2021-08-02T13:11:33-05:00 2020-09-30 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2019-10-01 060646755 CONNECTICUT CHILDREN'S MEDICAL CENTER % BRIDGETT FEAGIN CONN 8605459000 282 WASHINGTON STREET HARTFORD CT 061063322 BRIDGETT FEAGIN SVP/CFO 8605459000 2021-07-30 true Scott J Mariani P00642486 9738989494 2021-07-30 2019 2022-09-23 18:48:47Z JAMES E SHMERLING DHA FACHE 282 WASHINGTON STREET HARTFORD CT 061063322 406852063 false X WWW.CONNECTICUTCHILDRENS.ORG X 1921 CT CONNECTICUT CHILDREN'S MEDICAL CENTER IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN THROUGH FAMILY-CENTERED CARE, RESEARCH, EDUCATION AND ADVOCACY. 18 16 2453 262 0 0 26740770 52154052 365325590 353088005 66409 51479 1779231 1558527 393912000 406852063 200630 139700 0 0 182565533 191875474 0 0 0 173233201 179930663 355999364 371945837 37912636 34906226 452452793 468158242 136022086 147750467 316430707 320407775 X CONNECTICUT CHILDREN'S MEDICAL CENTER IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN THROUGH FAMILY-CENTERED CARE, RESEARCH, EDUCATION AND ADVOCACY. WE EMBRACE DISCOVERY, TEAMWORK, INTEGRITY AND EXCELLENCE IN ALL THAT WE DO. THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 271399941 139700 353088005 EXPENSES INCURRED TO PROVIDE ACUTE CARE INPATIENT AND OUTPATIENT SERVICES TO CHILDREN FROM CONNECTICUT AND THE SURROUNDING AREA. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 271399941 true true false true false false false false false true true false true false true true false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true true true false false true 494 0 true 2453 true false false false false false false false false false false true false X 18 16 false false false false true true true true true false false true true true true true true true true false X BRIDGETT FEAGIN 8605458544 282 WASHINGTON STREET HARTFORD CT 06106 X JAMES E SHMERLING DHA FACHE DIRECTOR - PRESIDENT/CEO 55.0 0.0 X X 1358934 0 222969 CHRISTINE FINICK MD FACS EVP SURGEON-IN-CHIEF 55.0 0.0 X 0 990094 125194 GIL PERI MBA MPH PRESIDENT & COO 55.0 0.0 X 861753 0 128594 JEFFREY D THOMSON MD DIRECTOR - PRES MED STAFF 55.0 0.0 X 0 803504 60199 JUAN SALAZAR MD MPH EVP, ACADEMIC AFFAIRS 55.0 0.0 X 618630 0 99060 PAUL H DWORKIN MD EVP, COMMUNITY CHILD HEALTH 55.0 0.0 X 584432 0 60770 SETH D VAN ESSENDELFT SVP/CFO (TERMED 02/2020) 55.0 0.0 X 595946 0 41823 BOBBY M VARGAS ESQ VP & GENERAL COUNSEL 55.0 0.0 X 415455 0 87237 GLENN FLORES MD CHIEF RESEARCH OFFICER 55.0 0.0 X 417192 0 44523 LAWRENCE E MILAN MA SVP, HUMAN RESOURCES 55.0 0.0 X 395764 0 58888 CHERYL HOEY RN BSN MBA SVP, CNO (TERMED 09/2020) 55.0 0.0 X 384985 0 61369 KELLY STYLES MBA SVP, CIO (TERMED 07/2020) 55.0 0.0 X 412495 0 25612 DEB PAPPAS MBA VP MKTG/COMMUNICATIONS OFFICER 55.0 0.0 X 359732 0 73037 WILLIAM A AGOSTINUCCI MS SENIOR DIRECTOR CORP SVCS 55.0 0.0 X 355189 0 28374 RICHELLE DEMAYO MD CHIEF MED INFORMATION OFFICER 55.0 0.0 X 333281 0 26928 JUNG PARK CHIEF INFO OFF (EFF 06/2020) 55.0 0.0 X 263646 0 61875 SARAH MATNEY MSOL BSN RN SVP CLIN SVCS/CNO(EFF 08/2020) 55.0 0.0 X 0 240884 68636 ANDREA L BENIN MD FORMER OFFICER 0.0 0.0 X 195614 0 5934 ANN G TAYLOR JD FORMER OFFICER 0.0 0.0 X 159953 0 15330 DAVID M ROTH ESQ CHAIRMAN - DIRECTOR 1.0 0.0 X X 0 0 0 JAMES W FANELLI CFP VICE CHAIRMAN - DIRECTOR 1.0 0.0 X X 0 0 0 TINA BROWN-STEVENSON SECRETARY - DIRECTOR 1.0 0.0 X X 0 0 0 ANDREA BALOGH DIRECTOR 1.0 0.0 X 0 0 0 SCOTT BRAUNSTEIN DIRECTOR 1.0 0.0 X 0 0 0 JAMES HALL DIRECTOR 1.0 0.0 X 0 0 0 PRESTON KODAK III DIRECTOR 1.0 0.0 X 0 0 0 DOROTHY LEVINE MD DIRECTOR 1.0 0.0 X 0 0 0 MEGAN MACKEY EDD DIRECTOR 1.0 0.0 X 0 0 0 BURKE MAGNUS DIRECTOR 1.0 0.0 X 0 0 0 OTIS MAYNARD DIRECTOR 1.0 0.0 X 0 0 0 CARLOS MOUTA DIRECTOR 1.0 0.0 X 0 0 0 MICHELLE MURPHY DIRECTOR 1.0 0.0 X 0 0 0 TINA ST PIERRE DIRECTOR 1.0 0.0 X 0 0 0 JONATHAN RUBIN DIRECTOR 1.0 0.0 X 0 0 0 ANDREW ZEITLIN DIRECTOR 1.0 0.0 X 0 0 0 E CLAYTON GENGRAS III DIRECTOR (TERMED 12/31/19) 1.0 0.0 X 0 0 0 CATO LAURENCIN MD PHD DIRECTOR (TERMED 12/31/19) 1.0 0.0 X 0 0 0 KOLAWOLE A OLOFINBOBA MD DIRECTOR (TERMED 11/30/19) 1.0 0.0 X 0 0 0 BRIDGETT FEAGIN TREASURER-SVP/CFO (EFF 06/20) 55.0 0.0 X 0 0 0 7713001 2034482 1296352 268 true true false UNIVERSITY OF CONNECTICUT HEALTH CE 263 FARMINGTON AVENUE FARMINGTON CT 06032 MEDICAL 37454687 HARTFORD HOSPITAL 80 SEYMOUR STREET PO BOX 5037 HARTFORD CT 061025037 MEDICAL 7935721 ARAMARK FACILITY SERVICES PO BOX 651009 CHARLOTTE NC 282651009 CAFETERIA/DIETARY 2233689 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 IT 2123008 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFFING 1483187 60 12674519 32854390 6625143 52154052 NET PATIENT SERVICE REVENUE 541900 339044509 339044509 OTHER HEALTHCARE RELATED REVENUE 541900 14043496 14043496 353088005 49979 49979 0 0 170263 170263 0 170263 170263 1500 1500 1500 1500 0 0 0 0 0 0 0 0 0 FOOD SERVICES 453000 1023709 1023709 CONSULTING 541900 329821 329821 OTHER INCOME 541900 34734 34734 1388264 406852063 353088005 1610006 X 96950 96950 42750 42750 0 0 6095034 6095034 0 156604072 118195526 38408546 7762348 6082845 1679503 12050722 8955518 3095204 9363298 6835208 2528090 0 567037 413937 153100 394863 288250 106613 290909 290909 0 0 47584429 34816934 12767495 0 2239187 1634606 604581 5882540 4294254 1588286 6278400 4583232 1695168 0 13579384 9912951 3666433 792249 578342 213907 0 547607 399753 147854 1905710 1391168 514542 0 16688782 4830288 11858494 3578186 2612076 966110 MEDICAL SUPPLIES 42086261 30722971 11363290 SPECIALITY GROUP SUPPORT 16208692 16208692 GRANT EXPENDITURES 10925923 10925923 REPAIRS & MAINTENANCE 7049975 5146481 1903494 3330529 2431286 899243 371945837 271399941 100545896 0 4229102 31743615 0 0 0 0 50345261 52793468 0 0 0 0 0 0 4471038 6838490 2143092 3472180 357348277 224083744 135823138 133264533 0 0 0 0 227725955 231241324 0 0 27715207 8804632 452452793 468158242 45017927 40188842 0 0 0 6727012 31359264 28332564 0 0 0 0 23515793 23550484 0 0 36129102 48951565 136022086 147750467 X 166404380 175140033 150026327 145267742 316430707 320407775 452452793 468158242 X 34906226 -30929158 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 219509 false true 71400 290909 false SCHEDULE C, PART II-B, LINES 1G & 1I CONNECTICUT CHILDREN'S MEDICAL CENTER ADVOCATES FOR CHILD-FRIENDLY POLICIES AT THE CONNECTICUT GENERAL ASSEMBLY AND THE UNITED STATES CONGRESS. ADVOCACY CAN INCLUDE MESSAGING SENT TO LEGISLATORS VIA EMAIL, LETTERS AND SOCIAL MEDIA AND SOMETIMES THE PROVISION OF OPPORTUNITIES FOR MEDICAL CENTER EMPLOYEES, MEDICAL STAFF AND SUPPORTERS IN THE COMMUNITY TO REACH OUT TO THEIR SENATORS AND REPRESENTATIVES BY SHARING ACTION ALERTS THROUGH EMAIL. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, CONNECTICUT HOSPITAL ASSOCIATION AND NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TOWARDS LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THIS ORGANIZATION. THIS ALLOCATION AMOUNTED TO $71,400 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2020. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2020, THE ORGANIZATION PAID OUTSIDE INDEPENDENT CONSULTING FIRMS A TOTAL OF $110,000 TO LOBBY ON BEHALF OF THE MEDICAL CENTER FOR LEGISLATION AFFECTING CHILDREN'S HEALTH AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITIES A PERCENTAGE OF COMPENSATION PAID TO CERTAIN CONNECTICUT CHILDREN'S MEDICAL CENTER EMPLOYEES TO REPRESENT TIME SPENT LOBBYING ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $109,509 DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2020. VOLUNTEER PARTICIPATION IN LOBBYING ACTIVITIES INCLUDING PHONE CALLS, EMAILS AND LETTERS TO LEGISLATORS AND FEDERAL AND STATE POLICY MAKERS REGARDING VARIOUS CHILD-RELATED ISSUES. THERE WAS NO MONEY INVOLVED IN THESE VOLUNTEER TRANSACTIONS. 25957822 427432 927364 0 510778 0 26801840 24246534 1705658 677067 0 671437 0 25957822 22333915 1611103 1154088 0 852572 0 24246534 22429597 100411 163306 0 359399 0 22333915 22267000 883341 263705 0 984449 0 22429597 1.00000 false true true 126837715 72962708 53875007 45869327 17270487 28598840 156387936 129645241 26742695 28253299 4205308 24047991 133264533 INVESTMENT IN CCMC FOUNDATION 138359365 F FUNDS HELD IN TRUST BY OTHERS 92631959 F OTHER INVESTMENTS 250000 F 231241324 0 COVID-19 CT MEDICAID LOAN 7500000 DUE TO THIRD PARTIES 1733184 DUE TO AFFILIATED ENTITIES 1200021 ACCRUED PENSION LIABILITY 20466472 LEASE INCENTIVE OBLIGATION 7149363 OTHER LONG-TERM LIABILITIES 10902525 48951565 SCHEDULE D, PART V, QUESTION 4 THE ENDOWMENT FUNDS REPORTED IN SCHEDULE D, PART V, ARE HELD BY CONNECTICUT CHILDREN'S MEDICAL CENTER FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR THE BENEFIT OF CONNECTICUT CHILDREN'S MEDICAL CENTER. THE ENDOWMENTS CONSIST OF INDIVIDUAL DONOR RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES WHICH ARE HELD AND CONTROLLED BY THE FOUNDATION. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON DONOR-IMPOSED RESTRICTIONS. AT SEPTEMBER 30, 2020 AND 2019, THE MEDICAL CENTER HAD $26,801,840 AND $25,957,822, RESPECTIVELY, IN ENDOWMENTS HELD AT THE FOUNDATION WHICH ARE RECORDED BY THE MEDICAL CENTER THROUGH ITS INTEREST IN THE FOUNDATION. SCHEDULE D, PART X, QUESTION 2 AN INDEPENDENT FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S MEDICAL CENTER AND SUBSIDIARIES FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2020 AND SEPTEMBER 30, 2019; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): "THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO MATERIAL TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2020 AND 2019." IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2020 AND SEPTEMBER 30, 2019 THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): "THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO MATERIAL TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2020 AND 2019." Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 5681465 0 0 0 0 5681465 5681465 true false false false false false SCHEDULE F, PART I THIS ORGANIZATION PAID NEW ENGLAND PEDIATRICS INDEMNITY, LTD. ("NEPI"), A FINANCIAL VEHICLE, $5,681,465 ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X 250. true X 500. true true true false true true 1110829 1110829 0.00300 187838345 128202929 59635416 0.16030 188949174 128202929 60746245 0.16330 4883940 2495341 2388599 0.00640 21092465 145236 20947229 0.05630 4268525 530938 3737587 0.01000 46800 46800 0.00010 30291730 3171515 27120215 0.07280 219240904 131374444 87866460 0.23610 3435736 1682097 1753640 0.00470 242250 242250 0.00070 474016 6800 467216 0.00130 4152002 1688897 2463106 0.00670 true 3177467 1241832 314759 343999 -29240 X true true 4 1 CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON STREET HARTFORD CT 06106 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X X X 1 2 CCMC - NICU JOHN DEMPSEY HOSPITAL 263 FARMINGTON AVENUE FARMINGTON CT 06030 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X X 1 3 CCMC - NICU HARTFORD HOSPITAL 80 SEYMOUR STREET HARTFORD CT 06102 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X X 1 4 CCMC - PEDIATRIC IP UNIT ST MARY'S 56 FRANKLIN STREET WATERBURY CT 06706 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X 1 CONNECTICUT CHILDREN'S MEDICAL CENTER 1 false false true X X X X X X X X X 18 true false false true X WWWW.CONNECTICUTCHILDRENS.ORG X true 18 true WWWW.CONNECTICUTCHILDRENS.ORG false true X 250. 500. X X X X true true X X X true X WWWW.CONNECTICUTCHILDRENS.ORG X WWWW.CONNECTICUTCHILDRENS.ORG X WWW.CONNECTICUTCHILDRENS.ORG X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTIONS 5 & 6 WHILE CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE ORGANIZATION DEVELOPED THE CHNA WITH STRONG GUIDANCE FROM THE CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE"). ADDITIONALLY, THE ORGANIZATION PARTNERED WITH VARIOUS OUTSIDE ORGANIZATIONS AS WELL AS A VARIETY OF KEY COMMUNITY STAKEHOLDERS. THIS COLLABORATION ALLOWED THE ORGANIZATION TO PRESENT COMMUNITY HEALTH NEEDS ACROSS THE AGE SPAN AND SECTORS OF SERVICE AND WITHIN THE CONTEXT OF KEY COMMUNITY CONTRIBUTORS TO HEALTH. PRIMARY DATA COLLECTION EFFORTS =============================== AS DESCRIBED IN THE ORGANIZATION'S CHNA, IN AN EFFORT TO TAKE INTO ACCOUNT INPUT FORM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE ORGANIZATION USED A VARIETY OF METHODS TO COMPILE DATA. THESE METHODS ARE OUTLINED BELOW: KEY INFORMANT MEETING: ---------------------- THE HARTFORD FOUNDATION FOR PUBLIC GIVING HOSTED A KEY INFORMANT MEETING TO INFORM THE COMMUNITY HEALTH NEEDS ASSESSMENTS OF CONNECTICUT CHILDREN'S AND ANOTHER INSTITUTION. THE MEETING INCLUDED A PRESENTATION OF HARTFORD WELL-BEING SURVEY DATA FROM DATA-HAVEN. IT ALSO INCLUDED A SURVEY AND SEVEN STATIONS WHERE PARTICIPANTS SHARED THOUGHTS ON DEMOGRAPHICS & INCOME, HOUSEKEEPING, EDUCATION, COMMUNITY HEALTH, HEALTH & CHIME DATA, COMMUNITY VITALITY & INFRASTRUCTURE, AND ECONOMIC OPPORTUNITY & JOB ACCESS. THE MEETING INCLUDED 56 PARTICIPANTS FROM THE FOLLOWING INSTITUTIONS/ORGANIZATIONS: - ASYLUM HILL NEIGHBORHOOD ASSN. (AHNA) - BICICO - CAPITOL REGION COUNCIL OF GOVERNMENTS (CRCOG) - CATHOLIC CHARITIES - CHFA - CHRYSALIS CENTER - CITY COUNCIL/CHARTER OAK HEALTH CENTER - CITY OF HARTFORD - CITY OF HARTFORD DEPARTMENT OF HEALTH AND HUMAN SERVICES - COMMUNITY HEALTH SERVICES, INC. - COMMUNITY RENEWAL TEAM, INC. - CONNECTICUT CHILDREN'S - CONNECTICUT CHILDREN'S HEALTHY HOMES PROGRAM - CONNECTICUT CHILDREN'S INJURY PREVENTION CENTER - CONNECTICUT HEALTH FOUNDATION - CT RIDES - DATAHAVEN . - ECHN, INC./MANCHESTER MEMORIAL HOSPITAL - FARMINGTON VALLEY HEALTH DISTRICT - FOODSHARE - GREATER HARTFORD HARM REDUCTION - HARTFORD BEHAVIORAL HEALTH - HARTFORD COMMUNITIES THAT CARE - HARTFORD FOOD SYSTEM - HARTFORD FOUNDATION FOR PUBLIC GIVING - HARTFORD HEALTHCARE - HISPANIC HEALTH COUNCIL - HOSPITAL FOR SPECIAL CARE - INTERVAL HOUSE - LISC - NHPZ REP FOR HEALTH AND HUMAN SERVICES WORKGROUP - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT (ENFIELD, ELLINGTON ETC) - NORTH HARTFORD TRIPLE AIM COLLABORATIVE - OPEN COMMUNITIES ALLIANCE - PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND - PPSNE - PRUDENCE CRANDALL CENTER - SINA - TOWN OF EAST HARTFORD HEALTH DEPARTMENT - TRINITY COLLEGE CENTER FOR URBAN AND GLOBAL STUDIES - TRINITY HEATH - SAINT FRANCIS - UNITED WAY CNCT - UNITED WAY OF CENTRAL AND NORTHEASTERN CONNECTICUT - UPPER ALBANY REVITALIZATION ZONE ORGANIZATION (UARZO) - WELLVILLE - WEST HARTFORD BLOOMFIELD HEALTH DISTRICT - WHEELER CLINIC, INC. FOCUS GROUPS: ------------- CONNECTICUT CHILDREN'S SPONSORED TWO FOCUS GROUPS TO INFORM THIS CHNA. ELEVEN PARTICIPANTS TOOK PART IN THE FOCUS GROUP HELD AT CATHOLIC CHARITIES IN HARTFORD'S SOUTH END, INCLUDING FOUR STAFF MEMBERS AND SEVEN COMMUNITY MEMBERS. CONNECTICUT CHILDREN'S ALSO HOSTED A FOCUS GROUP AT THE FAMILY CENTER AT PARKER MEMORIAL COMMUNITY CENTER IN HARTFORD'S NORTH END, IN WHICH MORE THAN A DOZEN COMMUNITY MEMBERS AND ONE STAFF MEMBER PARTICIPATED. SCHOOL NURSE SURVEY: -------------------- CONNECTICUT CHILDREN'S COMMISSIONED A SURVEY OF SCHOOL NURSES WHO WORK AT HARTFORD PUBLIC SCHOOLS AND RECEIVED 31 RESPONSES. ADDITIONAL SOURCES: ------------------- CONNECTICUT CHILDREN'S REVIEWED MANY ADDITIONAL SOURCES OF INFORMATION TO INFORM THIS CHNA, WHICH ARE LISTED IN THE REFERENCES PAGE OF THE CHNA. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FULL CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.CONNECTICUTCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFITS SCHEDULE H, PART V, SECTION B, QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.CONNECTICUTCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFITS SCHEDULE H, PART V, SECTION B, QUESTION 11 THROUGHOUT THE CHNA THE ORGANIZATION IDENTIFIED THE FOLLOWING UNMET COMMUNITY HEALTH NEEDS: - MENTAL HEALTH, BEHAVIORAL HEALTH, AND TRAUMA - SCHOOL READINESS - CHILDHOOD OBESITY PREVENTION - HOUSING, ENVIRONMENT AND COMMUNITY FACTORS THE ORGANIZATION'S CHNA OFFERS A NUMBER OF LONG-RANGE RECOMMENDATIONS THAT INFORM THE THREE-YEAR IMPLEMENTATION STRATEGY ("STRADEGY). THE STRADEGY SERVES AS A FLUID DOCUMENT AND MAY FLUCTUATE AS THE CAPACITY OF CONNECTICUT CHILDREN'S TO BUILD PARTNERSHIPS TO ADDRESS THE STATED OBJECTIVES, ALONG WITH OTHER OBJECTIVES YET TO BE IDENTIFIED, BECOMES CLEARER. THE PROCESS FOR SETTING GOALS AND OBJECTIVES IN THE STRADEGY INVOLVED REVIEWING THE CHNA RECOMMENDATIONS AND ENGAGING WITH HOSPITAL LEADERSHIP, COMMUNITY PROGRAM STAFF, AND COMMUNITY BASED PROGRAMS TO DETERMINE THE FOLLOWING COURSE OF ACTION. CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE") HOUSES THE MANY PROGRAMS AND RESOURCES THAT CONNECT THE LARGER ORGANIZATION TO COMMUNITY OPPORTUNITIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF CONNECTICUT'S CHILDREN. THE OFFICE'S 15 PROGRAMS ENGAGE IN RIGOROUS DATA COLLECTION AND MEASUREMENT TO ENSURE THAT THEIR EFFORTS ARE EFFECTIVE. THESE PROGRAMS CURRENTLY USE, OR HAVE DEVELOPED IN RESPONSE TO THE 2019 CHNA, THE FOLLOWING OBJECTIVES AND ASSOCIATED MEASURES TO TRACK CONNECTICUT CHILDREN'S PROGRESS IN ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA. BEHAVIORAL HEALTH, MENTAL HEALTH AND TRAUMA ------------------------------------------- GOAL: PROMOTE WELL-BEING AMONG CHILDREN AND YOUTH BY ENSURING EQUITABLE ACCESS TO AFFORDABLE BEHAVIORAL AND MENTAL HEALTH SERVICES. OBJECTIVES: 1) TRACK NUMBER OF MATERNAL DEPRESSION SCREENS BILLED TO MEDICAID BY PEDIATRIC PRIMARY CARE PROVIDERS. 2) INCREASE COLLABORATION WITH HARTFORD COMMUNITIES THAT CARE AND COMPASS YOUTH COLLABORATIVE IN IMPLEMENTATION OF VIOLENCE PREVENTION MODEL ADVOCATED BY THE HEALTH ALLIANCE FOR VIOLENCE INTERVENTION. 3) PROVIDE CARE COORDINATION TRAININGS AT SCHOOLS WORKING WITH COMPASS YOUTH COLLABORATIVE TO INCREASE REFERRALS TO CONNECTICUT CHILDREN'S AND ENHANCE COMMUNITY PARTNERSHIPS. 4) INCREASE CLIENTS SERVED THROUGH CONNECTICUT CHILDREN'S BEHAVIORAL HEALTH TRANSITIONS CLINIC. 5) INCREASE REFERRALS FROM CONNECTICUT CHILDREN'S CLINICIANS AND/OR CARE NETWORK CLINICIANS TO CONNECTICUT CHILDREN'S CENTER FOR CARE COORDINATION FOR THOSE WHO SEEK CARE FOR MENTAL HEALTH CONCERNS IN AN EFFORT TO DECREASE ED VISITS. 6) INCREASE REFERRALS FROM CONNECTICUT CHILDREN'S CLINICIANS AND/OR CARE NETWORK CLINICIANS TO COMMUNITY SUPPORTS FOR CHILDREN AND YOUTH EXPOSED TO DOMESTIC VIOLENCE, ABUSE, NEGLECT, AND OTHER TRAUMA. SCHOOL READINESS ---------------- GOAL: PREPARE HARTFORD STUDENTS FOR KINDERGARTEN BY PROMOTING EARLY LITERACY AMONG INFANTS, TODDLERS AND PRE-SCHOOL AGE CHILDREN. OBJECTIVES: 1) TRACK NUMBER OF DEVELOPMENTAL SCREENS BILLED TO MEDICAID BY PEDIATRIC PRIMARY CARE PROVIDERS. 2) STRENGTHEN HELP ME GROW CT'S ADOPTION OF HELP ME GROW NATIONAL CENTER RESOURCES TO INCREASE HELP ME GROW CT'S CAPACITY TO CONNECT CHILDREN AND FAMILIES TO SERVICES. 3) WORK WITH COMMUNITY PARTNERS TO BRING THE IMAGINATION LIBRARY EARLY LITERACY PROGRAM TO ALL CHILDREN OF HARTFORD RESIDENTS. 4)INCREASE COLLABORATION WITH EARLY CARE AND EDUCATION PROVIDERS, HOME VISITORS, FAMILY CENTERS, AND PUBLIC SCHOOLS TO CHAMPION SCHOOL READINESS INITIATIVES, WHICH INCLUDE EARLY LITERACY PROMOTION, BACK TO SCHOOL EVENTS, SCHOOL SUPPLY DRIVES, ETC. CHILDHOOD OBESITY PREVENTION ---------------------------- GOAL: INCREASE EDUCATION AND AWARENESS ABOUT HEALTHY LIFESTYLES TO REDUCE CHILDHOOD OBESITY. OBJECTIVES: 1) DEVELOP AND DEPLOY AN ELECTRONIC MEDICAL RECORD TOOL TO HELP PRIMARY CARE CHILD HEALTH PROVIDERS PREVENT CHILDHOOD OBESITY AND TRACK DOWNLOADS UPON EXPECTED DEPLOYMENT IN 2021. 2) INCREASE NUMBER OF FAMILIES SERVED THROUGH COMMUNITY OUTREACH PROGRAMS THAT PROMOTE NUTRITION AND PHYSICAL ACTIVITY AS MEASURED BY ATTENDANCE AT START CHILDHOOD OFF RIGHT MONTHLY WELLNESS EVENTS. HOUSING AND COMMUNITY FACTORS ----------------------------- GOAL: INCREASE HEALTH AND WELL-BEING OF HARTFORD RESIDENTS BY RAISING AWARENESS ABOUT THE CRITICAL LINK BETWEEN HOUSING, ENVIRONMENTAL FACTORS, AND HEALTH. 1) INCREASE THE USE OF THE EASY BREATHING ASTHMA MANAGEMENT PROGRAM AMONG PRIMARY CARE CHILD HEALTH PROVIDERS. 2) INCREASE THE NUMBER OF TRAININGS COMPLETED FOR CARE NETWORK PRACTICES THAT ADDRESS SOCIAL AND ENVIRONMENTAL NEEDS OF CHILDREN. 3) EXPAND THE BUILDING FOR HEALTH CROSS-SECTOR REFERRAL INITIATIVE FROM ITS CURRENT SERVICE AREAS OF FROG HOLLOW AND NORTH HARTFORD TO SERVE RESIDENTS CITYWIDE. 4) INCREASE REFERRALS FROM CONNECTICUT CHILDREN'S CLINICIANS TO CONNECTICUT CHILDREN'S CENTER FOR CARE COORDINATION FOR THOSE WHO SEEK SUPPORT FOR CHRONIC HEALTH CONDITIONS. 5) CONTINUE TO PARTNER WITH NORTH HARTFORD TRIPLE AIM COLLABORATIVE WITH GOAL OF LAUNCHING A HEALTH HUB IN NORTH HARTFORD, FEATURING A HEALTH CLINIC, SUPERMARKET, AFFORDABLE CHILD CARE, EXERCISE FACILITIES, JOB TRAINING, ETC. STATEWIDE AND LOCAL POLICY ADVOCACY ----------------------------------- GOAL: TO ENHANCE SYSTEMS OF SUPPORT FOR CHILDREN AND FAMILIES THROUGH ADMINISTRATIVE AND LEGISLATIVE POLICY CHANGES. OBJECTIVES: 1) ADVOCATE FOR INCREASED INSURANCE COVERAGE FOR, AND ACCESS TO, MENTAL HEALTH COUNSELING. 2) ADVOCATE FOR A CENTRALIZED SYSTEM OF CARE COORDINATION IN HARTFORD. 3) ADVOCATE FOR HOUSING AND DEVELOPMENTAL SERVICES FOR CHILDREN WITH BLOOD LEAD LEVELS AS LOW AS 5 MICROGRAMS PER DECILITER. 4) INCREASE THE ADOPTION OF STRENGTHENING FAMILIES PROTECTIVE FACTORS FRAMEWORK AMONG PEDIATRICIANS, COMMUNITY HEALTH WORKERS, AND OTHERS WHO WORK WITH CHILDREN. SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.CONNECTICUTCHILDRENS.ORG/BILLING-AND-FINANCES 22 CCMC SPECIALTY CENTER 505 FARMINGTON AVENUE FARMINGTON CT 06030 SPEECH THERAPY, AUDIOLOGY, SLEEP LAB, EEG, EMG, AMBULATORY SURGERY CENTER CCMC SPECIALTY CENTER 399 FARMINGTON AVENUE FARMINGTON CT 06032 OCCUPATIONAL & PHYSICAL THERAPY, RADIOLOGY, MOTION ANALYSIS CCMC SPECIALTY CENTER 310 WESTERN BOULEVARD GLASTONBURY CT 06033 OCCUPATIONAL, PHYSICAL & SPEECH THERAPY, AUDIOLOGY, RADIOLOGY, ECHO CCMC HARTFORD HOSP BONE & JOINT INST 31 SEYMOUR STREET HARTFORD CT 06106 RADIOLOGY CCMC SPECIALTY CENTER 676 HEBRON AVENUE GLASTONBURY CT 06033 SLEEP LAB, PHYSICAL THERAPY CCMC 100 RETREAT 100 RETREAT AVENUE 4TH FLOOR HARTFORD CT 06016 SPEECH THERAPY CCMC 111 FOUNDERS 111 FOUNDERS PLAZA EAST HARTFORD CT 06108 CLINICAL NUTRITION CCMC HARTFORD HOSP MED OFFICE BLDG 85 SEYMOUR STREET HARTFORD CT 06106 PULMONARY FUNCTION LAB ENDOCRINOLOGY CCMC AVON FAMILY WELLNESS CENTER 100 SIMSBURY ROAD AVON CT 06001 PHYSICAL THERAPY, OCCUPATIONAL THERAPY CCMC SOLTERA ACADEMY 300 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 OCCUPATIONAL THERAPY CONNECTICUT CHILDREN'S ORTHO&SPORTS MED 2 IVY BROOK ROAD SUITE 213 SHELTON CT 06484 ORTHOPEDICS & SPORTS MEDICINE CCMC SPECIALTY CENTER 10 BIRDSEYE ROAD FARMINGTON CT 06032 ENDOCRINOLOGY, INFECTIOUS DISEASE & IMMUNOLOGY, GASTROENTEROLOGY, RHEUMATOLOGY CCMC SPECIALTY CENTER 84 WILLIMANSETT STREET SUITE 3 SOUTH HADLEY MA 01075 GASTROENTEROLOGY, NEPHROLOGY, RHEUMATOLOGY, NEUROSURGERY CCMC SPECIALTY CENTER 11 SOUTH ROAD FARMINGTON CT 06032 CARDIOLOGY, DEVELOPMENTAL PEDIATRICS, GENETICS, NEWBORN SCREENING CCMC SPECIALTY CENTER 105 - A NEWTOWN ROAD DANBURY CT 06810 VARIOUS OUTPATIENT SPECIALTY SERVICES CCMC SPECIALTY CENTER 599 FARMINGTON AVENUE FARMINGTON CT 06032 ADOLESCENT MEDICINE, OPHTHALMOLOGY, URGENT CARE, PRIMARY CARE CCMC SPECIALTY CENTER 4 CORPORATE DRIVE SHELTON CT 06484 ENDOCRINOLOGY CCMC SPECIALTY CENTER 131 NEW LONDON TURNPIKE GLASTONBURY CT 06033 OPHTHALMOLOGY CCMC SPECIALTY CENTER 95 REEF ROAD FAIRFIELD CT 06824 GI, WEIGHT MANAGEMENT, SLEEP, NEPHROLOGY, NEUROLOGY CCMC SPECIALTY CENTER 761 MAIN STREET NORWALK CT 06851 DEVELOPMENTAL PEDIATRICS CCMC SPECIALTY CENTER 800 CONNECTICUT BOULEVARD EAST HARTFORD CT 06108 PRIMARY CARE CCMC SPECIALTY CENTER 111 SALEM TURNPIKE NORWICH CT 06360 CARDIOLOGY SCHEDULE H, PART I; LINE 3C CONNECTICUT CHILDREN'S IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO FAMILIES WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR OTHER GOVERNMENT ASSISTANCE, OR ARE OTHERWISE UNABLE TO PAY FOR EMERGENT OR OTHER MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATIONS. ITS FINANCIAL ASSISTANCE POLICY OUTLINES ELIGIBILITY CRITERIA, PARAMETERS, AND THE PROCESS FOR PROVIDING FAIR AND CONSISTENT FINANCIAL ASSISTANCE TO PATIENTS AND FAMILIES. IN CONTINUANCE OF ITS MISSION, CONNECTICUT CHILDREN'S HAS ESTABLISHED THE FINANCIAL ASSISTANCE PROGRAMS TO ASSIST FAMILIES WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED AND INELIGIBLE FOR OTHER GOVERNMENT ASSISTANCE. ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTHCARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE, BASED UPON DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY. THE GRANTING OF FINANCIAL ASSISTANCE SHALL BE BASED ON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON FPL, WHICH IS DEPENDENT UPON FAMILY SIZE AND FAMILY INCOME. FULL FINANCIAL ASSISTANCE (FREE CARE): PATIENTS MAY QUALIFY FOR A 100% DISCOUNT OF BILLED CHARGES FOR EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES OR INSURANCE COST SHARES (CO-PAYS, COINSURANCE AND DEDUCTIBLES) AS LONG AS THE FOLLOWING CRITERIA ARE MET: - ANNUAL FAMILY INCOME THAT IS LESS THAN OR EQUAL TO 250% OF THE FEDERAL POVERTY LEVEL, AS DETERMINED BY GUIDELINES PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (FPL); - CONNECTICUT, MASSACHUSETTS OR NEW YORK RESIDENT; - EFFORTS TO EXHAUST ALL OTHER PAYMENT OPTIONS SUCH AS MEDICAID, COPAY PROGRAMS, ENDOWMENT FUNDS, HEALTH SPENDING ACCOUNTS AND FLEXIBLE SPENDING ACCOUNTS HAVE BEEN SATISFIED; AND - COMPLETED A PROGRAM APPLICATION, AND PROVIDED SUPPORTING DOCUMENTATION TO VERIFY INCOME PARTIAL FINANCIAL ASSISTANCE (DISCOUNTED CARE): UNINSURED PATIENTS, WHO DO NOT QUALIFY FOR MEDICAID, WITH FAMILY INCOME OVER 250% BUT LESS THAN OR EQUAL TO 500% OF FPL, ARE ELIGIBLE FOR PARTIAL FINANCIAL ASSISTANCE. THESE PATIENTS MAY QUALIFY FOR A 45% DISCOUNT OF BILLED CHARGES FOR EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES. SCHEDULE H, PART I; LINE 6A THE ORGANIZATION PREPARED A COMMUNITY BENEFIT REPORT, WHICH REPORTS THE RESULTS OF ITS EFFORTS TO SERVICE THE COMMUNITY AND HAVE A MEASURABLE IMPACT ON CHILDREN AND FAMILIES ACROSS THE STATE OF CONNECTICUT AND BEYOND. THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. ADDITIONALLY, HARD COPIES WERE DISTRIBUTED TO KEY COMMUNITY LEADERS AND WERE MADE AVAILABLE ON REQUEST THROUGH CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH. SCHEDULE H, PART I; LINE 7 LINES 7A AND 7B WERE DETERMINED USING A RATIO OF COST TO CHARGES. LINES 7E THROUGH 7I WERE ALL REPORTED AT TRUE COST, NOT USING A COST TO CHARGE RATIO. SCHEDULE H, PART II CONNECTICUT CHILDREN'S MEDICAL CENTER'S ("CONNECTICUT CHILDREN'S") CORE MISSION IS TO IMPROVE THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN ACROSS THE STATE OF CONNECTICUT. WE RECOGNIZE THAT CHILDREN DO NOT LIVE IN ISOLATION. THEY ARE PART OF FAMILIES AND COMMUNITIES. IN ORDER TO FULFILL OUR MISSION, WE PROVIDE LEADERSHIP, PARTICIPATE IN COMMUNITY BASED PROGRAMS THAT HELP BUILD HEALTHIER COMMUNITIES, AND STRENGTHEN SYSTEMS THAT SUPPORT FAMILIES. CONNECTICUT CHILDREN'S OFFICE OF COMMUNITY CHILD HEALTH ("THE OFFICE") WAS CREATED TO SERVE AS A COORDINATING ENTITY FOR OUR COMMUNITY-ORIENTED PROGRAMS AND PROVIDE US WITH A STRONGER ADVOCACY VOICE IN SUPPORTING IMPROVED SYSTEMS FOR SUPPORTING FAMILIES. THE FOLLOWING WERE COMMUNITY BASED PROGRAMS UNDER THE OFFICES UMBRELLA: - CARE COORDINATION COLLABORATIVE MODEL - CENTER FOR CARE COORDINATION - CHILDHOOD PROSPERITY LAB - CHILDREN'S CENTER ON FAMILY VIOLENCE - CO-MANAGEMENT - EASY BREATHING - EDUCATING PRACTICES - HARTFORD YOUTH HIV IDENTIFICATION AND LINKAGE CONSORTIUM - HEALTH HOMES PROGRAM - HELP ME GROW NATIONAL CENTER - INJURY PREVENTION CENTER - KOHL'S START CHILDHOOD OFF RIGHT PROGRAM - PERSON-CENTERED MEDICAL HOME - PRACTICE QUALITY IMPROVEMENT - RESIDENT EDUCATION IN ADVOCACY AND COMMUNITY HEALTH ALL PROGRAMS HAVE ELEMENTS OF COMMUNITY BUILDING IN THEIR PURPOSE. SOME INVOLVE WORKING WITH LOCAL COMMUNITIES, SOME WITH STATEWIDE COMMUNITIES, SOME WORK ON NATIONAL LEVELS, AND SOME PROVIDE OUR EXPERTISE TO CLINICIANS TO HELP THEM BETTER SERVE FAMILIES IN THEIR COMMUNITIES. THE OFFICE FOCUSES ON PROMOTING OPTIMAL HEALTHY DEVELOPMENT ACROSS ALL SECTORS IMPACTING CHILDREN. IT PAYS PARTICULAR ATTENTION TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH THAT SERVE AS MAJOR RISK FACTORS FOR POORER OUTCOMES. NO ONE ENTITY ALONE CAN HAVE THE KIND OF IMPACT THAT IS DESIRED. TO THAT END, THE PROGRAMS LISTED ABOVE, WORK WITH MORE THAN 150 COMMUNITY PARTNERS. ADDITIONAL COMMUNITY BUILDING INCLUDES THE OFFICE'S WORK WITH THE NEIGHBORHOOD PARTNERSHIP KNOWN AS SOUTHSIDE INSTITUTIONS NEIGHBORHOOD ALLIANCE ("SINA"). SINA IS A NEIGHBORHOOD PARTNERSHIP BETWEEN CONNECTICUT CHILDREN'S, HARTFORD HOSPITAL, AND TRINITY COLLEGE. CONNECTICUT CHILDREN'S PAYS DUES TO SUPPORT SINA'S ANNUAL OPERATIONS BUDGET. THREE EMPLOYEES FROM CONNECTICUT CHILDREN'S ARE ON SINA'S BOARD OF DIRECTORS. SINA RECEIVED A MAJOR GRANT FROM THE STATE OF CONNECTICUT TO BUILD NEW OWNER OCCUPIED HOUSING, IN PLACE OF SOME OF THE NEIGHBORHOOD'S BLIGHTED PROPERTIES. TWELVE NEW HOMES WILL BE A PART OF THE PROJECT, COMPLETED IN 2019. TO DATE, SINA HAS BUILT MORE THAN 85 HOMES IN THE AREA, ADDING CLOSE TO $500,000 PER YEAR TO THE CITY'S TAX BASE. HARTFORD WAS HAVING DISCUSSIONS WITH THE STATE REGARDING ITS LARGE OPERATING DEFICIT. CONTRIBUTING TO THE DEFICIT IS THE LOW RATE OF HOMEOWNERSHIP. ADDITIONALLY, OUR HEALTHY HOMES PROGRAM BEGAN WORKING WITH SINA TO IDENTIFY WAYS THAT THE TWO COULD COMPLEMENT ONE ANOTHER. SINA'S OUTREACH STAFF BEGAN TO LOOK AT OPPORTUNITIES TO IDENTIFY PROPERTY OWNERS IN THE NEIGHBORHOOD WHO COULD BENEFIT FROM HEALTHY HOMES INTERVENTIONS. STAFF AT CONNECTICUT CHILDREN'S ATTEND AND PARTICIPATE WITH THE NEIGHBORHOOD REVITALIZATION ZONE MEETINGS HELD MONTHLY, WHERE THE FOCUS IS ON PUBLIC SAFETY AND OTHER QUALITY OF LIFE ISSUES. A COMPONENT OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS SINA'S ECONOMIC DEVELOPMENT STUDY, IDENTIFYING THE POVERTY IN THE NEIGHBORHOOD AS A MAJOR SOCIAL DETERMINANT. A PORTION OF THE STUDY RECOMMENDED THAT SINA AND ITS INSTITUTIONAL PARTNERS DEVELOP AN EMPLOYMENT PROGRAM. SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT IS BASED UPON HISTORICAL COLLECTION PERCENTAGE ANALYSIS OF ACCOUNTS WRITTEN OFF. BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S") AND ITS SUBSIDIARIES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. CONNECTICUT CHILDREN'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL FACILITIES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S AND SUBSIDIARIES: NET REVENUE FROM SERVICES ------------------------- PATIENT ACCOUNTS RECEIVABLE AND REVENUES ARE RECORDED WHEN PATIENT SERVICES ARE PERFORMED. AMOUNTS RECEIVED FROM CERTAIN PAYORS ARE DIFFERENT FROM ESTABLISHED BILLING RATES OF THE MEDICAL CENTER, AND THE DIFFERENCE IS ACCOUNTED FOR AS ALLOWANCES. THE MEDICAL CENTER RECORDS ITS PROVISION FOR BAD DEBTS BASED UPON A REVIEW OF ALL OF ITS OUTSTANDING RECEIVABLES. WRITE-OFFS OF RECEIVABLE BALANCES ARE RELATED PRIMARILY TO ITS POPULATION OF UNDERINSURED PATIENTS. AN UNDERINSURED PATIENT IS ONE WHO HAS COMMERCIAL INSURANCE WHICH LEAVES A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S REIMBURSEMENT TO BE PAID BY THE PATIENT, EITHER THROUGH LARGE DEDUCTIBLES OR CO-PAY REQUIREMENTS. SELF-PAY PATIENTS ARE RARE IN THE PEDIATRIC ENVIRONMENT, AS MEDICAID IS READILY AVAILABLE TO CHILDREN. SELF-PAY NET REVENUE APPROXIMATED $3,000,000 AND $3,600,000 FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019, RESPECTIVELY. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AN SCHEDULE H, PART III, SECTION B; QUESTION 9B CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S") HAS A BILLING AND COLLECTION POLICY. THE PURPOSE OF THIS POLICY IS TO ENSURE THAT THE ORGANIZATION'S BILLING, CREDIT AND COLLECTION PRACTICES COMPLY WITH ALL FEDERAL AND STATE LAWS, REGULATIONS GUIDELINES AND POLICIES. CONNECTICUT CHILDREN'S IS COMMITTED TO PROVIDING THE AVAILABLE HEALTHCARE, ALONG WITH CONVENIENT BILLING SERVICES, PAYMENT OPTIONS AND FINANCIAL ASSISTANCE. CONNECTICUT CHILDREN'S WILL MAKE EVERY EFFORT TO COMMUNICATE THE PATIENT FINANCIAL ASSISTANCE, BILLING, CREDIT AND COLLECTION PROCESSES TO THE PATIENT AND/OR THEIR FAMILY. PATIENTS AND THEIR FAMILIES ARE RESPONSIBLE TO PROVIDE TIMELY AND ACCURATE INFORMATION SUCH AS, BUT NOT LIMITED TO, DEMOGRAPHIC, INSURANCE, AND INCOME TO CONNECTICUT CHILDREN'S TO FACILITATE THE PATIENT FINANCIAL ASSISTANCE, BILLING, CREDIT AND COLLECTION PROCESSES. IT IS THE RESPONSIBILITY OF THE PATIENTS AND THEIR FAMILIES TO KNOW, UNDERSTAND, AND COMPLY WITH THEIR INSURANCE COVERAGE, COINSURANCE, COPAYS, DEDUCTIBLES, AND BENEFIT/COVERAGE LIMITATIONS. CONNECTICUT CHILDREN'S PROVIDES PATIENT FINANCIAL SERVICES TO HELP FAMILIES NAVIGATE THE PROCESS OF BILLING AND MEDICAL INSURANCE. IN ADDITION, CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO PROVIDE COPIES OF ITEMIZED PATIENT BILLS, EXPLAIN PARTICULAR BILLS, SET UP PAYMENT ARRANGEMENTS OR REVIEW WHAT COSTS INSURANCE HAS PAID AND WHAT PAYMENTS ARE DUE. AS A COURTESY TO ITS PATIENTS, CONNECTICUT CHILDREN'S SUBMITS BILLS TO THEIR INSURANCE COMPANIES AND MAKES EVERY EFFORT TO ADVANCE THEIR CLAIM. HOWEVER, IT MAY BECOME NECESSARY FOR A POLICY HOLDER TO CONTACT THEIR INSURANCE PROVIDER OR SUPPLY ADDITIONAL INFORMATION REQUIRED FOR CLAIMS PROCESSING PURPOSES OR TO EXPEDITE PAYMENT. THE ORGANIZATION REQUESTS BILLS BE PAID IN FULL WITHIN THIRTY (30) DAYS. THE GUARANTOR IS RESPONSIBLE TO OBTAIN THE NECESSARY FUNDS FROM ANY SOURCE, SUCH AS OBTAINING A LOAN THROUGH THEIR BANK AND/OR CREDIT UNION. IF THE GUARANTOR IS UNABLE TO PAY BY OBTAINING A LOAN OR USE OF A CREDIT CARD, PAYMENT ARRANGEMENTS MAY BE MADE WITH COUNSELORS. MONTHLY PAYMENTS ARE REQUIRED. COMPLIANCE WITH IRC 501(R)(6) ------------------------------ CONNECTICUT CHILDREN'S DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") PRIOR TO THE EXPIRATION OF THE "NOTIFICATION PERIOD." THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS MAY BE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD CONNECTICUT CHILDREN'S, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF A FAP-ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. A) REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; OR B) DEFERRING, DENYING OR REQUIRING PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF AN INDIVIDUAL'S NONPAYMENT FOR PREVIOUSLY PROVIDED CARE. CONNECTICUT CHILDREN'S MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THEY WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FAP AND WILL TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: - THE PATIENT WILL BE PROVIDED WITH WRITTEN NOTICE WHICH: (1) INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; (2) IDENTIFIES THE ECA(S) THAT CONNECTICUT CHILDREN'S INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND (3) STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED; - THE PATIENT WILL RECEIVE A COPY OF THE PLS WITH THIS WRITTEN NOTIFICATION; AND - REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. CONNECTICUT CHILDREN'S WILL ACCEPT AND PROCESS ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE CHNA REPORTED IN SCHEDULE H, PART V, SECTION B, THE ORGANIZATION CONTINUALLY WORKS TO ASSESS THE HEALTH OF THE COMMUNITY IN A NUMBER OF WAYS. WE COLLECT DATA REGARDING HOSPITAL USAGE AND REPORT THAT INFORMATION TO THE CONNECTICUT HOSPITAL ASSOCIATION. THAT DATA IS ANALYZED TO LOOK AT TRENDS AND OFTEN SUPPORTS OUR RESEARCH OR APPLICATIONS FOR GRANTS. EACH OF THE GRANTS THAT WE APPLY FOR INCORPORATES THE USE OF DATA AND RESEARCH TO EITHER RESPOND TO A NEED IDENTIFIED BY AN OUTSIDE FUNDING SOURCE, OR RESPOND TO A NEED THAT OUR ORGANIZATION HAS IDENTIFIED. CONNECTICUT HOSPITAL ASSOCIATION HAS A NUMBER OF MEETING GROUPS THAT GATHER PEOPLE FROM HOSPITALS ACROSS THE STATE TO SHARE TRENDS THAT THEY ARE SEEING AND SHARE BEST PRACTICES. THERE IS A POPULATION HEALTH GROUP AND A COMMUNITY HEALTH GROUP. A RECENTLY FORMED SOCIAL DETERMINANTS OF HEALTH GROUP HAS REPLACED THE HEALTH EQUITY GROUP. CONNECTICUT CHILDREN'S IS REPRESENTED ON ALL OF THESE. WE ARE ALSO REPRESENTED ON BOARDS OF DIRECTORS/ADVISORY BOARDS OF A NUMBER OF ENTITIES THAT HELP US UNDERSTAND THE NEEDS OF THE COMMUNITY. A FEW EXAMPLES INCLUDE: - THE CHILDREN'S FUND/CHILD HEALTH AND DEVELOPMENT INSTITUTE - CONNECTICUT AREA HEALTH EDUCATION CENTER - SOUTHSIDE INSTITUTE NEIGHBORHOOD ALLIANCE - URBAN LEAGUE OF GREATER HARTFORD - UNITED WAY OF CENTRAL AND NORTHEASTERN CONNECTICUT - STATE DEPARTMENT OF PUBLIC HEALTH'S HEALTH IMPROVEMENT TASK FORCE - CITY OF HARTFORD'S HEALTH DEPARTMENT'S PUBLIC HEALTH ADVISORY COMMITTEE - NORTH HARTFORD'S TRIPLE AIM SCHEDULE H, PART VI; QUESTION 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: 1) THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"), FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE ALL AVAILABLE ON THE ORGANIZATION'S WEBSITE. 2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE WITHIN VARIOUS AREAS THROUGHOUT CT CHILDREN'S FACILITIES. THIS INCLUDES, BUT IS NOT LIMITED TO, EMERGENCY ROOMS, PATIENT REGISTRATION CHECK-IN AREAS AND THE PATIENT ACCESS DEPARTMENT. 3) THE ORGANIZATION'S FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTES THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED WITHIN CT CHILDREN'S PRIMARY SERVICE AREA. 4) ALL PATIENTS OF THE MEDICAL CENTER WILL BE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE/DISCHARGE PROCESS. COPIES OF THE PLS WILL BE MADE AVAILABLE AT ALL CONNECTICUT CHILDREN'S SPECIALTY GROUP OFFICE LOCATIONS. 5) SIGNS OR DISPLAYS INFORMING PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE CONSPICUOUSLY POSTED IN PUBLIC LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, PATIENT REGISTRATION CHECK-IN AREAS AND THE PATIENT ACCESS DEPARTMENT. 6) CT CHILDREN'S WILL ALSO MAKE REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART VI; QUESTION 4 CONNECTICUT CHILDREN'S SERVES PATIENTS ACROSS THE STATE OF CONNECTICUT AND BEYOND AND IS COMMITTED TO BUILDING STRONGER COMMUNITIES TO BETTER SUPPORT CHILDREN'S HEALTH, DEVELOPMENT AND WELL-BEING. WITH ITS MAIN CAMPUS LOCATED IN THE CAPITAL CITY, HARTFORD SERVES AS THE HUB OF CONNECTICUT CHILDREN'S COMMUNITY BUILDING EFFORTS, WHERE INTERVENTIONS ARE TESTED, REFINED, AND SCALED FOR IMPLEMENTATION IN ADDITIONAL COMMUNITIES AROUND THE STATE AND COUNTRY. RESIDENTS WHO LIVE IN HARTFORD EXPERIENCE EXTENSIVE DISPARITIES WITH REGARD TO HEALTH CARE ACCESS, HEALTH OUTCOMES, HOME OWNERSHIP, EDUCATIONAL ACHIEVEMENT, AND ECONOMIC SUCCESS COMPARED TO THE REST OF THE STATE. IN 2018, THE LATEST YEAR DATA ARE AVAILABLE, THE CITY HAD A POPULATION OF MORE THAN 122,000 RESIDENTS, OF WHICH 44% ARE HISPANIC OR LATINO, 38% ARE BLACK OR AFRICAN-AMERICAN, AND 15% ARE WHITE. HARTFORD CONSISTENTLY RANKS AMONG THE POOREST CITIES OF ITS SIZE IN THE COUNTRY. U.S. CENSUS DATA HIGHLIGHT THAT HARTFORD RESIDENTS ARE POORER, EXPERIENCE LESS HOUSING STABILITY, ACHIEVE LOWER LEVELS OF EDUCATION, ARE LESS LIKELY TO HAVE HEALTH INSURANCE, AND ARE MORE LIKELY TO HAVE A DISABILITY THAN RESIDENTS ACROSS CONNECTICUT, WHICH IS AMONG THE WEALTHIEST STATES IN THE NATION BASED ON PER CAPITA INCOME. AS OF MAY 2019, THE UNEMPLOYMENT RATE FOR RESIDENTS OF HARTFORD STOOD AT 6.3%, WHICH IS THE HIGHEST OF ANY MUNICIPALITY IN THE STATE, ACCORDING TO THE CONNECTICUT DEPARTMENT OF LABOR. IN CONTRAST, THE UNEMPLOYMENT RATE FOR RESIDENTS STATEWIDE WAS 3.6%. HARTFORD DISPARITIES (U.S. CENSUS): MEDIAN HOUSEHOLD INCOME ----------------------- HARTFORD RESIDENTS = $33,841 CT RESIDENTS = $73,781 RESIDENTS LIVING IN POVERTY --------------------------- HARTFORD RESIDENTS = 30.5% CT RESIDENTS = 9.6% OWNER OCCUPIED HOUSING RATES ---------------------------- HARTFORD RESIDENTS = 23.8% CT RESIDENTS = 66.6% HS GRADUATE OR HIGHER EDUCATION ------------------------------- HARTFORD RESIDENTS = 72.7% CT RESIDENTS = 90.2% BACHELOR'S DEGREE OR HIGHER EDUCATION ------------------------------------- HARTFORD RESIDENTS = 16.6% CT RESIDENTS = 38.4% PERSONS W/O HEALTH INSURANCE UNDER 65 ------------------------------------- HARTFORD RESIDENTS = 12.2% CT RESIDENTS = 6.4% PERSONS WITH DISABILITIES UNDER 65 ---------------------------------- HARTFORD RESIDENTS = 11.4% CT RESIDENTS = 7.3% SCHEDULE H, PART VI; QUESTION 5 CONNECTICUT CHILDREN'S MEDICAL CENTER HAS A VISION TO MAKE CONNECTICUT'S CHILDREN THE HEALTHIEST IN THE NATION. WHILE THE ORGANIZATION PROVIDES LEADING MEDICAL CARE, TREATMENT, AND FOLLOW-UP SUPPORT WITHIN ITS FACILITIES, SOME OF THEIR BEST WORK IS PROMOTING CHILDREN'S HEALTH HAPPENS WITHIN CONNECTICUT'S COMMUNITIES. CONNECTICUT CHILDREN'S OFFICE OF COMMUNITY CHILD HEALTH (THE OFFICE) SERVES AS OUR ORGANIZATION'S KEY VEHICLE FOR PROMOTING CHILDREN'S OPTIMAL HEALTHY DEVELOPMENT. WE PROMOTE COMMUNITY HEALTH ON A LOCAL, STATEWIDE AND NATIONAL LEVEL. OFFICE ADMINISTRATORS, PROGRAM LEADERS, AND STAFF ALL INTERFACE WITH DIFFERENT COMMUNITY LEADERS AND PARTNERS. OUR WORK IS SHARED, AND OUR EXPERTISE IS OFTEN WELCOMED IN THE NUMEROUS SETTINGS TO WHICH WE ARE INVOLVED. WE CONTINUALLY DEVELOP PARTNERSHIPS ON ALL LEVELS AS WE RECOGNIZE THAT AN "ALL SECTORS IN" APPROACH IS WHAT WILL LEAD TO POSITIVE CHANGE. WE BRING A LEVEL OF HEALTH PROMOTION EVIDENT WITH OUR MISSION STATEMENT TO ALL PARTNERSHIPS, WITH CONCEPT THAT WE ALL NEED EACH OTHER'S HELP. SOME OF THE PROGRAMS UNDER THE OFFICE (EASY BREATHING, EDUCATING PRACTICES, PRACTICE QUALITY IMPROVEMENT, CO-MANAGEMENT) WORK WITH HEALTH PROVIDERS ACROSS THE STATE TO IDENTIFY BETTER APPROACHES TO MANAGING CHILDREN'S HEALTH ISSUES. WEEKLY GRAND ROUNDS ARE ALSO HELD FOR BOTH INTERNAL AND EXTERNAL PROVIDERS WITH TOPICS THAT OFTEN INCLUDE THE PROMOTION OF COMMUNITY HEALTH. PROGRAMS LIKE THOSE OF OUT CONNECTICUT CHILDREN'S INJURY PREVENTION CENTER FOCUS MUCH OF THEIR EFFORTS IN THE SHARING OF THEIR RESEARCH AND PROMOTING PREVENTION THROUGH THEIR ACTIVITIES. HEALTHY HOMES, EASY BREATHING, HYHIL, AND REACH ALL HAVE HEALTH PROMOTION OR PREVENTION AS COMMON THEMES WITH THEIR ACTIVITY. THE OFFICE OF GOVERNMENT RELATIONS USES INFORMATION GATHERED FROM THE PROGRAMS UNDER THE OFFICE TO ALSO PROMOTE HEALTH TO KEY LEADERS OF OUR STATE LEGISLATORS AS WELL AS OUR REPRESENTATIVES AT THE FEDERAL LEVEL. AN EXAMPLE OF THEIR WORK CAN BE SEEN THROUGH THEIR EFFORTS IN HELPING STATE OFFICIALS INTERPRET CAR ACCIDENT STATISTICS GATHERED BY OUR INJURY PREVENTION EXPERTS, LEADING TO OUR STATE EXAMINING LAWS SURROUNDING NEW TEEN DRIVERS. CONNECTICUT IMPLEMENTED NEW DRIVER RESTRICTIONS FOR THAT AGE GROUP AS A RESULT. WE HAVE A REFERRING PROVIDER BOARD OF PEDIATRICIANS, REPRESENTING DIFFERENT GEOGRAPHIC PORTIONS OF CONNECTICUT, THAT HELP US UNDERSTAND WHAT THEY SEE AS KEY ISSUES IN THEIR COMMUNITIES, AND SUPPORT OUR MESSAGES ABOUT HEALTH PROMOTION. OUR TUESDAY MORNING GRAND ROUNDS IS OPEN TO COMMUNITY CLINICIANS AND WILL OFTEN DISCUSS NEW RESEARCH, NEW APPROACHES TO TREATMENT, AND HEALTH PROMOTION. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE CCMC CORPORATION AND SUBSIDIARIES: NOT FOR-PROFIT ENTITIES: ======================== CCMC CORPORATION ---------------- CCMC CORPORATION IS THE TAX-EXEMPT PARENT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. CCMC CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION, CCMC CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE CHILDREN OF CONNECTICUT AND SURROUNDING COMMUNITIES. CCMC CORPORATION IS THE SOLE MEMBER OF CONNECTICUT CHILDREN'S MEDICAL CENTER. CONNECTICUT CHILDREN'S MEDICAL CENTER ------------------------------------- CONNECTICUT CHILDREN'S MEDICAL CENTER IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO CHILDREN ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. MOREOVER, CCMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL CHILDREN; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF CCMC CORPORATION. BOTH BOARDS ARE COMPRISED OF A MAJORITY OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CONNECTICUT CHILDREN'S MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------ CONNECTICUT CHILDREN'S MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CCMC AFFILIATES, INC. --------------------- CCMC AFFILIATES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). PRIOR TO CEASING OPERATIONS, THIS ORGANIZATION PROVIDED SPECIALIZED EDUCATION AND CHILD DEVELOPMENT PROGRAMS TO CHILDREN OF CONNECTICUT AND THE SURROUNDING AREAS. CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. -------------------------------------------- CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CHILDREN'S FUND OF CONNECTICUT, INC. ------------------------------------ CHILDREN'S FUND OF CONNECTICUT, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CHILDREN'S HEALTH AND DEVELOPMENT INSTITUTE, INC. ------------------------------------------------- CHILDREN'S HEALTH AND DEVELOPMENT INSTITUTE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CAPITAL AREA HEALTH CONSORTIUM, INC. ------------------------------------ CAPITAL AREA HEALTH CONSORTIUM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CONNECTICUT CHILDREN'S CARE NETWORK, LLC ---------------------------------------- CONNECTICUT CHILDREN'S CARE NETWORK, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF CONNECTICUT WHOSE SOLE MEMBER IS CONNECTICUT CHILDREN'S MEDICAL CENTER. THE ORGANIZATION WAS FORMED AS A CLINICALLY INTEGRATED NETWORK, DESIGNED TO EVALUATE AND MODIFY PRACTICES OF PARTICIPATING PHYSICIANS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG PARTICIPATING PHYSICIANS. FOR-PROFIT ENTITIES: =================== CCMC VENTURES, INC. ------------------- A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS CCMC CORPORATION. THE ORGANIZATION IS LOCATED IN HARTFORD, CONNECTICUT. THIS ENTITY IS CURRENTLY INACTIVE. CONNECTICUT CHILDREN'S EYE CARE, P.C. ------------------------------------- CONNECTICUT CHILDREN'S EYE CARE, P.C. IS A FOR-PROFIT ENTITY LOCATED IN CONNECTICUT. THE ORGANIZATION IS CURRENTLY INACTIVE. NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C. --------------------------------------------------- NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C. IS A FOR-PROFIT CORPORATION LOCATED IN NEW YORK. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTH CARE SYSTEM. NEW ENGLAND PEDIATRICS INDEMNITY, LTD. -------------------------------------- NEW ENGLAND PEDIATRIC INDEMNITY, LTD. IS A FOREIGN CORPORATION WHOLLY OWNED BY CCMC CORPORATION. THE ORGANIZATION IS A FINANCIAL VEHICLE. SCHEDULE H, PART VI; QUESTION 7 THE STATE OF CONNECTICUT HAS AN OFFICE OF THE HEALTHCARE ADVOCATE. THEY SURVEY EACH HOSPITAL'S SCHEDULE H OF THE 990 FILING TO ENSURE THAT COMMUNITY BENEFITS HAVE BEEN REPORTED IN LIEU OF SEPARATE REPORTS FROM HOSPITALS. true FARMINGTON SPORTS ARENA LLC 21 HYDE ROAD FARMINGTON CT 06032 061634489 50000 PROGRAM SUPPORT 1 EDUCATIONAL SCHOLARSHIPS 9 42750 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. SCHEDULE I, PART II PLEASE NOTE, THE ORGANIZATION PROVIDED A NUMBER OF GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS THAT DID NOT EXCEED $5,000 AND THEREFORE, ARE NOT REQUIRED TO BE INCLUDED WITHIN SCHEDULE I, PART II. X X X X true true false false false true true true false JAMES E SHMERLING DHA FACHE DIRECTOR - PRESIDENT/CEO 1022702 0 318938 0 17294 0 198670 0 24299 0 1581903 0 318938 0 CHRISTINE FINICK MD FACS EVP SURGEON-IN-CHIEF 0 823570 0 165116 0 1408 0 99261 0 25933 0 1115288 0 165115 GIL PERI MBA MPH PRESIDENT & COO 650265 0 191570 0 19918 0 94521 0 34073 0 990347 0 191570 0 JEFFREY D THOMSON MD DIRECTOR - PRES MED STAFF 0 780047 0 418 0 23039 0 38600 0 21599 0 863703 0 418 JUAN SALAZAR MD MPH EVP, ACADEMIC AFFAIRS 486977 0 122771 0 8882 0 68487 0 30573 0 717690 0 111797 0 PAUL H DWORKIN MD EVP, COMMUNITY CHILD HEALTH 475261 0 99370 0 9801 0 60770 0 0 0 645202 0 99370 0 SETH D VAN ESSENDELFT SVP/CFO (TERMED 02/2020) 483521 0 111017 0 1408 0 13950 0 27873 0 637769 0 111017 0 BOBBY M VARGAS ESQ VP & GENERAL COUNSEL 355387 0 59456 0 612 0 55067 0 32170 0 502692 0 59456 0 GLENN FLORES MD CHIEF RESEARCH OFFICER 347816 0 66744 0 2632 0 13950 0 30573 0 461715 0 66744 0 LAWRENCE E MILAN MA SVP, HUMAN RESOURCES 329535 0 61444 0 4785 0 49864 0 9024 0 454652 0 61444 0 CHERYL HOEY RN BSN MBA SVP, CNO (TERMED 09/2020) 321685 0 59261 0 4039 0 33496 0 27873 0 446354 0 59261 0 KELLY STYLES MBA SVP, CIO (TERMED 07/2020) 323706 0 65750 0 23039 0 16700 0 8912 0 438107 0 65750 0 DEB PAPPAS MBA VP MKTG/COMMUNICATIONS OFFICER 299534 0 57566 0 2632 0 45164 0 27873 0 432769 0 57566 0 WILLIAM A AGOSTINUCCI MS SENIOR DIRECTOR CORP SVCS 277641 0 43265 0 34283 0 16700 0 11674 0 383563 0 68390 0 RICHELLE DEMAYO MD CHIEF MED INFORMATION OFFICER 287841 0 44522 0 918 0 16700 0 10228 0 360209 0 44522 0 JUNG PARK CHIEF INFO OFF (EFF 06/2020) 222299 0 40854 0 493 0 39561 0 22314 0 325521 0 30854 0 SARAH MATNEY MSOL BSN RN SVP CLIN SVCS/CNO(EFF 08/2020) 0 199862 0 40578 0 444 0 36466 0 32170 0 309520 0 33078 ANDREA L BENIN MD FORMER OFFICER 0 0 0 0 195614 0 5500 0 434 0 201548 0 0 0 ANN G TAYLOR JD FORMER OFFICER 74432 0 79744 0 5777 0 10053 0 5277 0 175283 0 79744 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2019 FORMS W-2. SCHEDULE J, PART I; QUESTION 3 EACH YEAR, AN INDEPENDENT COMPENSATION CONSULTANT CONDUCTS A MARKET ANALYSIS OF CONNECTICUT CHILDREN'S MEDICAL CENTER'S ("CONNECTICUT CHILDREN'S") PRESIDENT/CHIEF EXECUTIVE OFFICER, OFFICERS AND OTHER KEY EMPLOYEES. TO AUGMENT THEIR PROPRIETARY AND OTHER DATA TO WHICH THEY HAVE ACCESS, CONNECTICUT CHILDREN'S PROVIDES THE DATA RESULTS FROM SALARY SURVEYS IN WHICH CONNECTICUT CHILDREN'S PARTICIPATES. THE ANALYSIS AND PRESENTATION OF THE DATA IS PRESENTED BY THE INDEPENDENT COMPENSATION CONSULTANT TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ANNUALLY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE BOARD OF DIRECTORS THEN REVIEW AND DISCUSS SALARY RECOMMENDATIONS FOR THE OFFICERS AND OTHER KEY EMPLOYEES AND SIGN OFF ON THE FINAL RECOMMENDATIONS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS INDEPENDENTLY WITH THE PRESIDENT/CHIEF EXECUTIVE OFFICER TO DISCUSS HIS INDIVIDUAL PERFORMANCE. FOLLOWING THE PERFORMANCE EVALUATION, A SALARY RECOMMENDATION IS MADE AND COMMUNICATED TO THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES TO AUTHORIZE PROCESSING. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2019 WHICH WERE INCLUDED IN HER 2019 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: ANDREA L. BENIN, M.D., $195,610. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2019 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WILLIAM A. AGOSTINUCCI, MS, $25,125. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2019 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. SHMERLING, DHA, FACHE, $184,720; CHRISTINE FINICK, M.D., FACS, $82,561; GIL PERI, MBA, MPH, $80,571; JEFFREY THOMSON, M.D., $21,900; JUAN SALAZAR, M.D., MPH, $51,787; PAUL H. DWORKIN, M.D., $44,070; MOSES VARGAS, ESQ., $38,367; LAWRENCE E. MILAN, MA, $33,164; CHERYL HOEY, RN, BSN, MBA, $27,996; DEB PAPPAS, MBA, $31,214; JUNG PARK, $23,690 AND SARAH MATNEY, MSOL, BSN, RN, CPON, $22,562. SCHEDULE J, PART I; QUESTIONS 6A & 6B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). ACCORDINGLY, THE ORGANIZATION'S COMMITTEE MAY ELECT TO MAKE INCENTIVE AWARDS IN ITS SOLE DISCRETION. IF THE COMMITTEE ELECTS TO MAKE SUCH INCENTIVE AWARDS, THE AMOUNT OF AN ELIGIBLE EMPLOYEE'S INCENTIVE AWARD IS BASED GENERALLY UPON THE FOLLOWING CRITERIA: - CCMC CORPORATION ACHIEVING THRESHOLD FOR THE FINANCIAL GOALS, OTHERWISE NO INCENTIVE WILL BE PAID; - INDIVIDUAL AND CORPORATION PERFORMANCE AND WHETHER THE LEVEL OF PERFORMANCE ACHIEVED IS AT THRESHOLD, TARGET, OR STRETCH; AND - THE PERCENTAGE OF THE AWARD COMPRISED OF CORPORATION VERSUS INDIVIDUAL PERFORMANCE. THE COMPENSATION FOR CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II OF THIS FORM 990 CONSIST OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK INCENTIVE COMPENSATION. SCHEDULE J, PART I; QUESTION 7 IF THE COMPENSATION COMMITTEE ELECTS TO MAKE INCENTIVE AWARDS, THESE AWARDS ARE TO BE PAID NO LATER THAN TWO AND ONE-HALF MONTHS AFTER THE END OF THE FISCAL OR CALENDAR YEAR, WHICHEVER IS LATER, AFTER WHICH THE AMOUNT OF SUCH AWARDS ARE DETERMINED. THEREFORE, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, RULES AND REGULATIONS, CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED INCENTIVE AWARDS DURING CALENDAR YEAR 2019 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2019 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE EMPLOYEE INCENTIVE AWARDS AND/OR VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. A CT HEALTH & EDUCATIONAL FACILITIES AUTHORITY 060806186 2016-09-01 35270000 REISSUANCE OF SERIES D false false false A 6485000 0 35270000 0 0 0 0 0 0 0 35270000 0 2016 true false true true A false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true A false true true true false 0 0 false true A true CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES CONNECTICUT CHILDREN'S PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CONNECTICUT CHILDREN'S OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. CONNECTICUT CHILDREN'S PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. CONNECTICUT CHILDREN'S OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL CHILDREN WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. CONNECTICUT CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF CONNECTICUT CHILDREN'S RESTS WITH ITS BOARD OF DIRECTORS. ITS BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF CONNECTICUT CHILDREN'S, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF CONNECTICUT CHILDREN'S IS FOR THE BENEFIT OF THE PUBLIC, AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ADDITIONALLY, CONNECTICUT CHILDREN'S BOARD CERTIFIED PHYSICIANS AND HIGHLY TRAINED SPECIALISTS PROVIDE ADVANCED CLINICAL AND SURGICAL CARE TO CHILDREN OF ALL AGERS. HOWEVER, THE IMPACT MADE ON HEALTH CARE IN CONNECTICUT REACHES FAR BEYOND THEIR WALLS AND INTO COMMUNITIES ACROSS THE STATE. CONNECTICUT CHILDREN'S PIONEERED AN INNOVATIVE COMMUNITY CHILD HEALTH MODEL WHICH LEADS RESEARCH, DEVELOPMENT AND DELIVERY OF ROBUST OUTREACH PROGRAMS THAT ADDRESS CRITICAL ISSUES AFFECTING THE HEALTH, DEVELOPMENT AND WELL-BEING OF CONNECTICUT'S CHILDREN. THIS MODEL, WHICH SERVES AS AN EXAMPLE FOR OTHER CHILDREN'S HOSPITALS NATIONWIDE, HELPS KEEP CHILDREN SAFER AND HEALTHIER. IT ALSO EMPOWERS COMMUNITY PEDIATRICIANS TO PROVIDE BETTER PRIMARY CARE, SO THAT TOGETHER THEY CAN SUCCEED IN MAKING CHILDREN IN CONNECTICUT THE HEALTHIEST IN THE NATION. PATIENTS AND FAMILIES FROM EVERY CORNER OF CONNECTICUT, AND NOW MASSACHUSETTS, HAVE BENEFITED FROM CONNECTICUT CHILDREN'S ONGOING CLINICAL AND COMMUNITY-FOCUSED GROWTH. NEW CONSTRUCTION AND EXTENDED PATIENT SERVICES HAVE EXPANDED CAPABILITIES THROUGHOUT CONNECTICUT AND SOUTHERN NEW ENGLAND. HISTORY ======= CONNECTICUT CHILDREN'S IS A NATIONALLY RECOGNIZED NOT-FOR-PROFIT WITH A MEDICAL STAFF OF MORE THAN 1,000 WHO PROVIDE COMPREHENSIVE, WORLD-CLASS HEALTHCARE IN MORE THAN 30 PEDIATRIC SPECIALTIES AND SUBSPECIALTIES. CONNECTICUT CHILDREN'S IS THE PRIMARY PEDIATRIC TEACHING HOSPITAL FOR THE UCONN SCHOOL OF MEDICINE, HAS A TEACHING PARTNERSHIP WITH THE FRANK H. NETTER, M.D. SCHOOL OF MEDICINE AT QUINNIPIAC UNIVERSITY AND IS A RESEARCH PARTNER OF THE JACKSON LABORATORY. THE HISTORY OF CONNECTICUT CHILDREN'S SPANS MORE THAN 100 YEARS. FOUNDED AS A 10-BED HOSPITAL FOR CHILDREN WHO SUFFERED THEN INCURABLE CONDITIONS SUCH AS CEREBRAL PALSY, SPINA BIFIDA AND POLIO, CONNECTICUT CHILDREN'S IS NOW ONE OF ONLY TWO FREESTANDING CHILDREN'S HOSPITALS IN NEW ENGLAND AND IS THE ONLY FREESTANDING CHILDREN'S HOSPITAL IN CONNECTICUT. CONNECTICUT CHILDREN'S PROVIDES AN ARRAY OF PEDIATRIC SERVICES IN LOCATIONS ACROSS CONNECTICUT AND IN MASSACHUSETTS, INCLUDING AT HOSPITALS IN HARTFORD AND WATERBURY, NEONATAL INTENSIVE CARE UNITS IN HARTFORD AND FARMINGTON, AN AMBULATORY SURGERY CENTER IN FARMINGTON PRIMARY CARE CENTERS AND EAST HARTFORD AND WEST HARTFORD, FIVE SPECIALTY CARE CENTERS, AND 11 OTHER LOCATIONS. ITS LEVEL 1 PEDIATRIC TRAUMA CENTER IS THE BUSIEST BETWEEN BOSTON AND NEW YORK. MISSION ======= CONNECTICUT CHILDREN'S IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN THROUGH FAMILY-CENTERED CARE, RESEARCH, EDUCATION AND ADVOCACY. CONNECTICUT CHILDREN'S EMBRACES DISCOVERY, TEAMWORK, INTEGRITY AND EXCELLENCE IN ALL THAT IT DOES. PROGRAMS OF EXCELLENCE ====================== CONNECTICUT CHILDREN'S OFFERS THE HIGHEST LEVEL OF CARE TO CHILDREN AND OUR PHYSICIANS AND PROGRAMS ARE CONSISTENTLY HONORED FOR THEIR EXCELLENCE. RECENT AWARDS INCLUDE THE 2021 WOMEN'S CHOICE AWARD FOR BEST CHILDREN'S HOSPITALS AND THE 2020-21 U.S. NEWS & WORLD REPORT BEST CHILDREN'S HOSPITAL. IN ADDITION, THERE ARE SEVERAL PROGRAMS OF EXCELLENCE AT THE MEDICAL CENTER THAT HAVE TIME AND AGAIN EARNED NATIONAL AND INTERNATIONAL HONORS AND ACCOLADES INCLUDING, BUT NOT LIMITED TO: - DIABETES & ENDOCRINOLOGY; - GASTROENTEROLOGY; - NEONATOLOGY; - ORTHOPAEDICS; - RECONSTRUCTIVE AND SOLID TUMOR SURGERY; - SURGERY; AND - UROLOGY. EACH OF OUR PROGRAMS OF EXCELLENCE OFFERS SUPERIOR PEDIATRIC CLINICAL CARE AND HAS DEMONSTRATED THE ABILITY TO: 1) EXPAND ACCESS TO SERVICES TO MEET THE GROWING NEEDS OF CHILDREN AND FAMILIES; 2) INTEGRATE VARIOUS DISCIPLINES OF CLINICAL PRACTICE TO PROVIDE EXPANDED ADVANCED CARE; 3) DEVELOP OPPORTUNITIES TO EXPAND BASIC AND CLINICAL RESEARCH; AND 4) CREATE OPPORTUNITIES TO BE AN INNOVATIVE LEADER IN EDUCATION AND TRAINING. OUTCOMES -------- NOTHING MATTERS MORE THAN THE OUTCOME. CONNECTICUT CHILDREN'S KEEPS KIDS HEALTHY, PROTECTS THEM FROM SURGICAL COMPLICATIONS AND IMPROVES THE QUALITY OF LIFE OF THOSE WITH CHRONIC CONDITIONS. PROCESS OF CARE --------------- SEVERAL ELEMENTS ARE CONSIDERED, INCLUDING HOSPITAL COMPLIANCE WITH BEST PRACTICES AND A COMMITMENT TO INFECTION CONTROL. RESEARCH ======== CONNECTICUT CHILDREN'S IS COMMITTED TO MAKING CHILDREN AND FAMILIES HEALTHIER. OUR TALENTED MEDICAL PROFESSIONALS ARE AT THE FOREFRONT OF RESEARCH AND CLINICAL TRIALS. SUCH SCIENTIFIC INQUIRIES CHANGE THE FUTURE OF CHILDREN'S HEALTHCARE. FROM FUNDAMENTAL MOLECULAR SCIENCE THAT HELPS US UNDERSTAND DISEASES AT THE MOST BASIC LEVEL, TO MOTION STUDIES DESIGNED TO DISCOVER NEW WAYS FOR YOUNG ATHLETES TO AVOID INJURIES AND CLINICAL TRIALS THAT ESTABLISH THE MOST EFFECTIVE AND EFFICIENT PROTOCOLS FOR TREATING CHILDREN, CONNECTICUT CHILDREN'S IS A RESEARCH LEADER. FOR EXAMPLE, CONNECTICUT CHILDREN'S DIVISION OF HEMATOLOGY & ONCOLOGY IS ENGAGED IN CONDUCTING MORE THAN 100 ACTIVE CLINICAL TRIALS AND RESEARCH STUDIES THROUGH THE CHILDREN'S ONCOLOGY GROUP, THE NEUROBLASTOMA AND MEDULLOBLASTOMA TREATMENT RESEARCH CONSORTIUM, THE PEDIATRIC CANCER FOUNDATION'S SUNSHINE PROJECT, THE SUNCOAST COMMUNITY CLINICAL ONCOLOGY PROGRAM AND PHARMACEUTIC COMPANY SPONSORS. THIS NUMBER OF OPEN PROTOCOLS DISTINGUISHES CONNECTICUT CHILDREN'S HEMATOLOGY & ONCOLOGY DIVISION AMONG THE TOP 20 PERCENT AMONG ITS PEERS. ADDITIONALLY, THE DIVISION IS IN THE TOP THIRD PERCENTILE FOR TOTAL PEDIATRIC CANCER PATIENTS ENROLLED IN TRIALS. THIS IS ESPECIALLY IMPRESSIVE GIVEN THAT CONNECTICUT CHILDREN'S IS CONSIDERED ONE OF THE SMALLER FREE-STANDING CHILDREN'S HOSPITALS IN THE COUNTRY. AWARDS AND RECOGNITION ====================== CONNECTICUT CHILDREN'S HAS RECEIVED THE FOLLOWING AWARDS: - 2021, 2019, 2018 & 2017 WOMEN'S CHOICE AWARD FOR BEST CHILDREN'S HOSPITALS; - 2020, 2019, 2018 & 2017 CHIME HEALTHCARE'S MOST WIRED AWARD; - 2020-21, 2019, 2018 & 2017 U.S. NEWS & WORLD REPORT BEST CHILDREN'S HOSPITAL; - 2020, 2019, 2018 & 2017 LANTERN AWARD; - 2018 3M AWARD FOR EXCELLENCE IN SKIN SAFETY; - 2016 CHILDKIND HOSPITAL DESIGNATION; - 2016 PRESS GANEY SUCCESS STORY AWARD; - 2016 HARTFORD BUSINESS JOURNAL HEALTHCARE HERO (CHRISTINE FINCK, M.D.); - 2016 HARTFORD BUSINESS JOURNAL BEST IN BUSINESS, ONCOLOGY (CENTER FOR CANCER AND BLOOD DISORDERS); - 2016 TOP MASTER'S IN HEALTHCARE ADMINISTRATION; - 2016 GET WITH THE GUIDELINES - RESUSCITATION SILVER AWARD; AND - 2015 TOP WORKPLACE IN CONNECTICUT, RANKED 10TH IN LARGE ORGANIZATION CATEGORY. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS OFFICE OF COMMUNITY CHILD HEALTH ("OCCH") ========================================= CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE") ELEVATES THE EFFECTIVENESS AND STATUS OF THE MEDICAL CENTER AS A CRITICAL COMMUNITY RESOURCE BY DEVELOPING, PROMOTING, SUPPORTING, EVALUATING AND DISSEMINATING INNOVATIVE, EFFECTIVE COMMUNITY-ORIENTED PROGRAMS AND SERVICES TO ADDRESS CHILDREN'S CRITICAL HEALTH NEEDS. WHAT WE DO ---------- THE OFFICE ADDRESSES CRITICAL CONTEMPORARY ISSUES IN CHILDREN'S LIVES THAT HAVE THE POTENTIAL TO ADVERSELY AFFECT THEIR HEALTH AND DEVELOPMENT. THE OFFICE NOT ONLY SERVES AS A CRITICAL COMMUNITY RESOURCE, BUT ALSO CULTIVATES INNOVATIVE AND COST-EFFECTIVE SOLUTIONS TO ADDRESS EXISTING GAPS IN OUR HEALTH CARE AND CHILD SERVICE SYSTEMS. THROUGH THE OFFICE, CONNECTICUT CHILDREN'S MEDICAL CENTER ENSURES THAT FAMILIES HAVE ACCESS TO A COMPREHENSIVE SYSTEM OF COMMUNITY PROGRAMS AND SERVICES THAT SUPPORTS THEM IN PROMOTING THEIR CHILDREN'S OPTIMAL HEALTHY DEVELOPMENT. OUR MODEL --------- THE OFFICE OVERSEES A VARIETY OF COMMUNITY-ORIENTED PROGRAMS THAT ADDRESS A WIDE RANGE OF FACTORS THAT INFLUENCE CHILDREN'S HEALTHY DEVELOPMENT. THOSE PROGRAMS, AND THEIR COMMUNITY-BASED PARTNERS, NOT ONLY FOCUS ON THE TRADITIONAL AREAS OF CHILD HEALTH SERVICES, FAMILY SUPPORT, AND EARLY CARE AND EDUCATION, BUT ALSO TOUCH OTHER SECTORS INCLUDING FOOD AND NUTRITION, HOUSING, ECONOMIC DEVELOPMENT, CHILD WELFARE, AND TRANSPORTATION. THE OFFICE TAKES A THREE-PRONGED APPROACH TO PROMOTING CHILDREN'S OPTIMAL HEALTHY DEVELOPMENT: 1. STRENGTHENING EXISTING COMMUNITY-ORIENTED PROGRAMS; 2. FACILITATING SYNERGIES AMONG THOSE PROGRAMS; AND 3. SERVING AS AN INNOVATION INCUBATOR FOR PROMISING APPROACHES THAT IMPROVE SHORT AND LONG-TERM HEALTH OUTCOMES FOR CHILDREN. THE OFFICE SERVES AS A NEW MODEL FOR OTHER CHILDREN'S HOSPITALS TO FOLLOW IN TERMS OF DEMONSTRATING THEIR COMMUNITY BENEFIT TO MAINTAIN TAX EXEMPT STATUS. IN THE PAST, HOSPITALS HAVE TRADITIONALLY RELIED ON DOCUMENTING THE DISCOUNTED AND UNREIMBURSED CARE THAT THEY PROVIDE TO PATIENTS. NOW, UNDER THE AFFORDABLE CARE ACT, THERE HAS BEEN A SHARP REDUCTION IN THE NUMBER OF AMERICANS WHO ARE UNINSURED AND, THEREFORE, A REDUCTION IN THE NEED FOR DISCOUNTED OR UNREIMBURSED CARE. BECAUSE OF THAT, HOSPITALS ARE BEING ENCOURAGED TO FIND NEW WAYS TO DEMONSTRATE THE BENEFIT THEY OFFER TO THEIR COMMUNITIES. THE OFFICE'S MODEL OFFERS A STRATEGIC APPROACH THAT SHOWS HOW ITS PROGRAMS ARE LINKED TO CRITICAL COMMUNITY NEEDS AND HOW THEY ARE ADDRESSING THOSE NEEDS. ALSO, THE OFFICE'S FOCUS ON PREVENTIVE AND COST-EFFECTIVE MODELS OF CARE FOR CHILDREN IS TIMELY GIVEN THE SHIFT IN HEALTHCARE TOWARDS ACCOUNTABLE CARE THAT EMPHASIZES VALUE IN TERMS OF KEEPING POPULATIONS HEALTHY. THE OFFICE TAKES AN ACTIVE LEADERSHIP ROLE IN INFORMING POPULATION HEALTH EFFORTS AT THE LOCAL, STATE AND NATIONAL LEVELS. OUR IMPACT, AT A GLANCE ----------------------- THE OFFICE HAS ESTABLISHED ITSELF AS A CRITICAL RESOURCE IN THE STATE AND ACROSS THE NATION AND IS: - PARTNERING WITH THE CONNECTICUT OFFICE FOR EARLY CHILDHOOD TO LEAD THE DEVELOPMENT OF A COMPREHENSIVE, STATEWIDE EARLY CHILDHOOD SYSTEM; AND - ENGAGED IN ONGOING DIALOGUE ON KEY PUBLIC POLICY CONCEPTS NECESSARY FOR SYSTEM-BUILDING WITH A WIDE ARRAY OF FEDERAL AGENCIES, INCLUDING THE MATERNAL AND CHILD HEALTH BUREAU, THE ADMINISTRATION FOR CHILDREN AND FAMILIES AND THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION. THE OFFICE PROGRAMS ------------------- CONNECTICUT CHILDREN'S OFFICE OF COMMUNITY CHILD HEALTH OPERATES A TOTAL OF 15 PROGRAMS: INNOVATION: - THE HELP ME GROW NATIONAL CENTER; - CHILDHOOD PROSPERITY LAB - EASY BREATHING; - KOHL'S START CHILDHOOD OFF RIGHT PROGRAM; AND - CARE COORDINATION COLLABORATIVE MODEL. DIRECT SERVICES: - CONNECTICUT CHILDREN'S CENTER FOR CARE COORDINATION; - CONNECTICUT CHILDREN'S HEALTHY HOMES PROGRAM; - HARTFORD YOUTH HIV IDENTIFICATION AND LINKAGE CONSORTIUM; AND - PERSON-CENTERED MEDICAL HOME. EDUCATION AND RESEARCH: - INJURY PREVENTION CENTER; - CO-MANAGEMENT; - CHILDREN'S CENTER ON FAMILY VIOLENCE; - EDUCATING PRACTICES IN THE COMMUNITY; - PRACTICE QUALITY IMPROVEMENT PROGRAM; AND - RESIDENT EDUCATION IN ADVOCACY AND COMMUNITY HEALTH. DESCRIPTIONS OF THOSE PROGRAMS ARE LISTED BELOW: INNOVATION ---------- THE HELP ME GROW NATIONAL CENTER, INNOVATED IN HARTFORD AND BASED AT CONNECTICUT CHILDREN'S MEDICAL CENTER, SERVES AS A NATIONAL RESOURCE FOR SUPPORTING THE REPLICATION OF HELP ME GROW SYSTEMS THROUGHOUT THE COUNTRY. TESTED AS A PILOT PROJECT IN HARTFORD IN 1997, THE PROGRAM EXPANDED STATEWIDE IN 2002 AND IS ALSO BEING REPLICATED AROUND THE COUNTRY. HELP ME GROW LINKS CHILDREN WHO ARE AT RISK FOR DEVELOPMENTAL OR BEHAVIORAL PROBLEMS TO HELPFUL COMMUNITY-BASED PROGRAMS AND SERVICES. CONNECTICUT CHILDREN'S CHILDHOOD PROSPERITY LAB OFFERS INDIVIDUALS AND ORGANIZATIONS AN EXCITING OPPORTUNITY TO GET CRUCIAL GUIDANCE, ACCESS TO KEY STAKEHOLDERS, AND TECHNICAL ASSISTANCE NEEDED TO MAKE INNOVATIONS PROMOTING THE OPTIMAL HEALTHY DEVELOPMENT OF CHILDREN SUCCESSFUL ON A LOCAL, STATEWIDE, AND EVEN NATIONAL LEVEL. THE PROSPERITY LAB, WHICH IS PART OF CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH (THE OFFICE), SEEKS TO ESTABLISH A PIPELINE OF INNOVATIONS THAT FOCUS ON THE HEALTH OF CHILDREN, STRENGTHEN FAMILIES, AND SHOW HIGH POTENTIAL FOR BEING BOTH SUSTAINABLE AND REPLICABLE. THE CHILDHOOD PROSPERITY LAB SEEKS TO ENGAGE A BROAD RANGE OF POTENTIAL COMMUNITY HEALTH INNOVATORS ADDRESSING CRITICAL COMMUNITY HEALTH NEEDS, INCLUDING INDIVIDUAL ENTREPRENEURS, BUSINESSES, COMMUNITY-BASED ORGANIZATIONS; RESEARCHERS; BEHAVIORAL HEALTH PROVIDERS, OTHER HEALTHCARE PROVIDERS, HEALTHCARE PAYERS AND OTHERS COMMITTED TO IMPROVING CHILDREN'S HEALTHY DEVELOPMENT. THE PROGRAM PLANS TO SUPPORT INNOVATIONS AS THEY MOVE TOWARDS MORE EVIDENCE-INFORMED, HIGHER IMPACT SOLUTIONS DESIGNED TO CLOSE EXISTING GAPS IN PROGRAMS AND SERVICES CURRENTLY OFFERED TO CHILDREN ACROSS A VARIETY OF SECTORS. EASY BREATHING IS A COMMUNITY-BASED ASTHMA MANAGEMENT PROGRAM INNOVATED AT CONNECTICUT CHILDREN'S AND HOUSED IN OUR ASTHMA CENTER. IT ENSURES CHILDREN, FAMILIES AND PHYSICIANS WORK TOGETHER TO MANAGE ASTHMA SYMPTOMS USING NATIONAL ASTHMA GUIDELINES. THE PROGRAM IS AVAILABLE TO CHILDREN ACROSS CONNECTICUT AND IS ALSO BEING REPLICATED IN OTHER STATES. THE KOHL'S START CHILDHOOD OFF RIGHT (SCOR) PROGRAM IS DEDICATED TO DECREASING OBESITY IN HARTFORD CHILDREN FROM BIRTH TO AGE 2 BY FIVE PERCENT. SCOR IS WORKING TO ACCOMPLISH THAT GOAL THROUGH THE FOLLOWING ACTIVITIES: 1) CONVENE A COLLABORATIVE OF COMMUNITY PARTNERS WHO ARE MOBILIZED TO COMBAT CHILDHOOD OBESITY; 2) EDUCATE PEDIATRIC PROVIDERS TO COUNSEL HARTFORD FAMILIES ON HEALTHY NUTRITION AND ACTIVITY AND PROVIDE REFERRALS TO COMMUNITY RESOURCES FOR AT RISK 0-2 YEAR OLDS; 3) TRAIN COMMUNITY OUTREACH WORKERS ON COUNSELING AND SUPPORTING FAMILIES WITH 0-2 YEAR OLDS TO UTILIZE CONSISTENT HEALTHY GROWTH MESSAGING; 4) CONNECT HARTFORD FAMILIES TO HEALTH PROMOTION ORGANIZATIONS DURING WELLNESS EVENTS AND SHARING HEALTHY EATING MESSAGES; AND 5) REFER AT RISK FAMILIES TO CHILD DEVELOPMENT INFOLINE TO CONNECT THEM TO COMMUNITY RESOURCES. THE CARE COORDINATION COLLABORATIVE MODEL IS THE SIGNATURE INNOVATION OF CONNECTICUT CHILDREN'S CETNER FOR CARE COORDINATION. THE MODEL IMPROVES COLLABORATION AMONG CARE COORDINATORS FROM DIVERSE SECTORS INCLUDING CHILD HEALTH, EARLY CARE AND EDUCATION, AND FAMILY SUPPORT. IT ALSO PROVIDES CHILDREN AND FAMILIES WITH LINKS TO EFFECTIVE SERVICES. IT WORKS BY BRINGING TOGETHER CARE COORDINATORS FROM SEVERAL CHILD-SERVING SECTORS FOR PERIODIC MEETINGS TO LEARN ABOUT AVAILABLE SERVICES AND HOW TO HELP FAMILIES ACCESS THEM, TO REVIEW CHALLENGING CASES AND DEVELOP SOLUTIONS FOR FAMILIES, AND TO ADVOCATE FOR POLICY LEVEL SOLUTIONS TO HELP FAMILIES ADDRESS CHALLENGES THEY FACE CONNECTING TO SERVICES. INITIALLY LAUNCHED IN THE GREATER HARTFORD AREA, THE PROGRAM HAS EXPANDED ACROSS THE STATE OF CONNECTICUT AND INTO ADDITIONAL STATES. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS DIRECT SERVICES --------------- THE CONNECTICUT CHILDREN'S CENTER FOR CARE COORDINATION (THE CENTER) EMPOWERS FAMILIES OF ALL CHILDREN, INCLUDING THOSE WITH SPECIAL NEEDS, BY HELPING THEM ADVOCATE FOR ACCESS TO APPROPRIATE MEDICAL, BEHAVIORAL, EDUCATIONAL, LEGAL, AND SOCIAL SERVICES. THE CENTER ALSO PROVIDES TRAINING AND TECHNICAL SUPPORT FOR COMMUNITY-BASED PRIMARY CARE PROVIDERS, SUPPORTING THEM TO BECOME MEDICAL HOMES FOR THE CHILDREN THEY SERVE. THE CONNECTICUT CHILDREN'S HEALTHY HOMES PROGRAM IMPROVES THE LIVES OF CHILDREN BY MAKING THEIR HOMES HEALTHIER, SAFER AND MORE ENERGY EFFICIENT. THE PROGRAM PROVIDES QUALIFIED HOMEOWNERS AND TENANTS WITH INSPECTIONS AND PLANS FOR THE REMOVAL OF LEAD, ASTHMA TRIGGERS, AND SAFETY HAZARDS. IT ALSO PROVIDES FINANCIAL ASSISTANCE FOR REMEDIATION, RELOCATION ASSISTANCE DURING CONSTRUCTION, REFERRALS TO LOW-COST OR NO-COST WEATHERIZATION PROGRAMS TO INCREASE ENERGY EFFICIENCY, AND EDUCATION PERTAINING TO HEALTHY AND SAFE HOMES. THE HARTFORD YOUTH HIV IDENTIFICATION AND LINKAGE CONSORTIUM WORKS TO PREVENT THE SPREAD OF HIV AND OTHER SEXUALLY TRANSMITTED DISEASES AMONG YOUTH. THE PROGRAM PROVIDES INTERACTIVE PREVENTION EDUCATION, COMMUNITY ENGAGEMENT AND OUTREACH, AND YOUTH FRIENDLY HIV/STD SCREENINGS. THE CONSORTIUM ALSO LINKS YOUTH TO MEDICAL CARE SERVICES, EMPLOYMENT SERVICES AND OTHER COMMUNITY RESOURCES. THE CONNECTICUT CHILDREN'S PRIMARY CARE CENTER RECENTLY RECEIVED DESIGNATION AS A PERSON CENTERED MEDICAL HOME. IN ACHIEVING THAT RECOGNITION, THE CENTER MET RIGOROUS STANDARDS SET BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AND WAS RECOGNIZED FOR COORDINATING PATIENT CARE, MAINTAINING A HIGH LEVEL OF QUALITY IN SERVICE DELIVERY, AND ENSURING THAT PATIENTS AND FAMILIES REMAIN AT THE CENTER OF ALL CARE. SEVERAL PROGRAMS OVERSEEN BY THE OFFICE FOR COMMUNITY CHILD HEALTH SUPPORT THE PRIMARY CARE CENTER IN ITS MEDICAL HOME STATUS. EDUCATION AND RESEARCH ---------------------- THE INJURY PREVENTION CENTER ENGAGES IN RESEARCH, COMMUNITY OUTREACH, EDUCATION, TRAINING, AND PUBLIC POLICY WORK TO REDUCE PREVENTABLE INJURIES AND VIOLENCE TO CHILDREN. ITS THREE PRIMARY FOCUS AREAS ARE TEEN DRIVING SAFETY, TEEN SUICIDE PREVENTION AND DOMESTIC VIOLENCE PREVENTION. ITS COMMUNITY PROGRAMS, INCLUDING SAFE KIDS CONNECTICUT AND THE INJURY FREE COALITION FOR KIDS OF HARTFORD, ADDRESS A WIDE RANGE OF CHILD SAFETY CONCERNS RANGING FROM CHILD PASSENGER SAFETY TO POISONING PREVENTION AND OTHER HOME SAFETY ISSUES. CO-MANAGEMENT EMPOWERS PRIMARY CARE PROVIDERS TO IMPROVE THE BREADTH AND QUALITY OF CARE THEY PROVIDE TO CHILDREN. PRIMARY CARE PROVIDERS PARTNER WITH SUBSPECIALISTS TO DESIGN PROTOCOLS FOR THE CARE OF CERTAIN HIGH PREVALENCE CONDITIONS THAT ARE TYPICALLY REFERRED TO SUBSPECIALISTS. BY DOING SO, THIS CARE MODEL ALLOWS CHILDREN TO RECEIVE SOME SUBSPECIALTY CARE WITHIN THEIR MEDICAL HOME AND ENSURES THAT THEY RECEIVE TIMELY ACCESS TO SUBSPECIALTY CARE WHEN NEEDED. THE MODEL FREES UP SUBSPECIALTY APPOINTMENTS FOR CHILDREN WHOSE CONDITIONS CANNOT BE MANAGED IN THE PRIMARY CARE SETTING. THE CHILDREN'S CENTER ON FAMLIY VIOLENCE AIMS TO INCREASE UNDERSTANDING ABOUT THE IMPACT FAMILY VIOLENCE HAS ON CHILDREN AND TO INCREASE SUPPORT SERVICES FOR AFFECTED CHILDREN. THE CENTER IS A PARTNERSHIP BETWEEN THE CONNECTICUT CHILDREN'S SUSPECTED CHILD ABUSE AND NEGLECT PROGRAM, THE CONNECTICUT CHILDREN'S INJURY PREVENTION CENTER, AND THE CONNECTICUT COALITION AGAINST DOMESTIC VIOLENCE. THE CENTER'S GOALS INCLUDE IMPROVING SERVICE SYSTEMS FOR AFFECTED FAMILIES, WHICH CURRENTLY OFTEN DO NOT UTILIZE BEST PRACTICES, AND ENHANCING RESEARCH EFFORTS FOR CHILD-FOCUSED INTERVENTIONS, WHERE THE EVIDENCE BASE IS CURRENTLY INADEQUATE. THE CENTER ALSO PLANS TO ESTABLISH A STATEWIDE FAMILY VIOLENCE INFORMATION SYSTEM TO GATHER DATA, IDENTIFY TRENDS, AND TRACK PROGRESS OVER TIME. THE EDUCATING PRACTICES IN THE COMMUNITY PROGRAM IS A SIGNATURE INNOVATION OF THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT AND IS SUPPORTED BY THE CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH. IT'S DESIGNED TO BRING THE NEWEST DEVELOPMENTS IN PEDIATRIC PRIMARY CARE TO CONNECTICUT'S CHILD HEALTH PROVIDERS THROUGH THE PROCESS OF ACADEMIC DETAILING AND WORKS TO ADVANCE SUSTAINABLE IMPROVEMENTS IN PRIMARY AND PREVENTIVE HEALTH AND MENTAL HEALTH CARE PRACTICES FOR ALL CONNECTICUT CHILDREN. THE PRACTICE QUALITY IMPROVEMENT PROGRAM HELPS PRIMARY CARE PHYSICIANS USE A DATA-DRIVEN, QUALITY IMPROVEMENT APPROACH TO ENHANCE THE SERVICES THEY PROVIDE TO CHILDREN. PROGRAM ACTIVITIES HELP PRACTICES IMPROVE THEIR SURVEILLANCE AND SCREENING FOR DEVELOPMENTAL RISKS, IMPROVE THEIR IDENTIFICATION OF BEHAVIORAL CONCERNS, AND CONNECT CHILDREN AND FAMILIES TO HELPFUL SERVICES. THE RESIDENT EDUCATION IN ADVOCACY AND COMMUNITY HEALTH PROGRAM HELPS TO FOSTER THE GROWTH OF FUTURE GENERATIONS OF PEDIATRICIANS WHO ARE COMMUNITY CHILD HEALTH ADVOCATES. THE PROGRAM NURTURES PEDIATRIC RESIDENTS TO BECOME FUTURE LEADERS BY PROVIDING THEM WITH UNIQUE OPPORTUNITIES TO DEVELOP KNOWLEDGE AND SKILLS IN THE AREAS OF ADVOCACY, COMMUNITY HEALTH AND PUBLIC POLICY. DURING THEIR TIME IN THE PROGRAM, PEDIATRIC RESIDENTS WORK CLOSELY WITH EXPERTS IN THE FIELDS OF POPULATION HEALTH, COMMUNITY RESEARCH, POLICY REFORM, AND SOCIAL INNOVATION ALL WITH THE GOAL OF PROMOTING CHILDREN'S HEALTHY DEVELOPMENT. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CCMC CORPORATION IS THE SOLE MEMBER OF THIS ORGANIZATION. CCMC CORPORATION HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE ASSUMES THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEM'S FINANCE PERSONNEL INCLUDING THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, CORPORATE CONTROLLER, ACCOUNTING MANAGER AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR REVIEW. THE SYSTEM'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE SYSTEM'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THE FORM 990 WAS THEN PROVIDED AND PRESENTED TO THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE AND SUBSEQUENTLY TO EACH VOTING MEMBER OF ITS GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE ORGANIZATION'S CORPORATE COMPLIANCE/CONFLICT OF INTEREST COMMITTEE ("COMMITTEE") HAS OVERSIGHT OVER THE MANAGEMENT OF IDENTIFIED OR REPORTED CASES OF CONFLICTS OF INTEREST. THE COMMITTEE IS ALSO RESPONSIBLE FOR DEVELOPING, APPROVING, AND IMPLEMENTING, AS APPROPRIATE, POLICIES AND EDUCATION RELATING TO VARIOUS TYPES OF CONFLICTS OF INTEREST. THE COMMITTEE HAS DELEGATED THE DAY TO DAY INVESTIGATION OF DISCLOSURES TO THE SYSTEM'S GENERAL COUNSEL AND DIRECTOR OF COMPLIANCE. COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S GENERAL COUNSEL, WHO PERFORMS AN INITIAL SCREENING OF THE CONFLICT OF INTEREST DISCLOSURES. IF POTENTIAL CONFLICTS OF INTERESTS ARE REPORTED, GENERAL COUNSEL COMPLETES FURTHER INVESTIGATION AND RECOMMENDS A MANAGEMENT PLAN OR OTHER CORRECTIVE ACTIONS TO THE COMMITTEE. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF CONNECTICUT CHILDREN'S SENIOR MANAGEMENT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE, INCLUDING COMPLEXITY OF SERVICES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S SENIOR VICE PRESIDENT OF HUMAN RESOURCES AND THE HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. PLEASE ALSO REFER TO OUR RESPONSE INCLUDED IN SCHEDULE J, PART III, QUESTION 3 FOR FURTHER INFORMATION ON HOW CONNECTICUT CHILDREN'S MEDICAL CENTER SATISFIES THE CRITERIA TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO EXECUTIVE COMPENSATION REVIEW AND APPROVAL. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE CONNECTICUT SECRETARY OF STATE. ADDITIONALLY, THE ORGANIZATION'S GOVERNING POLICIES AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR THE RELATED ORGANIZATION; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII AND SCHEDULE J CERTAIN INDIVIDUALS WERE REPORTED AS OFFICERS ON THE PRIOR YEAR FORM 990, CORE FORM, PART VII AND SCHEDULE J. UPON A REVIEW OF THEIR RESPECTIVE DUTIES, ROLES AND RESPONSIBILITIES IT WAS DETERMINED THAT THESE INDIVIDUALS DO NOT SATISFY THE CRITERIA TO BE AN OFFICER UNDER (1) FORM 990 RULES, REGULATIONS AND INSTRUCTIONS; (2) CONNECTICUT LAW; OR (3) THE ORGANIZATION'S BYLAWS. HOWEVER, IT WAS DETERMINED THAT THESE INDIVIDUALS SATISFY THE CRITERIA TO BE CLASSIFIED AS KEY EMPLOYEES FOR FORM 990 REPORTING PURPOSES. ACCORDINGLY, THESE INDIVIDUALS HAVE BEEN INCLUDED ON THIS FORM 990 AS KEY EMPLOYEES. PRIOR YEAR FORMS 990 HAVE NOT BEEN AMENDED. CORE FORM, PART VII AND SCHEDULE J IN JUNE 2020 BRIDGETT FEAGIN WAS HIRED AS THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER OF THE SYSTEM. IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2019 FORMS W-2. ACCORDINGLY, MS. FEAGIN HAD NO W-2 COMPENSATION REPORTED ON THE CURRENT YEAR FEDERAL FORM 990, CORE FORM VII, SECTION A, COLUMN D. CORE FORM, PART VII AND SCHEDULE J JAMES E. SHMERLING, DHA, FACHE IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL TIME BASIS. ADDITIONALLY, MR. SHMERLING IS EMPLOYED AND RECEIVES A FORM W-2 FROM THIS ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER (EIN: 06-0646755). ACCORDINGLY, THIS ORGANIZATION FILED A 2019 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SHMERLING'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS INCLUDE: - CHANGE IN EQUITY INTEREST IN THE NET ASSETS OF CONNECTICUT CHILDREN'S MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $9,522,191; - TRANSFER TO CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($32,984,851); - CHANGE IN FUNDED STATUS OF PENSION AND POST-RETIREMENT PLANS - ($2,286,502); - DONOR RESTRICTED CHANGE IN EQUITY INTEREST IN THE NET ASSETS OF CONNECTICUT CHILDREN'S MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($6,714,479); - NET PERIODIC PENSION CREDIT - $976,826; AND - DONOR RESTRICTED CHANGE IN FUNDS HELD IN TRUST BY OTHERS - $557,657. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S MEDICAL CENTER AND SUBSIDIARIES, FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2020 AND SEPTEMBER 30, 2019; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, CCMC CORPORATION AND SUBSIDIARIES ALSO RECEIVED AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2020 AND SEPTEMBER 30, 2019; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8160074 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONNAL FEES TOTAL FEES:25989336 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:8752281 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:3347655 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:402393 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES TOTAL FEES:110271 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE FEES TOTAL FEES:144763 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:677656 CONNECTICUT CHILDREN'S CARE NETWORK LLC 282 WASHINGTON STREET HARTFORD CT 06106 834451707 CLIN INT NTWK CT 0 0 CT CHILDRENS CCMC CORPORATION 282 WASHINGTON STREET HARTFORD CT 06106 222619876 HLTHCARE SVCS CT 501(C)(3) 509(A)(3) NA false CONNECTICUT CHILDREN'S MEDICAL CTR FDN 282 WASHINGTON STREET HARTFORD CT 06106 222619869 FUNDRAISING CT 501(C)(3) 509(A)(1) CCMC CORP false CCMC AFFILIATES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619870 INACTIVE CT 501(C)(3) 509(A)(2) CCMC CORP false CONNECTICUT CHILDREN'S SPECIALTY GROUP 282 WASHINGTON STREET HARTFORD CT 06106 061446900 HLTHCARE SVCS CT 501(C)(3) 509(A)(2) CT CHILDRENS true CHILDREN'S FUND OF CONNECTICUT INC 270 FARMINGTON AVENUE FARMINGTON CT 06032 061364513 HLTHCARE SVCS CT 501(C)(3) 509(A)(3) CT CHILDRENS true CHILDREN'S HEALTH & DEVEL INSTITUTE INC 270 FARMINGTON AVENUE FARMINGTON CT 06032 061504725 HLTHCARE SVCS CT 501(C)(3) 509(A)(1) CFCT false CAPITAL AREA HEALTH CONSORTIUM INC 270 FARMINGTON AVENUE FARMINGTON CT 06032 510173264 SUPPORT SVCS CT 501(C)(3) 509(A)(3) CT CHILDRENS true CCMC VENTURES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619873 INACTIVE CT NA C CORP. false NEW ENGLAND PEDIATRICS INDEMNITY LTD 50 CEDAR AVENUE HAMILTON BERMUDA BD HM 11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false CONNECTICUT CHILDREN'S EYE CARE PC 10 COLUMBUS BOULEVARD HARTFORD CT 06106 852351691 INACTIVE CT CCMC C CORP. 0 0 1.00000 true NY CHILDREN'S MEDICAL PROVIDER SVCS PC 282 WASHINGTON STREET HARTFORD CT 06106 853381942 HEALTH SERVICES NY CCMC C CORP. 181618 61547 1.00000 true false false true true true false false false true true false false false true true true true true true CCMC CORPORATION O 207624 COST CCMC CORPORATION R 291635 COST CONNECTICUT CHILDREN'S SPECIALTY GROUP P 16208692 COST CONNECTICUT CHILDREN'S SPECIALTY GROUP R 32984851 COST SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE CCMC CORPORATION ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.