2019-08-13T09:08:20-05:00 2018-09-30 346565596 Ernst & Young US LLP 55 Ivan Allen Blvd Suite 1000 Atlanta GA 30308 990 2017-10-01 060646668 Hartford Hospital HART 8606966200 80 Seymour Street PO Box 5037 Hartford CT 061025037 MARK KEISE Authorized Signer 8606966282 2019-08-13 0 Aerrial M Orr P01598400 4048748300 199.231.28.240 2019-08-13 09:07:42 ED P AB8BD5A88D4BA927D2DA994192B6818756100B67 CD71869BFC494223FABD92E93AB0669CE7B22062 2017 2019-02-21 02:37:17Z Bimal Patel 80 Seymour Street Hartford CT 06102 1647415663 0 X www.hartfordhospital.org X 1854 CT To improve the health and healing of the people and communities we serve. 11 9 8234 861 729758 -41179 36133750 29968749 1314224290 1535320889 32991272 67627144 2389680 -1864935 1385738992 1631051847 670565 590951 0 0 568688773 620627995 0 0 1620824 731345970 901136630 1300705308 1522355576 85033684 108696271 1661491895 1792515823 889633542 778979016 771858353 1013536807 X To improve the health and healing of the people and communities we serve. 0 0 251696470 252393234 Hartford Hospital has an unwavering commitment to provide the very best care to our cardiac patients who need clinical services, angioplasty, surgery or other procedures, as well as others who want to make their hearts healthier through preventive, pharmacological or rehabilitative therapy. Clinical research in cardiovascular disease is another major component of the program.At the completion of FY18, the Division of Cardiology was comprised of 20 full time faculty cardiologists, 1 per diem cardiologist, 5 full time and 1 per diem cardiac hospitalists, and 1 doctoral-level part time researcher. Cardiology division members published 45 manuscripts in peer-reviewed journals in 2017-2018. Many of these articles were published in top medical journals. For FY18, the total In-Patient Care days were 37,476.Heart & Vascular Services Provided at Hartford Hospital:Atrial Fibrillation CenterCardiovascular SurgeryChest Pain CenterCongestive Heart Disease CenterHeart Failure Infusion ProgramHeart Failure Rescue ProgramHeart TransplantationLDL-Apheresis CenterMinimally Invasive Maze SurgeryMitral Valve RepairNuclear CardiologyPreventive CardiologyTranscatheter Aortic Valve Replacement (TAVR) ProgramVascular LaboratoryHeart & Vascular Conditions Treated at Hartford Hospital:Adult Congenital Heart DiseaseAbnormal Heart RhythmsAnginaAortic Aneurysm & DissectionAortic DiseaseBroken Heart SyndromeCardiac TumorsCardiomyopathyCarotid Artery DiseaseChest PainCholesterolCoronary Artery DiseaseDeep Vein ThrombosisEndocarditisHeart FailureHeart AttackHypertensionMarfan SyndromeMesenteric Artery DiseaseMitral Valve RepairMyocardial Infarction (Heart Attack)MyocarditisPalpitationsPericarditisPeripheral AneurysmPeripheral Artery DiseasePulmonary EmbolismRenal Artery DiseaseSyncopeThoracic Outlet SyndromeValvular Heart DiseaseVein TherapiesDepartment accomplishments:- The Department opened a new Cardiac Catheterization Lab and Pre/Post holding area.- The Division of Electrophysiology has been chosen to be one of 11 centers in the United States to evaluate the Medtronic Bluesync MyCareLink Heart app enabling patient's pacemakers to communicate with their iPhone to send updates on their implanted devices to their physicians.- Heart Transplantation: Hartford Hospital 1-year and 3-year heart transplant survival rate either equals or exceeds the Scientific Registry of Transplant Recipients (SRTR) benchmarks. 144315703 157044742 Hartford HealthCare is Connecticut's most comprehensive healthcare network. Our fully integrated health system includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, two community hospitals. The revenue and expenses above are for Hartford Hospital and not the entire HealthCare System. The Hartford HealthCare Cancer Institute encompasses comprehensive cancer centers at five hospitals across Connecticut - Hartford Hospital, The Hospital of Central Connecticut, Backus Hospital, MidState Medical Center and Windham Hospital. Collectively, the cancer programs within the Cancer Institute treat more than 5,000 new cancer patients per year while caring for tens of thousands of existing patients, offering a full range of innovative, evidence-based and personalized treatments designed to meet the needs of each individual patient. Our innovative Institute approach is unlike any other in the state and is among the most highly regarded in the nation. Through our Institute, which is organized around a specific disease and not necessarily location, we can apply best practices throughout our system so that patients receive the same high standards of care no matter where they live or which Hartford HealthCare cancer center they choose. For all of our patients, a dedicated team of oncologists, surgeons, radiologists, pathologists, nurses, clinical researchers, technicians and others collaborate to provide the exact course of care they need. The Institute's multidisciplinary disease management teams meet and collaborate regularly to lend expertise and insight on numerous cancer types, translating into exceptional coordinated care. The Institute's accomplished, fellowship-trained physicians are nationally recognized for their level of sophisticated care in areas such as radiation oncology, medical oncology and surgical oncology. Patients are also cared for in an environment that emphasizes compassion and personal connections, with a team of trained nurse navigators who provide guidance and support to patients and families, from diagnosis to recovery. The Institute also boasts a thriving survivorship program. In 2013, the Hartford HealthCare Cancer Institute became the first community-based cancer program to become a member of the Memorial Sloan Kettering Cancer Alliance, establishing a relationship with one of the world's premier cancer centers. The Institute's membership in the Alliance provides patients in Connecticut access to the most advanced, leading-edge treatments available anywhere. In 2017, the Institute was accredited as a network by the American College of Surgeons Commission on Cancer, one of a select few institutes nationwide to be recognized as a system, rather than individual cancer centers. For patients coming through our doors with a cancer diagnosis, that means three things: standardized care, more options and more hope.More than four years after the Hartford HealthCare Cancer Institute became the charter member of the Memorial Sloan Kettering (MSK) Cancer Alliance, cancer patients now have unprecedented access to the world's most advanced clinical trials. And more than ever before, physicians, nurses, pharmacists and researchers are working collaboratively to implement cancer treatment standards and protocols developed at MSK, the premier cancer treatment center in the country. This distinctive cancer care and clinical research partnership means the Hartford HealthCare Cancer Institute brings the most innovative, evidence-based cancer care directly into community settings.During FY18, the Institute had 5,598 new cases across the system,which were as follows:Hartford Hospital - 3,132Hospital of Central Connecticut - 1,013Backus Hospital - 765MidState Medical Center - 516Windham Hospital - 172The five most common types of cancer diagnosed by teams of specialists at the Hartford HealthCare Cancer Institute are cancers of the bladder, breast, colon, lung and prostate. Each patient has a unique scenario requiring a personalized plan.1,101 Breast Cancer cases were treated across the system as follows:Hartford Hospital - 571Hospital of Central Connecticut - 251Backus Hospital - 123MidState Medical Center - 122Windham Hospital - 34726 Lung Cancer cases were treated across the system as follows:Hartford Hospital - 392Hospital of Central Connecticut - 142Backus Hospital - 109MidState Medical Center - 59Windham Hospital - 24676 Prostate Cancer cases were treated across the system as follows:Hartford Hospital - 386Hospital of Central Connecticut - 98Backus Hospital - 110MidState Medical Center - 62Windham Hospital - 20370 Bladder Cancer cases were treated across the system as follows:Hartford Hospital - 175Hospital of Central Connecticut - 79Backus Hospital - 57MidState Medical Center - 46 Windham Hospital - 13241 Colon Cancer cases were treated across the system as follows:Hartford Hospital - 137Hospital of Central Connecticut - 42Backus Hospital - 26MidState Medical Center - 36 Today, Hartford HealthCare is creating a better future for healthcare in Connecticut and beyond. We are a community of caregivers engaged in developing a coordinated, consistent high standard of care. We use research and education as partners in care delivery. We create and engage in meaningful alliances to enhance access to services. We invest in technology and training to develop new pathways to improve the timeliness, efficiency and accuracy of our services. 98677748 107687876 The orthopedic surgeons at the Bone & Joint Institute provide outstanding diagnosis, treatment and rehabilitation for musculoskeletal disorders and injuries.The Institute is run by our board-certified orthopedic surgeons and staffed by a multi-disciplinary treatment team. This includes subspecialists like musculoskeletal radiologists, anesthesiologists, rheumatologists, orthopedic oncologists, physical medicine specialists and pain management specialists. Our nurses, physical therapists, occupational therapists and case managers are all specially trained and certified in orthopedics. Our central location in Hartford gives the community easy access to treatment for their orthopedic needs. Patients are referred from the emergency room as well as community clinics. The Bone & Joint Institute's specialty clinics are outpatient centers whose mission is to provide quality orthopedic care for Hartford's underserved population.The specialty orthopedic clinics offer all of the services patients require, in one convenient location, which simplifies their ability to get care. This includes on-site X-rays, casting services, a pharmacy, a laboratory for blood work, a medical equipment provider for orthotics and braces, and physical therapy services. Whenever possible, clinic staff support people to overcome potential barriers to care, helping them access resources for financial and transportation related issues.All of our specialty clinics maintain close relationships with the Hartford-based orthopedics practices including Orthopedic Associates, the Hand Center in Glastonbury, and Rheumatology Associates. Departments/Services provided by the Institute include:Anesthesiology; Musculoskeletal Health; Rheumatology & Bone Health; Foot and Ankle Services; Fragility Fracture Program; Hand Services; Hip Reconstructive Services; Joint Reconstructions Services; Knee Reconstructions Services; Orthopedic Radiology; Physiatry; Rehabilitation Services; Shoulder Reconstructions Services; Spine Services; Sports Health; Trauma as well as variety of others Orthopedic related services. 857854299 590951 1018166978 Hartford Hospital, founded in 1854, is one of the largest teaching hospitals and tertiary care centers in New England with perhaps the region's busiest surgery practice and has been training physicians for over 160 years. It is a member of Hartford HealthCare Corporation, a large, diversified health care system.The hospital is a regional referral center that provides high-quality care in all clinical disciplines. Among its divisions is The Institute of Living, a 114-bed mental health facility with a national and international reputation of excellence. Jefferson House, a 104-bed long-term care facility, is also part of Hartford Hospital. The hospital's active medical staff includes more than 1,000 physicians and dentists within 18 departments. It is an 867-bed hospital occupying a 65-acre campus in downtown Hartford and operating satellite facilities in Avon, Bloomfield, Cheshire, Enfield, Farmington, Glastonbury, Granby, Manchester, Meriden, Newington, Prospect, South Windsor, Vernon, Wallingford, West Hartford, Wethersfield and Windsor.In addition to above, the hospital provides services/programs including but not limited to the following:BariatricsBehavioral & Mental HealthBone & Joint InstituteCancer CareCardiology & Heart CareCedar Mountain CommonsCenter for Musculoskeletal HealthCritical CareCystic Fibrosis CenterDentalDiabetesEmergency ServicesEye CareEye SurgeryGastroenterologyHeadache CenterHearing & BalanceHerniasImaging ServicesIntegrative MedicineJefferson HouseLIFE STARLiver & HepatologyLung & PulmonaryMedical Weight LossMinimally Invasive SurgeryMovement Disorders CenterNeurosciencesPalliative CarePain TreatmentPediatricsPhysical RehabilitationPrimary Care & Family MedicineRobotic SurgerySenior ServicesSleep DisordersSpine CareStrokeSurgical Weight LossThoracic SurgeryTransplant ServicesTraumatologyUrology & KidneyVascularWomen's Health ServicesWound CareWeight Loss 857854299 590951 1018166978 1352544220 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 512 0 1 8234 1 1 1 0 0 0 0 1 1 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CT X Carol Wardell 8606966200 80 Seymour Street Hartford CT 061025037 Arnold Chase Director 2.00 X 0 0 0 Alexia Cruz Director 2.00 X 0 0 0 James Loree Director 2.00 X 0 0 0 Yvette Melendez Director 2.00 X 0 0 0 Michael O'Loughlin Director 2.00 X 0 0 0 Dariush Owlia MD Director 2.00 X 0 0 0 E Carol Polifroni Director 2.00 X 0 0 0 Magdelena Rodriguez Director (Thru Aug. 2018) 2.00 X 0 0 0 Westley Thompson Director (Thru Oct. 2017) 2.00 X 0 0 0 Matthew Saidel MD Director 2.00 X 91667 0 0 Eric Zachs Director 2.00 X 0 0 0 Douglas Elliot Chair 3.00 X X 0 0 0 David McHale Vice Chair (Thru June 2018) 3.00 X X 0 0 0 Bimal Patel President & CEO 50.00 10.00 X X 0 703901 105710 Margaret Marchak Secretary & SVP/CLO, HHC 20.00 40.00 X 0 691694 136350 Julie Drouin HHC Reg. VP Finance 50.00 10.00 X 0 226605 57463 Elizabeth Ciotti VP 0.00 60.00 X 0 226950 38134 Cheryl Ficara VP 0.00 60.00 X 0 479513 81183 Barry Kriesberg VP 0.00 60.00 X 0 377747 57419 John Greene MD VP 0.00 60.00 X 0 662619 77010 Carol Garlick VP 60.00 X 263305 0 53501 Ajay Kumar MD VP 60.00 X 500612 0 60928 Harold Schwartz MD VP (Thru Sept. 2018) 20.00 40.00 X 0 640664 76070 Kenneth Robinson MD Dept Chair Emergency Medicine 60.00 X 602488 0 74668 Andrew Salner MD Chair Cancer Institute 60.00 X 597837 0 54140 Fred Tilden Jr MD Dir. ER Physician 60.00 X 454071 0 66500 Harry Arters III MD Emergency Room Physician 60.00 X 430745 0 57807 Edmond Cronin MD Dir. Electrophysiology 60.00 X 405061 0 56121 Stuart Markowitz MD Former - President & Director 0.00 60.00 X 0 1113670 81352 Peter Fraser Former - Key Employee 0.00 60.00 X 0 440316 67952 Gerald Boisvert Former - VP 0.00 60.00 X 0 629954 128575 Tracy Church Former - VP 0.00 60.00 X 0 783258 64934 3345786 6976891 1395817 1030 1 1 0 University of Connecticut Health Center 263 Farmington Avenue Farmington CT 06030 Medical Services 29873488 Gilbane Building Company 208A New London Turnpike Glastonbury CT 06033 Construction Services 29342606 FIP Construction Inc 1536 New Britain Avenue Farmington CT 06032 Construction Services 7615278 Origin Incorporated 1800 SW 1st Street Suite 510 Portland OR 97201 Staffing Services 7143668 Morrison Management SP Inc Acure Care 400 Northbridge Road Suite 600 Sandy Springs GA 30350 Food Services 6802726 136 29900 1627724 682247 9648999 17979879 2462819 29968749 Net Patient Revenue 624100 1493810167 1493810167 Pharmacy 541700 39010892 38893502 117390 Reference Testing 621500 1455346 838494 616852 Inc. From Inv - Other 900003 1044484 1048968 -4484 1535320889 14565329 14565329 3830739 8945830 -5115091 -5115091 -5115091 44692094 15068494 0 6698773 44692094 8369721 53061815 53061815 273611 1627724 719213 -445602 -445602 Cafeteria Income 722210 3695758 3695758 3695758 1631051847 1534591131 729758 65762209 530951 530951 60000 60000 752893 497528 255365 498754232 455880052 41831341 1042839 24617444 22491870 2074179 51395 63531851 58046244 5352969 132638 32971575 29672165 3219633 79777 171800 171800 87035 87035 1725549 1725549 99384260 99384260 140156 140156 18028820 13755468 4166778 106574 70041784 41180403 28861381 28199233 25595812 2603350 71 781998 771007 10482 509 1087813 1068817 18996 16483817 15297165 1186652 149466956 128691488 20775468 56880880 48210581 8667392 2907 14302533 14302533 Medical Supplies 270352351 270352351 Hosp Provider/User Tax 86484868 86484868 Purchased Services 56857027 21173271 35546052 137704 Equipment & Ppty Maint 15694331 14702063 937430 54838 14965419 2669774 12284073 11572 1522355576 1352544220 168190532 1620824 46252635 62517632 5250 8117414 5398834 159632654 167850242 25963735 23792287 9874631 11267640 1361431406 835872141 519825392 525559265 684172 352369 790567930 841397256 26396451 59980346 74171631 94399952 1661491895 1792515823 89092524 89426526 16383883 14392648 9115790 8723881 775041345 666435961 889633542 778979016 X 335043921 552039604 178851034 191500642 257963398 269996561 771858353 1013536807 1661491895 1792515823 X 108696271 -3838191 136820374 X 0 1 X 1 1 1 X 1 0 0 0 0 0 1 87035 0 0 87035 0 Part II-B, Line 1: Hartford Hospital paid annual dues to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. The Organization occasionally asks its employees to volunteer their time to contact state legislators in an effort to lobby on its behalf. The total amount of dues allocated for lobbying expenses for FY18 was $87,035. 0 194749523 6160000 12841000 5237000 208513523 168693523 9641000 21353000 4938000 194749523 159801523 635000 12775000 4518000 168693523 138546174 27936085 -2385301 4295435 159801523 131895671 1462396 8092554 2904447 138546174 0.50000 0.50000 0 1 1 35972331 35972331 801169598 508775621 292393977 524289477 327096520 197192957 525559265 Investment in Joint Ventures 9136984 F Investment in Endowment 666331188 F Funds Held in Trust 165929084 F 841397256 Other Receivables - Intercompany Bonds 7640501 Other Non Current Assets 11757583 ST/LT Malpractice Claims 47065229 CSV Life Insurance 229417 Due from Affiliates 27707222 94399952 Accrued Post Retirement Expenses 11838418 Accrued Asbestos Costs 164329 Other Net Liabilities 41025609 Payable to HHC - Interco Bonds 402957635 Hospital Provider Tax 21369769 Accrued Post Retirement Expenses 142014972 Current Accrued Malpractice 10730458 Long Term Accrued Malpractice 36334771 666435961 Part V, Line 4: The Hospital has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Hospital must hold in perpetuity or for a donor-specific period(s). Under this policy, the endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of at least 4% over the long term. Actual returns in any given year may vary from this amount. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes including but not limited to patient care, research and capital needs. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. Europe 0 0 Program Service Research Activities 298446 Middle East and North Africa 0 0 Program Service Research Activities 21230 0 0 0 0 0 0 319676 0 319676 0 0 0 0 0 0 Sch F, Part 1, Line 3, Column F The transactions shown on Part I of Sch F are being reported on a cash basis. Black & Red Ball 1787970 1526970 261000 25075 238548 301092 112938 Spring Into Action 28797 23743 5054 3240 2490 214 1 84568 77011 7557 532 20812 9400 4872 1901335 1627724 273611 532 49127 241038 310492 118024 719213 -445602 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 8584834 0 8584834 0.00560 289192405 240724323 48468082 0.03180 297777239 240724323 57052916 0.03740 1893727 1131301 762426 0.00050 59371870 22274565 37097305 0.02440 5481242 1627560 3853682 0.00250 1500933 0 1500933 0.00100 25549414 13899437 11649977 0.00770 93797186 38932863 54864323 0.03610 391574425 279657186 111917239 0.07350 341475 0 341475 0.00020 341475 341475 0.00020 0 17510000 0 264329835 285582663 -21252828 X 1 1 1 1 Hartford Hospital 80 Seymour Street Hartford CT 06102 hartfordhospital.org 0046 X X X X X Hartford Hospital 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X See Part V, Page 8 X X 1 17 1 See Part V, Page 8 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 Hartford Hospital Part V, Section B, Line 5: To solicit input from key informants and individuals who have broad interest in the health of the community, the hospital performed surveys, community forums, focus groups and interviews with key informants. The key informants were selected by community leader(s) or liaison(s). Additionally, focus groups were used to identify any other resource. Focus groups were conducted on February 2, 2018 and February 9, 2018. Community forums, and individual key informant interviews were conducted between February and June 2018.Key informants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the overall community. They were asked to rate the degrees to which various health issues were of concern in the Hartford Region. Follow up questions were asked to describe why they identified areas as such, and how these might be better addressed. The key informants included Physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following:Community Renewal TeamFoodshareImmaculate Conception ChurchHartford Habitat for HumanityCharter Oak Health Center (FQHC)Northend Senior CenterHartford Food SystemIntercommunity ConnecticutCommunity SolutionsPhilip Church Health MinistriesFaith CaresHartford Police Faith Based Community DepartmentCity of Hartford Department of Health and Human ServicesHispanic Nurses AssociationCentral Connecticut Health DistrictJourney Home ConnecticutChrysalis CenterHartford Behavioral HealthNorthern Connecticut Black Nurses AssociationEast Hartford Health DepartmentImmaCareSouthside Institutions Neighborhood AllianceLegacy Foundation of HartfordUrban League of Greater HartfordCommunity Health Services (FQHC)Farmington Valley Health DistrictMalta House of CareWest Hartford - Bloomfield Health DistrictGreater Hartford Legal Aid The 2018 CHNA took a close look at social determinants of health such as poverty, housing, transportation, education, fresh food availability, and neighborhood safety. Social determinants of health have become a national priority for identifying and addressing health disparities, and Hartford Hospital is committed to addressing these disparities through the Community Health Improvement Plan that will follow this Assessment. Thru this process, input was gathered from individuals whose organizations can provide information for the following data elements: Medically Underserved AreasHealth Professional Shortage AreasDemographicsEthnicity DistributionsMedian Household IncomesHomeownership RatesPoverty MetricsUnemployment RatesEducational MetricsChildren in Poverty and Single Parent HouseholdsLinguistically Isolated PopulationsUninsured Population EstimatesClinical Provider RatiosPhysical Environment MetricsCrime RatesGeneral Health Status IndicatorsCancer Prevalence and Screening IndicatorsCardiovascular DiseaseRespiratory DiseaseDiabetesInfectious DiseasesSexually Transmitted DiseasesBirths and Prenatal CareHealth BehaviorsBenchmark Metrics (HealthyPeople 2020)Part V, Section B, Line 7ahttps://hartfordhospital.org/about-hh/community-outreach/community-health-needs-assessment Hartford Hospital Part V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the hospital's website. In addition, electronic copies are available upon request.Part V, Section B, Line 10a:https://hartfordhospital.org/community-health-needs-assessment Hartford Hospital Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the 2018 CHNA process, the community representatives met on May 8, 2018 to determine the health needs that will be prioritized for action. The review of the identified needs were followed by a wide ranging discussion, after which the representatives were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews performed, the top community health needs and priorities for the Hartford Hospital focus area are listed below:Access to Care Access to care is impacted by a number of factors including availability of transportation, insurance cost, availability of primary care providers, availability of providers who take all insurance types, and community health center hours that meet the needs of those working during regular business hours. Food Concerns The availability of meals, lack of healthy food choices, and the cost of healthy food are a challenge for many, especially in the poorest neighborhoods in the service area. Access to healthy food, especially for children outside of school based programs and for seniors, is a challenge even for those in middle income areas. Mental Health and Substance Abuse The ongoing opioid epidemic, a shortage of mental health providers and counselors and the difficulty of recruiting additional providers, and a lack of effective mental health screening at all levels contribute to continuing challenges with mental health and substance abuse in the service area. Chronic Disease and Poor Physical and Mental Health Chronic disease including asthma and diabetes remain challenges despite community wide efforts. Varying rates of childhood vaccinations due to access to care as well as limited safe options for exercise/active living also contribute to poor health status including obesity and depression. City of Hartford scored significantly worse on multiple metrics relative to the state of Connecticut, including good physical health, good mental health, depression, obesity, amount of physical activity, and smoking. Collaboration, Communication, and Coordination Between Social Services Agencies and Health Care Providers Despite a significant number of outstanding community health initiatives, the majority of stakeholders who participated in focus groups and interviews said that a lack of coordination among and between providers and community based organizations limits the overall effectiveness of the programs and the funding that are going to help serve the populations most in need.Housing and Safety Issues Including Lack of Affordable Housing, Neighborhood Safety, and Housing Conditions While certain housing metrics for the overall service area are comparable to or better than the State of Connecticut, pockets of poverty in and around Hartford warrant additional attention relative to the impact that limited availability of housing and safe housing conditions/neighborhoods will have on community health status. The results were then grouped into 3 Areas of Concern that were addressed in Community Health Improvement Plan (CHIP):1. Enhance Coordination of Services: this category includes Access to Care and Collaboration, Communication and Coordination Between Social Services Agencies and Health Care Providers. CHIP addressed this need in the following manner:a. Develop Partnership & Collaboration with FQHC to reduce Emergency Department visits.b. Establish Software Program for Social Services (i.e. Aunt Bertha) to use for Referrals and Follow ups/Follow 'through'c. Sustain and Grow Community Provider Networks to sustain and grow community provider networks2. Promote Healthy Behaviors and Lifestyle: this category includes Food Concerns and Chronic Disease and Poor Physical and Mental Health. CHIP addresses this need in the following manner:a. Support/Increase number of farmers' markets in the community thru Hartford Hospital Coalition of Farmers Markets. b. Improved Access to Nutritional offerings by having number of farmers' markets accepting SNAP (Supplemental Nutrition Assistance Program) benefit.3. Improve community Behavioral Health: this category includes Mental Health and Substance Abuse. CHIP addresses this need in the following manner: a. Coordinate with Behavioral Health Network to create community educational opportunities that will offer programs on behavioral health and substance abuse through community provider networks. b. Promote mental health first aid trainingc. Community Care Team deployment to reduce the emergency department visits.An area of opportunity identified but not prioritized was Housing and Safety. Issues included Lack of Affordable Housing, Neighborhood Safety, and Housing Conditions. It was determined that Hartford Hospital does not have the appropriate resources or expertise to address these issues but supports efforts of other city and community agencies and organizations thru a $50,000 annual grant to Southside Institution Neighborhood Alliance Inc. (SINA), an organization that works with community stakeholders to restore economic vitality and improve the quality of life in the neighborhood of south central Hartford. Hartford Hospital Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of health care expenses. Hartford Hospital Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Line 16a, FAP website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance/financial-assistancePart V, Line 16b, FAP Application website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance/financial-assistancePart V, Line 16c, FAP Plain Language Summary website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance/financial-assistance Hartford Hospital Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. 38 1 - Jefferson House 1 John Stewart Drive Newington CT 06111 Nursing Home 2 - Cedar Mountain Commons 3 John Stewart Drive Newington CT 06111 Assisted Living 3 - Hartford Hospital 129 Patricia M Genova Drive Newington CT 06111 Diagnostic Laboratory 4 - Hartford Hospital 334 North Main Street West Hartford CT 06117 Rehabilitation Department 5 - Hartford Hospital 505 Willard Avenue Suite 1 Newington CT 06111 Eye Surgery Center 6 - Hartford Hospital 80 Fisher Drive Avon CT 06001 Cancer Center 7 - Hartford Hospital 11 South Road Suite 260 Farmington CT 06030 Cardiac Rehabilitation 8 - Hartford Hospital 1559 Sullivan Avenue South Windsor CT 06074 Wellness Center, Rehabilitation Department 9 - Hartford Hospital 1290 Silas Deane Highway Wethersfield CT 06109 Education Room 10 - Hartford Hospital 150 Fisher Drive Avon CT 06001 Grace Webb School 11 - Hartford Hospital 704 Hebron Avenue Glastonbury CT 06033 Wellness Center 12 - Hartford Hospital 100 Hazard Avenue Enfield CT 06082 Wellness Center, Rehabilitation Department 13 - Hartford Hospital 533 Cottage Grove Road Bloomfield CT 06002 Sleep Disorder Center 14 - Hartford Hospital 1060 Day Hill Road Windsor CT 06095 Wellness Center, Rehabilitation Department 15 - Hartford Hospital 725 Jarvis Street Cheshire CT 06410 Grace Webb School 16 - Hartford Hospital 85 Barnes Road Suite 300 Wallingford CT 06492 Rehabilitation Department 17 - Hartford Hospital 230 North Main Street Manchester CT 06042 Rehabilitation Department 18 - Hartford Hospital 2 Northwestern Drive Bloomfield CT 06002 Rehabilitation Department 19 - Hartford Hospital 1064 East Main Street Suite 205 Meriden CT 06450 Rehabilitation Department 20 - Hartford Hospital 406 Farmington Avenue Farmington CT 06030 Rehabilitation Department 21 - Hartford Hospital 18 East Granby Road Granby CT 06035 Rehabilitation Department 22 - Hartford Hospital 2 Northwestern Drive Bloomfield CT 06002 Center for Healthy Aging 23 - Hartford Hospital 462 Queen Street Southington CT 06489 Center for Healthy Aging 24 - Hartford Hospital 100 Simsbury Road Avon CT 06001 Wellness Center, Rehabilitation Department 25 - Hartford Hospital 339 West Main Street Avon CT 06001 Wellness Center 26 - Hartford Hospital 28 South Main Street Cheshire CT 06410 Rehabilitation Department 27 - Hartford Hospital 680 South Main Street Cheshire CT 06410 Rehabilitation Services 28 - Hartford Hospital 305 Western Boulevard Glastonbury CT 06033 Education Services 29 - Hartford Hospital 330 Western Boulevard Glastonbury CT 06033 Wellness Center, Rehabilitation Department 30 - Hartford Hospital 100 Grand Street New Britain CT 06050 Cardiac Services 31 - Hartford Hospital 505 Willard Avenue Suite 2A Newington CT 06111 Patient Experience Department 32 - Hartford Hospital 73 Waterbury Road Prospect CT 06712 Rehabilitation Department 33 - Hartford Hospital 35 Talcottville Road Suite 2 Vernon CT 06066 Wellness Center, Rehabilitation Department 34 - Hartford Hospital 445 South Main Street West Hartford CT 06110 Rehabilitation Department 35 - Hartford Hospital 65 Memorial Road West Hartford CT 06107 Wellness Center, Rehabilitation Department, Surgery Center 36 - Hartford Hospital 988 Silas Deane Highway Wethersfield CT 06109 Rehabilitation Department 37 - Hartford Hospital 1025 Silas Deane Highway Wethersfield CT 06109 Rehabilitation Department 38 - Hartford Hospital 1260 Silas Deane Highway Wethersfield CT 06109 Wellness Center, Sleep Disorder Center Part I, Line 3c: Hartford Hospital used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:The Organization submits quarterly reports to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Strategy (OHS) annually. Part I, Line 7: The organization utilized an overall cost to charge ratio (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations. Part II, Community Building Activities: Hartford Hospital (HH) interacts with the community to address needs and facilitate appropriate responses. For FY18, HH expended $341,475 on community building activities. Part III, Line 3: A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2018 would be immaterial. Part III, Line 4: Please see the text of the footnote that describes bad debt expense beginning on page 26 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 2. Part III, Line 8: Cost Reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, Hospitalist Programs, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The Hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 65% of unpaid amounts. The table reconciles the shortfall or surplus from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowabe costs. The unpaid coinisurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as Community Benenfits. Part III, Line 9b: The Financial Assistance Policy states: In the event a patient fails to qualify for Financial Assistance or fails to pay their portion of discounted charges pursuant to this Policy, and the patient does not pay timely their obligations to Hartford Hospital, the Hospital reserves the right to begin collection actions, including but not limited to, imposing wage garnishments or liens on primary residences, instituting legal action and reporting the matter to one or more credit rating agencies. For those patients that qualify for Financial Assistance and who are cooperating in good faith to resolve the Hospital's outstanding accounts, the Hospital may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to outside collection agencies and will cease all collection efforts. No Extraordinary Collection Actions (ECA) will be initiated during the first 120 days following the first post-discharge billing statement to a valid address or during the time that patient's Financial Assistance Application is processing. Before initiating any ECA, a notice will be provided to the patient 30 days prior to initiating such event.If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, any ECA's such as negative reporting to a credit bureau or liens that have been filed will be removed. Part VI, Line 2: Hartford Hospital uses Emergency Room data to track increases in medical conditions such as falls, flu, drug overdoses, etc. and the same approach is taken in our outpatient clinics. Periodically information is surveyed to determine additional patients needs. Information is also tracked from other entities such as local area non-profits, government agencies and public schools. Part VI, Line 3: Hartford Hospital provides information about its Financial Assistance Policy as follows: (i) provide signs regarding this Policy and written plain language summary information describing the Policy along with Financial Assistance contact information in the Emergency Department, Labor and Delivery areas and other patient registration areas; (ii) provide to each patient written plain language summary information describing the Policy along with Financial Assistance contact information in admission, patient registration, discharge, billing and collection written communications; (iii) make paper copies of the Policy, financial assistance application, and plain language summary of the Policy available upon request and without charge, both by mail and in public locations in the hospital facility, including the emergency room (if any) and admissions areas; (iv) post the Policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the HH's home page; (v) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy; and (vi) include the tag line "Please ask about our Financial Assistance Policy" in HH written publications. Part VI, Line 4: Hartford Hospital is located in the capital of the State of Connecticut and has a total population of approximately 273,115 residents. In Hartford County, 20.6% of the population are infants, children or adolescents (age 0-17); another 64.1% are age 18 to 64, while 15.4% are age 65 and older. In looking at race approximately 72.1% of residents of Hartford County are White, 6.8% are Black, 12.9% are Hispanic or Latino and 8.2% are classified as Other. 11.6% of the Hartford County population live below the federal poverty level. The unemployment rate is 8.2%. 10% doe not have a high school diploma and 20.6% have a Bachelor's Degree. Part VI, Line 5: The majority of Hartford Hospital's governing board is comprised of persons who either reside or work in its primary service area, and they are neither employees nor contractors of the Hospital.Hartford Hospital extends medical staff privileges to all qualified physicians in its community. The Hospital has partnered with the City of Hartford Department of Health and Human Services and the Hispanic Health Center to provide health services to the underserved in the community. In addition, the Hospital participates in research projects with the Hispanic Health Council to improve community health and well-being.The Hospital has contracted to use the services of an organization to assist its patients in determining eligibility and applying for state and federal means-tested programs, as well as for the Hospital's Financial Assistance Program.As a tertiary health center, teaching hospital and Level 1 Trauma Center, Hartford Hospital provides specialized services not available at other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O. Part VI, Line 6: Hartford HealthCare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Hartford Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care".The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. Part VI, Line 7, Reports Filed With States CT 1 Jewish Family Services 333 Bloomfield Avenue Suite A West Hartford CT 06117 060653062 501(c)(3) 5000 FMV Jewish Family Services is dedicated to enhancing and strengthening the quality of life through the Jewish tradition of caring and compassion by focusing on counseling, supporting daily living skills, meeting basic human needs and providing a safe and supportive environment. Junior Achievement of Southwest New England Inc 70 Farmington Avenue Hartford CT 06105 060665972 501(c)(3) 5000 FMV The Junior Achievement of Southwest New England's mission is to inspire and prepare young people to succeed in a global economy. Hockanum Valley Community Council Inc 29 Naek Road Suite 5A Vernon CT 06066 060864311 501(c)(3) 5000 FMV Sponsorship to assist in the organization's mission to provide food to the HVCC Food Pantry, Dial-A-Ride transaction services, senior services and mental health counseling to those whom may be suffering from emotional disorders. The Mandell Jewish Community Center 335 Bloomfield Avenue West Hartford CT 06117 060662142 501(c)(3) 5000 FMV The Mandell Jewish Community Center provides recreational, cultural, educational, and social programs designed to promote physical, intellectual, and spiritual well-being of its members and others who participate. As a center where all are welcome, their mission is rooted in a fundamental commitment to inclusivity and in universal Jewish values. The Mandell Jewish Community Center works to build community, cultural identity, and bridges of understanding by celebrating diversity and fostering appreciation for Jewish culture and heritage. Town of Newington 131 Cedar Street Newington CT 06111 066002047 501(c)(3) 6000 FMV To provide funding for the Good Samaritan Fund. Colon Cancer Coalition Inc 5666 Lincoln Drive Suite 270 Edina MN 55436 300377727 501(c)(3) 6000 FMV The Colon Cancer Coalition is dedicated to empowering local communities to promote prevention and early detection of colon cancer and to provide support to those affected. Connecticut Children's Medical Center Foundation 282 Washington Street Hartford CT 06106 222619869 501(c)(3) 8140 FMV Connecticut Children's Medical Center Foundation is dedicated to securing and stewarding financial resources from philanthropic partners which enables the organization to make the necessary investments in people, technology, state-of-the-art equipment and provide exceptional care to CCMC patients and families. Ron Foley Foundation 1000 Farmington Avenue Suite 108A West Hartford CT 06107 271386741 501(c)(3) 8500 FMV The Ron Foley Foundation is dedicated to funding medical research leading to early detection, more effective treatments and a cure for pancreatic cancer. The Ron Foley Foundation sponsors fundraising and annual events to build awareness and raise funds for patient assistance, education and research. American Cancer Society 825 Brook Street Rocky Hill CT 06067 131788491 501(c)(3) 10000 FMV The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer, through research, education, advocacy and service. Spanish American Merchants Association Inc 95 Park Street Hartford CT 06016 061390672 501(c)(3) 10000 FMV Spanish American Merchants Association (SAMA) is dedicated to assist business people, in particular Latinos, to acquire a better understanding of economic principles. SAMA provides technical assistance to promote business expansion, job creation and new entrepreneurship. The Connecticut Brain Tumor Alliance Inc PO Box 370514 West Hartford CT 06137 260307367 501(c)(3) 10000 FMV The Connecticut Brain Tumor Alliance is dedicated to providing hope and support to brain tumor patients and caregivers, while advancing brain tumor awareness, quality of care and brain tumor research. Hartford Youth Scholars 129 Allen Place Hartford CT 06106 203495171 501(c)(3) 10000 FMV Hartford Youth Scholars (HYS) is committed to ensuring that deserving students from Hartford succeed in high school and college so they can achieve even more in the neighborhoods they return to in the years that follow. HYS prepares highly motivated middle school students for a rigorous high school education; assists them in gaining acceptance and financial assistance at top college preparatory schools; and supports them through the college application process, college experience, and beyond. Connecticut Rivers Council Inc Boy Scouts of America 60 Darlin Street East Hartford CT 06108 060662110 501(c)(3) 12315 FMV The Connecticut Rivers Council is one of New England's largest private youth-serving organizations; the Connecticut Rivers Council delivers Scouting programs that develop character, citizenship, fitness, and leadership skills to more than 20,000 youth and nearly 7,000 adult volunteers in 127 cities and towns in Connecticut. The Boy Scouts of America collaborates with hundreds of churches, school affiliated groups and other community organizations that organize and operate local Scout groups. It is the mission of the Boy Scouts of America and the Connecticut Rivers Council to prepare young people to make ethical and moral choices over their lifetimes by instilling in them the values of the Scout oath and law. American Liver Foundation 127 Washington Avenue North Haven CT 06743 362883000 501(c)(3) 20000 FMV The American Liver Foundation is dedicated to promoting education, advocacy, support services and research for the presentation, treatment and cure of liver disease. Susan G Komen Southern New England 74 Batterson Park Road Farmington CT 06032 752844629 501(c)(3) 20000 FMV Susan G. Komen Southern New England is dedicated to saving lives by meeting the most critical needs in the communities and investing in breakthrough research to prevent and cure breast cancer. Connecticut Council for Philanthropy 221 Main Street Hartford CT 06106 237024016 501(c)(3) 20000 FMV The Connecticut Council for Philanthropy (CCP) is an association of grantmakers committed to promoting and supporting effective philanthropy for the public good. CCP believes in encouraging philanthropy that is guided by the values of transparency, accessibility, ethical conduct, and responsiveness to diverse populations. CCP values a diverse workforce and diverse leadership, because CCP believes that this enriches and elevates their work and community. Hispanic Health Council 175 Main Street Hartford CT 06106 061018979 501(c)(3) 25000 FMV To provide funding for the local Puerto Rico campaign. American Heart Association 5 Brookside Drive Wallingford CT 06492 135613797 501(c)(3) 25000 FMV The American Heart Association is committed to fighting heart disease and stroke and raising awareness of these diseases. As part of their mission, they focus on specific causes designed to help people achieve a heart-healthy lifestyle. Each of their cause initiatives reaches out to the public with resources and information to help them take positive action. Connecticut Cancer Foundation Inc 15 North Main Street Old Saybrook CT 06475 061240574 501(c)(3) 30000 FMV The Connecticut Cancer Foundation is dedicated to providing financial assistance to Connecticut cancer patients and their families to help with basic living expenses, such as rent, mortgage, and utilities, and to fund research. Southside Institutions Neighborhood Alliance Inc (SINA) 400 Washington Street Hartford CT 06106 061501542 501(c)(3) 50000 FMV SINA has been successful in reversing the negative trend in homeownership, stimulated renewal of the neighborhood's principal commercial corridor, opened up employment opportunities for neighborhood residents, acted as an economic development catalyst for neighborhood businesses, and provided leadership for comprehensive neighborhood strategies. In the process, it is fashioning a national model for neighborhood revitalization. Hospital General De Castaner Inc PO Box 1003 Castaner RQ 00631 660352014 501(c)(3) 60000 FMV To provide funding for the Puerto Rico campaign. Hartford HealthCare at Home Inc 1290 Silas Deane Highway Wethersfield CT 06109 060646938 501(c)(3) 179996 FMV To provide funding for the V.N.A. Transition Nurse program. 22 0 Hazel Vail Awards 18 45000 Sons and Daughters Scholarship Awards 15 15000 Part I, Line 2: Upon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted. Schedule I, Part III Once recipients are determined, the funds are sent directly to the institutions and not to individuals. Required qualifications The Sons and Daughters/Hazel Vail Scholarships are available to children of Hartford Hospital employees who meet eligibility requirements. The applicant must be financially dependent on the employee by being claimed on either parent's tax return. The applicant must be enrolled as a full-time student in an Accredited Undergraduate Program. The applicant must be the son or daughter (biological, adopted, stepchild, or legal ward) of a Hartford Hospital employee (full-time or part-time, budgeted to work at least 24 hours per week). The dependent of a Hartford Hospital employee who is also employed at Hartford Hospital is eligible to apply if they are budgeted to work less than 24 hours per week at Hartford Hospital. Applicant must have a verifiable GPA of 3.0 or higher to apply. Applicants are chosen on 1 criteria. 1. GPA (must be at least a 3.0 or higher to apply) 0 1 0 0 0 0 0 1 0 Bimal Patel President & CEO 0 536725 0 158242 0 8934 0 81386 0 24324 0 809611 0 0 Margaret Marchak Secretary & SVP/CLO, HHC 0 516132 0 151455 0 24107 0 81414 0 54936 0 828044 0 0 Julie Drouin HHC Reg. VP Finance 0 209001 0 17299 0 305 0 16552 0 40911 0 284068 0 0 Elizabeth Ciotti VP 0 183255 0 42072 0 1623 0 15724 0 22410 0 265084 0 0 Cheryl Ficara VP 0 391834 0 82411 0 5268 0 35100 0 46083 0 560696 0 0 Barry Kriesberg VP 0 305807 0 67227 0 4713 0 18900 0 38519 0 435166 0 0 John Greene MD VP 0 522731 0 109662 0 30226 0 18900 0 58110 0 739629 0 0 Carol Garlick VP 211122 0 49183 0 3000 0 31585 0 21916 0 316806 0 0 0 Ajay Kumar MD VP 473089 0 25665 0 1858 0 18900 0 42028 0 561540 0 0 0 Harold Schwartz MD VP (Thru Sept. 2018) 0 505884 0 112940 0 21840 0 35100 0 40970 0 716734 0 0 Kenneth Robinson MD Dept Chair Emergency Medicine 494191 0 100000 0 8297 0 29700 0 44968 0 677156 0 0 0 Andrew Salner MD Chair Cancer Institute 591427 0 650 0 5760 0 18900 0 35240 0 651977 0 0 0 Fred Tilden Jr MD Dir. ER Physician 397460 0 54230 0 2381 0 27000 0 39500 0 520571 0 0 0 Harry Arters III MD Emergency Room Physician 389136 0 41250 0 359 0 18900 0 38907 0 488552 0 0 0 Edmond Cronin MD Dir. Electrophysiology 404194 0 650 0 217 0 18900 0 37221 0 461182 0 0 0 Stuart Markowitz MD Former - President & Director 0 629536 0 158831 0 325303 0 18900 0 62452 0 1195022 0 0 Peter Fraser Former - Key Employee 0 340897 0 92093 0 7326 0 18900 0 49052 0 508268 0 0 Gerald Boisvert Former - VP 0 485469 0 135281 0 9204 0 76387 0 52188 0 758529 0 0 Tracy Church Former - VP 0 521555 0 186486 0 75217 0 18900 0 46034 0 848192 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford Hospital, hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. Part I, Line 4b Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President, Executive Vice President, Senior Vice President and Vice President levels that are reported by Hartford Hospital on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurence of a change in control. Each participant ceases to be eligible for further contributions by Hartford HealthCare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2017 SERP Accruals were made on behalf of the following individuals: Margaret Marchak $62,514 Bimal Patel $62,486 Gerald Boisvert $57,487 Tracy Church $65,287 Stuart Markowitz $298,376 2017 SERP Payouts was made on behalf of the following individual: Tracy Church $22,416* *For this individual, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. Part I, Line 7 Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. X 44 2462819 FMV 0 1 0 Form 990, Part VI, Section A, line 6 Hartford Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. Form 990, Part VI, Section A, line 7a The sole member of the organization has the authority to approve/remove members of the governing body. Form 990, Part VI, Section A, line 7b The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the HHC, VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the HHC, VP of Finance, as authorized signer for HH, and then filed with the IRS. Form 990, Part VI, Section B, line 12c The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all Covered Individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of Interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the Conflict of Interest Committee ("COIC") (the Committee) which includes representation from the Medical Staff, the Legal Department, Human Resources, Finance Administration, Management and Compliance. The Committee assesses and may recommend the conflicting interest either be (a) eliminated for a continued relationship with HHC/HH, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. Form 990, Part VI, Section B, line 15 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford Hospital, hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Hartford Hospital, established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The CEO compensation reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. Form 990, Part VI, Section C, line 18 The Hospital's Form 990, 990T and form 1023 and its attachments are available upon request. Form 990, Part VI, Section C, line 19 The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. Form 990, Part XI, line 9: Transfer to Affiliated Entity 70,226,000. Change in Pension and Post-Retirement Funding Obligation 49,557,000. Rounding -626. Net Unrestricted Other Changes in Joint Ventures 17,038,000. Connecticut Health System Inc 80 Seymour Street Hartford CT 06102 222779421 Coordination of Health Care Delivery CT 501(C)(3) 12 (c) N/A 1 Hartford HealthCare Corporation One State Street Suite 19 Hartford CT 06103 222672834 Support and Management Services to Hartford Hospital and Affiliates CT 501(C)(3) 12 (c) N/A 0 Windham Community Memorial Hospital 112 Mansfield Avenue Willimantic CT 06226 060646966 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Windham Hospital Foundation Inc 112 Mansfield Avenue Willimantic CT 06226 562546632 Supporting Organization CT 501(C)(3) 12 (a) Windham Community Memorial Hospital 1 MidState Medical Center 435 Lewis Avenue Meriden CT 06451 060646715 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Natchaug Hospital Inc 189 Storrs Road Mansfield Center CT 06226 060966963 Behavioral Health CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Hartford HealthCare At HomeInc 1290 Silas Deane Hwy Suite 4B Wethersfield CT 06109 060646938 Home Healthcare CT 501(C)(3) 10 Hartford HealthCare Corporation 1 Rushford Center Inc 883 Paddock Avenue Meriden CT 06450 060932875 Substance Abuse Healthcare Services CT 501(C)(3) 10 Hartford HealthCare Corporation 1 Hartford HealthCare Independence at Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield CT 06109 061161422 Home Healthcare CT 501(C)(3) 10 Hartford HealthCare At Home Inc 1 Hartford Hospital Auxiliary co Hartford Hospital 80 Seymour Street Hartford CT 06115 066040747 Fundraising CT 501(C)(3) 12 (a) Hartford Hospital 1 The Hospital of Central CT and Bradley Memorial 100 Grand Street New Britain CT 06050 060646768 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Hartford HealthCare Senior Services Inc 45 Meriden Avenue Southington CT 06489 222635676 Sub-Acute & Long Term Healthcare CT 501(C)(3) 10 Hartford HealthCare Corporation 1 The Orchards of Southington 34 Hobart Street Southington CT 06489 061490803 Residential Services for Senior Care CT 501(C)(3) 10 Hartford HealthCare Senior Services Inc 1 Rushford Foundation Inc 883 Paddock Avenue Meriden CT 06450 061432692 Support Organization CT 501(C)(3) 12 (a) Rushford Center Inc 1 Mulberry Gardens of Southington LLC 58 Mulberry Street Plantsville CT 06479 820586577 Assisted Living & Adult Day Care Facility CT 501(C)(3) 10 Hartford HealthCare Senior Services Inc 1 Windham Community Memorial Hospital Women's Auxiliary Inc 112 Mansfield Avenue Willimantic CT 06226 060677728 Fundraising CT 501(C)(3) 12 (a) Windham Community Memorial Hospital 1 MidState Medical Center Auxiliary 435 Lewis Avenue Meriden CT 06451 066063082 Fundraising CT 501(C)(3) 12 (a) MidState Medical Center 1 Hartford HealthCare Medical Group Inc 1290 Silas Deane Hwy Wethersfield CT 06109 454456939 Medical Services CT 501(C)(3) 10 Hartford HealthCare Corporation 1 Hartford HealthCare Accountable Care Org Inc 1290 Silas Deane Hwy Wethersfield CT 06109 460886367 Government Contracts CT 501(C)(3) 7 Hartford HealthCare Medical Group Inc 1 The William W Backus Hospital 326 Washington Street Norwich CT 06360 060250773 Hospital CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Backus HealthCare Inc 326 Washington Street Norwich CT 06360 222481794 Support Organization CT 501(C)(3) 12 (a) Hartford HealthCare Corporation 1 Caring for Colleagues Employee Crisis Fund 100 Grand Street New Britain CT 06052 264469178 Employee Fund CT 501(C)(3) 7 Hartford HealthCare Corporation 1 Hartford Healthcare Endowment LLC 80 Seymour Street Hartford CT 06102 454181103 Investment Management CT 501(C)(3) 12 (a) Hartford HealthCare Corporation 1 The Charlotte Hungerford Hospital 540 Litchfield Street PO Box 988 Torrington CT 067900988 060646678 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 New Britain MRI Limited Partnership 100 Grand Street New Britain CT 06050 061271349 Magnetic Resonance Imaging CT N/A Omni Home Health Services E CT LLC 12 Case Street - 317 Norwich CT 06360 061458837 Backus Home Health Care CT N/A Ambulance Service of Manchester LLC PO Box 300 Manchester CT 06450 061557358 Ambulatory Services CT N/A Connecticut Imaging Partners LLC 111 Founders Plaza East Hartford CT 06108 134298940 Imaging Service CT N/A Related 3202456 29142435 0 0 0.51000 Glastonbury Endoscopy Center LLC 300 Western Boulevard Glastonbury CT 06033 261721234 Endoscopy Services CT N/A Related 1302379 671037 0 0 0.51000 Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury CT 06033 262600828 Surgery Services CT N/A Related 6016854 1880099 0 0 0.51000 Hartford - Middlesex Clinical System LLC 80 Seymour Street Hartford CT 06110 061543605 Affiliate Support Services CT N/A Unrelated -355 0 0 0.50000 Med-East Assoc LLC 1703 West Main Street Willimantic CT 06226 061469575 Outpatient Care Clinic CT N/A HHC Southington Surgery Center LLC 100 Avon Meadow Lane Avon CT 06001 465500829 Surgery Services CT N/A Constitution Surgery Center East LLC 174 Cross Road Waterford CT 06385 Surgery Services CT N/A CT GI Endoscopy Center LLC (Bloomfield) 4 Northwestern Drive Bloomfield CT 06002 061573358 GI Services CT N/A Related 891702 5065593 0 0 0.51000 HHC Hartford Surgery Center LLC 100 Avon Meadow Lane Avon CT 06001 812637261 Surgery Services CT Hartford Hospital Related 1084811 1548486 0 0 0.51000 HHC Urgent Care Go Health LLC 2711 Centerville Road Suite 400 Wilmington DE 19808 815112698 Urgent Care Services DE N/A Wallingford Endoscopy Center LLC 85 Seymour Street Suite 1000 Hartford CT 06106 824601730 Endoscopy Services CT N/A Advanced Medical Imaging of NW CT LLC 57 Commerical Blvd Torrington CT 06790 061594854 Magnetic Resonance Imaging CT N/A Central Connecticut Endoscopy Center 440 New Britain Avenue Plainville CT 06062 141855010 Endoscopy Services CT N/A Urology Center of NW CT LLC 538 Litchfield Street Torrington CT 06790 582674029 Equipment Rental CT N/A The Endoscopy Center of Northwest Connecticut LLC 245 Alvord Park Road Torrington CT 06790 061609993 Endoscopy Services CT N/A HHMOB Corporation 80 Seymour Street Hartford CT 06102 061140244 Real Estate & Parking CT N/A C 1 Hartford HealthCare Indemnity Services Ltd FB Perry Bld 40 Church St Hamilton BD Captive Insurance BD N/A C 1 1 CenConn Services Inc 100 Grand Street New Britain CT 06050 222836001 Holding Company CT N/A C 1 MidState Medical Group PC 435 Lewis Avenue Meriden CT 06450 204327968 Medical Services CT N/A C 1 Hartford Physician Services PC 80 Seymour Street Hartford CT 06102 061254082 Medical Services CT N/A C 1 Meriden Imaging Center 101 North Plains Industrial Road Meriden CT 06429 061541468 Imaging CT N/A S 1 Aetna Ambulance Service Inc POBOX 1150 Manchester CT 06045 060795431 Ambulance Services CT N/A C 1 Metro Wheelchair Service Inc POBOX 300 Manchester CT 06045 060878432 Wheelchair Services CT N/A C 1 WWB Corporation 326 Washington Street Norwich CT 06360 061094838 Holding Company CT N/A C 1 ConnCare Inc 326 Washington Street Norwich CT 06360 061387598 Health Care Services CT N/A C 1 Backus Medical Center Condo Assoc Inc 330 Washington Street Norwich CT 06360 061542647 Condo Association CT N/A C 1 Windham Professional Office Condominium Association Inc 112 Mansfield Avenue Willimantic CT 06226 061090041 Condo Association CT N/A C 1 Litchfield County Healthcare Service Corporation 540 Litchfield Street Torrington CT 06790 061227655 Management Services CT N/A C 1 1 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 HHC Endowment LLC B 4525987 FMV HHC Endowment LLC S 12000000 FMV Hartford HealthCare Medical Group Inc A 1649397 FMV Hartford HealthCare Medical Group Inc B 163246 FMV Hartford HealthCare Medical Group Inc L 1494170 FMV Hartford HealthCare Medical Group Inc M 33503626 FMV Hartford HealthCare Medical Group Inc O 10115990 FMV Hartford HealthCare Medical Group Inc P 305766 FMV Hartford HealthCare Medical Group Inc Q 69697 FMV Hartford HealthCare Medical Group Inc R 2651323 FMV Hartford HealthCare Medical Group Inc S 45449830 FMV Hartford HealthCare Rehabilitation Network LLC A 127326 FMV Hartford HealthCare Rehabilitation Network LLC M 1765584 FMV Hartford HealthCare Rehabilitation Network LLC O 8172580 FMV Hartford HealthCare Rehabilitation Network LLC R 12602983 FMV Hartford HealthCare Rehabilitation Network LLC S 3010304 FMV The William W Backus Hospital A 106500 FMV The William W Backus Hospital L 2257112 FMV The William W Backus Hospital O 139812 FMV The William W Backus Hospital Q 1252128 FMV The William W Backus Hospital R 8869093 FMV The William W Backus Hospital S 10102736 FMV HHMOB Corporation A 2018254 FMV HHMOB Corporation L 141182 FMV HHMOB Corporation O 164826 FMV HHMOB Corporation P 149424 FMV HHMOB Corporation Q 61602 FMV HHMOB Corporation S 2419788 FMV The Hospital of Central Connecticut L 1634064 FMV The Hospital of Central Connecticut O 434734 FMV The Hospital of Central Connecticut P 191101 FMV The Hospital of Central Connecticut Q 2744598 FMV The Hospital of Central Connecticut R 5559231 FMV The Hospital of Central Connecticut S 949734 FMV MidState Medical Center A 4308 FMV MidState Medical Center L 1180864 FMV MidState Medical Center M 411182 FMV MidState Medical Center O 261952 FMV MidState Medical Center Q 1512143 FMV MidState Medical Center R 3007313 FMV MidState Medical Center S 209791 FMV Windham Community Memorial Hospital A 6759 FMV Windham Community Memorial Hospital L 733087 FMV Windham Community Memorial Hospital O 256377 FMV Windham Community Memorial Hospital Q 1253458 FMV Windham Community Memorial Hospital R 2002500 FMV Windham Community Memorial Hospital S 66480 FMV MRI of Farmington Avenue A 134305 FMV MRI of Farmington Avenue R 190266 FMV Natchaug Hospital L 60300 FMV Natchaug Hospital O 91674 FMV Natchaug Hospital R 94236 FMV Rushford Center Inc R 890050 FMV Hartford HealthCare Senior Services Inc R 102646 FMV Hartford Hospital Auxiliary C 441555 FMV Hartford HealthCare at Home Inc A 4912 FMV Hartford HealthCare at Home Inc O 17682023 FMV Hartford HealthCare at Home Inc R 461629 FMV Hartford HealthCare at Home Inc S 408300 FMV Hartford HealthCare Medical Group Inc E 1000000 FMV