LEGACY RGH INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LEGACY RGH INC (EIN 06-0653151)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201202289349301355
- Schema version
- 2010v3.4
- 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 | 2012-08-15T08:50:54-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-10-01 | 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 | SVP FINANCE & INFORMATION SERVICES | Title |
| Phone | 8606461222 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT W MCCALL | Name |
| Phone | 8605223111 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 67342308 | 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 | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 25 | NbrIndependentVotingMembers |
| Total Nbr Employees | 694 | TotalNbrEmployees |
| Total Nbr Volunteers | 115 | TotalNbrVolunteers |
| Total Gross UBI | 884133 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1286274 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 968143 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 67324338 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66490894 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 362 | InvestmentIncomePriorYear |
| Investment Income Current Year | 442844 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 296786 | OtherRevenuePriorYear |
| Other Revenue Current Year | -596128 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 68907760 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67305753 | 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 | 36947281 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 38374407 | 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 | 28885147 | OtherExpensePriorYear |
| Other Expenses Current Year | 29606237 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 65832428 | TotalExpensesPriorYear |
| Total Expenses Current Year | 67980644 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3075332 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -674891 | RevenuesLessExpensesCY |
| Total Assets BOY | 94488678 | TotalAssetsBOY |
| Total Assets EOY | 82393533 | TotalAssetsEOY |
| Total Liabilities BOY | 55824047 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 53376169 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 38664631 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 29017364 | 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 | 5679648 | Expense |
| Revenue | 6816563 | Revenue |
| Description | OPERATING ROOM - ROCKVILLE GENERAL HOSPITAL OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5104059 | Expense |
| Revenue | 24229615 | Revenue |
| Description | EMERGENCY CARE - THE HOSPITAL OFFERS 24 HOUR EMERGENCY CARE. THE HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2869535 | Expense |
| Revenue | 16265592 | Revenue |
| Description | IMAGING SERVICES - THE HOSPITAL ALSO OFFERS A WIDE RANGE OF IMAGING DIAGNOSTIC AND TREATMENT SERVICES. DIAGNOSTIC TESTING AND TREATMENT INCLUDE X-RAYS, CT, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE, MAMMOGRAPHY. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 44161384 | Expense |
| Revenue | 17681151 | Revenue |
| Description | SEE SCHEDULE H, PART VI | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 44161384 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 17681151 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 57814626 | 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 | 171 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 694 | 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 | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 25 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 0 | InvestmentInJointVenture |
| 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 (41 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||
| MICHELE CONLON MD | |||||||||
| 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 | ||||
| HARRIET HASLETT | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JEFFREY HEIDTMAN | |||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | |||
| REBECCA JANENDA | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JOSEPH JEAMEL JR | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JOYCE JORDAN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| CRAIG LAPPEN | |||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |||
| PAMELA LEWIS MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ROBIN MURDOCK MEGGERS | |||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |||
| CLAUDIO MILITE MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| PETER MULLIGAN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DENNIS O'NEILL MD | |||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |||
| ROSEMARIE PAPA | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| THOMAS SCANLON | |||||||||
| 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 | 0 | 929933 | 112267 | X | ||||
| KEVIN G MURPHY | |||||||||
| TREASURER&EVP NETWORK/BUSINESS DEV | 37.50 | 0 | 534368 | 56722 | X | ||||
| MICHAEL D VEILLETTE | |||||||||
| SENIOR VICE PRESIDENT, FINANCE | 37.50 | 0 | 215551 | 39089 | X | ||||
| CHARLES COVIN | |||||||||
| VICE PRESIDENT AND CIO | 37.50 | 0 | 206158 | 14446 | X | ||||
| LEONA CROSSKEY | |||||||||
| VICE PRESIDENT QUALITY | 37.50 | 0 | 162470 | 14280 | X | ||||
| DEB GOGLIETTINO | |||||||||
| SENIOR VICE PRESIDENT, HUMAN RESOURCES | 37.50 | 0 | 281471 | 36526 | X | ||||
| DENNIS MCCONVILLE | |||||||||
| SENIOR VICE PRESIDENT, STRATEGIC PLANNING | 37.50 | 0 | 314751 | 30074 | X | ||||
| DEBORAH PARKER | |||||||||
| SENIOR VICE PRESIDENT, PATIENT CARE SERVICES | 37.50 | 0 | 309351 | 37853 | X | ||||
| JOEL REICH MD | |||||||||
| SENIOR VICE PRESIDENT, MEDICAL AFFAIRS | 37.50 | 0 | 487101 | 65400 | X | ||||
| KATHLEEN SIMS | |||||||||
| VICE PRESIDENT, OPERATIONS | 37.50 | 0 | 205348 | 20838 | X | ||||
| ELLEN NEUHAUS MD | |||||||||
| DOCTOR | 37.50 | 211067 | 0 | 5831 | X | ||||
| MARY POWERS | |||||||||
| EMPLOYEE | 37.50 | 128762 | 0 | 14107 | X | ||||
| DIANE ASHMAN | |||||||||
| EMPLOYEE | 36.00 | 123923 | 0 | 12779 | X | ||||
| PAMELA LORD | |||||||||
| EMPLOYEE | 35.00 | 120744 | 0 | 13369 | X | ||||
| KATHLEEN RYAN | |||||||||
| EMPLOYEE | 40.00 | 119924 | 0 | 11503 | X | ||||
| CAROLYN MCKENNA | |||||||||
| SVP LEGAL COUNSEL - FORMER | 37.50 | 0 | 326095 | 39355 | X | ||||
| RICHARD SLUTSKY | |||||||||
| VICE PRESIDENT, LONG TERM CARE - FORMER | 37.50 | 0 | 145195 | 13368 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 704420 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4117792 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 537807 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | 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 |
|---|---|---|---|---|---|
| ROBINSON & COLE | |||||
| 280 TRUMBULL STREET | HARTFORD | CT | 06103 | LEGAL | 591206 |
| GRIFFIN YORK & KRAUSE | |||||
| 121 RIVER FRONT DRIVE | MANCHESTER | NH | 03102 | STRATEGIC CONSULTING | 360766 |
| NATIONAL WOUND CARE & HYPERBARIC SERVICE | |||||
| 3087 MOMENTUM PLACE | CHICAGO | IL | 60689 | MEDICAL | 315605 |
| HOLOGIC | |||||
| 24506 NETWORK PLACE | CHICAGO | IL | 60673 | MEDICAL | 288538 |
| EVERGREEN MEDICAL ASSOC II LLC | |||||
| PO BOX 4110 | WOBURN | CT | 01888 | MEDICAL | 252389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 743085 | GovernmentGrants |
| All Other Contributions | 225058 | AllOtherContributions |
| Total Contributions | 968143 | 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 | 63387127 | 63387127 | |
| OTHER HEALTHCARE REVEN | 621500 | 3103767 | 2219634 | 884133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66490894 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 442844 | TotalRevenueColumn |
| Exclusion | $442,844 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 54268 | GrossSalesOfInventory |
| Cost Of Goods Sold | 36555 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17713 | TotalRevenueColumn |
| Exclusion | $17,713 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 241415 | 241415 |
| NON-OPERATING GAIN/LOS | 621500 | -855256 | -855256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -613841 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67305753 | TotalRevenueColumn |
| Related Or Exempt Function Income | 64992920 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 884133 | UnrelatedBusinessRevenue |
| Exclusion | $460,557 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29535769 | Total |
| Program Services | 24810046 | ProgramServices |
| Management And General | 4725723 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1561333 | Total |
| Program Services | 1327133 | ProgramServices |
| Management And General | 234200 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5559771 | Total |
| Program Services | 4725805 | ProgramServices |
| Management And General | 833966 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1717534 | Total |
| Program Services | 1459904 | ProgramServices |
| Management And General | 257630 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141196 | Total |
| Management And General | 141196 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31797 | Total |
| Management And General | 31797 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132950 | Total |
| Program Services | 66475 | ProgramServices |
| Management And General | 66475 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98506 | Total |
| Program Services | 49253 | ProgramServices |
| Management And General | 49253 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1482062 | Total |
| Program Services | 1185650 | ProgramServices |
| Management And General | 296412 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5565 | Total |
| Program Services | 4730 | ProgramServices |
| Management And General | 835 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14817 | Total |
| Program Services | 12594 | ProgramServices |
| Management And General | 2223 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1115178 | Total |
| Program Services | 1115178 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3672297 | Total |
| Program Services | 3121452 | ProgramServices |
| Management And General | 550845 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5816 | Total |
| Program Services | 4944 | ProgramServices |
| Management And General | 872 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 8508206 | 8508206 | |
| ECHN ALLOCATION | 4653662 | 3955613 | 698049 |
| OUTSIDE/PURCHASED SERVI | 2986054 | 1343724 | 1642330 |
| BAD DEBT | 2925278 | 2925278 | |
| PHYSICIAN FEES | 2910731 | 2910731 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 922122 | Total |
| Program Services | 287910 | ProgramServices |
| Management And General | 634212 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67980644 | Total |
| Program Services | 57814626 | ProgramServices |
| Management And General | 10166018 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5837411 | BOY |
| EOY | 4739455 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9664890 | BOY |
| EOY | 10246785 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1499178 | BOY |
| EOY | 1576971 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229941 | BOY |
| EOY | 270651 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 90588936 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 59437086 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32803719 | BOY |
| EOY | 31151850 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19833047 | BOY |
| EOY | 20214369 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24620492 | BOY |
| EOY | 14193452 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94488678 | BOY |
| EOY | 82393533 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6637694 | BOY |
| EOY | 4898569 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8282964 | BOY |
| EOY | 8580616 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16968044 | BOY |
| EOY | 18527009 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23935345 | BOY |
| EOY | 21369975 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55824047 | BOY |
| EOY | 53376169 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33744284 | BOY |
| EOY | 24688727 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1433133 | BOY |
| EOY | 912532 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3487214 | BOY |
| EOY | 3416105 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38664631 | BOY |
| EOY | 29017364 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94488678 | BOY |
| EOY | 82393533 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -674891 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -8972376 | 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 | $13,888 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 13888 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE CONNECTICUT HOSPITAL ASSOCIATION (CHA) HAS DETERMINED THAT FOR ITS FISCAL YEAR ENDING APRIL 30,2011 THAT 9% OF ITS MEMBERSHIP DUES WERE USED FOR LOBBYING PURPOSES. THE TOTAL LOBBYING PORTION FROM CHA FOR ROCKVILLE GENERAL HOSPITAL INC. WAS $9,623. THE AMERICAN HOSPITAL ASSOCIATION (AHA) HAS INDICATED THAT 24% OF 2011 DUES WERE USED FOR LOBBYING PURPOSES.THE TOTAL LOBBYING PORTION FROM AHA FOR ROCKVILLE GENERAL HOSPITAL INC. WAS $4,265. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| 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 Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 | 0.78000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.14000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.08000 | 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 | 1149997 | OtherCostOrOtherBasis |
| Book Value | 1149997 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46426121 | OtherCostOrOtherBasis |
| Depreciation | 24220889 | Depreciation |
| Book Value | 22205232 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 711337 | OtherCostOrOtherBasis |
| Depreciation | 412978 | Depreciation |
| Book Value | 298359 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41933790 | OtherCostOrOtherBasis |
| Depreciation | 34803219 | Depreciation |
| Book Value | 7130571 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 367691 | OtherCostOrOtherBasis |
| Book Value | 367691 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31151850 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CURRENT PORTION OF ASSETS WHOSE USE IS LIMITED | 501284 | C |
| ASSETS WHOSE USE IS LIMITED: BOARD & DONOR DESIGNATED INVESTMENTS | 16854373 | C |
| INVESTMENTS IN JOINT VENTURES | 2858712 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 20214369 | TotalOfBookValueSecurities |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ACCOUNTS RECEIVABLE, NET | 799055 |
| DUE FROM AFFILIATES | 4990731 |
| INTEREST IN NET ACCESS OF ECHN COMMUNITY HEALTH CARE FOUNDATION | 2629614 |
| OTHER, NET | 938926 |
| BOND INDENTURES | 1890524 |
| BENEFICIAL INTEREST IN TRUST ASSETS | 1887242 |
| ESTIMATED SETTLEMENTS DUE FROM THIRD PARTY PAYORS | 1057360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 14193452 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED SELF INSURANCE | $548,842 |
| ACCRUED PENSION BENEFITS | $13,402,108 |
| CURRENT POSTRETIREMENT BENEFITS | $3,891,414 |
| CONDITIONAL ASSET RETIREMENT OBLIGATION | $125,749 |
| DUE TO AFFILIATED ENTITIES | $2,717,350 |
| ESTIMATED SRTTLEMENT DUE TO 3RD PARTY PAYORS | $684,512 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 21369975 | TotalOfAmounts |
| Total Revenue | 67305753 | TotalRevenue |
| Total Expenses | 67980644 | TotalExpenses |
| Excess Or Deficit For Year | -674891 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1021543 | NetUnrealizedGLOnInvestments |
| Other | -$7,950,833 | OtherAmount |
| Total Adjustments | -8972376 | TotalAdjustments |
| Excess Or Deficit Per FS | -9647267 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 58369932 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1021543 | NetUnrealizedGainsInvestments |
| Other Revenues | -7950833 | OtherRevenues |
| Revenue Not Rptd F990 | -8972376 | RevenueNotRptdF990 |
| Revenue Subtotal | 67342308 | RevenueSubtotal |
| Other Revenues Not Included | -36555 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -36555 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 67305753 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 68017199 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 36555 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 36555 | ExpensesNotRptdF990 |
| Expenses Subtotal | 67980644 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 67980644 | 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, 2011 AND 2010. AS OF SEPTEMBER 30, 2011 AND 2010, 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 -71,109. NET LOSS ON INTEREST RATE SWAP 1,509,597. CHANGE IN ACCRUED PENSION AND POST RETIREMENT -3,218,413. TRANSFERS TO AFFILIATES, NET -6,170,908. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN BENEFICIAL TRUST ASSETS -71,109. NET GAIN ON INTEREST RATE SWAP 1,509,597. CHANGE IN ACCRUED PENSION AND POST RETIREMENT -3,218,413. TRANSFERS TO AFFILIATES -6,170,908. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | COST OF GOODS SOLD - GIFT SHOP -36,555. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD - GIFT SHOP 36,555. |
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 |
| Pcent300 | X | Pcent300 |
| 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) |
|---|---|---|
| Persons Served | 303 | PersonsServed |
| Total Community Benefit Expense | 336084 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4006 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 332078 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12893 | PersonsServed |
| Total Community Benefit Expense | 9475440 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6290247 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3185193 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05510 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13196 | PersonsServed |
| Total Community Benefit Expense | 9811524 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6294253 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3517271 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06080 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 41521 | PersonsServed |
| Total Community Benefit Expense | 247780 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 247780 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 160 | PersonsServed |
| Total Community Benefit Expense | 451724 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 409724 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 17396 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17396 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 885 | PersonsServed |
| Total Community Benefit Expense | 38780 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 38780 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 25 | NumberOfActivitiesOrPrograms |
| Persons Served | 42566 | PersonsServed |
| Total Community Benefit Expense | 755680 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 713680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01240 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 25 | NumberOfActivitiesOrPrograms |
| Persons Served | 55762 | PersonsServed |
| Total Community Benefit Expense | 10567204 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6336253 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4230951 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07320 | 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 | 266 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 266 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 5223 | PersonsServed |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 20549 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 20549 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
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 | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 552 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 552 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
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 | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 41 | PersonsServed |
| Total Community Building Expense | 950 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 950 | 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 | 5264 | PersonsServed |
| Total Community Building Expense | 22317 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22317 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,925,278 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 18873901 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 22440703 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3566802 | 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | 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 PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED AND CONTRACTUAL RATES. ROCKVILLE GENERAL HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; SUCH AS, THESE AMOUNTS ARE NOT REPORTED AS REVENUE. CHARITY CARE FOR FY 2011 WAS $821,721 FOR 303 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 INDIVIDUAL'S ABILITY TO PAY. TWO THOUSAND FIVE HUNDRED FIFTEEN (2,515) INPATIENTS WERE CARED FOR IN FY11 REPRESENTING 12,370 PATIENT DAYS. SEVENTY SIX THOUSAND EIGHT HUNDRED THIRTY (76,830) OUTPATIENT VISITS WERE RECORDED.INCLUDED IN THE 2,515 INPATIENTS WERE 1,852 GOVERNMENT RELATED PATIENTS. THE GOVERNMENT INPATIENTS FALL INTO THE FOLLOWING GROUPS.MEDICARE 1,317 MEDICARE MANAGED CARE 264MEDICAID 148MEDICAID MANAGED CARE 120CHAMPUS 3TOTAL GOV PATIENTS 1,852TOTAL NON GOV PATIENTS 663TOTAL PATIENTS 2,515INCLUDED IN THE 12,893 OUTPATIENT VISITS THE FOLLOWING WERE GOVERNMENT RELATED. THE VISITS ARE A PRODUCT OF GROSS REVENUE RELATIONSHIP TO TOTAL VISITS.MEDICARE 14,395MEDICARE MANAGED CARE 3,718MEDICAID 5,469MEDICAID MANAGED CARE 9,475CHAMPUS 401TOTAL GOV PATIENTS 33,458TOTAL NON GOV PATIENTS 43,372TOTAL OUTPATIENT VISITS 76,830THE HOSPITAL PROVIDED UNCOMPENSATED CARE TO 12,893 MEDICAID PATIENTS FOR A NET COMMUNITY BENEFIT AMOUNT OF $3,185,193 AFTER MEDICAID REIMBURSEMENT. ADDITIONAL INFORMATION REGARDING PROGRAMS FOR THE COMMUNITY AT RGH:COMMUNITY BENEFIT SERVICES / BENEFIT / PERSONS SERVED COMMUNITY HEALTH IMPROVEMENT SERVICES COMMUNITY HEALTH EDUCATION $150,858 39,699COMMUNITY BASED CLINICAL SERVICES $ 37,116 1,757HEALTH CARE SUPPORT SERVICES $ 5,104 65TOTAL $193,078 41,521 HEALTH PROFESSIONS EDUCATION PHYSICIANS/MEDICAL STUDENTS $ 59,077 18 NURSES/NURSING STUDENTS $328,308 63 OTHER HEALTH PROFESSIONAL EDUCATION $ 22,339 79TOTAL $409,724 160 RESEARCH OTHER RESEARCH $ 17,396 0TOTAL $ 17,396 0 FINANCIAL AND IN-KIND CONTRIBUTIONS CASH DONATIONS $ 3,197 0 IN-KIND DONATIONS $ 35,583 885 TOTAL $ 38,780 885 COMMUNITY BUILDING ACTIVITIES ECONOMIC DEVELOPMENT $ 266 0 COMMUNITY SUPPORT $ 20,549 5,223COALITION BUILDING $ 552 0 WORKFORCE DEVELOPMENT $ 950 41 TOTAL $ 22,317 5,264 COMMUNITY BENEFIT OPERATIONS DEDICATED STAFF $ 54,702 0 TOTAL $ 54,702 0 GRAND TOTAL $735,997 47,830 FINANCIAL SERVICES DETAIL / BENEFIT / PERSONS SERVED TRADITIONAL CHARITY CARE $332,078 303 UNPAID COSTS OF MEDICAID $3,185,193 12,893 TOTAL COMMUNITY BENEFIT $4,253,268 61,026 | Explanation |
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 | 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 | 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 (13 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 | 929933 | 0 | 0 | 0 | 0 | 0 | 11318 | 0 | 100949 | 0 | 1042200 | 0 | 697450 |
| KEVIN G MURPHY | |||||||||||||
| 0 | 534368 | 0 | 0 | 0 | 0 | 0 | 8436 | 0 | 48286 | 0 | 591090 | 0 | 400776 |
| MICHAEL D VEILLETTE | |||||||||||||
| 0 | 215551 | 0 | 0 | 0 | 0 | 0 | 8396 | 0 | 30693 | 0 | 254640 | 0 | 161663 |
| CHARLES COVIN | |||||||||||||
| 0 | 206158 | 0 | 0 | 0 | 0 | 0 | 1379 | 0 | 13067 | 0 | 220604 | 0 | 154619 |
| LEONA CROSSKEY | |||||||||||||
| 0 | 162470 | 0 | 0 | 0 | 0 | 0 | 1213 | 0 | 13067 | 0 | 176750 | 0 | 121853 |
| DEB GOGLIETTINO | |||||||||||||
| 0 | 281471 | 0 | 0 | 0 | 0 | 0 | 8853 | 0 | 27673 | 0 | 317997 | 0 | 211103 |
| DENNIS MCCONVILLE | |||||||||||||
| 0 | 314751 | 0 | 0 | 0 | 0 | 0 | 1586 | 0 | 28488 | 0 | 344825 | 0 | 236063 |
| DEBORAH PARKER | |||||||||||||
| 0 | 309351 | 0 | 0 | 0 | 0 | 0 | 8972 | 0 | 28881 | 0 | 347204 | 0 | 232013 |
| JOEL REICH MD | |||||||||||||
| 0 | 487101 | 0 | 0 | 0 | 0 | 0 | 2506 | 0 | 62894 | 0 | 552501 | 0 | 365326 |
| KATHLEEN SIMS | |||||||||||||
| 0 | 205348 | 0 | 0 | 0 | 0 | 0 | 7771 | 0 | 13067 | 0 | 226186 | 0 | 154011 |
| ELLEN NEUHAUS MD | |||||||||||||
| 211067 | 0 | 0 | 0 | 0 | 0 | 1635 | 0 | 4196 | 0 | 216898 | 0 | 158300 | 0 |
| CAROLYN MCKENNA | |||||||||||||
| 0 | 326095 | 0 | 0 | 0 | 0 | 0 | 9112 | 0 | 30243 | 0 | 365450 | 0 | 244571 |
| RICHARD SLUTSKY | |||||||||||||
| 0 | 145195 | 0 | 0 | 0 | 0 | 0 | 301 | 0 | 13067 | 0 | 158563 | 0 | 108896 |
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 | Working Capital ExpendituresWorkingCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | 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 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 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 | 1 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| CONLON MICHELE MD | |||
| EXECUTIVE, GOVERNANCE, MEC | 19090 | PARTNER, EASTERN CT PATHOLOGY CONSULTANTS WHICH HAS A CONTRACT TO PROVIDE PATHOLOGY SERVICES | 0 |
| DISTEFANO ANTHONY MD | |||
| HEALTH SERVICES, PA&I, MEC | 195000 | OWNER AND BD MEMBER OF CONTINENTAL CONNECTICUT LITHOTRIPSY, LLC, WHICH PROVIDES SERVICES TO ECHN. | 0 |
| O'NEILL DENNIS MD | |||
| EXECUTIVE, GOVERNANCE, COMPENSATION, FINANCE, HEALTH SERVICES, ECPHO | 19090 | PRESIDENT OF EASTERN CONNECTICUT PATHOLOGY CONSULTANTS (ECPC) WHICH PROVIDES LABORATORY MANAGEMENT SERVICES BY CONTRACT TO ECHN | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| 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 12C | |
| 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 B, LINE 15 | |
| 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 VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -1,021,543. CHANGE IN BENEFICIAL TRUST ASSETS -71,109. NET LOSS ON INTEREST RATE SWAP 1,509,597. CHANGE IN ACCRUED PENSION AND POST RETIREMENT -3,218,413. TRANSFERS TO AFFILIATES, NET -6,170,908. TOTAL TO FORM 990, PART XI, LINE 5: -8,972,376. | FORM 990, PART XI, LINE 5: |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | EASTERN CONNECTICUT HEALTH NETWORK INC |
| ECHN WELLNESS SERVICES INC | ||||||||||
| 2800 TAMARACK AVENUE | SOUTH WINDSOR | CT | 06074 | 061360082 | THE PROVISION OF HEALTH CARE | CT | 501(C)3 | 170(B)(1)(A) | 0 | EASTERN CONNECTICUT HEALTH NETWORK INC |
| ECHN COMMUNITY HEALTHCARE FOUNDATION INC | ||||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546080 | FUNDRAISING | CT | 501(C)3 | 170(B)(1)(A) | 0 | EASTERN CONNECTICUT HEALTH NETWORK INC |
| 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 HEALTH NETWORK INC |
| ECHN HEALTH SERVICES | ||||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546079 | THE PROVISION OF HEALTH CARE | CT | 501(C)3 | 170(B)(1)(A) | 0 | EASTERN CONNECTICUT HEALTH NETWORK INC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| ECHN ENTERPRISES INC | ||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546828 | REAL ESTATE HOLDING | CT | EASTERN CONNECTICUT HEALTH NETWORK INC | C |
| HAYNES STREET PROPERTY MANAGEMENT LLC | ||||||||
| 71 HAYNES STREET | MANCHESTER | CT | 06040 | 222546028 | REAL ESTATE PROPERTY MANAGEMENT | CT | ECHN ENTERPRISES INC | C |
| 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 | 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| EASTERN CONNECTICUT HEALTH NETWORK INC | ||
| N | 3747616 | DIRECT COST OF GOODS/SERVICES |
| EASTERN CONNECTICUT HEALTH NETWORK INC | ||
| O | 4658525 | DIRECT COST OF GOODS/SERVICES |
| EASTERN CONNECTICUT HEALTH NETWORK INC | ||
| A | 871814 | DIRECT COST OF GOODS/SERVICES |
| ECHN WELLNESS SERVICES | ||
| N | 599407 | DIRECT COST OF GOODS/SERVICES |
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