2017-08-10T13:03:49-05:00 2016-09-30 346565596 Ernst & Young US LLP 200 Clarendon Street 44th Floor Boston MA 02116 990 2015-10-01 222672834 Hartford HealthCare Corporation HART 8606966200 One State Street Suite 19 Hartford CT 06103 MARK KEISE SVP, Financial Operations 8605455000 2017-08-10 0 Jeanne Schuster P00743154 6172262000 2015 2021-01-29 14:40:06Z Elliot T Joseph One State St Ste 19 Hartford CT 06103 521699412 0 X www.hartfordhealthcare.org X 1985 CT Hartford HealthCare's mission is to improve the health and healing of the people and communities it serves. 13 12 2773 12 36626689 -18732748 0 0 293217778 368901013 -43013 134370444 4811373 856008 297986138 504127465 33980 0 0 0 170302927 217008348 0 0 0 164791297 197627700 335128204 414636048 -37142066 89491417 1604617968 1711631274 963219745 956477058 641398223 755154216 X Hartford HealthCare's mission is to improve the health and healing of the people and communities it serves. 0 1 401674319 0 368959839 The Corporation collaborates with its supported organizations (hospitals) to develop and implement programs to improve the future of health care in southern New England. This includes initiatives to improve the quality and accessibility of health care; create efficiency in internal operations; and provide patients with the most technically advanced and compassionate, coordinated care. Through its supported organizations (hospitals), the Corporation was designed to provide patients with more convenience to healthcare access in their local communities. The hospitals provide these needed medical services to all patients regardless of their abilities to pay.Through Hartford Hospital, we provide the state's first critical air helicopter service, called Life Star. This provides air transport around the clock for patients who require life-saving advanced care for critical injuries, often those caused by accidents. Each year, about 1,200 patients are transported on specially equipped Life Star helicopters, which can travel at 150 mph. Hartford HealthCare is further integrating care, and increasing access to high-quality services, through its institute model. The Corporation has established the Hartford HealthCare Cancer Institute, the first in the nation to be named a member of the Memorial Sloan Kettering Cancer Alliance; the Bone and Joint Institute, with New England's first and only orthopedic specialty hospital; the Neuroscience Institute, with a renowned Headache Center and Movement Disorders Center; the Heart and Vascular Institute; the Tallwood Urology and Kidney Institute; and the Behavioral Health Network. Our institutes are led by world-renowned physicians-in-chief, and provide clinical support, research, and education for our patients, physicians and communities.Hartford HealthCare is an economic engine for the state of Connecticut. We are the third-largest employer in the state, and our ongoing investment in capital programs and projects provides jobs, enhances access to care and improves the quality of life for all state residents.In all, Hartford HealthCare proudly serves 101 of Connecticut's 169 cities and towns. The Corporation was designed to provide a high degree of access to quality services, offering patients, customers and clients with compassionate, coordinated care, close to home. 401674319 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 396 0 1 2773 1 1 1 1 BD 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Carol Wardell 8606966200 One State Street Suite 19 Hartford CT 06103 Ramani Ayer Director 2.00 X 0 0 0 David Hyman DDS Director 2.00 X 0 0 0 William Conway MD Director 2.00 X 0 0 0 Lawrence McGoldrick Director 2.00 X 0 0 0 Anthony Joyce Director (Thru June 2016) 2.00 X 0 0 0 John Patrick Jr Director 2.00 X 0 0 0 James Kaskie Director 2.00 X 0 0 0 Elizabeth Conway Director (Thru March 2016) 2.00 X 0 0 0 William Trachsel Director 2.00 X 0 0 0 David Hess Director 2.00 X 0 0 0 Laura Estes Director 2.00 X 0 0 0 Joanne Berger-Sweeney Director 2.00 X 0 0 0 Brian MacLean Chair 3.00 X X 0 0 0 Greg Deavens Vice Chair 3.00 X X 0 0 0 Elliot Joseph Director & CEO 40.00 20.00 X X 2200950 0 304513 Jeffrey Flaks President & COO 40.00 20.00 X 1371766 0 113623 Margaret Marchak Secretary & CLO 40.00 20.00 X 660302 0 141415 Charles Johnson Board Treasurer, EVP & CFO 40.00 20.00 X 344245 0 59722 James Cardon MD EVP 40.00 20.00 X 728927 0 143465 Tracy Church EVP 60.00 X 596462 0 125243 David Whitehead EVP 60.00 X 969377 0 71418 Stuart Markowitz MD SVP 10.00 50.00 X 744015 0 151368 Gerald Boisvert SVP 50.00 10.00 X 622517 0 112552 Richard Shirey SVP 60.00 X 480237 0 121322 James Blazar SVP (Thru Dec. 2015) 60.00 X 652220 0 135887 Richard Stys SVP 60.00 X 661277 0 70855 Rita Parisi SVP 20.00 40.00 X 436824 0 85790 Lucille Janatka SVP 20.00 40.00 X 777836 0 79868 Bimal Patel SVP 20.00 40.00 X 476135 0 95399 Rocco Orlando III MD SVP 60.00 X 898279 0 106883 Patricia Rehmer MSN SVP 60.00 X 264097 0 58098 Vincent DiBattista SVP 60.00 X 249820 0 57852 Paul Thompson MD Co-Physician in Chief 60.00 X 548363 0 67462 Harold Schwartz MD VP 30.00 30.00 X 0 607092 87493 John Greene MD VP 60.00 X 592869 0 77945 Daniel Lohr VP 10.00 50.00 X 576066 0 64342 Jonathan Velez MD VP 60.00 X 472365 0 70593 Steven Hanks MD VP 60.00 X 1669882 0 47270 Stephen Larcen (Former) SVP 0.00 X 0 724236 99900 Thomas Marchozzi Former EVP & CFO 0.00 X 466051 0 14105 17460882 1331328 2564383 355 1 1 0 Precision Computer Services Inc 175 Constitution Blvd Shelton CT 06484 Software Support Services 4510395 AllScripts HealthCare LLC 24630 Network Place Chicago IL 60673 Software Support Services 4295562 KPMG LLP 1 Financial Plaza 11 Hartford CT 06103 Consulting Services 3495476 Mintz & Hoke Inc 40 Tower Lane Avon CT 06001 Public Relations & Advertising Services 3203235 Huron Consulting Group Inc 3005 Momentum Place Chicago IL 60689 Consulting Services 2593211 80 System Support Svcs 541900 233686189 233686189 Laboratory Services 621500 134435905 98653095 35782810 Income From JV's 900003 778919 778919 368901013 75608 58826 16782 151754836 17460000 134294836 134294836 843879 133450957 111947 111947 0 Other Income 621110 856008 856008 856008 504127465 333177029 36626689 134323747 13570781 10086615 3484166 152642575 152642575 16929557 14962549 1967008 21204298 19741801 1462497 12661137 12578021 83116 3468661 3468661 2067231 2067231 429050 429050 16613651 16613651 10307296 10307296 10777432 10777432 31694227 31694227 7106411 7106411 1035793 1035793 555854 555854 2336675 2336675 27981950 27981950 527194 527194 Purchased Services 52507150 52507150 Medical Supplies 15768643 15768643 Repairs & Maintenance 8973620 8973620 Dues & Licenses 3661101 3661101 1815761 1815761 414636048 401674319 12961729 0 2491834 5493425 59590021 60585740 15430954 3150104 1440905 798071 9190428 11623093 350953214 71656281 211699799 279296933 7729651 6313093 563908801 563908801 2302100 2302100 730833475 778159914 1604617968 1711631274 77412610 96681120 750362109 746310043 70712882 64732144 113485895 963219745 956477058 X 591042223 704798216 20916000 20916000 29440000 29440000 641398223 755154216 1604617968 1711631274 X 89491417 24264576 X X 0 1 X 1 1 1 X X 7 Hartford Hospital 060646668 3 1 0 143762454 Midstate Medical Center 060646715 3 1 0 29350305 Windham Community Memorial Hospital 060646966 3 1 0 9402746 Natchaug Hospital 060966963 3 1 0 4548990 Hospital of Central Connecticut 060646768 3 1 0 42376140 William W Backus Hospital 060250773 3 1 0 22902803 Rushford Center Inc 060932875 7 1 0 2681345 7 0 255024783 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 FORM 990 SCH A PART I, LINE 11G COL. (VI) Hartford HealthCare Corporation (HHC) is organized as a supporting organization that was established to govern, manage and provide support services to its member organizations. During FY2016, HHC provided executives and support services to its member organizations including but not limited to the following: Legal, Treasury, Finance, Revenue Cycle, Information Technology Services (IT), Marketing, Strategic Planning and Human Resources (HR). The total non-monetary support provided was $255,024,783. FORM 990 SCH A PART IV, SECTION A LINE 1 Hartford HealthCare Corporation ("HHC")is the parent organization of an integrated health care delivery system. In addition to those organizations specifically listed in HHC's By-Laws, the organization provides services to other organizations that are a part of the HHC System, and that directly further the charitable purposes of the supported organizations. FORM 990 SCH A PART IV, SECTION A, LINE 6 Hartford HealthCare Corporation ("HHC"), a Connecticut nonprofit corporation headquartered in Hartford, Connecticut is the Parent entity of a number of affiliated entities (the "System") that offer extensive health care services to residents of North Central, Eastern Connecticut and Hartford Region. The System's objective is to be an integrated health System with a strong patient focus and consistent quality performance. With those goals, the Systems' management emphasizes increased efficiencies and an open collaborative sharing of best practices across all System affiliates. One of the System guiding principles is to provide patients greater access to health care close to their homes and across a wide spectrum of providers from a tertiary care medical center, to community hospitals, behavioral health, home care, ambulatory care centers, rehabilitation and senior care. The System includes: * Hartford Hospital ("Hartford Hospital") - a tertiary-care teaching hospital that includes the operating departments/divisions of Institute of Living, Jefferson House and Cedar Mountain Commons; * Hospital of Central Connecticut at New Britain General and Bradley Memorial (the "Hospital Of Central Connecticut") - a community teaching hospital with two hospital campuses; * Three community hospitals - MidState Medical Center ("MidState"), Windham Community Memorial Hospital Inc. ("Windham Hospital") and The William W. Backus Hospital ("Backus Hospital"); Other key System affiliates include: - Two regional behavioral health centers; - A multi-specialty group encompassing physicians in more than 30 specialties in convient offices across Central and Eastern Connecticut; - A regional home care system; - Senior Care Facilities; - A physical therapy and rehabilitation network with offices throughout central Connecticut - Integrated Care Partners ("ICP"), a clinical integration organization. Hartford Healthcare has focused on disciplined strategic growth and development to facilitate the System's objective of delivering integrated, high quality care. Hartford HealthCare was organized in 1985, serving originally as the sole corporate member of only Hartford Hospital. In 1986, Hartford HealthCare became the sole corporate member of MidState. In 1994, The Institute of Living became a department of Hartford Hospital. Hartford HealthCare became the sole corporate member of Windham in 2009 and the sole corporate member of The Hospital of Central Connecticut. On August 1, 2013, Hartford HealthCare became the sole corporate member of Backus Corporation ("Backus Corporation"), the parent of Backus Hospital and other affiliates. Hartford HealthCare is either the direct or indirect corporate member of all System affiliated entities and retains direct and indirect reserved corporate powers over these entities. Day-to-day management of System affiliates is provided by regional senior vice presidents through a regional management initiative. Hartford HealthCare's regional management structure supports coordinated care at the individual hospital level and throughout the System. The regionalization initiative aims to enhance the System's ability to provide consistent quality, which is intended to improve patient experience and to control costs. The System's operating and financial decision making is centralized at Hartford HealthCare with each of HHC supported hospitals having a significant voice in HHC's operations. With guidance from each of its supported hospitals, Hartford HealthCare continues to centralize logistics and day-to-day operation in the following areas: Finance, Human Resources, Supply Chain, Revenue Cycle, Information System, Legal, Risk Management, Compliance, Privacy, Business and System Development, Planning, Marketing, Government Relations, Managed Care, Debt and Asset Management, Insurance and Internal Audit. Centralized system services are expected to reduce variation, to control costs through efficiencies and economies of scale and to improve the System's delivery of coordinated and integrated care. Significant progress has been made over the past years, including consolidation of payroll systems, retirement savings plan managers, e-mail systems and employee health plans. Hartford HealthCare expects that the centralization of all System-corporate services will be complete by 2018. System affiliates pay Hartford HealthCare an allocated cost for such services based on either per unit charge outs or a prorated percent of total System expenses. FORM 990 SCH A PART IV SECTION D LINE 3 Hartford Healthcare Corporation ("HHC") is the parent organization of an integrated health care delivery organization and has a close and continuing relationship with its supported hospitals, and has significant controls over the activities of its supported hospitals. There are significant and ongoing relationships between HHC and its supported hospitals that demonstrate the close and continuous working relationship between HHC and the supported organizations and that the supported organizations have a significant voice in the activities of HHC. For example, supported organizations' board members are members of key HHC Board committees that have been delegated the authority for significant functions of HHC. A significant portion of the authority of the HHC Board has been delegated to and is performed through its committees. These Committees include the Finance Committee; Quality and Safety Committee; and Strategic Planning and Community Benefit Committee. Through the presence of their board members on these key committees, the supported organizations have a significant voice in the operations of HHC. In addition to the above, HHC receives significant input from and works with all of the supported hospitals to develop community health needs assessments (CHNA). The CHNA work is started in the HHC Board Committee called Strategic Planning and Community Benefit, then developed by the hospitals and approved by the hospital boards. HHC is responsive to the needs and demands of its supported hospitals and the supported hospitals have significant influence in the operational aspects of HHC, the management, quality and otherwise in directing the use of income or assets of HHC. The HHC corporate purposes include developing and implementing: (a) goals and priorities for new or expanded health-related programs for the benefit of the supported hospitals and the communities served by them; (b) programs and facilities for the effective delivery of a continuum of health care services; (c) programs of the supported hospitals to enhance the quality and accessibility of health care services, the efficiency of utilization of health care facilities and services and the reasonableness of the cost of health care to the public; and (d) educational programs for health professionals and the public (e.g., continuing medical education, nursing education, allied health professional education, graduate medical education, and community education) about health services, preventive care, and wellness. HHC also examines the needs and pursues opportunities for routine corporate matters such as acquiring or constructing properties which may enhance the delivery of health care services. HHC's Chief Operating Officer participates in board meetings of the supported hospitals to discuss system activity. The highest executive at each supported hospital (The "Regional President") is employed by HHC. The Regional President meets with all executives of HHC leadership weekly for leadership meetings throughout the course of the year to discuss matters related to HHC and make decisions about the services and operations of the supported hospitals through capital and operating budget discussions and strategic planning for operations. As a result of these close and continuous interactions, the supported organizations and their officers and directors and other leadership provide significant advice and input to HHC and its leadership on important matters such as: (a) operating budgets, including routine and strategic capital expenditures; (b) strategic plans and other key initiatives; and (c) population healthcare planning needs, including areas of deficiency, oversupply, and expected future need. This level of interaction generates an ongoing dialogue that affords the supported hospitals and their leadership a significant voice in HHC decision making on such matters of strategic importance. Directors of new supported hospitals that join the system serve on the board of HHC thereby providing additional means for the supporting organizations to have a significant voice in the operations of HHC. FORM 990 SCH A PART IV, SECTION E LINES 3A & 3B While the supported organizations maintain significant voices in the operations of HHC, HHC is the parent organization of the overall health system and, both through its ability to appoint and remove the directors of the supported organizations and certain reserved powers over the operations of the supported organizations, exercises a substantial degree of control over the policies, programs and activities of each supported organization. In addition, HHC exclusively engages in activities that further the charitable purposes of the supported organizations that would be carried on by the supported hospitals directly were it not for the existence of HHC. To that end, and far beyond the revenues and expenses of the Form 990, HHC provides significant oversight to the supported organizations to ensure that the entire health care system is operated in a charitable manner that best serves the health needs of the communities serviced by the HHC health care system. 1 1 0 1 1000 0 0 1 163050 0 1 265000 429050 0 Part II-B, Line 1: Hartford HealthCare Corporation incurred $429,050 of lobbying expenditures for FY 16. Kenneth Przybysz, LLC provided lobbying services on behalf of the organization during the fiscal year. Efforts mainly include the lobbying of Connecticut State Legislators in the interest of tax exempt hospitals in the State of Connecticut, while Baker Donelson Bearman Caldwell & Berkowitz, Coalition to Protect America's Health Care concentrated on federal issues. In addition, the organization utilizes management time to lobby on its behalf at the Federal and State levels. The Organization occasionally asks its employees to volunteer their time to contact their legislators in an effort to lobby on its behalf. 9816156 4610864 5205292 10428162 4743207 5684955 250397539 62302210 188095329 80311357 80311357 279296933 Longterm Investments in Affiliates 563908801 C 563908801 Intercompany Allocation - Bond Debt 676130627 Due From/To Affiliates 95612659 Deferred Liability 1416628 Funds Held in Escrow (Sale of Lab.) 5000000 778159914 Program Related Liability 21578685 SERP Liability 3721502 Payments to Affiliates 5580126 TD Bank - Line of Credit 82605582 113485895 Central America/Caribbean 1 2 Program Service - Captive Insurance Insurance Premiums 24790434 Central America/Caribbean 1 2 Investment In Captive 68277478 2 4 0 0 2 4 93067912 0 93067912 1 0 1 0 0 0 Sch F, Part I, Line 3 The Audited Financial Statements for the Investment in Captive were prepared according to US Generally Accepted Accounting Principles (GAAP). Insurance Premiums are being reported on an cash basis. X X 0 0 X X X X X 1 1 0 0 0 0 0 1 0 Elliot Joseph Director & CEO 1218495 0 732921 0 249534 0 235612 0 68901 0 2505463 0 0 0 Jeffrey Flaks President & COO 813226 0 382765 0 175775 0 60445 0 53178 0 1485389 0 0 0 Margaret Marchak Secretary & CLO 463399 0 166749 0 30154 0 93339 0 48076 0 801717 0 0 0 Charles Johnson Board Treasurer, EVP & CFO 280374 0 60000 0 3871 0 39482 0 20240 0 403967 0 0 0 James Cardon MD EVP 499738 0 192081 0 37108 0 97242 0 46223 0 872392 0 0 0 Tracy Church EVP 426540 0 166636 0 3286 0 89380 0 35863 0 721705 0 0 0 David Whitehead EVP 564363 0 316867 0 88147 0 22260 0 49158 0 1040795 0 0 0 Stuart Markowitz MD SVP 559531 0 162445 0 22039 0 102732 0 48636 0 895383 0 0 0 Gerald Boisvert SVP 433267 0 175942 0 13308 0 66772 0 45780 0 735069 0 0 0 Richard Shirey SVP 364161 0 110655 0 5421 0 79959 0 41363 0 601559 0 0 0 James Blazar SVP (Thru Dec. 2015) 468254 0 171418 0 12548 0 92690 0 43197 0 788107 0 0 0 Richard Stys SVP 444537 0 157324 0 59416 0 36551 0 34304 0 732132 0 0 0 Rita Parisi SVP 310114 0 84955 0 41755 0 52425 0 33365 0 522614 0 0 0 Lucille Janatka SVP 572147 0 180278 0 25411 0 21200 0 58668 0 857704 0 0 0 Bimal Patel SVP 355464 0 118896 0 1775 0 76741 0 18658 0 571534 0 0 0 Rocco Orlando III MD SVP 566368 0 203507 0 128404 0 56425 0 50458 0 1005162 0 0 0 Patricia Rehmer MSN SVP 225807 0 35250 0 3040 0 44399 0 13699 0 322195 0 0 0 Vincent DiBattista SVP 201514 0 40000 0 8306 0 37388 0 20464 0 307672 0 0 0 Paul Thompson MD Co-Physician in Chief 546641 0 0 0 1722 0 33125 0 34337 0 615825 0 0 0 Harold Schwartz MD VP 0 460289 0 113781 0 33022 0 33125 0 54368 0 694585 0 0 John Greene MD VP 470432 0 87091 0 35346 0 39200 0 38745 0 670814 0 0 0 Daniel Lohr VP 373623 0 106207 0 96236 0 22260 0 42082 0 640408 0 74000 0 Jonathan Velez MD VP 364066 0 105198 0 3101 0 31970 0 38623 0 542958 0 0 0 Steven Hanks MD VP 298957 0 0 0 1370925 0 0 0 47270 0 1717152 0 593863 0 Stephen Larcen (Former) SVP 0 434751 0 184730 0 104755 0 56425 0 43475 0 824136 0 0 Thomas Marchozzi Former EVP & CFO 0 0 0 0 466051 0 0 0 14105 0 480156 0 0 0 Part I, Line 1a Starting in 2013, the organization implemented a written Tax Gross Up policy which restricts the use of future gross ups. The box related to health or social club dues or initiation fees is checked. Hartford HealthCare Corporation maintains a membership at the Hartford Club. The Hartford Club does not allow for corporate membership, therefore, the membership fee is paid directly to the Club, but the account is assigned to an individual executive. This executive does not derive any personal benefit from the use of the Club, and any use is for business purposes such as meetings/lunches/dinners etc. The executive is not taxed, and is required to sign an annual attestation that he does not derive any personal benefit from the use of this membership. The membership resides at Hartford HealthCare Corporation and can be reassigned at will. Part I, Line 3 Please see Sch O, Part VI, Section B, Line 15 for comments regarding compensation. Part I, Lines 4a-b The following individuals received a lump sum severance payment in 2015: Thomas Marchozzi (Former Officer)in the amount of $450,000 Steven Hanks, MD (VP) in the amount of $775,451 Patricia Walden (VP) in the amount of $390,469 Hartford Healthcare Corporation 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. 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 or upon reaching age 65. 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. 2015 SERP accruals made on behalf of the following individuals: Jeffrey Flaks $ 21,245 Tracy Church $ 52,830 James Blazar $ 56,140 Bimal Patel $ 44,157 Stuart Markowitz $ 66,182 Gerald Boisvert $ 30,222 James Cardon $ 60,692 Margaret Marchak $ 56,789 Richard Shirey $ 46,117 Vincent DiBattista $ 20,346 Charles Johnson $ 27,692 Patricia Rehmer $ 26,117 Jeffrey Flaks $106,225* Elliot Joseph $134,825* Stephen Larcen $ 51,590* Rocco Orlando $ 68,545* Richard Stys $ 52,938* David Whitehead $ 69,487* Rita Parisi $ 35,383* *For these individuals, vesting occurred, causing taxable income. A portion of the vested amount was used to pay the associated tax liability. The remaining balance stayed in the SERP account. 2015 SERP Payments were made to the following individuals: Steven Hanks $593,863 Daniel Lohr $ 74,000 Part I, Line 7 Hartford HealthCare Corp. has a Compensation At Risk Plan that provides at-risk award opportunities to motivate eligible executives to put forth maximum effort to accomplish specified annual goals. The payment of an award to any senior executive is contingent on the System achieving pre-established performance goals and maintaining financial stability, participants achieving pre-established performance goals, and on approval of the Executive Compensation Committee of the Board of Directors. A State of Connecticut Health & Education Facilities Authority 060806186 20774YCZ8 2011-09-29 330863039 Refund portions of existing debt and obtain funds for future capital needs. 0 0 1 B State of Connecticut Health & Education Facilities Authority 060806186 20774YQK6 2014-03-26 85958709 Refund portions of existing debt and obtain funds for future capital needs. 0 0 1 C State of Connecticut Health & Education Facilities Authority 060806186 20774YVKO 2015-05-12 126868188 Funding for future capital needs 0 0 1 A 331667796 19572000 4652264 -856906 303153428 4342230 2012 0 1 1 1 B 85962200 1438989 12839911 70742963 938409 2014 0 0 0 1 C 126925969 1868188 56962061 4463282 63577985 2015 0 0 0 1 A 0 1 1 1 1 1 0.02000 0.02000 0 0 0 B 0 1 1 1 1 1 0 0 0 C 0 1 1 1 1 1 0 0 0 A 0 1 0 0 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 1 0 0 0 0 A 1 B 1 C 1 Form 990, Schedule K On September 29, 2011 Hartford HealthCare Corporation (Corporation) issued approximately $330,863,000 of CHEFA Revenue Bonds Series A & B. In conjunction with the issuance of the HHC 2011 Bonds, an obligated group was formed. The members of the obligated group are the Corporation, Hartford Hospital, The Hospital of Central Connecticut, Windham Community Memorial Hospital and Midstate Medical Center (collectively referred to as the Obligated Group). The Obligated Group members are identified as either an obligated group member or a designated affiliate. Obligated Group members are jointly and severally liable under a Master Trust Indenture (MTI) to make all payments required with respect to obligations under the MTI. The Corporation does have the right to name designated affiliates, although presently none exist. Though designated affiliates are not obligated to make debt service payments on the obligations under the MTI, each designated affiliate would have an independent designated affiliate agreement and promissory note with the Corporation with stipulated repayment terms and conditions, each subject to the governing law of the obligated groups' state of incorporation. In addition, the Corporation may cause each designated affiliate to transfer such amounts as necessary to enable the obligated group members to comply with the term of the MTI, including payment of the outstanding obligations. Effective January 2014, The William W. Backus Hospital became part of the Obligated Group. On March 26, 2014, the Corporation issued approximately $83,790,000 of CHEFA Revenue Bonds Series E. The 2011 and 2014 Bonds were issued to refund portions of existing debt under Corporation and to obtain funds for future capital needs. Effective May 12, 2015 the Corporation issued approximately $126,860,000 of CHEFA Revenue Bonds Series F & G. The 2015 Bonds were issued to obtain funding for future capital needs. Schedule K, Part III, Line 4 HHC monitors and calculates percent of private business use on an annual basis or if a significant event occurs during the year. Form 990, Part III, line 3 On February 29, 2016, the Corporation sold the outreach laboratory service business of Clinical Laboratory Partners (Single Member LLC). During the year ended September 30, 2016, the Corporation recorded a gain on the sale in the other operating revenue within the accompanying consolidated statements of opertions and changes in net assets. Form 990, Part VI, Section B, line 11 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 SVP of Financial Operations 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 SVP of Financial Operations and then filed with the IRS. Form 990, Part VI, Section B, line 12c 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 & 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 15 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation for the CEO and Senior Executives at Hartford HealthCare Corporation. All compensation reported on this tax return follows Hartford HealthCare's compensation policy as outlined below: - The use of Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare 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 purpose based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by an 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; - CEO compensation determined 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 and other Senior Executives is reviewed on an annual basis. Form 990, Part VI, Section C, line 18 The Organization's Form 990, 990T and Form 1023 and its attachments are available upon request. Form 990, Part VI, Section C, line 19 The Organization's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. Form 990, Part XI, line 9: Transfers From Affiliates 23,938,000. True Up of K-1 Income 137,909. Other 187,773. Rounding 894. Form 990, Part XII, Line 3a & b The Organization itself is not required to undergo the audit, however, the Organization is a parent to several acute care hospitals. The individual hospitals were required to undergo OMB Circular A-133 Audit. The audit itself was performed on a parent level with consolidation of affiliated hospitals and subsidiaries. Hartford HealthCare Laboratories LLC 80 Seymour Street Hartford CT 06102 061525596 Laboratory Services CT 112160000 15212000 Hartford HealthCare Corporation Practice Central LLC 85 Seymour Street Hartford CT 06102 364692507 Health Care & Health Delivery CT -1556000 10000 Hartford HealthCare Corporation Integrated Care Partners LLC One State Street Suite 19 Hartford CT 06103 371740267 Integration of Electronic Health System & Data Sharing Services CT -4977000 12259000 Hartford HealthCare Corporation Hartford Hospital 80 Seymour Street Hartford CT 06102 060646668 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Windham Community Memorial Hospital Inc 112 Mansfield Ave Willimantic CT 06226 060646966 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Windham Hospital Foundation Inc 112 Mansfield Ave Willimantic CT 06226 562546632 Supporting Organization CT 501(C)(3) 11(a) Windham Community Memorial Hospital 1 Connecticut Health System Inc 80 Seymour Street Hartford CT 06102 222779421 Coordination of Health Delivery CT 501(C)(3) 11(c) Hartford HealthCare Corporation 1 1 Natchaug Hospital Inc 189 Storrs Road Mansfield Ctr CT 06226 060966963 Behavioral Health CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Hartford HealthCare At Home Inc 1290 Silas Deane Hy Suite 4B Wethersfield CT 06109 060646938 Home Healthcare CT 501(C)(3) 7 Hartford HealthCare Corporation 1 Rushford Center Inc 883 Paddock Avenue Meriden CT 06450 060932875 Substance Abuse Healthcare Services CT 501(C)(3) 7 Hartford HealthCare Corporation 1 MidState Medical Center 435 Lewis Avenue Meriden CT 06451 060646715 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corporation 1 Hartford Hospital Auxiliary co Hartford Hospital 80 Seymour Street Hartford CT 06115 066040747 Fundraising CT 501(C)(3) 11(c) Hartford Hospital 1 Hartford HealthCare Independence at Home Inc 1290 Silas Deane Hy Suite 4B Wethersfield CT 06109 061161422 Home Healthcare CT 501(C)(3) 9 Hartford 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