2012-08-15T08:50:54-05:00 2011-09-30 WHITTLESEY & HADLEY PC 147 CHARTER OAK AVE HARTFORD CT 061065100 990 2010-10-01 060653151 ROCKVILLE GENERAL HOSPITAL ROCK 8606461222 31 UNION STREET ROCKVILLE CT 06066 MICHAEL D VEILLETTE 8606461222 2012-08-15 ROBERT W MCCALL 8605223111 2010 2016-02-24 21:20:13Z MICHAEL D VEILLETTE 31 UNION STREET ROCKVILLE CT 06066 67342308 0 X WWW.ECHN.ORG X 1921 CT ROCKVILLE GERNERAL HOSPITAL IS A 102 BED HOSPITAL OFFERING VARIOUS HEALTHCARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING THE INDIGENT AND UNDERSERVED. 25 25 694 115 884133 0 1286274 968143 67324338 66490894 362 442844 296786 -596128 68907760 67305753 0 0 0 0 36947281 38374407 0 0 0 28885147 29606237 65832428 67980644 3075332 -674891 94488678 82393533 55824047 53376169 38664631 29017364 X ROCKVILLE GENERAL HOSPITAL IS A 102 BED HOSPITAL OFFERING VARIOUS HEALTHCARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING THE INDIGENT AND UNDERSERVED. 0 0 5679648 6816563 OPERATING ROOM - ROCKVILLE GENERAL HOSPITAL OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL SERVICES. 5104059 24229615 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. 2869535 16265592 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. 44161384 17681151 SEE SCHEDULE H, PART VI 44161384 17681151 57814626 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 171 0 1 694 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 25 25 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JAMES RAY 8606461222 71 HAYNES STREET MANCHESTER CT 06040 PAUL BERTE 1.00 X 0 0 0 GORON BRODIE MD 1.00 X 0 0 0 GLORIA BROOKS 1.00 X 0 0 0 THOMASINA CLEMONS 1.00 X 0 0 0 MICHELE CONLON MD 1.00 X 0 0 0 ANTHONY DISTEFANO MD 1.00 X 0 0 0 MILTON DOREMUS 1.00 X 0 0 0 JOY DORIN 1.00 X 0 0 0 DAVID ENGELSON 1.00 X 0 0 0 DAVID GONCI 1.00 X 0 0 0 HARRIET HASLETT 1.00 X 0 0 0 JEFFREY HEIDTMAN 1.00 X X 0 0 0 REBECCA JANENDA 1.00 X 0 0 0 JOSEPH JEAMEL JR 1.00 X 0 0 0 JOYCE JORDAN 1.00 X 0 0 0 CRAIG LAPPEN 1.00 X X 0 0 0 PAMELA LEWIS MD 1.00 X 0 0 0 ROBIN MURDOCK MEGGERS 1.00 X X 0 0 0 CLAUDIO MILITE MD 1.00 X 0 0 0 PETER MULLIGAN 1.00 X 0 0 0 DENNIS O'NEILL MD 1.00 X X 0 0 0 ROSEMARIE PAPA 1.00 X 0 0 0 THOMAS SCANLON 1.00 X 0 0 0 LENORA WILLIAMS MD 1.00 X 0 0 0 PETER J KARL 37.50 X 0 929933 112267 KEVIN G MURPHY 37.50 X 0 534368 56722 MICHAEL D VEILLETTE 37.50 X 0 215551 39089 CHARLES COVIN 37.50 X 0 206158 14446 LEONA CROSSKEY 37.50 X 0 162470 14280 DEB GOGLIETTINO 37.50 X 0 281471 36526 DENNIS MCCONVILLE 37.50 X 0 314751 30074 DEBORAH PARKER 37.50 X 0 309351 37853 JOEL REICH MD 37.50 X 0 487101 65400 KATHLEEN SIMS 37.50 X 0 205348 20838 ELLEN NEUHAUS MD 37.50 X 211067 0 5831 MARY POWERS 37.50 X 128762 0 14107 DIANE ASHMAN 36.00 X 123923 0 12779 PAMELA LORD 35.00 X 120744 0 13369 KATHLEEN RYAN 40.00 X 119924 0 11503 CAROLYN MCKENNA 37.50 X 0 326095 39355 RICHARD SLUTSKY 37.50 X 0 145195 13368 704420 4117792 537807 19 1 1 0 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 5 743085 225058 968143 PATIENT SERVICES REVEN 900099 63387127 63387127 OTHER HEALTHCARE REVEN 621500 3103767 2219634 884133 66490894 442844 442844 54268 36555 17713 17713 CAFETERIA REVENUE 722210 241415 241415 NON-OPERATING GAIN/LOS 621500 -855256 -855256 -613841 67305753 64992920 884133 460557 29535769 24810046 4725723 1561333 1327133 234200 5559771 4725805 833966 1717534 1459904 257630 141196 141196 31797 31797 132950 66475 66475 98506 49253 49253 1482062 1185650 296412 5565 4730 835 14817 12594 2223 1115178 1115178 3672297 3121452 550845 5816 4944 872 MEDICAL SUPPLIES 8508206 8508206 ECHN ALLOCATION 4653662 3955613 698049 OUTSIDE/PURCHASED SERVI 2986054 1343724 1642330 BAD DEBT 2925278 2925278 PHYSICIAN FEES 2910731 2910731 922122 287910 634212 67980644 57814626 10166018 0 5837411 4739455 9664890 10246785 1499178 1576971 229941 270651 90588936 59437086 32803719 31151850 19833047 20214369 24620492 14193452 94488678 82393533 6637694 4898569 8282964 8580616 16968044 18527009 23935345 21369975 55824047 53376169 X 33744284 24688727 1433133 912532 3487214 3416105 38664631 29017364 94488678 82393533 X -674891 -8972376 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13888 13888 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 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. 9026890 86690 9113580 8595357 8524 423119 110 9026890 9683898 -1088541 8595357 0.78000 0.14000 0.08000 0 1 1 1149997 1149997 46426121 24220889 22205232 711337 412978 298359 41933790 34803219 7130571 367691 367691 31151850 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 20214369 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 14193452 ESTIMATED SELF INSURANCE 548842 ACCRUED PENSION BENEFITS 13402108 CURRENT POSTRETIREMENT BENEFITS 3891414 CONDITIONAL ASSET RETIREMENT OBLIGATION 125749 DUE TO AFFILIATED ENTITIES 2717350 ESTIMATED SRTTLEMENT DUE TO 3RD PARTY PAYORS 684512 21369975 67305753 67980644 -674891 -1021543 -7950833 -8972376 -9647267 58369932 -1021543 -7950833 -8972376 67342308 -36555 -36555 67305753 68017199 36555 36555 67980644 0 67980644 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. 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 1 1 303 336084 4006 332078 0.00570 12893 9475440 6290247 3185193 0.05510 13196 9811524 6294253 3517271 0.06080 14 41521 247780 247780 0.00430 6 160 451724 42000 409724 0.00710 0 0 1 0 17396 17396 0.00030 4 885 38780 38780 0.00070 25 42566 755680 42000 713680 0.01240 25 55762 10567204 6336253 4230951 0.07320 0 0 1 0 266 266 0.00000 4 5223 0 0 20549 20549 0.00040 0 0 1 0 552 552 0.00000 0 0 1 41 950 950 0.00000 0 0 7 5264 22317 22317 0.00040 1 2925278 18873901 22440703 -3566802 X 1 1 1 NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC ONCOLOGY SERVICES 0.25000 2 TOLLAND IMAGING CENTER MEDICAL IMAGING SERVICES 0.35000 1 1 ROCKVILLE GENERAL HOSPITAL

31 UNION STREET VERNON CT 06066

X X X X ROCKVILLE GENERAL HOSPITAL 1 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 X X X X X 0 0 0 0 0 1 1 0 0 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 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 20145000 1065002 17048821 402900 92225 1536052 2011 1 0 1 1 37579404 3556957 32759288 632013 631146 2006 0 1 1 1 15250000 9966919 305000 4978081 2009 1 0 1 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 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 TD BANK 5.000000000000 1 0 0 0 1 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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. 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) EASTERN CONNECTICUT HEALTH NETWORK INC 0 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) EASTERN CONNECTICUT HEALTH NETWORK INC 0 ECHN COMMUNITY HEALTHCARE FOUNDATION INC 71 HAYNES STREET MANCHESTER CT 06040 222546080 FUNDRAISING CT 501(C)3 170(B)(1)(A) EASTERN CONNECTICUT HEALTH NETWORK INC 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) EASTERN CONNECTICUT HEALTH NETWORK INC 0 ECHN HEALTH SERVICES 71 HAYNES STREET MANCHESTER CT 06040 222546079 THE PROVISION OF HEALTH CARE CT 501(C)3 170(B)(1)(A) EASTERN CONNECTICUT HEALTH NETWORK INC 0 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 1 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 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