2011-08-12T14:41:23-05:00 2010-09-30 Whittlesey & Hadley PC 147 Charter Oak Ave Hartford CT 061065100 990 2009-10-01 222546079 Eastern Connecticut Health Network EAST 8606461222 71 Haynes Street Manchester CT 06040 kevin g murphy 8606461222 2011-08-12 Robert W McCall 8605223111 2009 2016-02-24 21:20:13Z 71 Haynes Street Manchester CT 06040 25021548 0 X www.echn.org X 1995 CT Integrated Healthcare system. Also see statements 3 and 12 23 22 0 0 0 0 542705 517126 23490302 24502593 54169 1829 0 24087176 25021548 0 0 0 0 0 24722012 24799052 24722012 24799052 -634836 222496 21693613 24492174 14989977 17501105 6703636 6991069 ECHN's Mission is to improve the health of our communities with competence and compassion. We will provide health care services that exceed the expectations of our patients, physicians and community. 0 0 24799052 24502593 Eastern Connecticut Health Network, Inc. (ECHN) and subsidiaries is a not-for-profit, locally governed health system created on September 12, 1995, through the merger of the corporate parents of Manchester Memorial Hospital and Rockville General Hospital, Inc. Its purpose is to provide a health care system for the communities it serves, with quality medical care at a reasonable cost; to foster an environment conducive to health and well being, whether in the home or in the community; and to enable the health care system to expand to meet the future needs of its communities. ECHN, through its subsidiaries, provides health care, health education, and community services to residents of more than 20 towns in eastern Connecticut, regardless of their ability to pay. Eastern Connecticut Health Network, Inc. (ECHN) and affiliates (collectively, the Network) is a nonprofit locally governed health system created on September 12, 1995, through the merger of the corporate parents of Manchester Memorial Hospital (MMH) and Rockville General Hospital, Inc. (RGH). Its purpose is to provide a health care system for the communities it serves, with quality medical care at a reasonable cost, to foster an environment conducive to health and well-being, whether in the home or in the community, and to enable the health care system to expand to meet the future needs of its communities. ECHN, through its affiliates (or members), provides health care, health education, and community services to residents of more than 20 towns in eastern Connecticut, regardless of their ability to pay.ECHN 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. ECHN 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 2010 was $3,008,857, for 954 total approved applicants at MMH and RGH. Expenses related to services performed for patients of ECHN, Inc. 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.ECHN, Inc. provided needed medical care to the community regardless of any individual's ability to pay. At MMH and RGH, Twelve thousand four hundred ninety five (12,495) inpatients were cared for in FY10 representing 59,115 patient days; Three hundred thirty three thousand eight hundred seventy three (320,203) outpatient visits were recorded.Included in the 12,495 inpatients were 7,716 government related patients. The government inpatients fall into the following groups.Medicare 4,534Medicare Managed Care 835Medicaid 579Medicaid Managed Care 1,264Saga 453Champus 51Total Gov Patients 7,716Total Non Gov Patients 4,779Total Patients 12,495 Included in the 320,203 outpatient visits the following were government related. The visits are a product of gross revenue relationship to total visits.Medicare 93,737Medicare Managed Care 20,757Medicaid 8,847Medicaid Managed Care 29,380Saga 7,518Champus 1,284Total Gov Patients 161,523Total Non Gov Patients 158,680Total Outpatients 320,203MMH and RGH provided uncompensated care to 53,495 Medicaid patients for a net community benefit amount of $8,011,371 after Medicaid reimbursement. Additional information regarding programs for the Community at MMH and RGH: Community Benefit Services / Benefit / Persons Served Community Health Improvement Services Community Health Education $439,710/128,002Community Based Clinical Services $13,352/1434Health Care Support Services $41,605/2,299Total $494,667/131,735 Health Professions Education Physicians/Medical Students $52,859/56Nurses/Nursing Students $538,959/313Other Health Professional Education $100,777/229Total $692,595/598 Subsidized Health Services Emergency and Trauma Services $148/0 Neonatal Intensive Care $1,586,692/175Total $1,586,840/175 Research Other Research $55,590/0 Total $55,590/0 Financial and In-Kind Contributions Cash Donations $3,147/0 In-Kind Donations $242,539/11,750Total $245,686/11,750 Community Building Activities Economic Development $4,825/0Community Support $4,306/111Coalition Building $13,921/20Community Health Improvement Advocacy $1,931/0 Workforce Development $6,966/598Total $31,949/729 Community Benefit Operations Dedicated Staff $88,019/0 Other Resources $86,333/0 Total $174,352/0 Grand Total $3,281,679/144,987 Financial Services Detail / Benefit / Persons Served Traditional Charity Care $1,109,410/954 Unpaid Costs of Medicaid $8,011,371/53,495Total Community Benefit $12,402,461/199,436 SEE SCHEDULE 0 FOR CONTINUTION 24799052 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 CJ 0 0 0 0 0 0 0 0 0 23 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X James Ray 8606461222 James Ray 71 Haynes Street Manchester CT 06040 X Jeffrey Heidtman 1.00 X X 0 0 0 Denns O'Neil MD 1.00 X X 0 0 0 Rebecca Janenda 1.00 X X 0 0 0 Craig Lappen 1.00 X X 0 0 0 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 Howard Fitts 1.00 X 0 0 0 David Gonci 1.00 X 0 0 0 Harriet Haslett 1.00 X 0 0 0 Joseph Jeamel Jr 1.00 X 0 0 0 Joyce Jordan 1.00 X 0 0 0 Robin Murdock Meggers 1.00 X 0 0 0 Claudio Milite MD 1.00 X 0 0 0 Peter Mulligan 1.00 X 0 0 0 Rosemarie Papa 1.00 X 0 0 0 Barbara Phillips MD 1.00 X 0 0 0 Lenora Williams MD 1.00 X 0 0 0 Peter J Karl 1.00 X 0 701203 95996 Kevin Murphy 1.00 X 0 432643 57325 Charles Covin 1.00 X 0 211647 15991 Leona Crosskey 1.00 X 0 136788 14174 Deborah Gogliettino 1.00 X 0 245103 38565 Dennis McConville 1.00 X 0 262148 29738 Deborah Parker 1.00 X 0 249632 38293 Joel Reich MD 1.00 X 0 400319 40407 Kathleen Sims 1.00 X 0 206273 24534 Michael Veillette 1.00 X 0 207992 22435 Andrew Beck 1.00 X 0 169825 10982 Sondra DellaRipa 1.00 X 0 119550 10982 Carolyn McKenna 1.00 X 0 257604 38522 0 3463939 423770 0 1 1 0 0 517126 517126 Affiliation Charge 900099 22171741 22171741 Partnership Revenue & 900099 2330852 2330852 24502593 1829 1829 25021548 24502593 0 1829 1001086 1001086 21798 21798 45000 45000 789436 789436 1264896 1264896 2399033 2399033 316923 316923 130943 130943 55113 55113 954595 954595 Allocated wages and ben 12768471 12768471 Repairs/Maintenance 2254503 2254503 Outside Services 1972772 1972772 Recruiting/Retention 342587 342587 Commision Filing 108323 108323 373573 373573 24799052 24799052 0 0 97112 360160 46575 123993 926430 253008 1625856 1333934 498863 35633 0 463230 3138664 3374960 8252411 9170783 7606565 9412106 21693613 24492174 770545 246908 3390797 14219432 13863400 14989977 17501105 X 5055246 5152954 1648390 1838115 6703636 6991069 21693613 24492174 X 0 1 1 X 0 X X X 0 0 0 Manchester Memorial Hospital 060646710 3 1 1 1 0 Rockville General Hospital 060653151 3 1 1 1 0 ECHN Eldercare Services Inc 061149193 9 1 1 1 0 ECHN Wellness Services Inc 061360082 9 1 1 1 0 4 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 45000 0 0 45000 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: We are members and pay dues to the American Hospital Association and the Connecticut Hospital Association. These Associations engage in direct communications with members of federal, state and local governments to influence legislation affecting the health care industry. Lobbying fees of $45,000 were paid to a lobbying firm to influence health care related legislation. 123513 8822 114691 375350 26811 348539 463230 Investment in Joint Ventures 9170783 C 9170783 Beneficial interest in the net assets of ECHN Comm Healthcare Foundation 3837466 Due from affiliates 1367880 Goodwill 4206760 9412106 Due to affiliated entities 13863400 13863400 25021548 24799052 222496 97381 -32444 64937 287433 3614397 97381 1687 99068 3515329 21506219 21506219 25021548 2627311 0 2627311 22171741 22171741 24799052 Part X: Description of Uncertain Tax Positions Under FIN 48: The Network 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 Network 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 Network does not have any uncertain tax positions as of September 30, 2010 and 2009. As of September 30, 2010 and 2009, the Network did not record any penalties or interest associated with uncertain tax positions. Part XI, Line 8 - Other Adjustments: Transfers to affiliates, net (AFS - Unrestricted): 327. Transfers from affiliates, net (AFS - Temporarily restricted): -32771. Part XII, Line 2d - Other Adjustments: Temporarily restricted net assets - net assets released from restriction: 1687. Part XII, Line 4b - Other Adjustments: ECHN Allocation: 22171741. Temporarily restricted net assets - change in net assets of ECHN foundation: 224183. non operating income, net: -889705. Part XIII, Line 4b - Other Adjustments: ECHN allocation: 22171741. X X X X X 0 0 0 1 1 0 0 0 0 Peter J Karl 0 495535 0 200004 0 5664 0 14700 0 81296 0 797199 0 525902 Kevin Murphy 0 330315 0 101630 0 698 0 14583 0 42742 0 489968 0 324482 Charles Covin 0 175347 0 36300 0 0 0 5009 0 10982 0 227638 0 158735 Deborah Gogliettino 0 193783 0 49100 0 2220 0 13774 0 24791 0 283668 0 183827 Dennis McConville 0 210988 0 48950 0 2210 0 4989 0 24749 0 291886 0 196611 Deborah Parker 0 198051 0 50213 0 1368 0 13189 0 25104 0 287925 0 187224 Joel Reich MD 0 316196 0 82595 0 1528 0 6195 0 34212 0 440726 0 300239 Kathleen Sims 0 172233 0 34040 0 0 0 13552 0 10982 0 230807 0 154705 Michael Veillette 0 177212 0 30780 0 0 0 11453 0 10982 0 230427 0 155994 Andrew Beck 0 140105 0 29720 0 0 0 0 0 10982 0 180807 0 127369 Sondra DellaRipa 0 97422 0 22128 0 0 0 0 0 10982 0 130532 0 89663 Carolyn McKenna 0 203027 0 51750 0 2827 0 12985 0 25537 0 296126 0 193203 Conlon Michele MD Executive, Governance, MEC 576914 Partner, Eastern CT Pathology consultants which has a contract to provide pathology services 0 oneill dennis md Executive, Governance, Compensation, Finance, Health Services, ECPHO 576914 Partner, Eastern Conn Pathology Consultants - contract with ECHN to provide lab/anatomic pathology services 0 Brodie Gordon MD Executive, PA&I, Planning, ECPHO 818292 Partner, Practice Management Advisors (Healthwise) 0 Williams Lenora MD Trustee 106559 Medical Director - ECHN Maternity Services (Ellington OB/GYN Associates, PC) 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 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 CONDUCTS AN EXTENSIVE REVIEW OF THE 990 WITH THE CPA FIRM THAT PREPARES THE RETURN, ALONG WITH OTHER MEMBERS OF THE FINANCE DEPARTMENT ALSO REVIEW THE RETURN. 2) 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 THE COMMITTEE MEMBERS ARE REQUESTED TO REVIEW THE 990; ALONG WITH A DISCUSSION OF THE PREPARATION OF THE 990 AT A COMMITTEE MEETING. 3) A DISCUSSION OF THE 990 PREPARATION AND ITS KEY COMPONENTS IS HELD AT A FULL BOARD OF TRUSTEES MEETING AND AN ELECTRONIC COPY OF THE 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES. PRESENT AT BOTH OF THESE MEETINGS ARE THE OFFICERS (CEO, CFO) AND SENIOR MANAGEMENT OF THE ORGANIZATION. 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. 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 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 rockville general hospital inc 31 union street rockville CT 06066 060653151 The provision of health care CT 501(c)3 170(b)(1)(A) eastern connecticut health network inc echn community healthcare foundation inc 71 haynes street manchester CT 06040 222546080 The provision of health care CT 501(c)3 170(b)(1)(A) 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) eastern connecticut health network inc echn health services 71 haynes street manchester CT 06040 222546078 the provision of health care CT 501(c)3 170(b)(1)(A) eastern connecticut health network inc echn enterprises inc 71 Haynes Street MANCHESTER CT 06040 222546828 real estate holding CT eastern connecticut health company 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 1 0 0 1 1 1 0 1 0 0 MANCHESTER MEMORIAL HOSPITAL INC N 8544022 ROCKVILLE GENERAL HOSPITAL INC N 3532767 ECHN ELDERCARE SERVICES INC N 159227 ECHN WELLNESS SERVICES INC N 12248 ECHN ELDERCARE SERVICES INC P 129652 ECHN WELLNESS SERVICES INC P 9973 MANCHESTER MEMORIAL HOSPITAL INC P 6956988 ROCKVILLE GENERAL HOSPITAL INC P 2876563