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Rockville General Hospital

Rockville General Hospital
31 Union St
Rockville, CT 06066
Bed count102Medicare provider number070012Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 060653151
Display data for year:
Community Benefit Spending- 2015
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
11.35%
Spending by Community Benefit Category- 2015
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2015
Additional data

Community Benefit Expenditures: 2015

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 73,037,603
      Total amount spent on community benefits
      as % of operating expenses
      $ 8,293,133
      11.35 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 382,466
        0.52 %
        Medicaid
        as % of operating expenses
        $ 6,805,720
        9.32 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 308,725
        0.42 %
        Subsidized health services
        as % of operating expenses
        $ 610,509
        0.84 %
        Research
        as % of operating expenses
        $ 14,859
        0.02 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 153,921
        0.21 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 16,933
        0.02 %
        Community building*
        as % of operating expenses
        $ 15,552
        0.02 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)4
          Physical improvements and housing0
          Economic development0
          Community support3
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development1
          Other0
          Persons served (optional)6
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development6
          Other0
          Community building expense
          as % of operating expenses
          $ 15,552
          0.02 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 15,473
          99.49 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 79
          0.51 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 26,510
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 26,510
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2015

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 1,985,773
        2.72 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 1,504,520
        75.76 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2015

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2015

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 (Expenses $ 13685290 including grants of $ 0) (Revenue $ 7518617)
      Inpatient Services - Rockville General Hospital offers comprehensive medical services in a 102 bed acute care community hospital with a total of 2,052 inpatients treated in fiscal year 2016. Services are offered to the community, regardless of any individual's ability to pay.
      4B (Expenses $ 6748055 including grants of $ 0) (Revenue $ 18811316)
      Emergency Department - Emergency care is offered 24 hours per day, and provides needed emergency medical care to the community, regardless of any individual's ability to pay.
      4C (Expenses $ 6026478 including grants of $ 0) (Revenue $ 6818788)
      Radiology - A wide range of imaging, diagnostic and treatment services are offered, including X-rays, CT Scans, MRI, PET, ultrasound, nuclear medicine and mammography.
      4D (Expenses $ 29016683 including grants of $ 0) (Revenue $ 26835076)
      SEE SCHEDULE H, PART VI
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      ROCKVILLE GENERAL HOSPITAL
      Part V, Section B, Line 5: The assessments incorporate data from both quantitative and qualitative sources. Quantitative data input includes primary research (phone surveys) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through an online key informant survey (OKIS).The Community Health Needs Assessment was sponsored by a collaboration of community partners and relied on information provided by: public health and vital statistics data a variety of existing (secondary) data data representing the most recent BRFSS (Behavioral Risk Factor Surveillance System) prevalence and trends data (published online by the Centers for Disease Control and Prevention) state-wide risk factor data nationwide risk factor data Healthy People 2020 which provides science-based, 10-year national objectives for improving the health of all Americans phone surveys (based on the Centers for Disease Control Behavioral Risk Factor Surveillance Survey) And online key informant surveys.The participants for the online surveys included input from physicians and other health providers, public health experts, social service representatives, and community leaders. For a full listing of participating agencies, please reference the 2016 CHNA for Rockville General Hospital.
      ROCKVILLE GENERAL HOSPITAL
      Part V, Section B, Line 6a: FACILITY NAME:ROCKVILE GENERAL HOSPITALDESCRIPTION:THE CHNA WAS CONDUCTED BY EASTERN CONNECTICUT HEALTH NETWORK,WHICH INCLUDES MANCHESTER MEMORIAL HOSPITAL AND ROCKVILLEGENERAL HOSPITAL.
      ROCKVILLE GENERAL HOSPITAL
      Part V, Section B, Line 11: FACILITY NAME:ROCKVILLE GENERAL HOSPITALDESCRIPTION:I. Access to Healthcare Services:Strategy #1: Build the capacity of ECMPF primary care offices to provide primary and preventive healthcare services with at least 2 providers.Strategy #2: Expand the number of Family Practice Residents trained at ECHN from 25 residents per year to 33 and actively recruit graduates to practice locally. Strategy #3: Ensure that ECHN's hospital and home health care management programs as well as the ECHN hospitalist practitioners provide effective transitions of care for patients treated at ECHN facilities with an emphasis on communication with primary care physicians. II. Cancer Strategy 1: Colon Cancer - Colorectal screening and education Develop a marketing campaign for Colon Cancer Awareness Month each year to create awareness Hold a colonoscopy screening event to promote screenings, educate the community Promote the Open Access Program offered by local physicians at Evergreen Endoscopy Center that makes convenient appointments easier to obtain for screeningsStrategy 2: Lung Cancer - Promote and educate community on ECHN's Low Dose CT Screening Program Maintain ECHN's ACR accreditation as a Designated Cancer Screening Center Develop marketing and promotional material to create awareness of the need for screening and the community resources available Provide education to community and physicians through presence at health fairs and by hosting community education lecturesStrategy 3: Prostate Cancer - Host a Prostate Screening Event Determine eligibility and process to adhere to national standard of prostate screenings Collaborate with local physicians and health care workers to hold event Market and promote a prostate cancer screening eventStrategy #1: Educate women about the importance of preventative and screening services and lifestyle changes: Develop and coordinate educational lectures and seminars which will be offered to the community Publish information in ECHN's Better Being newsletter regarding health screenings, educational programs and lectures Participate in health fairs and community events Coordinate with ECHN providers to present educational programs and lectures related to women's health, diabetes and heart diseaseStrategy #2: Build community relationships to increase awareness of the ECHN Early Detection Program: The Community Health Navigator will engage and collaborate with community partners in order to provide education on program benefits and services available The Community Health Navigator will provide written material, in both English and Spanish, to community partners and providers detailing services available, and contact information for eligibilityStrategy 1: Freedom From Smoking: Provide program at least 3 times a year Advertise program through Better Being and with community partners Increase number of facilitators to 2 Provide program at multiple locationsStrategy 2: Offer smoking prevention presentation to public and private schools: Contact schools with 6th grade classes offering presentations Participate in health fairs at high schools and vocational schoolsStrategy 3: Provide CEU program to community primary care physicians: Provide education regarding available smoking prevention and cessation programsStrategy 4: Participate in health fairs: Provide material on nicotine addiction Provide material on Freedom From SmokingStrategy 1: Offer support to cancer survivors Established process to identify patients who have completed cancer therapy and provide patients with summary care plan which includes cancer diagnosis, stage and treatment receivedStrategy 2: Educate cancer survivors on managing lifestyle behaviors after treatment completion Survivorship care plan will also include road map for recommended follow up care Educate and encourage lifestyle changes to reduce cancer recurrence and/or improve quality of lifeIII. Heart Disease & StrokeStrategy #1: Provide education for cardiovascular disease risk factors and behavior modification Produce multi-year plan to improve health and reduce risky behaviors of our ECHN employees and families Provide community education lecture(s) on the signs and symptoms of stroke and heart attack, the early recognition of symptoms and importance of seeking immediate medical care Promote nutrition counseling services offered by local supermarkets and community centers to promote healthy diets Promote physical fitness activities/programs available in the community including fitness centers, cardiac rehabilitation programs, schools, parks and recreation programs Participate in community health fairs throughout service area where blood pressure, cholesterol, body fat composition analysis and education resources will be offeredStrategy #2: Promote the Freedom From Smoking cessation program Offer behavioral counseling on the short and long term physiologic benefits and quality of life benefits from smoking cessation Provide education about FDA approved smoking cessation medications Promote available smoking cessation programs to physicians in the community and hospitals as an option for patients who smokeStrategy #3: Promote cardiac rehabilitation Promote cardiac rehabilitation services to restore people who have had a heart condition or heart surgery to the highest possible physiological, emotional, social, and vocational levelIV. Infant Health & Family PlanningThis strategy will focus on the service areas of Manchester and Vernon Strategy #1: Improve access to care and education Continue family planning education sessions/tours Encourage the use of the Maternity Care Center (MCC) at Rockville General Hospital Provide information through ECHN digital boards, Readiness Committees, ECHN social media and ECHN Website Continue to publicize educational opportunities through Better Being magazine Continue the distribution of ECHN prenatal folders through the community practices that contain comprehensive topical informationStrategy #2: Increase preconception and first trimester pregnancy education Encourage regular ECHN birth class attendance Provide information through ECHN digital boards, Readiness Committees, ECHN social media and Website Pursue the development of a preconception and an early pregnancy class offering
      ROCKVILLE GENERAL HOSPITAL
      Part V, Section B, Line 13h: DESCRIPTION:FAMILY SIZE IS USED WITH INCOME LEVEL.
      ROCKVILLE GENERAL HOSPITAL
      Part V, Section B, Line 16i: DESCRIPTION:THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH NOTICES POSTED IN PUBLIC AREAS AROUND THE HOSPITAL, ON THE PATIENT BILLS, ON OUR WEBSITE, AND FOR SELECTED PRE-SCHEDULED SERVICES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.
      ROCKVILLE GENERAL HOSPITAL
      Part V, Section B, Line 22d: DESCRIPTION:PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORETHAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE FOREMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Part II, Community Building Activities:
      ROCKVILLE GENERAL HOSPITAL (RGH), AS PART OF EASTERN CONNECTICUT HEALTH NETWORK (ECHN), PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY COMMITTING THE EXPERTISE AND RESOURCES OF THE ORGANIZATION TO A NUMBER OF COMMUNITY BUILDING ACTIVITIES THAT SUPPORT ASSOCIATIONS, BUSINESSES, PROGRAMS, INITIATIVES AND OTHER VALUABLE LOCAL COMMUNITY ASSETS. COMMUNITY BUILDING ACTIVITIES INCLUDE SERVING ON THE BOARD AND EXECUTIVE COMMITTEE OF REGIONAL CHAMBERS OF COMMERCE IN SUPPORT OF THE LOCAL BUSINESS INDUSTRY; PARTNERING WITH THE LOCAL SCHOOL SYSTEMS AND COLLEGES IN VARIOUS WORKFORCE DEVELOPMENT PROGRAMS; SERVING ON THE VERNON SCHOOL READINESS COUNCIL, THE CANCER COMMUNITY OUTREACH COMMITTEE AND THE AMERICAN HOSPITAL ASSOCIATION'S REGIONAL POLICY BOARD; AND NUMEROUS COMMUNITY COALITIONS THAT ADDRESS ADOLESCENT BEHAVIORAL HEALTH CONCERNS. AS A RESULT OF THESE ACTIVITIES, THERE HAS BEEN IMPROVED COLLABORATION AMONG COMMUNITY PROVIDERS ANDOTHERS INVOLVED IN PROVIDING SERVICES TO CHILDREN, ADOLESCENTS AND THEIR FAMILIES AND OTHER ADULTS.
      Part III, Line 2:
      METHODOLOGY USED TO ESTIMATE BAD DEBT:THE NETWORK PROVIDES FOR A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NETWORK ANALYZES CONTRACTUALLY DUEAMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITHDEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NETWORK RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THEBASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE NETWORK OFFERS A DISCOUNT OFF ITS STANDARD RATES FOR SERVICES PROVIDED. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED UNCOLLECTIBLE.
      Part III, Line 4:
      FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT:the Network provided for a provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, the Network analyzed contractually due amounts and provided an allowance for doubtful accounts (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who were known to be having financial difficulties that makethe realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage existed for part of the bill), the Network recorded a significant provision for bad debts in the period of service on the basis of its past experience, which indicated that many patients were unable or unwilling to pay the portion of their bill for which they were financially responsible. For uninsured patients that did not qualify for financial assistance, the Network offered a discount off its standard rates for services provided. The difference between the discounted rates and the amounts actually collected after all reasonable collection efforts have been exhausted is written off against the allowance for doubtful accounts in the period they were determined uncollectible.
      Part III, Line 8:
      DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METFIOD USED:THE HOSPITAL PROVIDES QUALITY HEALTH CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY, CHARITY CARE IS PROVIDED TO THOSE WHO ARE ELIGIBLE BASED ON RGH'S POLICY. RGH ALSO INCURS UNPAID COSTS FORGOVERNMENT PROGRAMS BECAUSE REIMBURSEMENT IS NOT SUFFICIENT TO COVER COSTS ASSOCIATED WITH MEDICARE AND MEDICAID PATIENTS. THE ORGANIZATION'S MEDICARE COST REPORT WAS USED TO CALCULATE ACTUAL COSTS REPORTED ON PART III, LINE 6. THE ACCESS TO HEALTHCARE BY PATIENTS COVERED BY MEDICARE IS A FUNDAMENTAL PART OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM.
      Part III, Line 9b:
      DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:INTERNAL AND EXTERNAL COLLECTION POLICIES AND PROCEDURES TAKE INTO ACCOUNT THE EXTENT TO WHICH A PATIENT IS QUALIFIED FOR CHARITY CARE OR DISCOUNTS. IN ADDITION, PATIENTS WHO QUALIFY FOR PARTIAL DISCOUNTS ARE REQUIRED TO MAKE A GOOD FAITH EFFORT TO HONOR PAYMENT AGREEMENTS WITH THE HOSPITAL, INCLUDING PAYMENT PLANS AND DISCOUNTED HOSPITAL BILLS. RGH IS COMMITTED TO WORKING WITH PATIENTS TO RESOLVE THEIR ACCOUNTS, AND AT ITS DISCRETION, MAY PROVIDE EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS. RGH WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST CHARITY CARE PATIENTS WHO HAVE COOPERATED WITH THE HOSPITAL TO RESOLVE THEIR ACCOUNTS AND HAVE DEMONSTRATED THEIR INCOME AND/OR ASSETS ARE INSUFFICIENT TO PAY MEDICAL BILLS.
      Part VI, Line 2:
      In 2016, RGH collaborated with Manchester Memorial Hospital, also an affiliate of ECHN, to conduct a comprehensive community health needs assessment (CHNA). The CHNA was a systematic, data-driven approach to determining the health status, behaviors and needs of residents in the service area of Rockville General Hospital. Subsequently, this information was used to inform decisions and guide efforts to improve community health and wellness.A CHNA provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This CHNA will serve as a tool toward reaching three basic goals: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.This assessment was conducted on behalf of the Eastern Connecticut Health Network and Rockville General Hospital by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments such as this in hundreds of communities across the United States since 1994.
      Part VI, Line 3:
      THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH NOTICES POSTED IN PUBLIC AREAS AROUND THE HOSPITAL, ON THE PATIENT BILLS, ON OUR WEBSITE, AND SELECTED PRE-SCHEDULED SERVICES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTHCARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.
      Part VI, Line 4:
      ECHN's community, as defined for the purposes of the Community Health Needs Assessment, included each of the residential Zip Codes that comprise the hospital's town location including 06040 and 06042 for Manchester Memorial Hospital and 06066 for Rockville General Hospital. This community definition was determined because the majority of ECHN's patients originate from these areas for use of our hospital services.Demographics of the CommunityThe population of Rockville General Hospital's service area is estimated at 29,179 people. It is predominantly non-Hispanic White (85.1%), but also has substantial African America (5.8%) and Hispanic (6.5%) populations.
      Part VI, Line 5:
      "Community health education initiatives and programs are offered to the community and include free community health educational programs, development and distribution of a wellness magazine to more than 150,000 households in the service area, demonstrations, and health fair participation. For example, the hospital hosted a series of Heart Talk education programs for people living with heart failure, to help people learn how to proactively manage heart disease and improve quality of life. Other presentations were made to the community about breast cancer, preventative/screening recommendations, and free screening programs. These presentations were made at the Greater Hartford Women's Conference, Town of Ellington Senior Health Fair, 4th District Health Fair, Mobile Food Share, Town of Vernon ""Seniorhood"" Fair, Woodlake at Tolland Health Center Fair, A Conversation: Women to Women presentation, and the Crestfield Manor Health Fair. Other areas of particular focus include: access to healthcare services, cancer, heart disease and stroke, infant health, mental health, nutrition/physical activity/weight, substance abuse, diabetes, and tobacco use, which were identified as areas of need in the community health needs assessment conducted in 2016. More than 40,000 people benefitted from these initiatives and programs in FY 16. Free health screenings including diabetic foot checks, mammograms, heart disease screenings, glucose readings, injury screenings, blood pressure, vital sign checks and medical exams are offered in the community. For example, risk factor screenings were done at the Wear Red Day. Blood Pressure screenings were done at the Women's Center for Wellness. Three diabetic foot screenings were done during the year. Targeting uninsured/underinsured populations, 33 people benefitted from these services in FY 16. Healthcare support services are provided by the hospital to increase access and quality of care to individuals in need. Efforts include assistance to enroll in public programs, referrals to social services, and help in finding physicians who accept Medicaid or other government programs. Fifteen (15) people benefitted from these efforts in FY 16. Partnering with local educational institutions, Rockville General Hospital provides a clinical setting for medical students, nursing students, radiologic technicians, phlebotomy students, respiratory technicians, dietetic interns, pharmacy students, physical therapists and others from the University of New England College of Osteopathic Medicine, University of Connecticut, Manchester Community College, Central Connecticut State University, Goodwin College, Capital Community College, American International College, Springfield Technical Community College, Asnuntuck Community College, Stone Academy, University of Saint Joseph's, and the University of Hartford. For example, the RGH pharmacy rotated 2nd and 4th year pharmacy students through the pharmacy. Health services which are subsidized by the hospital include the Early Detection Program, the Maternity Care Center, dialysis services, and the Ryan White Part A program. Specific research initiatives conducted by the hospital include an Institutional Review Committee, which has the primary responsibility to protect the rights and welfare of research subjects and to approve all research studies in accordance with federal regulations. The hospital also maintains a cancer registry database. Financial and in-kind services and goods are donated to community groups and other not for profit organizations, including local fundraisers, facility space to host blood drives, and conference rooms for health support groups organizations' meetings. For example, the hospital provides free meeting space for the ECHN Prostate Cancer Support Group, the Breast Cancer Network of Strength, and Overeaters Anonymous. The expertise and resources of the organization are dedicated to a number of community building activities that support associations, businesses, programs, initiatives and other valuable local community assets. For example, the hospital and its employees participate in regional exercises to evaluate the readiness of the hospital's emergency preparedness capabilities, partner with the local school systems and colleges in various workforce development programs, serve on the Vernon School Readiness Council, and the Cancer Community Outreach Committee."
      Part VI, Line 6:
      ROCKVILLE GENERAL HOSPITAL (RGH) IS AN AFFILIATE OF EASTERN CONNECTICUT HEALTH NETWORK (ECHN), A HEALTH CARE SYSTEM SERVING 19 TOWNS IN EASTERN CONNECTICUT.THE ECHN NETWORK OF AFFILIATES INCLUDES: MANCHESTER MEMORIAL HOSPITAL, A COMMUNITY HOSPITAL LICENSED FOR 249 BEDS AND 34 BASSINETS, THAT OFFERS MEDICAL AND SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, A MODERN FAMILY BIRTHING CENTER AND NEONATOLOGY SERVICES, REHABILITATION SERVICES, A CERTIFIED SLEEP DISORDERS CENTER, INTENSIVE CARE SUITES, A WOUND HEALING CENTER WITH HYPERBARIC THERAPY, HOSPICE CARE, DIABETES SELF-MANAGEMENTPROGRAM, CARDIAC &PULMONARY REHABILITATION, ACOMPREHENSIVE RANGE OF ADOLESCENT AND ADULT INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, NUTRITION COUNSELING, LABORATORY SERVICES, AND THE EASTERN CONNECTICUT CANCER INSTITUTE AT THE JOHN A. DEQUATTROCANCER CENTER.ROCKVILLE GENERAL HOSPITAL, A COMMUNITY HOSPITAL LICENSED FOR 102 BEDS, THAT OFFERS MEDICAL AND SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, CARDIAC 8 PULMONARY REHABILITATION, PHYSICAL REHABILITATION, HOSPICE CARE, A MATERNITY CARE CENTER FOR UNINSUREDWOMEN, OUTPATIENT ADOLESCENT BEHAVIORAL HEALTH SERVICES, AND LABORATORY SERVICES. WOODLAKE AT TOLLAND IS A SKILLED NURSING &REHABILITATION CENTER, A 130-BED LONG-TERM SKILLED NURSING CARE AND SHORT-TERM REHABILITATION FACILITY. CUSTOMIZED REHABILITATION TREATMENTSERVICES INCLUDE JOINT REPLACEMENT REHABILITATION, ORTHOPEDIC POSTHOSPITAL CARE, STROKE/NEUROLOGICAL REHAB, POST MEDICAUSURGICAL RECONDITIONING, AND PERSONALIZED, PROGRESSIVE, AND INTERDISCIPLINARY CARE SERVICES.EASTERN CONNECTICUT MEDICAL PROFESSIONALS FOUNDATION, INC. (ECMPF), A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT OFFERS A FULL RANGE OF HEALTHCARE SERVICES, INCLUDING PRIMARY AND SPECIALTY CARE IN THE TOWNS OF EAST HARTFORD, ELLINGTON, MANCHESTER, SOUTH WINDSOR,TOLLAND AND VERNON/ROCKVILLE. GLASTONBURY WELLNESS CENTER COMBINES FITNESS AND MEDICAL SERVICES UNDER ONE ROOF, INCLUDING PHYSICIAN PRACTICES, LABORATORY DRAW SERVICES, MEDICAL IMAGING DIAGNOSTIC SERVICES, AND REHABILITATION SERVICES.ECHN MEDICAL BUILDINGS AT EVERGREEN WALK (SOUTH WINDSOR): 2400 TAMARACK AVENUE OCCUPANTS INCLUDE EVERGREEN ENDOSCOPY CENTER, CENTRAL CONNECTICUT GASTROENTEROLOGY, THE COLON & RECTAL SURGEONS OF GREATER HARTFORD, ECMPF PRIMARY CARE PHYSICIANS, RHEUMATOLOGY PHYSICIANS, WALDEN BEHAVIORAL CARE EATING DISORDERS CLINIC, ACCLAIM BEHAVIORAL SERVICES, LLC, AND LABORATORY SERVICES.2600 TAMARACK AVENUE INCLUDES THE WOMEN'S CENTER FOR WELLNESS, ECHN BREAST CARE COLLABORATIVE, AND THE OB/GYN GROUP OF EASTERN CONNECTICUT. THE CONFERENCE ROOM IS USED FOR COMMUNITY PROGRAMS.2800 TAMARACK AVENUE HOUSES EVERGREEN IMAGING CENTER, ECHN REHABILITATION SERVICES, A LABORATORY DRAW STATION, AND A SERIES OF MEDICAL PRACTICES (INCLUDING ORTHOPEDIC SURGERY, OPHTHALMOLOGY, AND OTOLARYNGOLOGY), CORPCARE, AND SOUTH WINDSOR URGENT CARE.ECHN MANCHESTER MEDICAL OFFICE BUILDINGS: 150 NORTH MAIN STREET OFFERS A VARIETY OF ADULT BEHAVIORAL HEALTH SERVICES. 130 HARTFORD ROAD, OFFERING PRIMARY CARE AND LABORATORY SERVICES. 353 Main Street, Manchester houses Digestive Heath Specialists of Eastern CT, LLC and a gastroenterologist. 945 Main Street, Manchester houses digestive health physicians. 460 Hartford Turnpike, Vernon, includes an endocrinologist and Davita Dialysis. VISITING NURSE &HEALTH SERVICES OF CONNECTICUT, PROVIDES AT-HOME NURSING CARE AND HOSPICE CARE.ECHN HAS 388 PHYSICIANS (305 ACTIVE, 34 COURTESY, 16 CONSULTING, 33 PART-TIME), 105 ALLIED HEALTH PROFESSIONALS, 10 MEDICAL DEPARTMENTS AND 16 SERVICES AS WELL AS 18 UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE THIRD-YEAR MEDICAL STUDENTS AVAILABLE TO CAREFOR THE COMMUNITY. IN ADDITION, ECHN HAS 87 ELECTIVE STUDENTS FROM VARIOUS UNIVERSITIES WHO COME FOR ONE ROTATION PER YEAR.
      SCHEDULE H, PART VI - ADDITIONAL INFORMATION
      THE ROCKVILLE GENERAL HOSPITAL, INC. IS A NOT-FOR-PROFIT 102-BED ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF VERNON-ROCKVILLE, CT AND SURROUNDING TOWNS. THE HOSPITAL IS A SUBSIDIARY OF THE EASTERN CONNECTICUT HEALTH NETWORK, INC., WHICH WAS FORMED IN 1995 BY A MERGER OF MMH CORP. AND ROCKVILLE AREA HEALTH SERVICES, INC. ECHN WAS ORGANIZED TO PROVIDE A BROADER HEALTH CARE SYSTEM FOR THESURROUNDING COMMUNITIES WITH QUALITY MEDICAL CARE AT A REASONABLE COST AND TO FOSTER AN ENVIRONMENT CONDUCIVE TO HEALTH AND WELL BEING WHETHER IN THE HOME OR IN THE COMMUNITY.ROCKVILLE GENERAL HOSPITAL PATIENTS NOT HAVING INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY QUALIFIED CARE (UNINSURED PATIENTS), AS WELL AS UNDERINSURED PATIENTS, SUBJECT TO INCOME LIMITS AND FAMILY SIZE RECEIVE FREE OR DISCOUNTED CARE. ROCKVILLE GENERAL HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. CHARGES FOR CARE PROVIDED TO PATIENTS ARE DETERMINED BY ESTABLISHED RATES, SUBJECT TO POSSIBLE ADJUSTMENTS OR DISCOUNTS FOR LOW INCOME PATIENTS; CONTRACTUAL DISCOUNTS, OR DISCOUNTS FOR PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES. CHARITY CARE FOR FY 2016 WAS $1,504,520 FOR 529 APPROVED APPLICANTS.EXPENSES RELATED TO SERVICES PERFORMED FOR PATIENTS OF ROCKVILLE GENERAL HOSPITAL CONTRIBUTE IMPORTANTLY TO ITS EXEMPT PURPOSE BECAUSE THE EXPENSES ARE INCURRED IN THE DIAGNOSIS, CURE,MITIGATION, TREATMENT AND PREVENTION OF DISEASE, AND FOR MEDICAL PURPOSES AFFECTING THE STRUCTURE OR FUNCTION OF THE HUMAN BODY. ROCKVILLE GENERAL HOSPITAL PROVIDED NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. TWO THOUSAND ONE HUNDRED TWELVE (2,052) INPATIENTS WERE CARED FOR IN FY16 REPRESENTING 10,022 PATIENT DAYS. 67,723 OUTPATIENT VISITS WERE RECORDED.INCLUDED IN THE 2,052 INPATIENTS WERE 1,610 GOVERNMENT RELATEDPATIENTS. THE GOVERNMENT INPATIENTS FALL INTO THE FOLLOWING GROUPS.MEDICARE...928MEDICARE MANAGED CARE... 382MEDICAID... 295CHAMPUS... 5TOTAL GOV PATIENTS...1,610INCLUDED IN THE 67,723 OUTPATIENT VISITS WERE 35,475 GOVERNMENTRELATED VISITS. THE VISITS ARE A PRODUCT OF GROSS REVENUERELATIONSHIP TO TOTAL VISITS. THE GOVERNMENT VISITS FALL INTO THEFOLLOWING GROUPS.MEDICARE... 16,469MEDICARE MANAGED CARE... 7,675MEDICAID... 11,150CHAMPUS... 181TOTAL GOV PATIENTS... 35,475THE HOSPITAL PROVIDED UNCOMPENSATED CARE TO 16,057 MEDICAIDPATIENTS FOR A NET COMMUNITY BENEFIT AMOUNT OF $6,805,721 AFTERMEDICAID REIMBURSEMENT.
      SCHEDULE H, PART VI, LINE 7
      STATE FILING OF COMMUNITY BENEFIT REPORT: CT