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HARTFORD HEALTHCARE ENDOWMENT LLC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HARTFORD HEALTHCARE ENDOWMENT LLC (EIN 45-4181103)
Tax period
2016-06-30 to 2016-09-30
Filed
2017-08-10
IRS object ID
201702229349300205
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-10T07:25:55-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-06-30TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454181103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hartford HealthCare Endowment LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHARTBusinessNameControlTxt
Phone8606966200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line180 Seymour Street Cheney BuildingAddressLine1Txt
CityHartfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06102ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMark KeisePersonNm
Person TitleChief Investment OfficerPersonTitleTxt
Phone8606966200PhoneNum
Signature2017-08-10SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.231.28.240IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-08-10IPDt
IP Tm07:25:45IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB1323A0CE8E82DD03F741AC303258760D3045D07AtSubmissionCreationDeviceId
At Submission Filing Device IdB1323A0CE8E82DD03F741AC303258760D3045D07AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Principal OfficerDavid HolmgrenPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line180 Seymour Street Cheney BuildingAddressLine1Txt
CityHartfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06102ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,886,555GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscLLCOtherOrganizationDsc
Formation2016FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionThe Foundation is organized and operated to hold and invest the endowment funds exclusively for the charitable health care organizations in the Hartford HealthCare Corporation hospital system: Windham Community Memorial Hospital, Inc., Midstate Medical Center, Hartford Hospital, The Hospital of Central Connecticut at New Britain General and Bradley Memorial, The William W. Backus Hospital, Rushford Center, Inc., and Hartford HealthCare at Home, Inc. (the "Hospitals"), all of which are section 501(C)(3) organizations under common control and recognized as public charities within the meaning of Section 509(a)(1) or 509(a)(2).ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$125,863TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$125,863NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$5,886,555CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$5,886,555CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$1,063,747CYOtherExpensesAmt
CY Total Expenses$1,063,747CYTotalExpensesAmt
CY Revenues Less Expenses$4,822,808CYRevenuesLessExpensesAmt
Total Assets EOY$1,209,399,000TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances EOY$1,209,399,000NetAssetsOrFundBalancesEOYAmt
MissionNoneMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$129,953ExpenseAmt
DescThe Foundation's sole activity consists of providing financial support exclusively to the Hospitals (and possibly other charitable hospitals that become part of the Hartford HealthCare system in the future). More specifically, the Foundation's activities supporting the Hospitals consists of (a) investing and managing the Hospitals' endowment funds; (b) distributing income earned from the endowment funds to the Hospitals; and (c) potentially holding and managing other assets owned by the Hospitals. The Foundation does not raise, manage or invest on behalf of any entity other than the Hospitals.Desc
Total Program Service Expenses$129,953TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carol WardellBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8606966200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1181 Patricia M Genova DriveAddressLine1Txt
CityNewingtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06111ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Stuart Markowitz
Director1.0060.00Yes (X)$0$0$0
Bimal Patel
Director1.0060.00Yes (X)$0$0$0
Patricia Rehmer
Director1.0060.00Yes (X)$0$0$0
Charles Johnson
Director1.0060.00Yes (X)$0$0$0
Lucille Janatka
Manager1.0060.00Yes (X)$0$0$0Yes (X)
David Holmgren
CIO60.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,965,992TotalRevenueColumnAmt
Unrelated Business Revenue-$125,863UnrelatedBusinessRevenueAmt
Exclusion$3,091,855ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,920,563SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,920,563SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,920,563TotalRevenueColumnAmt
Exclusion$2,920,563ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,886,555TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$125,863UnrelatedBusinessRevenueAmt
Exclusion$6,012,418ExclusionAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$933,794TotalAmt
Management And General$933,794ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Purchased Services$113,183$113,183
Miscellaneous Expenses$16,770$16,770

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,063,747TotalAmt
Program Services$129,953ProgramServicesAmt
Management And General$933,794ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$1,116,155,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$93,244,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,209,399,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
EOY$930,342,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$279,057,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,209,399,000EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,209,399,000EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,822,808ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$23,935,252NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,180,640,940OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations7SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Windham Community Memorial Hospital Inc
0606469663Yes (1)$0$0
Midstate Medical Center
0606467153Yes (1)$0$0
Hartford Hospital
0606466683Yes (1)$0$0
The Hospital of Central Connecticut
0606467683Yes (1)$0$0
Hartford HealthCare at Home Inc
0606469387Yes (1)$0$0
The William W Backus Hospital
0602507733Yes (1)$0$0
Rushford Center Inc
0609328757Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Current Portion of Asset$8,404,000C
Other Asets$84,840,000C
FieldValueIRS element (for citing)
Total Book Value Securities$93,244,000TotalBookValueSecuritiesAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanProgram ServicesInvestments$76,172,235
Europe (Including Iceland & Greenland)Program ServicesInvestments$9,561,999
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$85,734,234SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$85,734,234TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Most of the individuals disclosed on Part VII have an employee/employer relationship. They are either directors and/or officers of other related Hartford HealthCare entities.
Form 990, Part VI, Section A, line 6The Foundation is organized as an LLC that has elected tax exempt status as not for profit entity. It is a member of the Hartford HealthCare Corporation System (HHC) of which HHC is the parent corporation.
Form 990, Part VI, Section A, line 7aHHC has the authority to approve/remove members of the governing body.
Form 990, Part VI, Section A, line 7bHHC has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc.
Form 990, Part VI, Section B, line 11bThe 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 for review. The final short year filing 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 Director of Tax and then filed with the IRS.
Form 990, Part VI, Section B, line 12cThe Foudation's Managers have adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all Covered Individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of Interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee (the Committee) which includes representation from the Medical Staff, the Legal Department, Human Resources, Supply Chain Management and Compliance. The Committee assesses and may recommend the conflicting interest either be (a) eliminated for a continued relationship with HHC, 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 15The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford HealthCare Endowment LLC, 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 HealthCare Endowment LLC, established and regularly reviews Executive Compensation Philosophy - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The CEO compensation reviewed by the Committee 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 18The Foundation's Form 990, 990T and form 1023 and its attachments are available upon request.
Form 990, Part VI, Section C, line 19The Foundation'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 VII, Section A Line 1aThe Form 990 is for the short period June 30, 2016 through September 30, 2016. The individuals listed on Schedule J are paid by a related organization, however, there are no compensation disclosure since the Organization did not issue a W-2 specific to this period. The 2016 compensation will be disclosed on the Form 990 that covers the fiscal period October 1, 2016 through September 30, 2017.
Form 990, Part XI, line 9:Adjustment to reflect the conversion from Partnership to a Tax Exempt Org. 1,180,640,940.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Backus Corporation
326 Washington StreetNorwichCT06360222757608Supporting OrganizationCT501(C)(3)12(b)Hartford HealthCare CorporationYes (1)
The William W Backus Hospital
326 Washington StreetNorwichCT06360060250773HospitalCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Backus HealthCare Inc
326 Washington StreetNorwichCT06360222481794Supporting OrganizationCT501(C)(3)12(a)Hartford HealthCare CorporationYes (1)
Bradley Health Services Inc
100 Grand StreetNew BritainCT06050061367014Healthcare ServicesCT501(C)(3)10Hartford HealthCare CorporationYes (1)
Caring for Colleagues Employee Crisis Fund
100 Grand StreetNew BritainCT060522016264469178Employee FundCT501(C)(3)7Hartford HealthCare CorporationYes (1)
Hartford Healthcare Senior Services Inc
45 Meriden AvenueSouthingtonCT06489222635676Sub-Acute & Long Term HealthcareCT501(C)(3)10Hartford HealthCare CorporationYes (1)
Connecticut Health System Inc
80 Seymour StreetHartfordCT06102222779421Coordination of Health DeliveryCT501(C)(3)12(c)Hartford HealthCare CorporationYes (1)
Community Medical Partners Inc
326 Washington StreetNorwichCT06360453563738CT501(C)(3)10Hartford HealthCare CorporationYes (1)
Eva Stearns Faulkner Foundation
45 Lewis AvenueMeridenCT06451066065398Support ServicesCT501(C)(3)12(d)Hartford HealthCare CorporationYes (1)
Hartford HealthCare At Home Inc
1290 Silas Deane Hwy Suite 4BWethersfieldCT06109060646938Home HealthcareCT501(C)(3)7Hartford HealthCare CorporationYes (1)
Hartford HealthCare Corporation
One State Street Suite 19HartfordCT06103222672834Support & Management Services To Hartord Hospital and AffiliatesCT501(C)(3)12(c)0
HHC PhysiciansCare Inc
80 Seymour StreetHartfordCT06102454456939Practice Medicine and Provide Health Care Services to the PublicCT501(C)(3)10Hartford HealthCare CorporationYes (1)
Hartford HealthCare ACO Inc
1290 Silas Deane Hwy 2nd FloorWethersfieldCT06109460886367To Manage and Coordinate Care for Medicare BeneficiariesCT501(C)(3)7Hartford HealthCare CorporationYes (1)
Hartford HealthCare Corp Group Employee Benefits Plan Trust (VEBA)
C/O BOA Trustee 777 Main StreetHartfordCT06102266671355To Provide Medical, Dental, Life, Disability and other benefits to employeesCT501(C)(9)N/AHartford HealthCare CorporationYes (1)
Hartford Hospital
80 Seymour Street PO Box 5037HartfordCT06102060646668Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Hartford Hospital Auxillary co Hartford Hospital
80 Seymour StreetHartfordCT06115066040747FundraisingCT501(C)(3)12(c)Hartford HospitalYes (1)
The Hospital of Central CT and Bradley Memorial
100 Grand StreetNew BritainCT06050060646768Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Midstate Medical Center
435 Lewis AvenueMeridenCT06451060646715Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Midstate Medical Center Auxillary
435 Lewis AvenueMeridenCT06451066063082FundraisingCT501(C)(3)12(a)Midstate Medical CenterYes (1)
Mulberry Gardens Of Southington LLC
58 Mulberry StreetPlanstvilleCT06479820586577Assisted Living & Adult Day Care FacilityCT501(C)(3)10Central CT Senior Health ServicesYes (1)
Natchaug Hospital Inc
189 Storrs RoadMansfieldCT06226060966963Behavioral HealthCT501(C)(3)3Hartford HealthCare CorporationYes (1)
The Orchards of Southington
34 Hobart StreetSouthingtonCT06489061490803Residential Services for Senior CitizensCT501(C)(3)10Central CT Senior Health ServicesYes (1)
Rushford Center Inc
883 Paddock AvenueMeridenCT06450060932875Substance Abuse Healthcare ServicesCT501(C)(3)7Hartford HealthCare CorporationYes (1)
Rushford Foundation Inc
883 Paddock AvenueMansfieldCT06450061432692Supporting OrganizationCT501(C)(3)12(a)Rushford Center IncYes (1)
Hartford HealthCare Independence Home
1290 Silas Deane Hwy Suite 4BWethersfieldCT06109061161422Home HealthcareCT501(C)(3)10Hartford HealthCare At Home IncYes (1)
Windham Community Memorial Hospital
112 Mansfield AvenueWillimanticCT06226060646966Healthcare ServicesCT501(C)(3)3Hartford HealthCare CorporationYes (1)
Windham Hospital Foundation Inc
112 Mansfield AvenueWillimanticCT06226562546632Supporting OrganizationCT501(C)(3)12(a)Windham Community Memorial HospitalYes (1)
WCMH Women's Auxillary Inc
112 Mansfield AvenueWillimanticCT06226060677728FundraisingCT501(C)(3)12(a)Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Ambulance Services of Manchester LLC
PO Box 300ManchesterCT064500300061557358Ambulatory ServicesCTN/A
Connecticut Imaging Partners LLC
111 Founders PlEast HartfordCT06108134298940Imagining ServicesCTN/A
Glastonbury Endoscopy Center LLC
300 Western Blvd Suite BGlastonburyCT06033261721234Endoscopy ServicesCTN/A
Glastonbury Surgery Center LLC
195 Eastern BoulevardGlastonburyCT06033262600828Surgery ServicesCTN/A
Hartford-Middlesex Clinical System LLC
80 Seymour StreetHartfordCT06102061543605Affiliate Support ServicesCTN/A
HHC Southington Surgery Center LLC
100 Avon Meadow Lane PO Box 1281AvonCT06001465500829Surgery ServicesCTN/A
HHC Southington Surgery Center LLC
100 Avon Meadow Lane PO Box 1281AvonCT06001465500829Surgery ServicesCTN/A
Med East Assoc LLC
1703 West Main StreetWillimanticCT06226061469575Outpatient Care FacilityCTN/A
New Britain MRI Limited Partnership
1000 Grand StreetNew BritainCT06050061271349Magnetic Resonance ImagingCTN/A
Omni Home Health Services E Ct LLC
12 Case Street - 317NorwichCT06360061458837Home Health CareCTN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Aetna Ambulance Service Inc
PO Box 1150ManchesterCT06045060795431Ambulance ServicesCTN/ACYes (1)
Backus Medical Center Condo Assoc Inc
330 Washington StreetNorwichCT06360061542647Condo AssociationCTN/ACYes (1)
CenConn Services Inc
100 Grand StreetNew BritainCT06050222836001Holding CompanyCTN/ACYes (1)
Hartford HealthCare Indemnity Services Ltd
Captive InsuranceN/ACYes (1)FB Perry Blvd 40 Church StreetHamiltonBDBD
ConnCare Inc
326 Washington StreetNorwichCT06360061387598Healthcare ServicesCTN/ACYes (1)
HHMOB Corporation and Subsidiaries
80 Seymour Street PO Box 5037HartfordCT06102061140244Real Estate & ParkingCTN/ACYes (1)
Hartford Physician Services PC
80 Seymour StreetHartfordCT06102061254082Medical ServicesCTN/ACYes (1)
Meriden Imaging Center
101 North PLains Industrial RoadMeridenCT06429061541468ImagingCTN/ASYes (1)
Midstate Medical Group PC
435 Lewis AvenueMeridenCT06450204327968Medical ServicesCTN/ACYes (1)
Hartford Physician Hospital Organization Inc
80 Seymour StreetHartfordCT06102222785918Physician & Hospital SupportCTN/ACYes (1)
Metro Wheelchair Services Inc
PO Box 300ManchesterCT06045060878432Wheelchair ServicesCTN/ACYes (1)
Windham Family Medical Services PC
112 Mansfield AvenueWillimanticCT06226061491649Medical ServicesCTN/ACYes (1)
Windham Physician Hospital Organization
112 Mansfield AvenueWillimanticCT06226061441614Medical ServicesCTN/ACYes (1)
WWB Corporation
326 Washington StreetNorwichCT06360061094836Holding CompanyCTN/ACYes (1)
Windham Professional Office Condominium Associates Inc
112 Mansfield AvenueWillimanticCT06226061090041Condo AssociationCTN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd