2021-08-12T09:33:06-05:00 2020-09-30 346565596 Ernst & Young US LLP 370 17th Street 4800 Denver CO 80202 990 2019-10-01 060646668 Hartford Hospital HART 8606966232 80 Seymour Street PO Box 5037 Hartford CT 061065037 MARK KEISE Authorized Signer 8606966282 2021-08-12 0 Sarah Arnold P01868655 7209314000 2019 2022-09-23 18:48:47Z Bimal Patel 80 Seymour Street PO Box 5037 Hartford CT 061065037 1929593681 0 X www.hartfordhospital.org X 1854 CT To improve the health and healing of the people and communities we serve. 13 11 9119 584 1152954 0 22940295 27084618 1732745685 1868423214 27952022 24104655 -10474563 -9918514 1773163439 1909693973 512949 1286873 0 0 649523804 707204998 0 0 1713166 1007212886 1134616488 1657249639 1843108359 115913800 66585614 1850044536 2079507780 888574842 1075837935 961469694 1003669845 X To improve the health and healing of the people and communities we serve. 0 0 289130410 287130191 Hartford Hospital has an unwavering commitment to provide the very best care to our cardiac patients who need clinical services, angioplasty, surgery or other procedures, as well as others who want to make their hearts healthier through preventive, pharmacological or rehabilitative therapy. Clinical research in cardiovascular disease is another major component of the program.At the completion of FY20, the Division of Cardiology was comprised of 33 full time faculty cardiologists. Cardiology division members published 46 manuscripts in peer-reviewed journals in 2020. Many of these articles were published in top medical journals. Heart & Vascular Conditions Treated at Hartford Hospital:Adult Congenital Heart DiseaseAbnormal Heart RhythmsAnginaAortic Aneurysm & DissectionAortic DiseaseBroken Heart SyndromeCardiac TumorsCardiomyopathyCarotid Artery DiseaseChest PainCholesterolCoronary Artery DiseaseDeep Vein ThrombosisEndocarditisHeart FailureHeart AttackHypertensionMarfan SyndromeMesenteric Artery DiseaseMitral Valve RepairMyocardial Infarction (Heart Attack)MyocarditisPalpitationsPericarditisPeripheral AneurysmPeripheral Artery DiseasePulmonary EmbolismRenal Artery DiseaseSyncopeThoracic Outlet SyndromeValvular Heart DiseaseVein TherapiesDepartment accomplishments:Cardiac Catheterization Laboratory:The COVID-19 pandemic had significant effects on the Cardiac Catheterization Laboratory. There was a significant decrease in volume as elective cases were cancelled and some patients delayed care for urgent cardiovascular conditions. In addition, one of the Catheterization labs had to be outfitted with special barriers to care for patients with COVID-19. Specific protocols were quickly developed to care for these patients who often had unusual features associated with their cardiac presentations. Total cases performed in the Cardiac Catheterization laboratory in FY20 was 4,398 representing an 8.7% decrease compared to FY19 when 4,817 cases were performed. The number of coronary cases was 4,211 representing a 9.1% decrease compared to the prior year. The Percutaneous Coronary Intervention (PCI) volume decreased from 1,262 to 1,180 representing a 6.5% decrease in the number of cases. There was a decrease in the number of PCI cases involving chronic total occlusions (33 vs. 53). There was a decrease in the post procedure PCI length of stay from 2.2 days to 2 days. The percentage of PCI cases performed from the radial artery remains high at 70%. This compares to the national average of approximately 50%. The number of peripheral vascular cases performed in the Cardiac Catheterization laboratory decreased from 70 to 29 representing a 58.6% decline.Structural Heart Disease:Hartford Hospital structural heart physicians performed a total of 280 Transcatheter Heart Valve System (TAVR) in FY20 representing a 12.5% decrease compared to procedures performed in FY19. This decrease in procedural volume was limited to the months of March, April and May 2020 and has been attributed to the COVID19 pandemic. To date, over 1,600 TAVR procedures have been performed since 2012 with both balloon-expandable and self-expanding bioprostheses, utilizing transfemoral, subclavian, carotid, direct aortic and transapical approaches. Since 2012, the Hartford Hospital Multidisciplinary Valve committee has met weekly to evaluate and triage potential TAVR candidates. Well over 2000 patients have been evaluated to-date by the highly experienced team of interventional cardiologists, cardiac surgeons, echocardiographers, CT imaging specialists and valve coordinator APRN's. Structural Heart Governance meetings have also been effectively utilized to critically examine patient outcomes, initiate quality improvement projects and support the ongoing evolution of procedural technique. Electrophysiology:The division of Electrophysiology continues to experience growth at Hartford Hospital and throughout the Hartford HealthCare System. This trend is expected to increase over the next few years as we grow our AFIB Center. We have brought new physicians into our division over the past year. We continue to be involved in a research study in conjunction with Medtronic exploring the utility of the EKG Belt to help us optimize the use of cardiac resynchronization therapy in a subset of our heart failure patients. We continue to also publish research in prominent medical journals. Nuclear Cardiology:There were a total of 2,385 studies performed in the Non-Invasive Stress Laboratory at Hartford Hospital in FY20 which was a decrease in volume from FY19 (a total of 2,635 studies, a decrease of 9.5%). The FY20 procedures consisted of:- 1,122 stress SPECT myocardial perfusion imaging studies (decreased 33.7%)- 317 exercise treadmill tests (decreased 34.8%) - 537 stress PET myocardial perfusion imaging studies (increased 174.0%) - 103 PET cardiac viability and cardiac sarcoidosis metabolic studies (increased 37.3%) - 51 cardiopulmonary stress tests (increased 13.3%) - 165 Tc-99m PYP cardiac amyloid studies (increased 166.1%) - 90 aortic valve calcium scores (increased 18.4 %) The laboratory saw a decrease in stress testing (ETT and SPECT) and a shift to stress PET during peak COVID months. By the mid-summer volumes had returned to previous year levels.The laboratory also saw rise in the utilization of two new diagnostic studies - cardiac amyloid studies and aortic valve calcium scoring. cThese studies are specialized for the diagnosis of transthyretin cardiac amyloidosis and for the evaluation of aortic stenosis in the pre-TAVR population, respectively.Nuclear Cardiology:Our sonographers responded to the challenges of 2020 with innovation and vigor. A new protocol using handheld tablet based echo was designed for scanning COVID-19 patients; results from the first 95 patients were published in May in the Journal of the American Society of Echocardiography with Dr. Sean McMahon as 1st author. Center for Advanced Heart Failure and Pulmonary Vascular Disease:The Advanced Heart Failure (HF) Bridge Clinic/ Infusion Center Program continue to expand and successfully provide specialized outpatient therapy for an increasingly complex population of patients with decompensated HF in the community or immediately post hospital discharge. With a multidisciplinary approach, this comprehensive heart failure program is designed to safely transition patients successfully home from the hospital, monitor higher risk heart failure patients during optimization of GDMT and provide support to advanced heart failure patients as they transition their care back to their cardiologist. Having the capability of the infusion center at our fingertips, provides the resources for patient "rescue" if needed, as they adapt away from the controlled environment of the hospital. The Bridge Clinic/ Infusion Heart Failure Program additionally assist local cardiology practices in the management of their chronic heart failure population as they are in need of specialized, multidisciplinary heart failure education ingrained in the framework of this program. This specialized team prevents hospital readmission, allowing patients to stay in the comfort of their own homes. HF Bridge/ Infusion therapy, in the context of a comprehensive heart failure management program, continues to grow in popularity as it has proven highly effective in stabilizing patients with acute HF syndrome and avoiding hospital readmission while providing the individualized support families appreciate. The Heart Failure Bridge Clinic/ Infusion Center is working towards establishing outpatient collaboration with the Palliative care team to better serve patients along the spectrum of heart failure progression.Other departments of the Cardiology group were successful in treating patients during the Covid-19 pandemic: These departments include: The Hartford Hospital Mechanical Circulatory Support VAP Program; Preventative Cardiology & Cardiac Intensive Care Unit. 191744470 188098286 Hartford HealthCare is Connecticut's most comprehensive healthcare network. Our fully integrated health system includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, two community hospitals. The Hartford HealthCare Cancer Institute encompasses comprehensive cancer centers that consists of seven hospitals across Connecticut - Hartford Hospital, The Hospital of Central Connecticut, Backus Hospital, Midstate Medical Center, Windham Hospital, Charlotte Hungerford Hospital and St Vincent's Medical Center (SVMC). Collectively, the cancer programs within the Cancer Institute treat more than 5,000 new cancer patients per year while caring for tens of thousands of existing patients, offering a full range of innovative, evidence-based and personalized treatments designed to meet the needs of each individual patient. Our innovative Institute approach is unlike any other in the state and is among the most highly regarded in the nation. Through our Institute, which is organized around a specific disease and not necessarily location, we can apply best practices throughout our system so that patients receive the same high standards of care no matter where they live or which Hartford HealthCare cancer center they choose. For all of our patients, a dedicated team of oncologists, surgeons, radiologists, pathologists, nurses, clinical researchers, technicians and others collaborate to provide the exact course of care they need. The Institute's multidisciplinary disease management teams meet and collaborate regularly to lend expertise and insight on numerous cancer types, translating into exceptional coordinated care. The Institute's accomplished, fellowship-trained physicians are nationally recognized for their level of sophisticated care in areas such as radiation oncology, medical oncology and surgical oncology. Patients are also cared for in an environment that emphasizes compassion and personal connections, with a team of trained nurse navigators who provide guidance and support to patients and families, from diagnosis to recovery. The Institute also boasts a thriving survivorship program. In 2013, the Hartford HealthCare Cancer Institute became the first community-based cancer program to become a member of the Memorial Sloan Kettering Cancer Alliance, establishing a relationship with one of the world's premier cancer centers. The Institute's membership in the Alliance provides patients in Connecticut access to the most advanced, leading-edge treatments available anywhere. In 2017, the Institute was accredited as a network by the American College of Surgeons Commission on Cancer, one of a select few institutes nationwide to be recognized as a system, rather than individual cancer centers. For patients coming through our doors with a cancer diagnosis, that means three things: standardized care, more options and more hope.More than four years after the Hartford HealthCare Cancer Institute became the charter member of the Memorial Sloan Kettering (MSK) Cancer Alliance, cancer patients now have unprecedented access to the world's most advanced clinical trials. And more than ever before, physicians, nurses, pharmacists and researchers are working collaboratively to implement cancer treatment standards and protocols developed at MSK, the premier cancer treatment center in the country. This distinctive cancer care and clinical research partnership means the Hartford HealthCare Cancer Institute brings the most innovative, evidence-based cancer care directly into community settings.During FY20, the Institute was impacted by COVID-19. As a result, the number of patients/cases that were treated was significantly reduced. For FY20, the approximate number of cases were as follows:Hartford Hospital 2,893Hospital of Central Connecticut 826Backus Hospital 819Midstate Medical Center 469Windham Hospital 188Charlotte Hungerford Hospital 257SVMC 427The five most common types of cancer diagnosed by teams of specialists at the Hartford HealthCare Cancer Institute are cancers of the bladder, breast, colon, lung and prostate. Each patient has a unique scenario requiring a personalized plan.Approximately 1,306 Breast Cancer cases were treated across the system as follows:Hartford Hospital 579Hospital of Central Connecticut 173Backus Hospital 227Midstate Medical Center 125Windham Hospital 66Charlotte Hungerford Hospital 51SVMC 86Approximately 720 Lung Cancer cases were treated across the system as follows:Hartford Hospital 322Hospital of Central Connecticut 95Backus Hospital 119Midstate Medical Center 53Windham Hospital 42Charlotte Hungerford Hospital 20SVMC 69Approximately 653 Prostate Cancer cases were treated across the system as follows:Hartford Hospital 315Hospital of Central Connecticut 92Backus Hospital 71Midstate Medical Center 59Windham Hospital 13Charlotte Hungerford Hospital 53SVMC 50 Approximately 346 Bladder Cancer cases were treated across the system as follows:Hartford Hospital 185Hospital of Central Connecticut 57Backus Hospital 34Midstate Medical Center 33 Windham Hospital 10Charlotte Hungerford Hospital 20SVMC 7Approximately 314 Colon Cancer cases were treated across the system as follows:Hartford Hospital 130Hospital of Central Connecticut 38Backus Hospital 41Midstate Medical Center 30Windham Hospital 10Charlotte Hungerford Hospital 29SVMC 36Today, Hartford HealthCare is creating a better future for healthcare in Connecticut and beyond. We are a community of caregivers engaged in developing a coordinated, consistent high standard of care. We use research and education as partners in care delivery. We create and engage in meaningful alliances to enhance access to services. We invest in technology and training to develop new pathways to improve the timeliness, efficiency and accuracy of our services. 108089250 100032011 At Hartford HealthCare's Ayer Neuroscience Institute, the concept of a second opinion is taken to a new level. Each week, all our specialists - neurologists, neurosurgeons, neuropsychologists, neurointensivists, and neuro-critical care nurses meet to review each individual case. Together, they pool their knowledge and experience to give our patients the most advanced treatment plan possible.More than fifty million Americans will experience a disorder of the brain or nervous system each year. Common disorders include stroke, brain tumors, memory disorders, sleep disorders, movement disorders, chronic headaches, spinal cord injuries, severe back and neck pain, seizures, and Parkinson's disease. The HHC Neuroscience Center offers a unique integration between neurology, neuroscience and neurosurgery, to give patients a comprehensive approach to treating and/or managing their symptoms and living a healthier, more balanced life. The Institute offer an integrated, interdisciplinary approach to care, coupled with state-of-the-art technology and techniques that enable us to provide every patient the best possible outcome. Our physicians practice some of the most advanced treatments available in the nation, including minimally invasive brain and spine surgery, at-home seizure monitoring and pain management.Conditions treated at the Institute include: Headaches; Epilepsy; Stroke; Movement; Sleep Disorders; Pain Management & Hearing Loss. The Institute is made up of departments that provide these services to our patients at its various locations that include Hartford Hospital. Our departments include: Epilepsy Center; Headache Center; Hearing and Balance Center; Memory Care Center & Chase Family Movement Disorder Center. During FY20, Hartford Hospital treated 24,122 patients across its various locations within the Greater Hartford region. 1071417479 1286873 1293162726 Hartford Hospital, founded in 1854, is one of the largest teaching hospitals and tertiary care centers in New England with perhaps the region's busiest surgery practice and has been training physicians for over 160 years. It is a member of Hartford HealthCare Corporation, a large, diversified health care system.The hospital is a regional referral center that provides high-quality care in all clinical disciplines. Among its divisions is The Institute of Living, a 114-bed mental health facility with a national and international reputation of excellence. Jefferson House, a 104-bed long-term care facility, is also part of Hartford Hospital. The hospital's active medical staff includes more than 1,000 physicians and dentists within 18 departments. It is an 867-bed hospital occupying a 65-acre campus in downtown Hartford and operating satellite facilities in Avon, Bloomfield, Cheshire, Enfield, Farmington, Glastonbury, Granby, Manchester, Meriden, Newington, Prospect, South Windsor, Vernon, Wallingford, West Hartford, Wethersfield and Windsor.In addition to above, the hospital provides services/programs including but not limited to the following:BariatricsBehavioral & Mental HealthBone & Joint InstituteCancer CareCardiology & Heart CareCedar Mountain CommonsCenter for Musculoskeletal HealthCritical CareCystic Fibrosis CenterDentalDiabetesEmergency ServicesEye CareEye SurgeryGastroenterologyHeadache CenterHearing & BalanceHerniasImaging ServicesIntegrative MedicineJefferson HouseLIFE STARLiver & HepatologyLung & PulmonaryMedical Weight LossMinimally Invasive SurgeryMovement Disorders CenterNeurosciencesPalliative CarePain TreatmentPediatricsPhysical RehabilitationPrimary Care & Family MedicineRobotic SurgerySenior ServicesSleep DisordersSpine CareStrokeSurgical Weight LossThoracic SurgeryTransplant ServicesTraumatologyUrology & KidneyVascularWomen's Health ServicesWound CareWeight Loss 1071417479 1286873 1293162726 1660381609 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 576 0 1 9119 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CT X Carol Wardell 8606966232 181 Patricia M Genova Drive Newington CT 06111 Bimal Patel President & CEO (Regional) 50.00 10.00 X X 0 1001936 136853 Stuart Markowitz MD Former - President & Director 0.00 60.00 X 0 1021117 74807 Margaret Marchak Secretary (Thru June 2020) 20.00 40.00 X 0 850753 77083 Gerald Boisvert Former - VP 0.00 60.00 X 0 787725 75699 Ajay Kumar MD VP 20.00 40.00 X 0 723245 106313 Kenneth Robinson MD Dept Chair Emergency Medicine 60.00 X 602300 0 76896 Andrew Salner MD Chair Cancer Institute 60.00 X 609960 0 56099 Cheryl Ficara VP 20.00 40.00 X 0 554089 84185 Evan Fox MD Med Dir. Psychiatry Program 60.00 X 467608 0 70105 Peruvamba Venkatesh MD Dir. Academic Affairs 60.00 X 446288 0 71912 David Mack CLO 20.00 40.00 X 0 470090 37908 Adam Steinberg VP 20.00 40.00 X 0 442722 63297 Edmond Cronin MD Dir. Electrophysiology 60.00 X 441639 0 42467 Harold Schwartz MD Former - Key Employee 0.00 60.00 X 0 397165 82875 Barry Kriesberg VP 20.00 40.00 X 0 416555 59860 Greg Jones VP 20.00 40.00 X 0 343792 56188 Gregory Makowski VP 20.00 40.00 X 0 353796 37828 Julie Drouin HHC Reg. VP Finance 60.00 X 0 336396 46567 Peter Fraser Former - Key Employee 0.00 60.00 X 0 316622 51961 Carol Garlick VP 60.00 X 281540 0 57469 Elizabeth Ciotti VP 20.00 40.00 X 0 285755 42007 Matthew Saidel MD Director 2.00 X 125000 0 0 Arnold Chase Director 2.00 X 0 0 0 Douglas Elliot Director (Thru June 2020) 2.00 X 0 0 0 James Loree Director (Thru June 2020) 2.00 X 0 0 0 Brian MacLean Director 2.00 X 0 0 0 Yvette Melendez Director 2.00 X 0 0 0 Michael O'Loughlin MD Director 2.00 X 0 0 0 Dariush Owlia MD Director 2.00 X 0 0 0 E Carol Polifroni Director 2.00 X 0 0 0 Elease Wright Director 2.00 X 0 0 0 Samuel Gray Jr Director 2.00 X 0 0 0 Allison Lawrence Director 2.00 X 0 0 0 Eric Zachs Chair 3.00 X X 0 0 0 Alexia Cruz Vice Chair 3.00 X X 0 0 0 2974335 8301758 1408379 1188 1 1 0 University of Connecticut Health Center 263 Farmington Avenue Farmington CT 06030 Medical Services 27809598 Origin Incorporated 1800 SW 1st Street Suite 510 Portland OR 97201 Staffing Services 9016823 Morrison Management SP Inc Acure Care 400 Northbridge Road Sandy Springs GA 30350 Food Services 8439800 Shields Pharmacy of Hartford 100 Tech Ctr Dr Suite 600 Stoughton MA 02072 Management Services 5754335 FIP Construction Inc 1536 New Britain Avenue Farmington CT 06032 Construction Services 5326845 119 44788 1724616 777146 9817007 14721061 2134320 27084618 Net Patient Revenue 624100 1780049387 1780049387 Pharmacy 541700 74947300 74536530 410770 Inc. From Inv - Other 900003 12285170 12006261 278909 Reference Testing 621500 1020066 678082 341984 BioMedical Engineering 900099 121291 121291 1868423214 14238301 14238301 3803530 17178471 -13374941 -13374941 -13374941 11956788 36764 0 2127198 11956788 -2090434 9866354 9866354 272509 1724616 594039 -321530 -321530 Cafeteria Income 722210 3777957 3777957 3777957 1909693973 1867270260 1152954 14186141 X 1211873 1211873 75000 75000 350528 62500 288028 584518971 532297942 51030327 1190702 40071996 36473984 3516423 81589 43726618 39800462 3837126 89030 38536885 34519942 3925854 91089 303490 303490 106110 106110 617203 617203 185395419 185395419 271451 256147 15304 19548524 14452893 4999949 95682 86805351 49479050 37326301 24086837 17842457 6244380 584778 575376 8845 557 992731 971121 20736 874 14484826 8980592 5504234 185135189 175878430 9256759 57919814 49777588 8140400 1826 15783288 15783288 Medical Supplies 366647725 366647725 Hospital Provider Fee 81120681 81120681 Purchased Services 66107298 23862037 42175279 69982 Equipment & Ppty Maint 23265031 21900847 1362788 1396 5440742 3016255 2334048 90439 1843108359 1660381609 181013584 1713166 87582458 96569096 4280361 3544891 180857921 204062762 22931149 29929659 11954078 14129407 1342524761 869914507 501117975 472610254 299010 281993 842195451 891993260 48100025 48100025 150726108 318286433 1850044536 2079507780 107546525 123313239 12729565 11165225 6507109 5379512 761791643 935979959 888574842 1075837935 X 502165285 515836629 459304409 487833216 961469694 1003669845 1850044536 2079507780 X 66585614 24913887 -49299350 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 1 106110 0 0 106110 0 Part II-B, Line 1: Hartford Hospital paid annual dues to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. The Organization occasionally asks its employees to volunteer their time to contact state legislators in an effort to lobby on its behalf. The total amount of dues allocated for lobbying expenses for FY20 was $106,110. 210297523 3370000 16495000 5525000 224637523 208513523 1364000 5917000 5497000 210297523 194749523 6160000 12841000 5237000 208513523 168693523 9641000 21353000 4938000 194749523 159801523 635000 12775000 4518000 168693523 0.48000 0.52000 0 1 1 10633596 10633596 832469070 538269102 294199968 499422095 331645405 167776690 472610254 Investment in Joint Ventures 7763990 F Investment in Endowment 717858279 F Funds Held in Trust 166370991 F 891993260 Other Non Current Assets 31155202 ST/LT Malpractice Claims 49265227 CSV Life Insurance 229417 Due from Affiliates 192500664 Right-of-Use Lease Assets/Bond Billing 45135923 318286433 Accrued Post Retirement Expenses 13813831 Other Net Liabilities 208999564 Payable to HHC - Interco Bonds 398412179 Hospital Provider User Fee 20824283 Accrued Post Retirement Expenses 246309266 Current Accrued Malpractice 11259106 Long Term Accrued Malpractice 36361730 935979959 Part V, Line 4: The Hospital 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 Hospital 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. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes including but not limited to patient care, research and capital needs. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. Europe 0 0 Program Service Research Activities 502243 East Asia and the Pacific 0 0 Program Service Research Activities 112152 Middle East and North Africa 0 0 Program Service Reserach Activities 57295 0 0 0 0 0 0 671690 0 671690 0 0 0 0 0 0 Part III Accounting Method: Sch F, Part 1, Line 3, Column F The transactions shown on Part I of Sch F are being reported on a cash basis. Black & Red Ball 1947700 1680625 267075 35729 238800 206645 112865 Rx for Cheer 49425 43991 5434 1997125 1724616 272509 35729 238800 206645 112865 594039 -321530 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 0 6628811 0 6628811 0.00360 337086575 271304876 65781699 0.03570 343715386 271304876 72410510 0.03930 1894769 643725 1251044 0.00070 64614577 25432817 39181760 0.02130 8993018 4847527 4145491 0.00220 1979149 0 1979149 0.00110 29977350 11914798 18062552 0.00980 107458863 42838867 64619996 0.03510 451174249 314143743 137030506 0.07440 299314 299314 0.00020 299314 299314 0.00020 0 34758726 0 247781336 296111984 -48330648 X 1 1 1 1 Hartford Hospital 80 Seymour Street Hartford CT 06102 hartfordhospital.org 0046 X X X X X Hartford Hospital 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X See Part V, Page 8 X X 1 17 1 See Part V, Page 8 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 Hartford Hospital Part V, Section B, Line 5: To solicit input from key informants and individuals who have broad interest in the health of the community, the hospital performed surveys, community forums, focus groups and interviews with key informants. The key informants were selected by community leader(s) or liaison(s). Additionally, focus groups were used to identify any other resource. Focus groups were conducted on February 2, 2018 and February 9, 2018. Community forums, and individual key informant interviews were conducted between February and June 2018.Key informants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the overall community. They were asked to rate the degrees to which various health issues were of concern in the Hartford Region. Follow up questions were asked to describe why they identified areas as such, and how these might be better addressed. The key informants included Physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following:Community Renewal TeamFoodshareImmaculate Conception ChurchHartford Habitat for HumanityCharter Oak Health Center (FQHC)Northend Senior CenterHartford Food SystemIntercommunity ConnecticutCommunity SolutionsPhilip Church Health MinistriesFaith CaresHartford Police Faith Based Community DepartmentCity of Hartford Department of Health and Human ServicesHispanic Nurses AssociationCentral Connecticut Health DistrictJourney Home ConnecticutChrysalis CenterHartford Behavioral HealthNorthern Connecticut Black Nurses AssociationEast Hartford Health DepartmentImmaCareSouthside Institutions Neighborhood AllianceLegacy Foundation of HartfordUrban League of Greater HartfordCommunity Health Services (FQHC)Farmington Valley Health DistrictMalta House of CareWest Hartford - Bloomfield Health DistrictGreater Hartford Legal Aid The 2018 CHNA took a close look at social determinants of health such as poverty, housing, transportation, education, fresh food availability, and neighborhood safety. Social determinants of health have become a national priority for identifying and addressing health disparities, and Hartford Hospital is committed to addressing these disparities through the Community Health Improvement Plan that will follow this Assessment. Thru this process, input was gathered from individuals whose organizations can provide information for the following data elements: Medically Underserved AreasHealth Professional Shortage AreasDemographicsEthnicity DistributionsMedian Household IncomesHomeownership RatesPoverty MetricsUnemployment RatesEducational MetricsChildren in Poverty and Single Parent HouseholdsLinguistically Isolated PopulationsUninsured Population EstimatesClinical Provider RatiosPhysical Environment MetricsCrime RatesGeneral Health Status IndicatorsCancer Prevalence and Screening IndicatorsCardiovascular DiseaseRespiratory DiseaseDiabetesInfectious DiseasesSexually Transmitted DiseasesBirths and Prenatal CareHealth BehaviorsBenchmark Metrics (HealthyPeople 2020)Part V, Section B, Line 7ahttps://hartfordhospital.org/community-health-needs-assessment Hartford Hospital Part V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the hospital's website. In addition, electronic copies are available upon request.Part V, Section B, Line 10a:https://hartfordhospital.org/community-health-needs-assessment Hartford Hospital Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the 2018 CHNA process, the community representatives met on May 8, 2018 to determine the health needs that will be prioritized for action. The review of the identified needs were followed by a wide ranging discussion, after which the representatives were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews performed, the top community health needs and priorities for the Hartford Hospital focus area are listed below:Access to Care Access to care is impacted by a number of factors including availability of transportation, insurance cost, availability of primary care providers, availability of providers who take all insurance types, and community health center hours that meet the needs of those working during regular business hours. Food Concerns The availability of meals, lack of healthy food choices, and the cost of healthy food are a challenge for many, especially in the poorest neighborhoods in the service area. Access to healthy food, especially for children outside of school based programs and for seniors, is a challenge even for those in middle income areas. Mental Health and Substance Abuse The ongoing opioid epidemic, a shortage of mental health providers and counselors and the difficulty of recruiting additional providers, and a lack of effective mental health screening at all levels contribute to continuing challenges with mental health and substance abuse in the service area. Chronic Disease and Poor Physical and Mental Health Chronic disease including asthma and diabetes remain challenges despite community wide efforts. Varying rates of childhood vaccinations due to access to care as well as limited safe options for exercise/active living also contribute to poor health status including obesity and depression. City of Hartford scored significantly worse on multiple metrics relative to the state of Connecticut, including good physical health, good mental health, depression, obesity, amount of physical activity, and smoking. Collaboration, Communication, and Coordination Between Social Services Agencies and Health Care Providers Despite a significant number of outstanding community health initiatives, the majority of stakeholders who participated in focus groups and interviews said that a lack of coordination among and between providers and community based organizations limits the overall effectiveness of the programs and the funding that are going to help serve the populations most in need.Housing and Safety Issues Including Lack of Affordable Housing, Neighborhood Safety, and Housing Conditions While certain housing metrics for the overall service area are comparable to or better than the State of Connecticut, pockets of poverty in and around Hartford warrant additional attention relative to the impact that limited availability of housing and safe housing conditions/neighborhoods will have on community health status. The results were then grouped into 3 Areas of Concern that were addressed in Community Health Improvement Plan (CHIP):1. Enhance Coordination of Services: this category includes Access to Care and Collaboration, Communication and Coordination Between Social Services Agencies and Health Care Providers. CHIP addressed this need in the following manner:a. Develop Partnership & Collaboration with FQHC to reduce Emergency Department visits.b. Establish Software Program for Social Services (i.e. Aunt Bertha) to use for Referrals and Follow ups/Follow 'through'c. Sustain and Grow Community Provider Networks to sustain and grow community provider networks2. Promote Healthy Behaviors and Lifestyle: this category includes Food Concerns and Chronic Disease and Poor Physical and Mental Health. CHIP addresses this need in the following manner:a. Support/Increase number of farmers' markets in the community thru Hartford Hospital Coalition of Farmers Markets. b. Improved Access to Nutritional offerings by having number of farmers' markets accepting SNAP (Supplemental Nutrition Assistance Program) benefit.3. Improve community Behavioral Health: this category includes Mental Health and Substance Abuse. CHIP addresses this need in the following manner: a. Coordinate with Behavioral Health Network to create community educational opportunities that will offer programs on behavioral health and substance abuse through community provider networks. b. Promote mental health first aid trainingc. Community Care Team deployment to reduce the emergency department visits.An area of opportunity identified but not prioritized was Housing and Safety. Issues included Lack of Affordable Housing, Neighborhood Safety, and Housing Conditions. It was determined that Hartford Hospital does not have the appropriate resources or expertise to address these issues but supports efforts of other city and community agencies and organizations thru a $30,000 annual grant to Southside Institution Neighborhood Alliance Inc. (SINA), an organization that works with community stakeholders to restore economic vitality and improve the quality of life in the neighborhood of south central Hartford. Hartford Hospital Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of health care expenses. Hartford Hospital Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Line 16a, FAP website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurancePart V, Line 16b, FAP Application website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurancePart V, Line 16c, FAP Plain Language Summary website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance Hartford Hospital Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. 45 1 - Jefferson House 1 John Stewart Drive Newington CT 06111 Nursing Home 2 - Cedar Mountain Commons 3 John Stewart Drive Newington CT 06111 Assisted Living 3 - Hartford Hospital 334 North Main Street West Hartford CT 06117 Rehabilitation Department 4 - Hartford Hospital 129 Patricia M Genova Drive Newington CT 06111 Diagnostic Laboratory 5 - Hartford Hospital 80 Fisher Drive Avon CT 06001 Cancer Center 6 - Hartford Hospital 505 Willard Avenue Suite 1 Newington CT 06111 Eye Surgery Center 7 - Hartford Hospital 11 South Road Suite 260 Farmington CT 06030 Cardiac Rehabilitation 8 - Hartford Hospital 376 Tolland Turnpike Suite 301 Manchester CT 06042 Cancer Center 9 - Hartford Hospital 1290 Silas Deane Highway Wethersfield CT 06109 Education Room 10 - Hartford Hospital 704 Hebron Avenue Glastonbury CT 06033 Wellness Center 11 - Hartford Hospital 1559 Sullivan Avenue South Windsor CT 06074 Wellness Center, Rehabilitation Department 12 - Hartford Hospital 135 Darling Drive Avon CT 06001 Grace Webb School 13 - Hartford Hospital 35 Talcottville Road Suite 2 Vernon CT 06066 Wellness Center, Rehabilitation Department 14 - Hartford Hospital 136 Berlin Road Cromwell CT 06416 Rehabilitation Department 15 - Hartford Hospital 533 Cottage Grove Road Bloomfield CT 06002 Sleep Disorder Center 16 - Hartford Hospital 100 Hazard Avenue Enfield CT 06082 Wellness Center, Rehabilitation Department 17 - Hartford Hospital 462 Queen Street Southington CT 06489 Center for Healthy Aging, Rehabilitation Department 18 - Hartford Hospital 505 Willard Avenue Suite 2A Newington CT 06111 Patient Experience Department 19 - Hartford Hospital 725 Jarvis Street Cheshire CT 06410 Grace Webb School 20 - Hartford Hospital 406 Farmington Avenue Farmington CT 06030 Rehabilitation Department 21 - Hartford Hospital 2 Northwestern Drive Bloomfield CT 06002 Center for Healthy Aging, Rehabilitation Department 22 - Hartford Hospital 230 North Main Street Manchester CT 06042 Rehabilitation Department 23 - Hartford Hospital 701 North Colony Drive Wallingford CT 06492 Rehabilitation Department 24 - Hartford Hospital 1060 Day Hill Road Windsor CT 06095 Wellness Center, Rehabilitation Department 25 - Hartford Hospital 18 East Granby Road Granby CT 06035 Rehabilitation Department 26 - Hartford Hospital 1064 East Main Street Suite 205 Meriden CT 06450 Rehabilitation Department 27 - Hartford Hospital 988 Silas Deane Highway Wethersfield CT 06109 Rehabilitation Department 28 - Hartford Hospital 2979 Main Street Bridgeport CT 06606 Transplant Services 29 - Hartford Hospital 112 Mansfield Avenue Willimantic CT 06226 Transplant Department 30 - Hartford Hospital 1215 Litchfield Street Torrington CT 06790 Cardiology Department 31 - Hartford Hospital 100 Simsbury Road Avon CT 06001 Wellness Center, Rehabilitation Department 32 - Hartford Hospital 339 West Main Street Avon CT 06001 Wellness Center 33 - Hartford Hospital 280 South Main Street Cheshire CT 06410 Rehabilitation Department 34 - Hartford Hospital 680 South Main Street Cheshire CT 06410 Rehabilitation Services 35 - Hartford Hospital 305 Western Boulevard Glastonbury CT 06033 Education Services 36 - Hartford Hospital 330 Western Boulevard Glastonbury CT 06033 Wellness Center, Rehabilitation Department 37 - Hartford Hospital 353 Main Street Manchester CT 06040 Transplant Department 38 - Hartford Hospital 376 Tolland Turnpike Suite 201 Manchester CT 06042 Cancer Center 39 - Hartford Hospital 420 Old Saybrook Road Middletown CT 06457 Cardiology Department 40 - Hartford Hospital 100 Grand Street New Britain CT 06050 Cardiac Services 41 - Hartford Hospital 73 Waterbury Road Prospect CT 06712 Rehabilitation Department 42 - Hartford Hospital 445 South Main Street West Hartford CT 06110 Rehabilitation Department 43 - Hartford Hospital 65 Memorial Road West Hartford CT 06107 Wellness Center, Rehabilitation Department, Surgery Center 44 - Hartford Hospital 1025 Silas Deane Highway Wethersfield CT 06109 Rehabilitation Department 45 - Hartford Hospital 1260 Silas Deane Highway Wethersfield CT 06109 Wellness Center, Sleep Disorder Center Part I, Line 3c: Hartford Hospital used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:Although the organization does not prepare a formal Community Benefit Report, quarterly reports are submitted to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Strategy (OHS) annually. Part I, Line 7: The organization utilized an overall cost to charge ratio (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations. Part II, Community Building Activities: Hartford Hospital coordinates with various organizations to perform community building activities that addresses issues related to Social Determinants of Health, and as such, the hospital interacts with the community to address these needs and facilitates appropriate responses. The total expenditure for FY20 is $299,314. Part III, Line 3: A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2020 would be immaterial. Part III, Line 4: Please see the text of the footnote that describes bad debt expense beginning on page 30 of the Audited Financial Statement. The Footnote is also applicable Part III, Line 2. Part III, Line 8: Providing care those in need, including Medicare and Medicaid patients, and serving all patients regardless of ability to pay is an essential part of the community benefit standard, as well as our mission in our community. We serve these patients without regard to the payment shortfall. Therefore Medicare shortfall should be considered Community Benefit. The organization used cost to charge ratio as determined by Medicare Cost report. Part III, Line 9b: Hartford Hospital has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: Patients who are deemed ineligible for financial assistance or who receive a partial discount and do not pay their bills may be subject to the following Extraordinary Collection Action (ECAs):*Wage Garnishments*Liens on primary and secondary residences, bank or investment accounts, or other assets*Legal actions and reporting the matter to one or more credit rating agencies*Other ECAs not listed aboveIf an individual has not submitted an application within the first 120 days from the date on which Hartford HealthCare first issues its first, post-discharge billing statement, then Hartford HealthCare may begin engaging in the ECAs described above.ECAs may begin after the first 120 days from the date on which Hartford HealthCare issues its first, post-discharge billing statement. If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, Hartford HealthCare will take all reasonable available measures to remove any collection actions such as negative reporting to a credit bureau or liens that have been filed.Before Hartford HealthCare initiates any collection actions, it will issue a written notice to the last known address of record for the patient (or his/her family) that describes the specific collection activities it intends to initiate (or resume), provides a deadline after which such action(s) will be initiated (or resumed), and includes a plain language summary of this Policy. ECAs can begin no sooner than 30 days from the date written notice is transmitted. Patients who are ineligible for financial assistance, or qualify for partial financial assistance and who are cooperating in good faith to resolve the outstanding accounts, may be offered extended payment plans. No further collection action will be taken as long as the patient continues to meet the terms of the payment plan. Part VI, Line 2: Hartford Hospital uses Emergency Room data to track increases in medical conditions such as falls, flu, drug overdoses, etc. and the same approach is taken in our outpatient clinics. Periodically information is surveyed to determine additional patients needs. Information is also tracked from other entities such as local area non-profits, government agencies and public schools. Part VI, Line 3: Hartford Hospital provides information about its Financial Assistance Policy as follows: (1) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication.(2) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail.(3) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page.(4) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients.(5) Includes the tag line "Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications. Part VI, Line 4: Hartford Hospital is located in the capitol of the State of Connecticut and has a total population of approximately 273,115 residents. In Hartford County as of July 1, 2018, 21% of the population are infants, children or adolescents (age 0-17); another 61.9% are age 18 to 64, while 17.1% are age 65 and older. In looking at race approximately 60.6% of residents of Hartford County are White, 15.7% are Black, 18.5% are Hispanic or Latino and 5.2% are classified as Other.11.2% of the Hartford County population live below the federal poverty level. As of July 2019 the unemployment rate is 3.7%. 10.5% do not have a high school diploma and 37.8% have a Bachelor's Degree. Part VI, Line 5: The majority of Hartford Hospital's governing board is comprised of persons who either reside or work in its primary service area, and they are neither employees nor contractors of the Hospital.Hartford Hospital extends medical staff privileges to all qualified physicians in its community. The Hospital has partnered with the City of Hartford Department of Health and Human Services and the Hispanic Health Center to provide health services to the underserved in the community. In addition, the Hospital participates in research projects with the Hispanic Health Council to improve community health and well-being.The Hospital has contracted to use the services of an organization to assist its patients in determining eligibility and applying for state and federal means-tested programs, as well as for the Hospital's Financial Assistance Program.As a tertiary health center, teaching hospital and Level 1 Trauma Center, Hartford Hospital provides specialized services not available at other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O. Part VI, Line 6: Hartford HealthCare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Hartford Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. 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".The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows 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 affiliation further enhances the affiliates' 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. Part VI, Line 7, Reports Filed With States CT 1 Don't Ever Give Up Inc 14600 Weston Parkway Cary NC 27513 475304184 501(c)(3) 5000 FMV Don't Ever Give Up, Inc. is a charitable supporting organization that exclusively operates for the benefit of the V Foundation. Don't Ever Give Up, Inc. raises funds and awareness to end cancer by supporting cutting-edge research through the V Foundation. Hartford Youth Scholars Foundation Inc 129 Allen Place Hartford CT 06106 203495171 501(c)(3) 5000 FMV The mission of Hartford Youth Scholars Foundation Inc. is to give students from Hartford the opportunity to change their lives through education. Hartford Youth Scholars Foundation Inc. prepare the students to successfully complete a four-year college degree by offering then access to exceptional educational opportunities and providing them with ongoing, comprehensive support. Jewish Family Services of Greater Hartford 333 Bloomfield Avenue Suite A West Hartford CT 06117 060653062 501(c)(3) 5000 FMV Jewish Family Services of Greater Hartford enhances and strengthens quality of life through the Jewish tradition of caring and compassion. The Jewish Family Services serves the Jewish community and the community at large, helps individuals and families progress toward emotional well-being, self-reliance and more positive relationships, focuses on counseling, supporting daily living skills and meeting basic human needs and provides a safe and supportive environment. Leukemia & Lymphoma Society 3 Landmark Square Suite 330 Stamford CT 06901 135644916 501(c)(3) 5000 FMV The Leukemia & Lymphoma Society funds leading-edge research for every type of blood cancer, including leukemia, lymphoma, myeloma, and other rare types of blood cancers. The Leukemia & Lymphoma Society is committed to providing information, resources and support to those affected by blood cancers. Lung Cancer Research Foundation 155 East 55th Street Suite 6H New York NY 10022 141935776 501(c)(3) 5000 FMV The Lung Cancer Research Foundation is dedicated to improving lung cancer outcomes by funding research for the prevention, diagnosis, treatment and cure of lung cancer. ZERO - The End of Prostate Cancer 515 King Street Suite 420 Alexandria VA 22314 593400922 501(c)(3) 5000 FMV ZERO - The End of Prostate Cancer is dedicated to ending prostate cancer through advances in research, improving the lives of men and their families and inspiring action. The Horace Bushnell Memorial Hall Corporation 166 Capitol Avenue Hartford CT 06106 060662112 501(c)(3) 5544 FMV The mission of The Bushnell is to enrich, illuminate, energize and delight the spirit of the community. The Bushnell has been central to life in Greater Hartford serving as its unique gathering place for arts, education and community activities. American Cancer Society 825 Brook Street Rocky Hill CT 06067 131788491 501(c)(3) 6000 FMV The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer, through research, education, advocacy and service. Trinity College 300 Summit Street Hartford CT 06106 060646927 501(c)(3) 6250 FMV Trinity College as a liberal arts college prepares students to be bold, independent thinkers who lead transformative lives. Trinity College fosters critical, reflective engagement with scholarship and the creative arts as well as with one another and the wider world, link students, faculty and staff to form a diverse community of learning and combine the liberal arts with life of a diverse city, enabling students to learn what they love, to build confidence and to become leaders and innovators. March of Dimes Inc 1550 Crystal Drive Suite 1300 Arlington VA 22202 131846366 501(c)(3) 6500 FMV March of Dimes leads the fight for the health of all moms and babies and provides support to moms throughout their pregnancy. March of Dimes educate medical professionals and the public about best practices, support lifesaving research, provide comfort and support to families in NICUs and advocate for those who need them the most, moms and babies. Arthritis Foundation Inc 35 Cold Spring Road Suite 412 Rocky Hill CT 06067 581341679 501(c)(3) 8000 FMV The Arthritis Foundation creates a powerful network of support through shared experiences, empowering information and meaningful connections. The Arthritis Foundation works to promote life-changing resources and research, pushes for change and creates community connections that welcome, inform and uplift. Ron Foley Foundation 1000 Farmington Avenue Suite 108A West Hartford CT 06107 271386741 501(c)(3) 8800 FMV The Ron Foley Foundation is dedicated to funding medical research leading to early detection, more effective treatments and a cure for pancreatic cancer. The Ron Foley Foundation sponsors fundraising and annual events to build awareness and raise funds for patient assistance, education and research. The Connecticut Forum 750 Main Street Hartford CT 06013 061343149 501(c)(3) 9080 FMV The Connecticut Forum is dedicated to encouraging the free and active exchange of ideas in forums that inform, challenge, entertain, inspire and build bridges among all people and organizations in the community. Connecticut Brain Tumor Alliance Inc PO Box 370514 West Hartford CT 06137 260307367 501(c)(3) 15000 FMV The Connecticut Brain Tumor Alliance is dedicated to providing hope and support to brain tumor patients and caregivers, while advancing brain tumor awareness, quality of care and brain tumor research. National Association of Health Services Executives 2541 Whitney Avenue PO Box 185421 Hamden CT 06518 621312239 501(c)(3) 15000 FMV The National Association of Health Services Executives (NAHSE) is a non-profit association of Black health care executives founded in 1968 for the purpose of promoting the advancement and development of Black health care leaders and elevating the quality of health care services rendered to minority and underserved communities. NAHSE's purpose is to ensure greater participation of minority groups in the health fields. Its basic objective is to develop and maintain a strong viable national body to more effectively have input in the national health care delivery system. Town of Newington 131 Cedar Street Newington CT 06111 066002047 Government 15000 FMV To provide funding for the Good Samaritan Fund. Susan G Komen New England PO Box 127 Waban MA 02468 752844629 501(c)(3) 20000 FMV Susan G. Komen New England foundation works locally to save lives and end breast cancer. Their primary focus is on educating Connecticut residents about the importance of early detection, funding free screening services and providing support to those who are diagnosed with breast cancer. American Heart Association 5 Brookside Drive Wallingford CT 06492 135613797 501(c)(3) 25000 FMV The American Heart Association is committed to fighting heart disease and stroke and raising awareness of these diseases. As part of their mission, they focus on specific causes designed to help people achieve a heart-healthy lifestyle. Each of their cause initiatives reaches out to the public with resources and information to help them take positive action. Autism Families Connecticut Inc PO Box 370162 West Hartford CT 06137 800527796 501(c)(3) 25000 FMV The mission of Autism Families Connecticut, Inc. is to provide recreational and social activities for families affected by autism that promote growth and meaningful social connections. Their programs support a child's fine and gross motor skills, sports skills and social interactions. Connecticut Community for Addiction Recovery Inc 75 Charter Oak Avenue Building 1 Suite 35 Hartford CT 06106 061584908 501(c)(3) 25000 FMV The Connecticut Community for Addiction Recovery is dedicated to end discrimination surrounding addiction and recovery, open new doors and remove barriers to recovery, maintain and sustain recovery regardless of the pathway, all while ensuring that all people in recovery, and people seeking recovery, are treated with dignity and respect. Food Allergy Research & Education Inc 7901 Jones Branch Drive Suite 240 McLean VA 22102 133905508 501(c)(3) 25000 FMV Food Allergy Research & Education, Inc. enhances the lives of individuals with food allergies empowering them to lead safe, productive lives with the respects of others through education and advocacy initiatives and improved awareness around healthcare options and treatment. Health Assistance InterVention Education Network for Connecticut Health Pro 1210 Mill Street East Berlin CT 06023 510642913 501(c)(3) 25000 FMV The mission of Health Assistance InterVention Education Network for Connecticut Health Professionals, Inc. is to support physician health programs in improving the health of medical professionals, thereby contributing to quality patient care. United Way Inc 30 Laurel Street Hartford CT 06106 060646653 501(c)(3) 25000 FMV To provide funding for the Dolly Parton Imagination Library program. Sina Corporation 207 Washington Street Hartford CT 06106 061501542 501(c)(4) 30000 FMV Sina Corporation has been successful in reversing the negative trend in homeownership, stimulated renewal of the neighborhood's principal commercial corridor, opened up employment opportunities for neighborhood residents, acted as an economic development catalyst for neighborhood businesses, and provided leadership for comprehensive neighborhood strategies. In the process, it is fashioning a national model for neighborhood revitalization. Anti-Defamation League 1952 Whitney Avenue Hamden CT 06517 131818723 501(c)(3) 37600 FMV The Anti-Defamation League's mission is to stop the defamation of the Jewish people and to secure justice and fair treatment to all. They are committed to working to eliminate bias in the criminal law system, to reduce mass incarceration, and to reform practices that disproportionately impact communities of color, including people of color within the Jewish community. ADL is also a leading non-governmental trainer of law enforcement and trains training more than 14,000 law enforcement officers on hate crimes, bias, extremism, and terrorism each year. Connecticut Cancer Foundation Inc 15 North Main Street Old Saybrook CT 06475 061240574 501(c)(3) 39150 FMV The Connecticut Cancer Foundation is dedicated to providing financial assistance to Connecticut cancer patients and their families to help with basic living expenses, such as rent, mortgage, and utilities, and to fund research. Hartford HealthCare at Home Inc 1290 Silas Deane Highway Wethersfield CT 06109 060646938 501(c)(3) 169949 FMV To provide funding for the V.N.A. Transition Nurse program. Wholesome Wave Inc 855 Main Street Suite 910 Bridgeport CT 06604 260352899 501(c)(3) 300000 FMV Wholesome Wave, Inc. was created to address diet-related diseases by helping low-income Americans buy and eat healthy fruits and vegetables. Wholesome Wave, Inc. believes that solving hunger is not just about providing more food, its also about providing the right food, so we can combat the real problem of nutrition insecurity. University of Hartford 200 Bloomfield Avenue West Hartford CT 06117 060731360 501(c)(3) 340000 FMV To provide funding for the Engineering and Health Sciences Academic Building fund. 27 2 Hazel Vail Awards 1 10000 Sons and Daughters Scholarship Awards 28 65000 Part I, Line 2: Upon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted. Schedule I, Part III Once recipients are determined, the funds are sent directly to the institutions and not to individuals. Required qualifications The Sons and Daughters/Hazel Vail Scholarships are available to children of Hartford Hospital employees who meet eligibility requirements. The applicant must be financially dependent on the employee by being claimed on either parent's tax return. The applicant must be enrolled as a full-time student in an Accredited Undergraduate Program. The applicant must be the son or daughter (biological, adopted, stepchild, or legal ward) of a Hartford Hospital employee (full-time or part-time, budgeted to work at least 24 hours per week). The dependent of a Hartford Hospital employee who is also employed at Hartford Hospital is eligible to apply if they are budgeted to work less than 24 hours per week at Hartford Hospital. Applicant must have a verifiable GPA of 3.0 or higher to apply. Applicants are chosen on 1 criteria. 1. GPA (must be at least a 3.0 or higher to apply) 0 1 0 0 0 0 0 1 0 Bimal Patel President & CEO (Regional) 0 651398 0 330898 0 19640 0 107840 0 29013 0 1138789 0 0 Stuart Markowitz MD Former - President & Director 0 603549 0 306876 0 110692 0 19600 0 55207 0 1095924 0 0 Margaret Marchak Secretary (Thru June 2020) 0 503824 0 259612 0 87317 0 19600 0 57483 0 927836 0 0 Gerald Boisvert Former - VP 0 471051 0 239163 0 77511 0 19600 0 56099 0 863424 0 0 Ajay Kumar MD VP 0 537951 0 179655 0 5639 0 53491 0 52822 0 829558 0 0 Kenneth Robinson MD Dept Chair Emergency Medicine 529428 0 59506 0 13366 0 30800 0 46096 0 679196 0 0 0 Andrew Salner MD Chair Cancer Institute 605236 0 550 0 4174 0 19600 0 36499 0 666059 0 0 0 Cheryl Ficara VP 0 395567 0 146842 0 11680 0 36400 0 47785 0 638274 0 0 Evan Fox MD Med Dir. Psychiatry Program 466026 0 550 0 1032 0 33600 0 36505 0 537713 0 0 0 Peruvamba Venkatesh MD Dir. Academic Affairs 370265 0 74258 0 1765 0 36400 0 35512 0 518200 0 0 0 David Mack CLO 0 327019 0 142033 0 1038 0 19600 0 18308 0 507998 0 0 Adam Steinberg VP 0 392582 0 49780 0 360 0 19600 0 43697 0 506019 0 0 Edmond Cronin MD Dir. Electrophysiology 218474 0 0 0 223165 0 10710 0 31757 0 484106 0 0 0 Harold Schwartz MD Former - Key Employee 0 394761 0 550 0 1854 0 36400 0 46475 0 480040 0 0 Barry Kriesberg VP 0 299883 0 109270 0 7402 0 19600 0 40260 0 476415 0 0 Greg Jones VP 0 251139 0 88947 0 3706 0 19600 0 36588 0 399980 0 0 Gregory Makowski VP 0 269246 0 80686 0 3864 0 19600 0 18228 0 391624 0 0 Julie Drouin HHC Reg. VP Finance 0 246637 0 88947 0 812 0 19600 0 26967 0 382963 0 0 Peter Fraser Former - Key Employee 0 186874 0 25828 0 103920 0 19600 0 32361 0 368583 0 0 Carol Garlick VP 221349 0 57033 0 3158 0 33600 0 23869 0 339009 0 0 0 Elizabeth Ciotti VP 0 203469 0 79550 0 2736 0 18767 0 23240 0 327762 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford Hospital, 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 Hospital 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. 2019 SERP Accruals was made on behalf of the following individuals: Bimal Patel $88,240 Ajay Kumar $33,891 2019 SERP Payouts were made on behalf of the following individuals: Margaret Marchak $21,554* Stuart Markowitz $25,465* Gerald Boisvert $19,949* *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. X 16 1835572 FMV X PPE Supplies 1 298748 FMV 0 1 0 Form 990, Part VI, Section A, line 6 Hartford Hospital 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. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the HHC, VP of Finance for review. 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 HHC, VP of Finance, as authorized signer for HH, and then filed with the IRS. Form 990, Part VI, Section B, line 12c The hospital'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 Hospital, 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 Hospital, 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 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 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 Hospital's Form 990, 990T and form 1023 and its attachments are available upon request. Form 990, Part VI, Section C, line 19 The Hospital'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 IX, line 11g Medical Professional Fees: Program service expenses 185,395,419. Management and general expenses 0. Fundraising expenses 0. Total expenses 185,395,419. Form 990, Part XI, line 9: Transfer to Affiliated Entity -15,882,000. Change in Pension and Post-Retirement Funding Obligation -18,771,000. Rounding 2,650. Net Unrestricted Other Changes in Joint Ventures -14,649,000. Backus HealthCare Inc 326 Washington Street Norwich CT 06360 222481794 Supporting Organization CT 501(c)(3) 12 (a) Hartford HealthCare Corporation 1 Caring for Colleagues Employee Crisis Fund 100 Grand Street New Britian CT 06052 264469178 Employee Fund CT 501(c)(3) 7 Hartford HealthCare Corporation 1 Center for Hospice Care Southeast Connecticut Inc 227 Dunham Street Norwich CT 06360 222667260 Hospice CT 501(c)(3) 7 HHC Independence at Home 1 Connecticut Health System Inc 80 Seymour Street Hartford CT 06102 222779421 Coordination of Health Care Delivery CT 501(c)(3) 12 (c) Hartford HealthCare Corporation 1 Hartford HealthCare ACO Inc 1290 Silas Deane Hwy 2nd Floor Wethersfield CT 06109 460886367 Government Contracts CT 501(c)(3) 7 Hartford HealthCare Medical Group Inc 1 Hartford HealthCare At Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield CT 06109 060646938 Home Healthcare CT 501(c)(3) 10 Hartford HealthCare Corporation 1 Hartford HealthCare Corporation One State Street Suite 19 Hartford CT 06102 222672834 Support & Management Svcs. 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