Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
100 GRAND STREET
 
Room/suite
City or town, state or country, and ZIP + 4
NEW BRITAIN, CT06050
D Employer identification number

06-0646768
E Telephone number

G Gross receipts $ 397,611,132
F Name and address of principal officer:
CLARENCE J SILVIA
100 GRAND STREET
NEW BRITAIN,CT06050
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.THOCC.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1893
M State of legal domicile: CT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HCC'S MISSION IS TO FOSTER, SUSTAIN AND IMPROVE THE HEALTH STATUS OF THE PEOPLE IN THE COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 13
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 3,175
6 Total number of volunteers (estimate if necessary) .... 6 434
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 3,183,128
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,693,619 2,983,328
9 Program service revenue (Part VIII, line 2g) ......... 374,951,028 388,490,564
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 7,880,077 1,783,908
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,647,941 2,826,098
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 389,172,665 396,083,898
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 198,282,289 205,409,513
16a Professional fundraising fees (Part IX, column (A), line 11e).... 12,000 17,800
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet904,025    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 182,370,011 163,198,089
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 380,664,300 368,625,402
19 Revenue less expenses. Subtract line 18 from line 12...... 8,508,365 27,458,496
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 337,017,403 374,049,690
21 Total liabilities (Part X, line 26)............ 203,037,088 208,172,025
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 133,980,315 165,877,665
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: THE HOSPITAL OF CENTRAL CONNECTICUT ("HCC") REFLECTS THE COMBINED TALENT, RESOURCES, AND CAPABILITIES OF NEW BRITAIN GENERAL HOSPITAL AND BRADLEY MEMORIAL HOSPITAL. IT IS A 414-BED ACUTE CARE TEACHING HOSPITAL AFFILIATED WITH THE UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE AND SERVES AS THE PRIMARY REFERRAL CENTER FOR THE CENTRAL CONNECTICUT REGION, SERVING A POPULATION OF 250,000. AS A FULL-SERVICE HOSPITAL, THE HOSPITAL OF CENTRAL CONNECTICUT OFFERS MANY CLINICAL SERVICES THAT ARE RECOGNIZED FOR THEIR COMPREHENSIVENESS AND EXCELLENCE. THEY INCLUDE: THE GEORGE BRAY CANCER CENTER; THE WOLFSON PALLIATIVE CARE PROGRAM; THE JOSLIN CENTER FOR DIABETES AT THE HOSPITAL OF CENTRAL CONNECTICUT; THE WOUND CARE CENTER; THE FAMILY BIRTHPLACE; CRITICAL CARE SERVICES, AND THE SLEEP DISORDERS CENTER.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 38,843,227 including grants of $   ) (Revenue $ 86,668,962 )
THE INPATIENT MEDICAL, SURGICAL AND INTENSIVE CARE SERVICE AREAS SERVED 18,061 WITH TOTAL PATIENT DAYS OF 70,771. 73% AND 60% OF THE NEW BRITAIN AND SOUTHINGTON COMMUNITY NEEDS ARE RESPECTIVELY MET WITH THESE SERVICES. THE AREAS OF SPECIALTY INCLUDE STROKE SERVICES, BARIATRIC CARE, JOINT REPLACEMENT AND DIABETES.
4b (Code:   ) (Expenses $ 22,906,399 including grants of $   ) (Revenue $ 49,110,524 )
TOTAL PATIENT VISITS FOR BOTH EMERGENCY ROOMS WERE OVER 109,000. THIS WAS AN INCREASE OF 3,140 PATIENTS OR 3% FROM THE PREVIOUS YEAR. THE VOLUMES WERE APPROXIMATELY 90,000 AND 19,000 AT THE NBG AND BRADLEY MEMORIAL CAMPUSES RESPECTIVELY. ADDITIONAL STAFFING AND IMPROVEMENTS TO OUR WORK FLOW PROCESSES HAVE BEEN IMPLEMENTED IN ORDER TO MEET THE DEMANDS OF OUR INCREASING PATIENT VOLUMES. THE EMERGENCY ROOM OF THE HOSPITAL OF CENTRAL CONNECTICUT HAS CONTINUED TO RANK IN THE 90TH PERCENTILE FOR CUSTOMER SATISFACTION.
4c (Code:   ) (Expenses $ 37,563,291 including grants of $   ) (Revenue $ 52,286,328 )
RADIOLOGY-DERIVED INFORMATION IS AN INTEGRAL COMPONENT OF OUR PATIENTS' CARE CONTINUUM. AS IMAGING TECHNOLOGY CONTINUED TO EVOLVE IN 2011, THE RADIOLOGY DEPARTMENT AT THE HOSPITAL OF CENTRAL CONNECTICUT WAS POSITIONED CENTER-STAGE, COLLABORATING WITH PHYSICIANS TO PROVIDE THE EXAMINATIONS THAT PRODUCED OPTIMAL CLINICAL OUTCOMES. MOREOVER, DOSE-REDUCTION STRATEGIES, ALWAYS A FOCUS, WERE AFFORDED EVEN GREATER ATTENTION IN 2011 WITH THE CONVENING OF A MULTI-DISCIPLINARY TEAM OF RADIOLOGISTS, PHYSICISTS, PHYSICIANS OF VARIOUS SUB-SPECIALTIES, TECHNOLOGISTS, AND ADMINISTRATIVE REPRESENTATION. THE IMAGING SERVICES AREA HAS ADDED NEW TECHNOLOGY TO PROVIDE A CENTRAL POINT OF ACCESS FOR OUR PATIENTS. OVER 164,000 IMAGING EXAMS WERE PERFORMED AT THE NEW BRITAIN AND BRADLEY MEMORIAL CAMPUSES. OF THESE, MORE THAN 70% WERE PERFORMED ON OUTPATIENTS. WHILE THERE WAS AN OSTENSIBLE 2% OVERALL DECLINE IN IMAGING EXAMS IN FY2011 VS. THE PRIOR YEAR, A CHANGE IN CPT CODING REQUIREMENTS ACCOUNTED FOR NEARLY THE ENTIRE 2% OBSERVED YEAR-TO-YEAR DIFFERENCE.
(Code:   ) (Expenses $ 230,916,265 including grants of $   ) (Revenue $ 197,516,639 )
OTHER ROUTINE SERVICES SUCH AS LABORATORY, MATERNITY, NEWBORN, PSYCHIATRIC AND PEDIATRIC AND ANCILLARY SERVICES PROVIDED TO PATIENTS.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 230,916,265 including grants of $   ) (Revenue $ 197,516,639 )
4e Total program service expensesMediumBullet$ 330,229,182
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
274
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
3,175
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCA , BD , UK
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CT
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
RALPH BECKER
389 JOHN DOWNEY DRIVE
NEW BRITAIN,CT060512924
(860) 224-5900
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) LAURENCE A TANNER
EX-PRESIDENT/ DIRECTOR
 .50 X   X       0 1,007,618 112,404
(2) CLARENCE J SILVIA
PRESIDENT/ CEO/ DIRECTOR
 50.00 X   X       2,253,336 117,409 409,121
(3) JOHN W ANDREOLI JR MD
DIRECTOR
 1.50 X           47,000 0 0
(4) FRANK R MILLER
DIRECTOR
 2.00 X           0 0 0
(5) EDWARD P TOFFOLON MD
DIRECTOR
 4.00 X           16,255 0 0
(6) MARIE S GUSTIN PHD
DIRECTOR
 2.00 X           0 0 0
(7) LINDSLEY WELLMAN
DIRECTOR
 1.70 X           0 0 0
(8) CONNIE W COLLINS
DIRECTOR
 1.00 X           0 0 0
(9) JOHN E DILLAWAY
VICE CHAIRMAN
 1.50 X   X       0 0 0
(10) JOHN S MANNING
CHAIRMAN
 2.50 X   X       0 0 0
(11) ANTHONY CIARDELLA MD
DIRECTOR
 2.00 X           30,000 0 0
(12) JOSEPH R CRISPINO
DIRECTOR
 2.50 X           0 0 0
(13) DANIEL DAIGLE
DIRECTOR
 1.00 X           0 0 0
(14) JOHN J PATRICK JR
DIRECTOR
 .50 X           0 0 0
(15) DENNIS J STANEKJR
DIRECTOR
 1.00 X           0 0 0
(16) ROBERT A LAPKIN MD
DIRECTOR
 1.50 X           147,605 0 0
(17) BARBARA R MACKAY
DIRECTOR
 2.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) WILLIAM W WEBER
SECRETARY
 1.50 X   X       0 0 0
(19) LETTERIO ASCIUTO MD
DIRECTOR
 1.50 X           20,000 0 0
(20) REV THOMAS A MILLS JR
DIRECTOR
 2.00 X           0 0 0
(21) ANNETTE B SALINA
DIRECTOR
 1.00 X           0 0 0
(22) BRIAN A ROGOZ
VP FINANCE/ TREASURER
 50.00     X       348,020 0 65,289
(23) STEVEN D HANKS MD
SR. VP, MED AFFAIRS & CMO
 50.00     X       570,856 0 165,889
(24) ELIZABETH A LYNCH
VP HUMAN RESOURCES
 50.00     X       367,876 0 82,950
(25) JOYCE HAWRYLIK
ASSISTANT SECRETARY
 40.00     X       60,550 0 21,089
(26) STEVEN A GODFREY
VP PAYER & GOV'T RELATIONS
 50.00     X       260,110 0 114,177
(27) MAUREEN FITZSIMMONS
VP PATIENT CARE SERVICES
 50.00     X       152,586 0 27,016
(28) NANCY KROEBER
VP CLINICAL OPERATIONS
 50.00     X       119,187 0 61,453
(29) DENISE PETERSON
VP PATIENT CARE SERVICES
 50.00     X       166,412 0 30,623
(30) JEFFREY A FINKELSTEIN MD
CHIEF ER PHYSICIAN
 50.00       X     380,593 0 153,221
(31) MICHAEL BALKUNAS MD
CHIEF OF PSYCHIATRY
 50.00       X     312,316 0 149,957
(32) MICHAEL GREY MD
CHIEF OF MEDICINE
 50.00       X     369,592 0 105,461
(33) JAMES L MASSI MD
CHIEF OF SURGERY
 50.00       X     285,627 0 39,459
(34) FRANCIS H PINTO
CHIEF INFORMATION OFFICER
 50.00       X     196,857 0 111,354
(35) ANTOINETTA CAPRIGLIONE MD
CHIEF OF PEDIATRICS
 32.00       X     347,467 0 125,556
(36) ELIZABETH SCHLAFF
RISK MANAGER/GENERAL COUNSEL
 50.00       X     182,972 0 62,254
(37) HAKLAI P LAU MD
HOSPITALIST
 50.00         X   446,859 0 53,719
(38) JAMES F FLAHERTY
ONCOLOGIC SURGEON
 50.00         X   367,114 0 54,815
(39) MICHELLE MCDADE
EMERGENCY ROOM PHYSICIAN
 50.00         X   342,335 0 49,039
(40) RONALD G CLARK
EMERGENCY ROOM PHYSICIAN
 50.00         X   337,279 0 52,072
(41) RENE HIPONA
MEDICAL DIRECTOR BMH ED
 50.00         X   334,802 0 97,002
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 8,463,606 1,125,027 2,143,920
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet234
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ACS CONSULTANT CO INC
DEPT 1135401 PO BOX 67000
DETROIT,MI482671354 		INFORMATION SERVICES 20,531,370
UCONN HEALTH CENTER
FARMINGTON AVE
FARMINGTON,CT060301915 		RESIDENCE SERVICES 5,562,064
CERNER CORPORATION
2702 ROCKCREEK PARKWAY
KANSAS CITY,MO64117 		INFORMATION SYSTEMS 5,122,884
DOWNES CONSTRUCTION COMPANY LLC
200 STANLEY STREET PO BOX 727
NEW BRITAIN,CT06050 		CONSTRUCTION SERVICES 3,626,484
MRI OF NEW BRITAIN
40 HART ST
NEW BRITAIN,CT06050 		MRI SERVICES 3,343,653
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet226
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 114,157
d Related organizations...1d  
e Government grants (contributions)1e 785,899
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,083,272
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,983,328
Program Service Revenue Business Code
2a PATIENT SERVICE REVENU 900,099 345,627,998 345,627,998    
b LABORATORY SERVICES 621,500 37,688,466 34,608,491 3,079,975  
c OTHER PATIENT SERVICE 900,099 5,174,100 5,174,100    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 388,490,564
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,750,831     1,750,831
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 1,413,047  
b Less: rental expenses 1,168,766  
c Rental income or (loss) 244,281  
d Net rental income or (loss).......MediumBullet 244,281   -33,727 278,008
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 45,071 23,644
b Less: cost or other basis and sales expenses 20,860 14,778
c Gain or (loss) 24,211 8,866
d Net gain or (loss)..........MediumBullet 33,077     33,077
8a Gross income from fundraising events (not including
$ 114,157
of contributions reported on line 1c). See Part IV, line 18 ...
a 136,060
b Less: direct expenses ...b 104,122
c Net income or (loss) from fundraising events..MediumBullet 31,938   31,938
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 403,194
b Less: cost of goods sold ..b 218,708
c Net income or (loss) from sales of inventory..MediumBullet 184,486     184,486
Miscellaneous Revenue Business Code
11a DIETARY/ CAFETERIA 722,210 1,636,029     1,636,029
b CHILD CARE INCOME 624,410 450,092   29,472 420,620
c OUTSIDE SERVICES 518,210 279,272 171,864 107,408  
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 2,365,393
12 Total revenue. See Instructions....MediumBullet 396,083,898 385,582,453 3,183,128 4,334,989
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 8,878,311   8,878,311  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 145,950,025 137,878,404 7,655,836 415,785
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 10,842,136 10,831,897 10,239  
9 Other employee benefits ....... 29,083,849 26,482,000 2,601,849  
10 Payroll taxes ........... 10,655,192 9,808,936 813,662 32,594
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 745,022 20,463 724,559  
c Accounting ........... 567,309   567,309  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17.. 17,800 17,800
f Investment management fees ......        
g Other .......... 32,953,620 28,975,787 3,977,833  
12 Advertising and promotion .... 1,341,500 1,129,543 211,957  
13 Office expenses ....... 66,144,811 63,953,980 2,190,831  
14 Information technology ...... 15,646,075 13,174,084 2,471,991  
15 Royalties ..        
16 Occupancy ........... 8,666,078 7,294,461 1,371,617  
17 Travel ............ 691,193 581,985 109,208  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 206,375 173,768 32,607  
20 Interest ........... 870,864 733,268 137,596  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 18,679,688 14,350,645 4,329,043  
23 Insurance .............. 7,024,537 6,911,456 113,081  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a DIETARY 2,923,690 2,463,524 460,166  
b BAD DEBT 2,389,422 2,389,422    
c RECRUITMENT 1,167,029 982,638 184,391  
d DUES 1,027,099 864,817 162,282  
e TRAINING & EDUCATION 898,107 756,206 141,901  
f All other expenses 1,255,670 471,898 345,926 437,846
25 Total functional expenses. Add lines 1 through 24f 368,625,402 330,229,182 37,492,195 904,025
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 23,662,582 1 17,548,741
2 Savings and temporary cash investments .......   2  
3 Pledges and grants receivable, net ......... 10,398 3 0
4 Accounts receivable, net ......... 36,543,623 4 48,945,018
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 211,274 7 65,580
8 Inventories for sale or use .............. 4,904,577 8 5,642,776
9 Prepaid expenses and deferred charges ............ 3,335,302 9 4,287,847
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 413,039,974
b Less: accumulated depreciation. ..... 10b 260,274,904 125,427,098 10c 152,765,070
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ...... 128,465,902 12 128,888,836
13 Investments—program-related. See Part IV, line 11 .. 8,752,634 13 8,643,214
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 5,704,013 15 7,262,608
16 Total assets. Add lines 1 through 15 (must equal line 34)... 337,017,403 16 374,049,690
Liabilities 17 Accounts payable and accrued expenses . 25,218,831 17 23,363,595
18 Grants payable ..........   18  
19 Deferred revenue .......... 339,220 19 434,859
20 Tax-exempt bond liabilities .......... 30,545,000 20 35,743,805
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 7,562,096 23 6,983,052
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 139,371,941 25 141,646,714
26 Total liabilities. Add lines 17 through 25..... 203,037,088 26 208,172,025
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 97,047,576 27 129,061,862
28 Temporarily restricted net assets ..... 16,296,477 28 16,726,765
29 Permanently restricted net assets ..... 20,636,262 29 20,089,038
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 133,980,315 33 165,877,665
34 Total liabilities and net assets/fund balances ..... 337,017,403 34 374,049,690
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
396,083,898
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
368,625,402
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
27,458,496
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
133,980,315
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
4,438,854
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
165,877,665
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
THE HOSPITAL OF CENTRAL CONNECTICUT
  		Employer identification number

06-0646768
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
THE HOSPITAL OF CENTRAL CONNECTICUT
  		Employer identification number

06-0646768
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
THE HOSPITAL OF CENTRAL CONNECTICUT
  		Employer identification number

06-0646768
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
41,206
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
41,206
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Explanation of Other Lobbying Activities: Part II-B, Line 1i: CENTRAL CT HEALTH ALLIANCE, THE PARENT COMPANY OF THE HOSPITAL OF CENTRAL CONNECTICUT, ENGAGED THE FIRM OF GAFFNEY BENNETT ASSOCIATES TO LOBBY ON ITS BEHALF. PAYMENTS TO GAFFNEY BENNETT WERE $57,500. CCHA ALSO ENGAGED THE FIRM OF KOZAK & SALINA TO LOBBY ON ITS BEHALF. PAYMENTS TOTALED $29,500. THE HOSPITAL OF CENTRAL CONNECTICUT IS ALSO A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE CONNECTICUT HOSPITAL ASSOCIATION WHO ENGAGE IN LOBBYING AND ADVOCACY EFFORTS ON BEHALF OF ITS MEMBERS.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 128,449,477 115,483,988 110,529,502
b Contributions ........ 2,086,374 2,672,254 2,235,178
c Investment earnings or losses ... -2,356,272 11,693,366 4,211,109
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		1,687,950 1,400,131 1,491,801
f Administrative expenses ....      
g End of year balance ...... 126,491,629 128,449,477 115,483,988
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet70.860 %
b
Permanent endowment: SchDMd Bullet15.880 %
c
Term endowment: SchDMd Bullet13.260 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 1,130,776 5,007,483 6,138,259
b Buildings ................ 7,504,979 213,178,978 116,014,595 104,669,362
c Leasehold improvements ............ 200,978 4,259,828 2,394,476 2,066,330
d Equipment ................ 475,691 173,482,737 137,687,400 36,271,028
e Other .................   7,798,524 4,178,433 3,620,091
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 152,765,070
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) FUNDS HELD IN TRUST BY OTHERS 		13,488,598 F

(B) MUTUAL FUNDS 		106,402,592 F

(C) CURRENT ASSETS WHOSE USE IS LIMITED 		2,397,202 F

(D) PERMANENTLY RESTRICTED INVESTMENTS 		6,600,444 F





Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 128,888,836
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
DUE TO THIRD PARTIES 21,951,248
PENSION PLAN AND SELF INSURANCE LIABILITY 105,133,129
ACCRUED COMPENSATION 12,301,012
DUE TO (FROM) AFFILIATES -371,339
OTHER LIABILITIES 2,632,664




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 141,646,714
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 396,083,898
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 368,625,402
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 27,458,496
4 Net unrealized gains (losses) on investments .......................... 4 -3,325,286
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 7,764,140
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 4,438,854
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 31,897,350
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 392,623,636
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d -994,407
e Add lines 2a through 2d ..................... 2e -994,407
3 Subtract line 2e from line 1..................... 3 393,618,043
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 2,465,855
c Add lines 4a and 4b....................... 4c 2,465,855
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 396,083,898
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 368,303,332
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 368,303,332
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 322,070
c Add lines 4a and 4b....................... 4c 322,070
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 368,625,402
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Description of Intended Use of Endowment Funds: Part V, Line 4: THE TEMPORARY AND PERMANENTLY RESTRICTED ENDOWMENTS ARE RESTRICTED BASED ON THE DONOR'S REQUEST. THE OTHER BOARD DESIGNATED ENDOWMENTS ARE INTENDED TO SUPPORT THE HOSPITAL'S FUTURE NEEDS IN PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY.
Part XI, Line 8 - Other Adjustments:   CHANGE IN ASSETS HELD IN TRUST BY OTHERS -547,224. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -14,071,226. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -1,742,303. CHANGE IN BEGINNING BALANCE OF AUXILIARY NET WORTH 867. FIXED ASSET FAIR VALUE ADJUSTMENT 24,394,080. EARLY EXTINGUISHMENT OF DEBT -270,054.
Part XII, Line 2d - Other Adjustments:   NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 747,896. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -1,742,303.
Part XII, Line 4b - Other Adjustments:   CONTRIBUTIONS 1,878,379. AUXILIARY SPECIAL EVENTS- GOLF TOURNAMENT AND BALL 135,095. AUXILIARY GIFT STORE INCOME 184,486. AUXILIARY FASHION SHOWS 11,000. INVESTMENT INCOME- TEMP RESTRICTED 256,895.
Part XIII, Line 4b - Other Adjustments:   AUXILIARY EXPENSES 322,070.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
THE GIVING COLLABORATIVE LLC
53 Morgan Avenue
 
East Haven, CT06512 		FEASIBILITY STUDY FOR NEW CANCER CENTER CAMPAIGN   No 0 17,800 -17,800
Total .................right arrow   17,800 -17,800
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GOLF TOURNAMENTS
(event type) 		(b) Event #2

CHRYSANTHEMUM BALL
(event type) 		(c) Other Events

1
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 119,429 107,125 23,663 250,217
2 Less: Charitable
contributions . . . 		70,429 39,775 3,953 114,157
3 Gross income (line 1
minus line 2) . . . 		49,000 67,350 19,710 136,060
VerticalDirectExpenses 4 Cash prizes . . . 0 0 0  
5 Non-cash prizes . . 8,999 1,336 252 10,587
6 Rent/facility costs . . 13,662 0 12,138 25,800
7 Food and beverages . . 10,105 43,794 0 53,899
8 Entertainment . . . 0 3,050 250 3,300
9 Other direct expenses . 3,595 6,919 22 10,536
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 104,122
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 31,938
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  18,597 4,153,793 1,550,356 2,603,437 0.710 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  861 72,399,751 56,800,617 15,599,134 4.260 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....   0 0 0    
dTotal Charity Care and
Means-Tested Government Programs ..... 		  19,458 76,553,544 58,350,973 18,202,571 4.970 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		67 13,966 1,206,526 31,509 1,175,017 0.320 %
f Health professions education
(from Worksheet 5) .. 		14 816 10,877,542 2,859,635 8,017,907 2.190 %
g Subsidized health services
(from Worksheet 6) .. 		0 0 0 0    
h Research (from Worksheet 7) 1 0 338,712 0 338,712 0.090 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		4 190 17,221 0 17,221 0 %
jTotal Other Benefits ... 86 14,972 12,440,001 2,891,144 9,548,857 2.600 %
kTotal. Add lines 7d and 7j. .. 86 34,430 88,993,545 61,242,117 27,751,428 7.570 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
3,192,427
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
123,084
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
99,163,004
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
97,726,959
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
1,436,045
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
 
No
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 Total Laundry Collaborative LLC
  		Laundry Services 37.000 %    
23 New Britain Alliance Occupational Health
  		Occupational Health Services 86.000 %   14.000 %
34 Central CT Sports Medicine LLC
  		Sports Medicine Provider 50.000 %    
45 New Britain MRI LP
  		Magnetic Resonance Imaging 43.000 %    
56 Central CT Endoscopy Center LLC
  		Endoscopy Services 6.500 %   50.000 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?2
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 Hospital of Central CT- New Britain Cam
100 Grand Steet
New Britain,CT06050 		X X   X     X    
2 Hospital of Central CT- Bradley Campus
81 Meriden Ave
Southington,CT06489 		X X   X     X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:Hospital of Central Connecticut
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?4
Name and address Type of Facility (Describe)
1 New Britain MRI Limited Partnership
100 Grand Street
New Britain,CT06050 		Magnetic Resonance Imaging Services
2 New Britain MRI Limited Partnership
100 Grand Street
New Britain,CT06050 		Magnetic Resonance Imaging Services
3 New Britain MRI Limited Partnership
100 Grand Street
New Britain,CT06050 		Magnetic Resonance Imaging Services
4 New Britain MRI Limited Partnership
100 Grand Street
New Britain,CT06050 		Magnetic Resonance Imaging Services
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    Part I, Line 3c: HCC uses Federal Poverty Guidelines to determine eligibility.
    Part I, Line 7: Charity care is at Cost. Cost to charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost to Charges.In FY11/TY10 a process was initiated to allocate uncollected patient accounts as Charity Care. This was allowable for purposes of the audited financial statement. However, upon completing the Schedule H it became apparent that this practice is not allowable within those requirements. These accounts were then sent to Search America for review of income, asset status and credit rating. It was then decided that accounts with family incomes of 250% of the FPG would be accepted as Charity Care. This follows the Hospital's Financial Assistance Policy guidelines for Charity Care income levels as reported in Part I, Line 3a of the Schedule H. The remainder of the accounts were then classified as Bad Debt. These are the numbers reported on this Schedule. The practice of allocating uncollectable accounts to Charity Care is no longer conducted.
    Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 2389422.
  Part I, Line 6a: The Hospital of Central Connecticut does not prepare an annual community benefit report.
    Part II: For the FY11 tax year, The Hospital of Central Connecticut did not conduct any community building activities and primarily focused on both community health programs, in addition to health professions education.
    Part III, Line 4: There is no Footnote for Bad Debt Expense included in the Financial Statements.
    Part III, Line 8: The costing methodology used for bad debt expense was based on the Financial Services - Calculation of Ratio of Patient Care Costs to Charges worksheet, which is provided in the Lyon's CBISA Online (Community Benefits) software program.
    Part III, Line 9b: The Bad Debt Guideline states the following:The Pre-List Exception Report (FFR385) is produced during the last week of the month to identify all accounts eligible for transfer to Bad Debt, but have the following exceptions and will not transfer:- Account Balance is not completely the patient's responsibility- Account has a credit balance- Account Balance is $5,000 and greaterThe Pre List Exception Report is reviewed by collection staff for:- Alternative sources of payment- Potential Free Bed/Charity Care applicant- Resolution of balance transfer problemsThe collection agency is responsible to provide the hospitals free bed/charity care summary with each collection notice (PA 3-266). If a patient contacts either the hospital or collection agency to apply for such funds, the collection agency is responsible to stop collection activity until notified by the hospital of the outcome of application.Self-pay admissions that are not collectable through standard practices are referred to an outside agency that acts on our behalf to establish Medicaid eligibility. If they are unsuccessful in establishing Medicaid eligibility and can establish payment arrangements with the patient, they retain the account. These accounts are also placed in Bad Debt on the last day of the month when referred to the outside agency.
    Part VI, Line 2: Planning is underway for The Hospital of Central Connecticut's needs assessment to occur in 2012.
    Part VI, Line 3: The Hospital of Central Connecticut disseminates information about its Financial Assistance Policy as follows: (i) provide signage regarding this Policy and written summary information describing the Policy along with financial assistance contact information in the Emergency Department, Labor and Delivery areas and all other Hospital patient registration areas:(ii) directly provide to each patient written summary information describing the Policy along with financial assistance contact information in all admission, patient registration discharge, billing and collection written communications; (iii) post the Policy on the Hospital's Home page; (iv) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy.
    Part VI, Line 4: The Hospital of Central Connecticut (HCC) serves primarily the communities located in greater New Britain and the surrounding towns including Berlin, Plainville and Southington, with some coverage of Bristol, Burlington, Cheshire, Cromwell, Farmington, Meriden, Newington and West Hartford. The total population in HCC's service area is 441,300 as defined by CERC town profiles for 2010. The most prominent race is Caucasian at about 84% of the total population which has been declining as the Hispanic population has grown to approximately 12% of the total 12 town primary and sub-service areas. Within HCC's primary service area of Berlin, Plainville, New Britain and Southington, the Hispanic population counts for 16%. The population in HCC's service area is older than the US and CT as a whole with approximately 16% in the over 65 category in some of the primary towns. The median household income in HCC's communities varies significantly, averaging $72,000 with 18.7% of NB's population living beneath the federal poverty level.
    Part VI, Line 6: The Hospital of Central Connecticut (HCC) is responsive to the community by having a completely open medical staff and a board of trustees with diverse membership that reflects the community at large. HCC is a Disproportionate Share Hospital with one of the highest rates of Medicaid patients in the state. We provide space for the Medicare Choices program to help community members select the Medicare programs that are best for them. We have a full graduate medical education program for physician training with UCONN, and also provide training for nursing and allied health students, including a specialty echosonographer program. HCC is a major sponsor of the New Britain Health Academy, a program that exposes local high school students to careers in the healthcare field. Presented in partnership with other community organizations, the Academy offers students an opportunity to learn about the types of jobs available, and facilitates contact with healthcare professionals who can guide program participants. As we have in the past, in FY 2011 we sponsored a community service organization fair where area not-for-profits are invited to the hospital to share with HCC's community about their mission and purpose. In addition, various hospital staff members and departments support community events on an ongoing basis, as well as frequent monetary and in-kind donations to area organizations in need. On a related note, HCC also participates in the Medical Legal Partnership Program. This program recognizes that there are many issues that may affect children and families seeking health care that are not specifically healthcare problems. These include landlord tenant and housing issues. The program helps healthcare providers' direct families to resources that can assist with these issues. Among our outreach services is our Mothers Offering Mothers Support (M.O.M.S.) program, a weekly support program for mothers 21 years old and under. Program leaders are women who were also young mothers and now are helping others. And, The Hospital of Central Connecticut has a program in which indigent patients who are being discharged from the hospital who do not have prescription drug coverage receive dosages of their prescribed medications to help them recover and comply with treatment guidelines and to reduce readmission rates.
    Part VI, Line 7: The Hospital of Central Connecticut is an Affiliate of Hartford Healthcare Corporation (HHC). HHC strives to provide compassionate care designed to deliver the necessary health services needed by the community. The Strategic Planning and Community Benefit Committee of the HHC Board of Directors ensures the oversight for these services by each hospital community. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care." HHC affiliation creates a strong integrated health care delivery system with a full continuum of care across a broader geographic area. This allows the small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital, the largest of the system hospitals. The affiliation further enhances the hospitals' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies.
Reports Filed With States Part VI, Line 7 CT
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) LAURENCE A TANNER (i)
(ii)		 0
324,502 		0
41,804 		0
641,312 		0
83,102 		0
29,302 		0
1,120,022 		0
388,366
(2) CLARENCE J SILVIA (i)
(ii)		 491,610
76,955 		29,250
2,000 		1,732,476
38,454 		309,629
73,595 		25,805
92 		2,588,770
191,096 		1,719,039
0
(3) BRIAN A ROGOZ (i)
(ii)		 255,764
0 		24,990
0 		67,266
0 		46,045
0 		19,244
0 		413,309
0 		48,234
0
(4) STEVEN D HANKS MD (i)
(ii)		 459,778
0 		25,600
0 		85,478
0 		141,663
0 		24,226
0 		736,745
0 		0
0
(5) ELIZABETH A LYNCH (i)
(ii)		 255,652
0 		25,000
0 		87,224
0 		75,188
0 		7,762
0 		450,826
0 		31,500
0
(6) STEVEN A GODFREY (i)
(ii)		 186,407
0 		12,299
0 		61,404
0 		90,775
0 		23,402
0 		374,287
0 		43,386
0
(7) MAUREEN FITZSIMMONS (i)
(ii)		 132,500
0 		20,000
0 		86
0 		19,879
0 		7,137
0 		179,602
0 		0
0
(8) NANCY KROEBER (i)
(ii)		 113,230
0 		4,875
0 		1,082
0 		43,438
0 		18,015
0 		180,640
0 		0
0
(9) DENISE PETERSON (i)
(ii)		 164,412
0 		2,000
0 		0
0 		9,221
0 		21,402
0 		197,035
0 		0
0
(10) JEFFREY A FINKELSTEIN MD (i)
(ii)		 333,125
0 		41,402
0 		6,066
0 		96,805
0 		56,416
0 		533,814
0 		0
0
(11) MICHAEL BALKUNAS MD (i)
(ii)		 297,381
0 		14,935
0 		0
0 		96,081
0 		53,876
0 		462,273
0 		0
0
(12) MICHAEL GREY MD (i)
(ii)		 308,487
0 		52,913
0 		8,192
0 		72,292
0 		33,169
0 		475,053
0 		0
0
(13) JAMES L MASSI MD (i)
(ii)		 272,012
0 		13,615
0 		0
0 		29,820
0 		9,639
0 		325,086
0 		0
0
(14) FRANCIS H PINTO (i)
(ii)		 187,257
0 		9,600
0 		0
0 		61,039
0 		50,315
0 		308,211
0 		0
0
(15) ANTOINETTA CAPRIGLIONE MD (i)
(ii)		 298,087
0 		14,976
0 		34,404
0 		91,570
0 		33,986
0 		473,023
0 		2,528
0
(16) ELIZABETH SCHLAFF (i)
(ii)		 176,400
0 		6,572
0 		0
0 		32,844
0 		29,410
0 		245,226
0 		0
0
(17) HAKLAI P LAU MD (i)
(ii)		 250,000
0 		160,957
0 		35,902
0 		29,493
0 		24,226
0 		500,578
0 		0
0
(18) JAMES F FLAHERTY (i)
(ii)		 344,630
0 		22,484
0 		0
0 		25,404
0 		29,411
0 		421,929
0 		0
0
(19) MICHELLE MCDADE (i)
(ii)		 257,966
0 		77,824
0 		6,545
0 		25,880
0 		23,159
0 		391,374
0 		0
0
(20) RONALD G CLARK (i)
(ii)		 257,966
0 		78,120
0 		1,193
0 		26,806
0 		25,266
0 		389,351
0 		0
0
(21) RENE HIPONA (i)
(ii)		 294,017
0 		39,633
0 		1,152
0 		39,102
0 		57,900
0 		431,804
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  Part I, Line 1a "GROSS-UPS" ON A CASH BENEFIT PAID TO THE CEO EQUAL TO THE ANNUAL MAXIMUM 403(B) ELECTIVE DEFERRAL. ALSO ON THE PORTION OF THE SPLIT DOLLAR THAT WAS ANNUALLY REPORTED ON THE CEO'S W-2.
  Part I, Lines 4a-b MAUREEN FITZSIMMONS WAS PAID SEVERANCE OF $255,764 UPON TERMINATION OF HER EMPLOYMENT WITH THE HOSPITAL DURING THE REPORTING YEAR. THERE WERE NO SPECIFIED TERMS OR CONDITIONS ASSOCIATED WITH THIS SEVERANCE PAYMENT. NONQUALIFIED RETIREMENT PLANS (SERP) HAVE BEEN ESTABLISHED FOR CERTAIN EMPLOYEES, WHICH ARE MAINTAINED PRIMARILY FOR THE PURPOSE OF PROVIDING DEFERRED COMPENSATION FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES WITHIN THE MEANING OF SECTIONS 201(2), 301(A) (3) AND 401(A)(1) OF ERISA. PAYMENTS FROM SUCH PLANS DURING THE YEAR ARE AS FOLLOWS: ANTOINETTA CAPRIGLIONE - $35,107 L.A. TANNER - $520,082 STEVE GODFREY - $52,117 ELIZABETH LYNCH - $68,375 BRIAN A. ROGOZ - $58,221 A NONQUALIFIED RETIREMENT PLAN (SERP) HAS BEEN ESTABLISHED TO PROVIDE A SUPPLEMENTAL RETIREMENT BENEFIT TO CLARENCE SILVIA UPON CERTAIN TERMINATION EVENTS OR UPON DISABILITY, DEATH OR ATTAINMENT OF AGE 65 WHILE EMPLOYED. THE PLAN IS INTENDED TO BE "A PLAN WHICH IS UNFUNDED AND IS MAINTAINED BY AN EMPLOYER PRIMARILY FOR THE PURPOSE OF PROVIDING DEFERRED COMPENSATION FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES" WITHIN THE MEANING OF SECTIONS 201(2), 301(A) (3) AND 401(A)(1) OF ERISA, AND SHALL BE INTERPRETED AND ADMINISTERED IN A MANNER CONSISTENT THEREWITH. AMOUNT OF BENEFIT: THE SUPPLEMENTAL RETIREMENT BENEFIT PAYABLE TO THE PARTICIPANT SHALL BE (A) MINUS (B) MINUS (C) WHERE: (A) IS THE LUMP SUM ACTUARIAL EQUIVALENT OF A SINGLE LIFE ANNUITY EQUAL TO THE EXCESS OF 60% OF HIS AVERAGE ANNUAL EARNINGS OVER THE SUM OF THE ACTUARIAL EQUIVALENT SINGLE LIFE ANNUITY BENEFIT, AS DETERMINED AS OF HIS NORMAL RETIREMENT DATE, ACCRUED UNDER THE QUALIFIED PLAN, ONE-HALF OF HIS SOCIAL SECURITY BENEFIT PAYABLE AT HIS NORMAL RETIREMENT DATE AND THE ACTUARIAL EQUIVALENT SINGLE LIFE ANNUITY BENEFIT, DETERMINED AS OF HIS NORMAL RETIREMENT DATE, ACCRUED AND VESTED UNDER ANY QUALIFIED RETIREMENT PLAN OF ANY FORMER EMPLOYER. (B) IS THE NET CASH SURRENDER VALUE, AS OF HIS NORMAL RETIREMENT DATE, OF ALL SPLIT DOLLAR LIFE INSURANCE POLICIES INSURING THE PARTICIPANT'S LIFE WITH RESPECT TO WHICH THE EMPLOYER HAS PAID SOME OR ALL OF THE PREMIUMS THEREON AND WITH RESPECT TO WHICH THE EMPLOYER HAS A COLLATERAL ASSIGNMENT INTEREST. (C) IS THE ACTUARIAL EQUIVALENT OF THE VALUE OF ANY BENEFIT PAID HEREUNDER TO THE PARTICIPANT PAYMENT FROM THE PLAN DURING THE YEAR IS AS FOLLOWS: CLARENCE J. SILVIA - $1,719,039
Supplemental Information Part III  
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 2,138 FMV
5 Clothing and household
goods ....... 		X 6,412 FMV
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( GIFT CARDS & CERTIFICATES ) X 53 4,062 FACE VALUE
26 Other Right pointing arrow large image ( TICKETS TO EVENTS ) X 2 1,200 FACE VALUE
27 Other Right pointing arrow large image ( AUCTION ITEMS ) X 82 18,586 FAIR MARKET VALUE
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Identifier Return Reference Explanation
New Program Services Form 990, Part III, line 2 HCC UNDERTOOK VARIOUS PROGRAM ENHANCEMENTS IN SEVERAL CATEGORIES IN ORDER TO BETTER MEET THE NEEDS OF OUR COMMUNITY. THEY ARE AS FOLLOWS: CLINICAL TECHNOLOGY: UPDATED THE EMERGENCY ROOM CT SCANNER TO A HIGH SPEED 64 SLICE UNIT FACILITY IMPROVEMENTS: RELOCATED OUTPATIENT PSYCHIATRY FROM VARIOUS LOCATIONS IN NEW BRITAIN TO ONE BUILDING ON 73 CEDAR STREET, NEW BRITAIN, CT.
Form 990, Part VI, Section A, line 2   A BOARD MEMBER IS A "TRANSITION PARTNER" IN A LAW FIRM THAT DOES WORK FOR THE HOSPITAL OF CENTRAL CONNECTICUT. ALSO A BOARD MEMBER'S SON OWNS A COMMERCIAL REAL ESTATE BUSINESS WHO LEASES SPACE TO THE HOSPITAL OF CENTRAL CONNECTICUT. ALSO SEVERAL PHYSICIAN BOARD MEMBERS HAVE MEDICAL DIRECTOR CONTRACTS WITH THE HOSPITAL OF CENTRAL CONNECTICUT. ONE PHYSICIAN BOARD MEMBER IS A PRINCIPAL IN AN ENDOSCOPY CENTER THAT IS A JOINT VENTURE WITH THE HOSPITAL OF CENTRAL CONNECTICUT.
Form 990, Part VI, Section A, line 4   The Hopsital's Bylaws and Certificate of Incorporation were amended to reflect the affiliation with Hartford Health Care effective February 1, 2011.
Form 990, Part VI, Section A, line 6   THE ORGANIZATION HAS A SINGLE MEMBER, NAMELY, CENTRAL CONNECTICUT HEALTH ALLIANCE, INC.
Form 990, Part VI, Section A, line 7a   The Member shall have such rights, powers and responsibilities as are accorded to members under the Act, under the Certificate of Incorporation and under these Bylaws; provided, however, that HHC shall, as the parent company of the Corporation's Member, have the reserved rights and powers set forth in Article 3 hereof.
Form 990, Part VI, Section A, line 7b   CCHA's authority is subject to the Parent Company, Hartford HealthCare. See amended bylaws article 3, section 3.2.
Form 990, Part VI, Section B, line 11   FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW AND COMMENTS PRIOR TO FILING.
  Form 990, Part VI, Section B, line 12c ANNUAL DISCLOSURE FORMS ARE SENT OUT TO DIRECTORS, OFFICERS AND APPROPRIATE EMPLOYEES AND REVIEWED BY THE COMPLIANCE OFFICER, CEO AND GENERAL COUNSEL (AND CHAIRMAN OF THE BOARD FOR OFFICERS AND DIRECTORS).
  Form 990, Part VI, Section B, line 15 EVERY OTHER YEAR, THE HOSPITAL'S PARENT, CENTRAL CONNECTICUT HEALTH ALLIANCE, EXECUTIVE COMPENSATION COMMITTEE ENGAGES AN EXECUTIVE COMPENSATION CONSULTING FIRM TO CONDUCT A COMPETITIVE ASSESSMENT OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION AND EXECUTIVE BENEFITS) AND TO VALIDATE THE REASONABLENESS OF SUCH COMPENSATION. SULLIVAN AND COTTER COMPLETED THEIR MOST RECENT ASSESSMENT IN NOVEMBER 2010. THIS ASSESSMENT INCLUDED ALL OF THE OFFICERS AND PHYSICIAN CHIEFS. GOING FORWARD, IT IS ANTICIPATED THAT, WITH THE AFFILIATION WITH HARTFORD HEALTHCARE, THE EXECUTIVE COMPENSATION COMMITTEE OF HARTFORD HEALTHCARE WILL REPLACE THE CCHA EXECUTIVE COMPENSATION COMMITTEE. WHEN DETERMINING COMPENSATION FOR THE HOSPITAL'S DEPARTMENT HEADS, RELEVANT MARKET DATA IS COLLECTED FROM A NUMBER OF SOURCES TO ASSURE THAT EACH INCUMBENT IS PAID COMPETITIVELY. SOURCES INCLUDE THE CONNECTICUT HOSPITAL ASSOCIATION SALARY SURVEY PREPARED BY OLNEY/HRADVANTAGE, MERCER'S INTEGRATED HEALTH NETWORKS SURVEY, INTEGRATED HEALTHCARE STRATEGIES NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY AND SULLIVAN AND COTTER'S SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS. SURVEY DATA IS CONSIDERED BY STATE, REGION, AND SIZE OF HOSPITAL. THE PERFORMANCE OF EACH DEPARTMENT HEAD AND AVAILABLE MONIES ARE OTHER FACTORS IN THE DELIBERATION PROCESS. AFTER COLLATING AND ANALYZING ALL RELEVANT DATA, A RECOMMENDATION AS TO APPROPRIATE SALARY IS MADE BY HUMAN RESOURCES MANAGEMENT. THE ADMINISTRATIVE ADVISOR OF EACH DEPARTMENT HEAD THEN CONSIDERS THE RECOMMENDATIONS AND APPROVES OR REVISES THE FIGURES BASED ON THE INFORMATION PRESENTED.
  Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy and financial statements aren't made available to the public.
  FORM 990, PART VII, COMPENSATION OF OFFICERS, DIRECTORS: A. DR. ANDREOLI- COMPENSATION PROVIDED FOR PROVISION OF PROFESSIONAL SERVICES AS OB/GYN SITE DIRECTOR RESIDENCY PROGRAM AT THE HOSPITAL OF CENTRAL CONNECTICUT (HCC). B. DR. ASCIUTO- COMPENSATION PROVIDED FOR PROVISION OF PROFESSIONAL SERVICES AS ASSOCIATE CHIEF OF MEDICAL STAFF, BRADLEY MEMORIAL CAMPUS OF HCC. C. DR. CIARDELLA- COMPENSATION PROVIDED FOR PROFESSIONAL SERVICES AS ASSOCIATE CHIEF, DEPARTMENT OF MEDICINE, BRADLEY MEMORIAL CAMPUS OF HCC. D. DR. LAPKIN- COMPENSATION PROVIDED FOR PROFESSIONAL SERVICES AS CHIEF OF STAFF AND MEDICAL DIRECTOR OF THE DIALYSIS UNIT AT HCC. E. DR. TOFFOLON- COMPENSATION PROVIDED FOR PROFESSIONAL SERVICES AS AN ON-CALL PHYSICIAN AT HCC.
Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -3,325,286. CHANGE IN ASSETS HELD IN TRUST BY OTHERS -547,224. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -14,071,226. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -1,742,303. CHANGE IN BEGINNING BALANCE OF AUXILIARY NET WORTH 867. FIXED ASSET FAIR VALUE ADJUSTMENT 24,394,080. EARLY EXTINGUISHMENT OF DEBT -270,054. Total to Form 990, Part XI, Line 5: 4,438,854.
  FORM 990, Part XII, Line 2C: Oversight committee is of Hartford Healthcare since the affiliation on February 1, 2011.
  Form 990, Part III, Line 1 (continued): The Hospital of Central Connecticut at Bradley Memorial, founded in 1938, is an acute care hospital located at 81 Meriden Avenue, Southington, Connecticut. It provides a wide range of inpatient and outpatient services to a geographic area centered on the town of Southington. The Bradley Memorial Campus is licensed for 84 beds. Maternity services are not provided, therefore, there are no bassinets. It currently staffs 30 beds. The beds are divided into 27 medical and surgical beds and 3 ICU beds. Inpatient: The Bradley Memorial campus offers inpatient care in general medicine and surgery and various specialties, including but not limited to cardiology, physical medicine, radiology, 24-hour emergency care, neurosurgery and intensive care. Outpatient: The campus provides ambulatory surgery, cardiac testing and rehabilitation, physical medicine, respiratory therapy and other types of outpatient services, as well as Women's Center, Diagnostic services, including lab testing and radiology and Wound Care Center. Both campuses provide a wide array of medical services. Since operating under a single license, patients can receive services offered at either campus without any interruption. Patients are also offered continuity of care since the clinical oversight of each service is shared between campuses.
  Form 990, Part VI, Line 3: HISTORICALLY, CCHA PROVIDED MANAGEMENT DUTIES TO THE HOSPITAL AND OTHER AFFILIATES. IN MARCH OF 2010, THE HOSPITAL'S PRESIDENT AND CEO BECAME AN EMPLOYEE OF THE HOSPITAL. L. TANNER RETIRED IN JUNE OF 2011 AND AT THAT POINT CCHA NO LONGER HAD ANY EMPLOYEES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE HOSPITAL OF CENTRAL CONNECTICUT
 
Employer identification number

06-0646768
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) BRADLEY HEALTH SERVICES INC

100 GRAND ST

NEW BRITAIN,CT06050
06-1367014 		HEALTHCARE CT 501(C)(3) LINE 9 CENTRAL CT HEALTH ALLIANCE
 
 
No
(2) CAPITAL AREA HEALTH CONSORTIUM INC

270 FARMINGTON AVE

FARMINGTON,CT06032
51-0173264 		HEALTHCARE CT 501(C)(3) LINE 11,III-FI  
 
No
(3) CENTRAL CT HEALTH ALLIANCE

100 GRAND ST

NEW BRITAIN,CT06050
22-2785033 		HEALTHCARE ADMINISTRATION CT 501(C)(3) LINE 11,II  
 
No
(4) CENTRAL CT SENIOR HEALTH SERVICES INC

45 MERIDEN AVE

SOUTHINGTON,CT06489
22-2635676 		SUB-ACUTE & LONG TERM HEALTHCARE CT 501(C)(3) LINE 9 CENTRAL CT HEALTH ALLIANCE
 
 
No
(5) COMMUNITY MENTAL HEALTH AFFILIATES INC

270 JOHN DOWNEY DRIVE

NEW BRITAIN,CT06051
06-0934544 		MENTAL HEALTH & SUBSTANCE ABUSE TREATMENT PROVIDER CT 501(C)(3) LINE 7 CENTRAL CT HEALTH ALLIANCE
 
 
No
(6) MULBERRY GARDENS OF SOUTHINGTON LLC

58 MULBERRY ST

PLANTSVILLE,CT06479
82-0586577 		ASSISTED LIVING & ADULT DAY CARE FACILITY CT 501(C)(3) LINE 9 CENTRAL CT SENIOR HEALTH SERVICES INC
 
 
No
(7) THE ORCHARDS OF SOUTHINGTON

34 Hobart ST

SOUTHINGTON,CT06489
06-1490803 		RESIDENTIAL SERVICES FOR SENIOR CITIZENS CT 501(C)(3) LINE 9 CENTRAL CT SENIOR HEALTH SERVICES INC
 
 
No
(8) VNA OF CENTRAL CONNECTICUT INC

205 WEST MAIN STREET

NEW BRITAIN,CT06050
06-0646940 		PUBLIC HEALTH NURSING & HOME CARE CT 501(C)(3) LINE 9 CENTRAL CT HEALTH ALLIANCE
 
 
No
(9) JEROME HOME

975 CORBIN AVE

NEW BRITAIN,CT06052
06-0646690 		NURSING HOME CT 501(C)(3) LINE 9  
 
No
(10) CONNECTICUT HEALTH SYSTEMS INC

80 SEYMOUR STREET

HARTFORD,CT06102
22-2779421 		COORDINATION OF HEALTH CARE DELIVERY CT 501(C)(3) LINE 11(C) TYPE III HARTFORD HEALTH CARE CORPORATION
 
 
No
(11) INSTITUTE OF LIVING

200 RETREAT AVENUE

HARTFORD,CT06106
06-0646683 		PSYCHIATRIC SERVICES CT 501(C)(3) LINE 11(C) TYPE III HARTFORD HEALTH CARE CORPORATION
 
 
No
(12) MIDSTATE MEDICAL CENTER

435 LEWIS AVENUE

MERIDEN,CT06451
06-0646715 		HEALTHCARE SERVICES CT 501(C)(3) LINE 3 HARTFORD HEALTH CARE CORPORATION
 
 
No
(13) NATCHAUG HOSPITAL INC

189 STORRS ROAD

MANSFIELD,CT06226
06-0966963 		BEHAVIORAL HEALTH CT 501(C)(3) LINE 3 HARTFORD HEALTH CARE CORPORATION
 
 
No
(14) RUSHFORD CENTER INC

883 PADDOCK AVENUE

MERIDEN,CT06450
06-0932875 		SUBSTANCE ABUSE HEALTHCARE SERVICES CT 501(C)(3) LINE 7 HARTFORD HEALTH CARE CORPORATION
 
 
No
(15) VNA HEALTH CARE INC

103 WOODLAND STREET

HARTFORD,CT06105
06-0646938 		HOME HEALTHCARE CT 501(C)(3) LINE 7 HARTFORD HEALTH CARE CORPORATION
 
 
No
(16) WINDHAM COMMUNITY MEMORIAL HOSPITAL

112 MANSFIELD AVENUE

WILLIMANTIC,CT06226
06-0646966 		HEALTHCARE SERVICES CT 501(C)(3) LINE 3 HARTFORD HEALTH CARE CORPORATION
 
 
No
(17) WINDHAM HOSPITAL FOUNDATION INC

112 MANSFIELD AVENUE

WILLIMANTIC,CT06226
56-2546632 		SUPPORTING ORGANIZATIONS CT 501(C)(3) LINE 11(A) TYPE I HARTFORD HEALTH CARE CORPORATION
 
 
No
(18) HARTFORD HEALTH CARE CORPORATION

80 SEYMOUR STREET

HARTFORD,CT06102
22-2672834 		SUPPORT & MANAGEMENT SERVICES TO HARTFORD HOSPITAL & AFFILIATES CT 501(C)(3) LINE 11(C) TYPE III  
 
No
(19) HARTFORD HOSPITAL

80 SEYMOUR STREET

HARTFORD,CT06102
06-0646668 		HOSPITAL CT 501(C)(3) LINE 3 HARTFORD HEALTH CARE CORPORATION
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) CENTRAL CT SPORTS MEDICINE CTRLLC

15 MASSIRIO DRIVE SUITE 104
BERLIN,CT06037
22-3196509 		PHYSICAL THERAPY CT CCHA
  		RELATED 14,920 287,179   No     No 50.000 %
(2) NEW BRITAIN MRI LIMITED PARTNERSHIP

100 GRAND STREET
NEW BRITAIN,CT06050
06-1271349 		MAGNETIC RESONANCE IMAGING CT CenConn Services Inc
  		RELATED 761,984 2,252,926   No     No 43.400 %
(3) NEW BRITAIN OCCUPATIONAL HEALTH CENTER LLC

440 NEW BRITAIN AVENUE
PLAINVILLE,CT06062
06-1484904 		OCCUPATIONAL HEALTHCARE CT HCC
  		RELATED -32,457 608,810   No   Yes   85.700 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) CENCONN SERVICES INC
100 GRAND STREET
NEW BRITAIN,CT06050
22-2836001 		INVESTMENT MANAGEMENT CT CCHA
  		C      
(2) GRAND INDEMNITY COMPANY LTD FB PERRY BUILDING
40 CHURCH STREET
HAMILTON    
BD
98-0609499 		PROFESSIONAL LIABILITY BD HCC
  		C 6,714,488 35,280,376 100.000 %
(3) HHMOB CORPORATION & SUBSIDIARY
80 SEYMOUR STREET
HARTFORD,CT06102
06-1140244 		MEDICAL OFFICE BUILDING CT HARTFORD HEALTH CARE CORPORATION
  		C      
(4) MIDSTATE MEDICAL GROUP PC
435 LEWIS STREET
MERIDEN,CT06450
20-4327968 		PHYSICIAN SERVICES CT HARTFORD HEALTH CARE CORPORATION
  		C      






Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CENCONN SERVICES INC

 P 19,567 ACTUAL
(2) CENTRAL CT SPORTS MEDICINE CENTER LLC

 N 1,823,836 ACTUAL
(3) NEW BRITAIN OCCUPATIONAL HEALTH CENTER

 I 241,000 ACTUAL
(4) NEW BRITAIN MRI LIMITED PARTNERSHIP

 N 678,703 ACTUAL
(5) CENCONN SERVICES INC

 N 87,724 ACTUAL
(6) CENTRAL CT HEALTH ALLIANCE

 P 1,082,101 ACTUAL
(7) NEW BRITAIN MRI LIMITED PARTNERSHIP

 P 269,851 ACTUAL
(8) COMMUNITY MENTAL HEALTH AFFILIATES

 I 245,760 ACTUAL
(9) NEW BRITAIN OCCUPATIONAL HEALTH

 N 251,112 ACTUAL
(10) NEW BRITAIN MRI LIMITED PARTNERSHIP

 I 117,976 ACTUAL
(11) CENTRAL CT HEALTH ALLIANCE

 O 782,952 ACTUAL
(12) COMMUNITY MENTAL HEALTH AFFILIATES

 P 61,944 ACTUAL
(13) HARTFORD HOSPITAL

 P 2,616,043 ACTUAL
(14) CENTRAL CT SENIOR HEALTH SERVICES

 N 33,178 ACTUAL
(15) COMMUNITY MENTAL HEALTH AFFILIATES

 N 89,714 ACTUAL
(16) HARTFORD HOSPITAL

 N 2,205,328 ACTUAL
(17) VISITING NURSE ASSOCIATION OF CC

 P 38,136 ACTUAL
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: