2023-08-10T11:25:22-05:00 2022-09-30 990 2021-10-01 060646938 Hartford HealthCare at Home Inc HART 8606966356 1290 Silas Deane Hwy 4B Wethersfield CT 06109 Mark Keise Authorized Signer 8606966356 2023-08-10 Mark Keise 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Eric Smullen 1290 Silas Deane Hwy 4B Wethersfield CT 06109 130935134 0 X www.harthfordhealthcareathome.org X 1982 CT Hartford HealthCare at Home, Inc., is dedicated to improving the health and well-being of individuals by providing a full range of home care, hospice and community-based health and wellness services. 4 0 1289 128 0 0 1486755 1093504 128745942 127616784 3257811 2224846 0 0 133490508 130935134 0 0 0 0 106900191 108230801 0 0 130622 33247094 31332134 140147285 139562935 -6656777 -8627801 115645089 107086861 62968242 70013583 52676847 37073278 X The mission of the agency is to provide and safeguard quality home health care to all persons in need, especially the indigent and medically underserved population. The agency strongly believes that appropriate health care is a fundamental right and not a privilege. 0 0 106335962 98851112 Home Health Care:Hartford HealthCare at Home, Inc., is one of Connecticut's largest not for profit provider of comprehensive home health care, hospice and private duty services. Founded in Hartford in 1901 and Waterbury in 1903, the agency has a history of community involvement for over 100 years. Today the agency serves more than 148 towns in Connecticut.Hartford HealthCare at Home, Inc., Independent Living Services, provide services that allow clients to continue to live safely and independently. These include assistance with daily personal care such as bathing, dressing, grocery shopping and meal preparation, a 24-hour emergency response system, as well as volunteer support. The agency also provides live-in care for those clients who need round the clock service to remain at home.Hartford HealthCare at Home, Inc., services include skilled nursing, physical, occupational, and speech therapy, medical social work and home health aide support. The specialty nursing staff has expertise in wounds, diabetes, cardiac and respiratory issues and provides strategies to enable clients to remain at home and achieve good outcomes. The agency is well known for its home telemonitoring programs aimed at reducing patient readmissions to hospitals. The agency also provides Meals on Wheels. Hartford HealthCare at Home, Inc., is committed to its founding mission of providing quality home care to all persons in need, especially the indigent and medically underserved population and boasts an unparalleled loyalty to its clients and is strongly committed to helping those most in need to continue receiving care. The agency strongly believes that appropriate health care is a fundamental right and not a privilege. No one is turned away and the agency uses contributions, grants and other means to fill the gap when a client cannot pay. Agency staff visits clients in their own environments from the inner city to the suburbs. Charitable gifts are essential to sustaining this mission. Charitable funding has supported the development and ongoing financial needs of this innovative but non-reimbursable service. Hartford HealthCare at Home, Inc., is proud of the fact that it continues to achieve very high quality outcomes at or above national and state levels despite serving a large population which lacks the means to fully participate in their care. 20589658 28765672 Hospice:The Hospice and Palliative Care Programs (H.O.P.E.) work with patients and families in this most difficult of times offering a holistic approach to care of the entire family unit. In addition to supplementing services with patients, comfort items not often covered by insurance, nurses, counselors, social workers, physicians, pastoral care, bereavement workers and volunteers devise an integrated approach toward providing basic care to those without insurance. There are many more ways that Hartford HealthCare at Home, Inc., services benefit our community. Health education presentations at community sites, regular health screenings at senior centers, free flu shot clinics to the homeless and those lacking insurance and fall risk prevention programs are a few of the ways the agency provides assistance. Through the use of charitable funds, the needs of patients and their caregivers are being met. They receive medical care that they might not otherwise seek, for fear of not being able to pay. The care they receive improves or stabilizes their health, allowing them to remain independent and return to normal activities as soon as possible. Patients are able to retain their independence and often family members are able to continue working with the peace of mind that their loved one's needs are being met. 126925620 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 72 0 1 1289 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X David Baranik VP Finance 8606962546 181 Patricia M Genova Drive Newington CT 06111 Chibueze Agba Director/President 2.00 58.00 X X 0 304938 41030 Rocco Orlando MD Director/Secretary 2.00 58.00 X X 0 1115796 92036 Tracy Church Director/Chair 2.00 58.00 X X 0 1309985 82012 Rita Parisi Director (Thru 12/21) 2.00 58.00 X 0 460901 51728 Eric Smullen Director 2.00 58.00 X 0 496755 118489 David Baranik VP, Finance 30.00 30.00 X 0 406097 74940 Lisa Connolly VP, Community Network Svcs 10.00 50.00 X 0 338503 60010 Laura St John VP, Clinical Services 10.00 50.00 X 0 332066 59783 Heather DePaolo VP, Human Resources 10.00 50.00 X 0 289218 34446 Lysbeth Ann Harakaly Primary Care, RN 60.00 X 201078 0 35765 Jeanne Bodyk VP, Business Operations 60.00 X 244687 0 46036 Kathy Dellamura VP, Clinical Services 60.00 X 266885 0 25221 Andrea Griffith VP, Business Operations 60.00 X 245241 0 44603 Carol Klubek Licensed Practical Nurse 60.00 X 182172 0 25539 Eric Hoeppner Former VP, Human Resources 0.00 60.00 X 0 509954 68354 1140063 5564213 859992 100 1 1 0 Origin Incorporated 1800 SW 1ST Suite 510 Portland OR 97201 Staffing Service 778812 Jerome Home 975 Corbin Avenue New Britain CT 06052 Medical Service 225388 Optioncare Enterprises Inc 1300 Marsh Landing Pkwy Jacksonville Beach FL 32250 Staffing Service 206155 Around The Clock Telemessaging 433 Silas Deane Hwy Wethersfield CT 06109 Messaging Service 193896 CDW LLC 300 North Milwaukee Avenue Vernon Hills IL 06109 Information Technology Service 180076 6 174800 99137 151201 668366 1093504 Net Patient Revenue 621610 127616784 127616784 127616784 647838 647838 1577008 0 1577008 1577008 1577008 130935134 127616784 0 2224846 89641212 84357992 5239347 43873 2141252 2015053 125152 1047 11322577 10655253 661782 5542 5125760 4721594 400810 3356 21000 21000 1859 1859 69142 69142 3660355 3660355 14179 534 13645 2332997 811615 1521365 17 3942600 2523264 1419336 1412437 1401815 10622 2651284 2606648 44623 13 36507 31048 5459 86 44 42 9313788 6612789 2700999 567749 502658 65091 206208 206208 Medical Supplies 6250021 6250021 Purchased Services 600186 410386 115149 74651 Repairs & Maintenance 141775 86467 53630 1678 Dues 107588 69503 37640 445 2373 2373 139562935 126925620 12506693 130622 3520008 518329 14162 23930 30278804 28461289 1654720 2081623 13142178 9012474 4575444 4129704 71096010 67584667 4505941 4287319 115645089 107086861 3668022 3112575 503515 58796705 66901008 62968242 70013583 X 35576239 22199950 17100608 14873328 52676847 37073278 115645089 107086861 X -8627801 -7795441 819673 X 0 1 X 1 1 1 X 5827803 1067082 2735385 1486755 1093503 12210528 86549731 86787283 126925213 128745943 127323310 556331480 92377534 87854365 129660598 130232698 128416813 568542008 0 0 0 568542008 110225 237376 1396659 2610116 1315106 5669482 110225 237376 1396659 2610116 1315106 5669482 92487759 88091741 131057257 132842814 129731919 574211490 0.99010 0.99150 0.00990 0.00850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1859 0 0 1859 0 Part II-B, Line 1: Hartford HealthCare at Home, Inc., pays annual dues to Connecticut Association for Healthcare At Home (CAHC). CAHC allocates a portion of their dues as lobbying expenses. For FY22 5.9 % of dues paid was allocated as lobbying expenses. CAHC conducts lobbying activities on behalf of their members. The Total amount of dues allocated for lobbying expense was $1,859. 50144289 -3647000 534000 45963289 38167855 11976434 50144289 25222000 11803391 2053464 911000 38167855 25550730 956000 1284730 25222000 20756730 4526000 2610000 2342000 25550730 0.67000 0.18000 0.15000 0 1 1 657420 657420 6400755 4011127 2389628 1544002 1457622 86380 4469498 3543725 925773 70503 70503 4129704 Investment in Endowment LLC 30578785 C Unrestricted Investment in Endowment 14388233 C Permanent Investment in Endowment 8075494 C Funds Held in Trust By Others 7301113 C Temporary Restricted Investment in Endowment 7018852 C Investments Publicly Traded 222190 C 67584667 Due to/from Affiliates 62145805 Other Program Liabilities 4466826 Accrued Malpractice Insurance 190146 Serp Liability 98231 66901008 Part V, Line 4: Harford HealthCare at Home, Inc., has adopted investment and spending policies for Endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the Endowment assets. Endowment assets include those assets of donor-restricted funds that the organization must hold in perpetuity or for a donor-specific period(s). Under this policy, the Endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of at least 4% over the long term. Actual returns in any given year may vary from this amount. Harford HealthCare at Home's Endowment consists of hundreds of individual funds established for a variety of purposes. Net assets associated with Endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. 0 1 0 0 0 0 0 1 0 Tracy Church Director/Chair 0 697239 0 469975 0 142771 0 20300 0 61712 0 1391997 0 0 Rocco Orlando MD Director/Secretary 0 632570 0 325170 0 158056 0 20300 0 71736 0 1207832 0 0 Eric Smullen Director 0 283821 0 211508 0 1426 0 67073 0 51416 0 615244 0 0 Eric Hoeppner Former VP, Human Resources 0 331615 0 175676 0 2663 0 20300 0 48054 0 578308 0 0 Rita Parisi Director (Thru 12/21) 0 204123 0 179063 0 77715 0 20300 0 31428 0 512629 0 67326 David Baranik VP, Finance 0 244746 0 157620 0 3731 0 20300 0 54640 0 481037 0 0 Lisa Connolly VP, Community Network Svcs 0 239118 0 97092 0 2293 0 20300 0 39710 0 398513 0 0 Laura St John VP, Clinical Services 0 231336 0 95447 0 5283 0 20300 0 39483 0 391849 0 0 Chibueze Agba Director/President 0 229779 0 75000 0 159 0 23077 0 17953 0 345968 0 0 Heather DePaolo VP, Human Resources 0 216158 0 71667 0 1393 0 19646 0 14800 0 323664 0 0 Kathy Dellamura VP, Clinical Services 204113 0 60000 0 2772 0 9257 0 15964 0 292106 0 0 0 Jeanne Bodyk VP, Business Operations 182774 0 58283 0 3630 0 8850 0 37186 0 290723 0 0 0 Andrea Griffith VP, Business Operations 186750 0 57884 0 607 0 8810 0 35793 0 289844 0 0 0 Lysbeth Ann Harakaly Primary Care, RN 157820 0 43200 0 58 0 7179 0 28586 0 236843 0 0 0 Carol Klubek Licensed Practical Nurse 171477 0 10695 0 0 0 4730 0 20809 0 207711 0 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford HealthCare at Home, Inc., hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher, to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. Part I, Line 4b Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by Hartford HealthCare at Home, Inc., on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2021 SERP Accruals were made on behalf of the following individuals: Chibueze Agba $23,077 Eric Smullen $46,773 2021 SERP Payouts were made on behalf of the following individuals: Rita Parisi $67,326 Tracy Church $44,526* Rocco Orlando $26,303* *For these individuals, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. Part I, Line 7 Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. Form 990, Part VI, Section A, line 1a The organization is governed by a Management Board comprised of four employed individuals. These individuals are compensated for their services by Hartford HealthCare Corporation (HHC). HHC is the parent of an integrated healthcare delivery system which includes multiple tax-exempt hospitals that have community boards. Form 990, Part VI, Section A, line 6 Hartford HealthCare at Home, Inc., is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. Form 990, Part VI, Section A, line 7a The sole member of the organization has the authority to approve/remove members of the governing body. Form 990, Part VI, Section A, line 7b The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions, etc. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by Hartford HealthCare's Tax Department. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the Authorized Signatory and then filed with the IRS. Form 990, Part VI, Section B, line 12c The organization's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee. The Conflict of Interest Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Oversight review of physician disclosures is provided by the HHC Physician Conflict Resolution Committee. The Physician Conflict Resolution Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. Form 990, Part VI, Section B, line 15 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford HealthCare at Home, Inc., hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Hartford HealthCare at Home, Inc., established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The President & CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the President & CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. Form 990, Part VI, Section C, line 18 The Organization's Form 990, Form 1023 and its attachments are available upon request. Form 990, Part VI, Section C, line 19 The Organization's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. Form 990, Part XI, line 9: Change In Pension And Post-Retirement Funding Obligation 819,673. 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