE STRUCTURE WITH APPROPRIATE INCENTIVE OPPORTUNITY, BENEFITS, AND COMPENSATION; | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION, WILL, UPON REQUEST, ALLOW FOR REVIEW OF OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND MOST RECENT ANNUAL AUDITED FINANCIAL STATEMENTS AT AN OFFICE OF THE ORGANIZATION. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 3,532,935. CHANGE IN BENEFICIAL TRUST ASSETS 217,061. CHANGE IN ACCRUED PENSION AND POST RETIREMENT -3,804,398. TRANSFERS TO AFFILIATES, NET -8,190,061. TOTAL TO FORM 990, PART XI, LINE 5: -8,244,463. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| EASTERN CONNECTICUT HEALTH NETWORK | |||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546079 | INTEGRATED HEALTHCARE SYSTEM | CT | 501(C)3 | 170(B)(1)(A) | 0 |
| MANCHESTER MEMORIAL HOSPITAL | |||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 060646710 | THE PROVISION OF HEALTH CARE | CT | 501(C)3 | 170(B)(1)(A) | 0 |
| ECHN COMMUNITY HEALTHCARE FOUNDATION INC | |||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546080 | FUNDRAISING | CT | 501(C)3 | 170(B)(1)(A) | 0 |
| ECHN ELDERCARE SERVICES INC | |||||||||
| 26 SHENIPSIT LAKE ROAD | TOLLAND | CT | 06084 | 061149193 | THE PROVISION OF HEALTH CARE | CT | 501(C)3 | 170(B)(1)(A) | 0 |
| EASTERN CONNECTICUT MEDICAL PROFESSIONAL FOUNDATION INC | |||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546079 | THE PROVISION OF HEALTH CARE | CT | 501(C)3 | 170(B)(1)(A) | 0 |
| VISITING NURSE & HEALTH SERVICES OF CT INC | |||||||||
| 8 KEYNOTE DRIVE | VERNON | CT | 06066 | 060646795 | SKILLED HEALTHCARE SERVICES | CT | 501(C)3 | 170(B)(1)(A) | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|
| ECHN ENTERPRISES INC | ||||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546828 | REAL ESTATE HOLDING | CT | C | 100 | 100 | 1.00000 |
| HAYNES STREET PROPERTY MANAGEMENT LLC | ||||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546028 | REAL ESTATE PROPERTY MANAGEMENT | CT | C | 100 | 100 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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