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The Connecticut Hospice Inc
Branford, CT 06405
| Bed count | 52 | Medicare provider number | 070038 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
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 $ 19,567,175 Total amount spent on community benefits as % of operating expenses$ 75,651 0.39 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %Medicaid as % of operating expenses$ 75,651 0.39 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 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: 2021
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$ 8,324 0.04 %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? NO Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? NO (Some hospitals use other acceptable methods for calculating when to provide discounted or free care.) 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$ 8,324 100 %- 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 agency Not 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: 2021
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? NO Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? NO Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- 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 $ 9556310 including grants of $ 0) (Revenue $ 9744226) INPATIENT: PATIENTS WHO ARE CRITICALLY ILL AND WHOSE CONDITIONS ARE RAPIDLY CHANGING REQUIRE CONSTANT ATTENTION AND ASSESSMENT. AT CONNECTICUT HOSPICE, A PATIENT'S CARE PLAN IS INDIVIDUALLY DESIGNED AND BASED ON CLINICAL ASSESSMENT AND CAREFUL DOCUMENTATION OF SYMPTOMS. OUR COMPREHENSIVE APPROACH ENABLES PATIENTS AND FAMILIES TO ATTAIN OPTIMUM QUALITY OF LIFE WITH FREQUENT PHYSICIAN AND CLINICAL PHARMACY ROUNDS EACH DAY ALONG WITH SUPERB NURSING CARE.
4B (Expenses $ 6251572 including grants of $ 0) (Revenue $ 9011958) HOME CARE: SINCE 1974, CONNECTICUT HOSPICE HOME CARE NURSES HAVE PROVIDED SERVICES TO OVER 70 CITIES AND TOWNS IN CONNECTICUT. ON AN AVERAGE DAY, OVER 200 PATIENTS RECEIVE A MIX OF NURSING, SOCIAL WORK, MEDICAL, AND PASTORAL CARE AT HOME. OUR HOME CARE PROGRAM IS DIVIDED INTO STAND BY ME, A NON-HOSPICE PROGRAM FOR PEOPLE IN NEED OF SKILLED NURSING SERVICES WHO ARE STILL SEEKING CONVENTIONAL MEDICAL CARE SUCH AS CHEMO- AND/OR IMMUNOTHERAPY, AND HOSPICE HOME CARE, FOR THOSE ELECTING TO STOP CONVENTIONAL CARE AND SEEK COMFORT ORIENTED MEASURES ONLY.
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Facility Information
THE CONNECTICUT HOSPICE PART V, SECTION B, LINE 11: AS DESCRIBED IN SCHEDULE H, PART VI, LINE 2. HOSPICE CONTINUALLY WORKS WITH THE COMMUNITY TO ASSESS THE NEEDS OF THE POPULATION. SINCE HOSPICE IS A SPECIALTY HOSPITAL, THE EVALUATION OF THE COMMUNITY HEALTH NEEDS IS TARGETED TO THE POPULATION IN CONNECTICUT REQUIRING HOSPICE AND PALLIATIVE CARE. IN ADDITION, HOSPICE IS COMMITTED TO EDUCATING THE BROADER COMMUNITY REGARDING THE IMPORTANCE OF THIS TYPE OF CARE. THE RESOURCES OF THE ORGANIZATION ARE FOCUSED ON MEETING THESE TWO COMMUNITY NEEDS. HOSPICE WILL UTILIZE THE RECENTLY COMPLETED 2021 COMMUNITY HEALTH NEEDS ASSESSMENT TO UPDATE AND IMPLEMENT ITS FINANCIAL ASSITANCE POLICIES AND PROCEDURES.
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Supplemental Information
PART I, LINE 3C: GENERALLY, CT HOSPICE UTILIZES THE HHS/CMS GUIDELINES FOR HOSPICE AND HOMECARE ELIGIBILITY. ALL PATIENTS ARE REFRERRED FROM AREA PROVIDERS WHO BASE THE APPROPRIATENESS OF THEIR REFERRALS BASED ON THEIR UNDERSTANDING OF THE CMS GUIDELINES. CTH IS IN THE PROCESS OF UPDATING ITS FINANCIAL ASSISTANCE POLICY.
PART I, LINE 6A: THE CONNECTICUT HOSPICE, INC. HAS COMPLETED ITS 2021 NEEDS ASSESSMENT AND WILL UPDATE ITS FINANCIAL ASSISTANCE POLICY AND RELATED DOCUMENTS.
PART I, LINE 7: THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE MEDICAID AMOUNTS REPORTED ON LINE 7B.
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 $ 400,000.
PART II, COMMUNITY BUILDING ACTIVITIES: THE CONNECTICUT HOSPICE, BRANFORD, CT'S 2ND LARGEST EMPLOYER, IS A GOOD NEIGHBOR TO THE CONNECTICUT SHORELINE COMMUNITY IN WHICH IT IS LOCATED. IT ALLOWS THE COMMUNITY TO USE ITS OUTDOOR POOL TO PROMOTE PHYSICAL WELLNESS AND OPENS ITS GROUNDS TO ALLOW COMMUNITY MEMBERS TO ENJOY THE FOURTH OF JULY FIREWORKS. IN ADDITION, HOSPICE PROVIDES MEMORIAL SERVICES AND BEREAVEMENT SUPPORT TO THE COMMUNITY.
PART III, LINE 2: THE AMOUNT REPORTED AS BAD DEBT EXPENSE WAS CALCULATED AS THE DIRECT WRITE OFF OF BAD DEBTS FOR HOSPITAL PATIENTS. HOSPICE HAS INCLUDED THIS ENTIRE AMOUNT AS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY SINCE THE MAJORITY OF ALL PATIENTS QUALIFY FOR SOME TYPE OF BENEFITS. UNFORTUNATELY, IN SOME CASES, THE PATIENT PASSES AWAY BEFORE THE APPLICATION FOR ASSISTANCE IS COMPLETE. IF THE FAMILIES DID NOT COMPLETE THE APPLICATION ON BEHALF OF THE DECEASED PATIENT, HOSPICE OPTED TO WRITE OFF THE BALANCE RATHER THAN PURSUE ANY COLLECTION ACTION.
PART III, LINE 3: THE CONNECTICUT HOSPICE PROVIDES CARE TO ITS TERMINALLY ILL PATIENTS. MANY OF THE INDIVDIUALS, UNFORTUNATELY PASS AWAY PRIOR TO THE COMPLETION OF THEIR ENROLLMENT FOR FINANCIAL ASSISTANCE. THE AMOUNTS ARE THEN WRITTEN OFF TO BAD DEBT. HOSPICE BELIEVES THAT THE MAJORITY OF THESE BAD DEBTS WOULD HAVE BEEN FOR INDIVDIUALS WHO SHOULD HAVE BEEN COVERED BY FINANCIAL ASSISTANCE HAD THEY COMPLETED THE APPLICATION. THE AMOUNT OF THIS BAD DEBT EXPENSE SHOULD BE TREATED AS CHARITY CARE.
PART III, LINE 4: HOSPICE DOES NOT HAVE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. THE BELOW STATEMENT IS AN EXCERPT FROM FOOTNOTE 2 FOUND ON PAGE 10 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CONNECTICUT HOSPICE, INC. AND THE CONNECTICUT HOSPICE INSTITUTE FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND SEPTEMBER 30, 2021 RELATING TO ACCOUNTS RECEIVABLE:ACCOUNTS RECEIVABLE (PAGE 11)ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE ORGANIZATION. ACCOUNTS RECEIVABLE ARE REPORTED NET OF ANY CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS.THE ORGANIZATION ESTIMATES ITS ACCOUNTS RECEIVABLE BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT CERTAIN PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS GENERALLY CHARGED OFF AGAINST REVENUE AS AN IMPLICIT PRICE CONCESSION.SEE FOOTNOTE 3 (PAGE 15) FOR FURTHER INFORMATION ON ACCOUNTS RECEIVABLE.
PART III, LINE 8: HOSPICE BELIEVES THE MEDICARE SHORT FALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT AMOUNT. HOSPICE IS COMMITTED TO PROVIDING HOSPICE AND PALLIATIVE CARE SERVICES TO THE ELDERLY. WE PROVIDE AN EXPERT LEVEL OF PAIN AND SYMPTOM MANAGEMENT, AND OFFER AN EXTENSIVE ARRAY OF SYMPTOM MANAGEMENT AND COMFORT-ORIENTED MEASURES TO PATIENTS. WE ATTEND TO THE QUALITY OF LIFE INTERVENTIONS THAT PEOPLE FIND IMPORTANT WHEN THEY ARE VERY SICK. UNFORTUNATELY, MEDICARE DOES NOT FULLY COVER THE COST OF THESE SERVICES WHICH WE BELIEVE ARE ESSENTIAL TO OUR PATIENTS. SINCE WE ARE COMMITTED TO PATIENT CARE, WE PROVIDE THESE SERVICES AT A LOSS AND BELIEVE THE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.
PART VI, LINE 2: NEEDS ASSESSMENTIN 1974, THE CONNECTICUT HOSPICE BECAME AMERICA'S FIRST HOSPICE. HOSPICE CONTINUES TO EVALUATE THE NEEDS OF HOSPICE AND PALLIATIVE CARE SERVICES IN THE COMMUNITY BY WORKING WITH VARIOUS LOCAL ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. SOME EXAMPLES INCLUDE WORKING WITH ORGANIZATIONS SUCH AS SHORELINE ELDER CARE ALLIANCE AND SHORELINE VILLAGE TO EVALUATE THE NEEDS OF THE COMMUNITY TO MEET THE GOAL OF HELPING ELDERLY PEOPLE REMAIN IN THEIR HOMES; PARTICIPATING IN AN ELDER LAW CLINIC; AND, WORKING WITH ASSISTED LIVING COMMUNITIES TO RAISE UNDERSTANDING ABOUT HOSPICE AND PALLIATIVE CARE.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEHOSPICE'S WEBSITE CONTAINS INFORMATION ABOUT THE REQUIREMENTS FOR APPLYING FOR ASSISTANCE THROUGH MEDICARE AND MEDICAID FOR HOSPICE AND PALLIATIVE CARE. IN ADDITION TO THE WEBSITE, PATIENT ADVOCATES WITHIN THE CENTRALIZED INTAKE DEPARTMENT ARE AVAILABLE SEVEN DAYS A WEEK TO ASSIST PATIENTS AND FAMILIES WITH QUESTIONS AND WITH APPLYING FOR FINANCIAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS.
PART VI, LINE 4: COMMUNITY INFORMATIONHOSPICE IS LOCATED IN BRANFORD, CONNECTICUT IN NEW HAVEN COUNTY. NEW HAVEN COUNTY HAS AN ESTIMATED POPULATION OF 857,000 OF WHICH 17.4% IS GREATER THAN 65 YEARS OLD. BASED ON THE U.S. CENSUS DATA, THE RACE AND ETHNIC DIVERSITY OF THE MAJORITY OF THE POPULATION IS AS FOLLOWS (NOTING SOME INDIVIDUALS IDENTIFY IN MORE THAN ONE CATEGORY): 77.6% WHITE, 15.0% BLACK OR AFRICAN AMERICAN, 18.6% HISPANIC OR LATINO, AND 4.3% ASIAN . THE MEDIAN HOUSEHOLD INCOME WAS $67,128 AND 11.6% OF THE POPULATION LIVES IN POVERTY. WITHIN THIS COMMUNITY, THE SPECIFIC DEMOGRAPHIC SERVED BY THE HOSPITAL PART OF HOSPICE, IS PERSONS DIAGNOSED WITH A TERMINAL ILLNESS WITH A LIMITED PROGNOSIS, NORMALLY SIX MONTHS OR LESS ALONG WITH THEIR FAMILY UNIT.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHSTRONG CONNECTIONS TO THE GREATER NEW HAVEN COUNTY COMMUNITY, AND FINANCIAL SUPPORT FROM GENEROUS DONORS ALLOWS HOSPICE TO MARSHAL COMMUNITY RESOURCES TO HELP STRENGTHEN SUPPORT AND KEEP CARE COSTS AS LOW AS POSSIBLE. THE HOSPICE BOARD OF DIRECTORS IS COMPRISED OF WELL RESPECTED MEMBERS OF THE LOCAL AND REGIONAL COMMUNITY. THROUGH ITS INTERNSHIP PROGRAM, HOSPICE PARTICIPATES WITH LOCAL INSTITUTIONS OF HIGHER EDUCATION TO ADVANCE THE EDUCATION AND LEARNING OF THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMHOSPICE IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM BUT DOES HAVE A RELATED ENTITY, THE JOHN D. THOMPSON INSTITUTE.
PART VI, LINE 7: THE HOSPICE OPERATES IN THE STATE OF CONNECTICUT WHICH DOES NOT REQUIRE REPORTING.
