2014-08-08T10:32:53-05:00 2013-09-30 346565596 Ernst & Young US LLP 2005 Market St 700 Philadelphia PA 19103 990 2012-10-01 060646668 Hartford Hospital HART 8606966200 80 Seymour Street PO Box 5037 Hartford CT 061025037 Gerald J Boisvert 8605455000 2014-08-08 0 Wendy J Clavin P00870950 2154485000 2012 2015-11-30 17:44:51Z Stuart Markowitz MD 80 Seymour Street Hartford CT 06102 1523912886 0 X HARTHOSP.ORG X 1854 CT Hartford Hospital, founded in 1854,is one of the largest teaching hospitals and tertiary care centers in New England. The hospital is home to a particularly extensive surgical practice. It has been training physicians for over 130 years, primarily in collaboration with the University of Connecticut School Of Medicine. It is a member of Hartford HealthCare Corporation, a large, diversified health care system. The hospital is an 867-bed regional referral center that provides high-quality care in all clinical disciplines, enhanced by robust research endeavors. Among its divisions are the Institute of Living, a 154-bed mental health facility, and Jefferson House, a 104-bed long-term care facility. The hospital's active medical staff includes over 1,300 physicians and dentists within 18 clinical departments. In 2013, the hospital had 41,809 discharges and 100,799 emergency department visits. The Hospital owns and operates the State's only Air Ambulance System (LifeStar). 15 7 8335 1169 1817380 -217694 50463051 44343052 994234347 998448361 21910378 120288577 11625136 12521021 1078232912 1175601011 267919 185000 0 0 597207276 626663531 0 0 1383551 409536237 438839660 1007011432 1065688191 71221480 109912820 1326505378 1295534541 765877368 670075768 560628010 625458773 X To offer comprehensive services in an environment where innovation and teaching are integral to care; where we are proud to serve all; where meeting the challenge of complex medical needs is viewed as a defining competency; and where quality and safety of care are a constant. 0 0 92355352 91031196 At the completion of Fiscal Year (FY)2013, there were 81 medical staff members in the Division of Cardiology, comprised of 13 hospital-employed faculty cardiologists, 56 private practice cardiologists, 6 full-time employed hospitalists, and three doctoral-level researchers. Four new physicians joined the full-time staff in FY 2013: The division received $1,600,000 in research funding, including $1,436,820 from industrial sources, $99,667 from foundations and $63,513 from internal grants. The number of cardiology full-time equivalent employees in FY13 was 179. The number of medical cardiology non-ICU discharges was 4,425. The number of medical cardiology non-ICU patient days was 21,053. The number of medical cardiology ICU discharges for FY2013 was 156 and the number of medical cardiology ICU patient days was 3,893.Division Of Cardiology Patient Care Activities: *For FY2013 there were 3,856 total cases; 3,397 were coronary, 459 peripheral. Total cases were up approximately 2% from the previous year.*For coronary procedures, 2,119 were diagnostic, 1,169 were angioplasties and 105 structural heart interventions such as Transcatheter Aortic Valve Replacement Procedure (TAVR).*112 Percutaneous Coronary Interventions (PCI) were done on an outpatient basis, up from 89 in FY2012. We expect this trend to continue for FY2014.*For peripheral procedures, there were 459 total cases: 110 diagnostic and 349 interventional.*90% of all cardiac interventions were stented, 79% received drug-eluting stents and 19% were bare metal. There was a 9% increase in the use of drug-eluting stents from FY2012.*Approximately 24% of all cardiac cases were done through the radial artery. This is double the amount done in FY2012 when only 12% were done via the radial artery.*The PCI length of stay was 3.53 days for FY2013, about a half day is trending downwards longer then the American College of Cardiology National Cardiovascular Data Registry (ACC NCDR) for PCI average for all comers. The LOS due to the increasing number of 1 day and less longer length of stays. *There was a near doubling of structural heart interventions: 56 in FY2012 and 105 in FY2013. There were 42 Valvuloplasties, 55 TAVRs and 33 Ventricular Assist Device (VAD) placements.*The Emergent case status for PCIs at Hartford Hospital was 25.8% compared to 16.2% for similar hospitals that report to the ACC NCDR. In addition 24% of all PCIs were ST Elevation Myocardial Infarctions (STEMIs) compared to 15% at similar-sized hospitals (source: Q2, 2013 ACC NCDR Report). *21% of our patients were direct transfers and 30.1% came in through the Hartford Hospital Emergency Department. This was a 7% increase in emergency patients from FY2012.*48% of all cardiac lab cases were elective, 41% urgent and 11% emergent. This was a slight increase in urgent cases from the previous year and a slight decrease in elective cases.Cardiac Electrophysiology Laboratory:*For FY2013, there were a total of 1,173 procedures performed. This represents an overall 1% decrease in total procedures compared to FY2012. *There were 764 patient visits. This represents an overall 1% increase in patient visits compared to FY2012.*There were 189 cardiac ablations; this represents a 12% decrease from FY2012. *A total of 293 Implantable Cardioverter Defibrillator (ICD) cases were performed. Of these, 25% were ICD generator changes, of which 18% were biventricular ICD generator changes, 23% were initial biventricular ICD implants, and 34% were initial single or dual chamber ICD implants. *A total of 190 pacemaker (PM) cases were performed; a 23% increase from FY2012. Of these, 22% were PM generator changes, 11% were initial biventricular PM implants, and 67% were initial single or dual chamber PM implants. *16 laser lead extractions were performed; this represents a 0% change from FY2012. *35 lead cases other than laser, were performed.*222 lead/device explants were preformed; this represents a 34% increase from FY2012.Nuclear Cardiology / Exercise Stress Test Laboratories:There was a total 2,214 nuclear cardiology imaging studies performed at Hartford Hospital in FY2013. Cardiac Positron Emission Tomography (PET) represented 114 of the total procedures. Overall, FY2013 nuclear cardiology volume for both HH and satellites (including Cardiac PET) totaled 3,448 procedures. There were a total of 2,502 stress tests performed at Hartford Hospital in FY2013. Of these, 382 were standard Exercise Tolerance Test, 2,041 were combined with perfusion imaging, and 79 were with Cardiac PET.Echocardiography:In FY2013, Hartford Hospital Echocardiography Lab performed 10,209 transthoracic studies, 769 transesophageal echocardiographic studies, and 164 stress echocardiograms. These totals represent a 5.4% increase compared to FY2012. Approximately 48% of transthoracic studies were performed at the bedside and 17.8% of studies were performed on outpatients. The lab was able to decrease turnaround time from time of order to completion within 36 hours to over 90% in FY2013. This decrease had a positive effect on overall length of stay.Cardiac Surgery: *840 cases were done in FY2013, an 18% increase from FY2012*There were 366 isolated Coronary Artery Bypass Grafting (CABG) surgeries, 146 CABG/Valve, 253 Valves and 75 Others. This represents a 37% increase in valve surgery and a 49% increase in CAB/Valve surgery.*41% of all CABG only surgeries were off pump. The National rate of Off-Pump CABG is 18%.*From the latest Society of Thoracic Surgeons report dated 11/1/13, which included cases from 1/1/13 through 6/30/13, our CABG operative mortality was 0.6%. Our risk adjusted observed to expected mortality was 0.71, which places us in the 98th percentile for the country. Our operative mortality last year was 1.9% and an odds ratio of 1.06*Our observed to expected ratio for complications for CABG, Aortic Valve Replacement (AVR), Mitral Valve Replacement (MVR), AVR+CABG and MVR+CABG were all below 1.00 and at the 90th percentile for similar sized hospitals (average is 50th percentile). A ratio below 1 signifies that outcomes are better then expected.*12 Heart Transplants were done at Hartford Hospital in FY2013 compared to 14 the previous year.Advanced Heart Failure and Transplant Center:The Advanced Heart Failure (HF) Infusion Center continues to provide successful outpatient therapy for decompensated HF patients reducing length of stay, preventing re-admission and allowing patients to stay in the comfort of their own home. Outpatient Infusion Therapy continues to be very popular and highly effective in stabilizing patients with acute HF syndrome. During FY2013, a total of 1,673 encounters and 1,222 infusions were performed. The Early Discharge HF heart failure Infusion Clinic (EDHFIC) program continues to screen patients in the ED to prevent (re)admissions to the hospital. Patients with HF are screened, and if they meet criteria they are assessed for treatment in the Infusion Center rather than being admitted. HH Heart Transplant Program (HHHTP):In FY2013, the HHHTP performed 12 heart transplants. Approximately 115 previously transplanted heart patients are followed by the Hartford Hospital Transplant team. HH Heart Transplant program's waiting list for the United Network for Organ Sharing continues to be one of the northeast's shorter than average wait times. At the same time the number of organ offers from with our Organ Procurement Organization was down in comparison to previous years. Most transplants are performed on VAD patients highlighting the importance of the VAD program to the continued success of the transplant program. The HHHTP continues to use Allomap blood testing which remains an adjunct to endomyocardial biopsy to help with the surveillance and management of rejection in Heart Transplant patients. Preventive Cardiology: Preventive Cardiology includes cholesterol management, low-density lipoprotein (LDL) apheresis, cardiovascular sports medicine consultation and cardiac rehabilitation. LDL Apheresis was relocated to the Cardiology Department and serves patients from Connecticut and Western Massachusetts, has doubled in size over the last few years and is one of the largest programs in the country. Cardiac Rehabilitation continued to expand. There were over 17,000 Cardiac Rehabilitation visits at the three sites: Hartford, Glastonbury and Farmington. Community Outreach: Hartford Hospital actively supported the American Heart Association's Annual Heart Walk. Multiple heart health screenings were well attended at Big Y locations throughout Central Connecticut. Cardiac Rehab did multiple blood pressure screenings as part of Cardiac Rehab Week, and to raise awareness of their four sites across the region. 74895608 64152677 The Institute of Living (Hartford Hospital's Department of Psychiatry) is referred to as the IOL. The most distinctive aspect of this year in regard to behavioral health, has been the roll out of the national dialogue on mental health which followed from the Sandy Hook Disaster. The IOL is proud to have played a role in the shaping of this dialogue through consultation with Vice President Biden's office and participation in numerous town hall panels, conferences and media appearances. Senior members of the IOL staff continued their efforts on the Governor's Sandy Hook Advisory Commission throughout the year. In response to Sandy Hook and the ensuing dialogue about mental health, the Connecticut legislature enacted a variety of provisions aimed at enhancing mental health services with a focus on early detection and intervention.Highlights of the year included renovation of the Purple Pod which will significantly enhance the capacity and the quality of the space devoted to psychiatric patients in the Hartford Hospital Emergency Department. The Purple Initiative was multispecialty, multidisciplinary effort to plan for an expansion of psychiatric services in the Emergency Department. Programmatic developments on the IOL campus included the continuation of the growth of the Young Adult Program as we implemented a Hartford Foundation for Public Giving grant with the development of outreach services for this population, growth of our Child and Adolescent Partial Hospital Program, planning for the establishment of a partial hospital track for LGBTQ (lesbian, gay, bisexual, transgender, queer) patients and expansion of inpatient geriatric services by an additional four beds. We continued our quality and safety focus on suicide prevention and seclusion/restraint reduction.Statistical DataTotal discharges for the year were 4,004. The number of adult day treatments was 8,084. The IOL treated 21,664 patients for eating disorder and 4,214 for Schizophrenia rehabilitation. A total of 1,536 patients received Geriatric day treatment, 4,040 received professional day treatment, 1,812 received extended day treatment, 7,190 received Child/Adolescent day treatment and 2,857 went through the Dialectical Behavioral Therapy (DBT) program. The average length of stay was 9.8 days and the average daily census was 109.1. Hartford residents accounted for 33% of admissions and 63% of admissions were from other areas within the state.Patient Care Activities and Program DevelopmentPatient care activities and program development were guided by the IOL's internal goals for FY2013. Highlights included a focus on continued growth in the Young Adult and Child and Adolescent PHP/IOP Programs an increase of Inpatient capacity by four beds on the Geriatric unit and the development of an expanded space and program in the Purple Pod in HH ED. Other program highlights for this year included:*Assessment Center: Clinicians evaluated nearly 6,500 patients in the Hartford Hospital Emergency Department 2,437 children in the Connecticut Children's Medical Center Emergency Department and averaged 4,200 telephone interventions per month.* Adult Ambulatory Services: Provided over 73,000 services in eight specialty programs including Adult Day Treatment, Addiction Recovery Service, Dialectical Behavior Therapy, Eating Disorders, Geriatric Day Treatment, Professionals Program (including Professionals Addiction Recovery Service), Schizophrenia Rehabilitation Program and the Young Adult Program (including the POTENTIAL Program).*Inpatient Services: Total discharges were 4,004 from three adult units, one geriatric unit, one child unit, one adolescent unit and one child/adolescent unit (CARES).*Child/Adolescent Division: Consists of the Outpatient Clinic, Extended Day Treatment (TOPS), Partial Hospital and Intensive Outpatient Programs (IOP), the Child/Adolescent Practice and the Webb Schools (Hartford and Cheshire). The Webb Schools continue to operate the Transitional Learning Academy and have further developed vocational programming for the high school and transitioning students.*Geriatric Division: Expanded inpatient capacity by four beds and remained very active providing day hospital, outpatient and nursing home-services. Electroconvulsive therapy utilization remains high and Transcranial Magnetic Stimulation volumes are stable. *Consultation/Liaison Service and Emergency Department: Consultation/Liaison group added a new physician to better respond to continued increase in volumes. Facilities and program plans were developed for Purple Pod expansion and construction was underway by years end.*Other specialty services included the Anxiety Disorders Center/Center for Cognitive Behavioral Therapy (which established new programs for insomnia, adult ADHD, phobias and depression); the Memory Disorders Center; the Mood Disorders Program and Transcranial Magnetic Stimulation. Quality and Performance MeasuresThe Institute of Living's Executive Quality Management Committee continues to oversee quality initiatives and activities. The committee collects and analyzes data to assess quality and safety outcomes of patient care. Results of performance indicators are reported quarterly to the IOL Board of Directors, and annually to the Hartford Hospital Quality Council. Highlights of this year's quality initiatives continue to include suicide prevention and assessment, reduction in the use of seclusion and restraint, and fall prevention. Specific to reduction in use of seclusion and restraint, new restraint equipment was implemented on all inpatient units. This new equipment consists of a restraint chair and transboard, almost fully replacing 4 point restraints and the canvas safety suit. Events and hours of seclusion were statistically significantly reduced this year. The trend over time supports the effectiveness of the cumulative interventions and specific components introduced during FY2013. Other quality/safety initiatives included the continued focus on our computerized clinical alert system, corporate compliance, and environment of care. We continue to collect data for "Hospital-Based Inpatient Psychiatric Services Core Measures Set", better known as HBIPS. HBIPS consists of 7 core measures which focus on critical issues that affect the course of an individual's psychiatric hospitalization from the moment they enter the facility through discharge. The measures are evidence-based and have a direct impact on the quality of care received. Compliance rate is greater than 85% on all measures, with 98% compliance on measures involving continuity of care.Research, Training and EducationResearch: The research enterprise at The Institute of Living is organized in four specialized centers. The Olin Neuropsychiatry Research Center, directed by Godfrey Pearlson, M.D., focuses on studies of the major psychiatric disorders using brain imaging and electrophysiological techniques along with genetic analysis. The Anxiety Disorders Center, directed by David Tolin, Ph.D., researches treatments for Obsessive-Compulsive Disorder (OCD), Panic Disorder, Compulsive Hoarding and other disorders on the anxiety spectrum. The Braceland Center for Mental Health and Aging (Karen Blank, M.D., Director) addresses issues related to memory in normal aging and in individuals with Alzheimer's Disease or other dementing processes. Finally,the Burlingame Center for Psychiatric Research and Education, directed by John Goethe, M.D., focuses on outcomes and best practices research as well as pharmacogenetics, metabolic syndrome and treatment resistant mood disorders.Our research centers continued to perform well in competitive funding with a total of $4.1 million awarded to IOL researchers. The success of our research enterprise can be measured through grants awarded, the dissemination of important findings and the synergy between our research efforts and our training and clinical programs. IOL researchers and scholars published 53 articles, book chapters, and books, made 52 presentations nationally, and received numerous awards and honors over the course of the year. 66325964 59164715 Hartford Hospital Department of Surgery (DOS) has exhibited another year of progress for FY2013, excelling in multiple clinical and administrative areas. The attending staff consisted of the following: Active Staff 64; Courtesy 30; Consulting 7; Refer and Follow 13, and there were 101 Advanced Practitioners. The Department of Surgery is comprised of 12 Divisions. In 2013, the Department ranks were increased by 13 Active Medical Staff members. Patient Care Activities - All Divisions within the Department of Surgery excelled within their clinical areas. Divisions include: Bariatric Surgery, Colorectal Surgery, Pediatric Surgery, Podiatric Surgery, Plastic surgery, Surgical Critical Care, Surgical Oncology, Thoracic Surgery, Transplant Surgery, and Vascular Surgery.Trends in Frequency of Operations are depicted below. Note this information is based on surgical procedures and diagnostic procedures (IE. Colonoscopy) are excluded. Hence, surgical procedures performed by surgeons within their Division(s) Bariatric: 879 Colorectal: 1,451 General Surgery: 2,626, Plastic: 2,094, Podiatry; 1,091, Surgical Oncology: 1,587, Transplant: 751, Trauma: 164, Vascular: 860 and Thoracic: 303. The department continues to grow and continues to be dynamic with several changes over the past year. In-patient and Ambulatory Surgeries totaled 11,806 which are 261 cases. More than 49% of the cases were performed on an out-patient basis.With regards to Patient experience, the DOS exceeded its benchmarked Top Box Physician score of 84.4% in FY2013. To further improve patient experience scores, the Department continued to support the initiative "The Patient Experience; Building Physician and Nurse Leaders." This initiative has helped each of the DOS nursing units partner with physician leaders to identify key areas of focus to improve patient care and patient experience.Department of Surgery Research/Publications/Presentations- The Department of Surgery continues to participate in clinical and scientific research and has contributed significantly to the surgical body of knowledge. Members of the department have presented their findings at several prestigious forums and have published in a variety of referred journals.Division of Bariatric Surgery - 2013 was a successful year for the Center for Metabolic and Bariatric Surgery at Hartford Hospital. With more than 500 procedures for the year and more than 3500 cases completed since the inception of the program in 2004, Hartford Hospital is the leading provider for metabolic and bariatric surgery services in Connecticut.Division of Colorectal Surgery - There were 2 major initiatives of the colorectal division this year, growth and development of the robotic colorectal surgery program, and the multidisciplinary collaboration in the development of the pelvic floor program as detailed below. *Robotics: The goal is to utilize advanced technology in selected colorectal procedures where potential advantages may exist over traditional laparoscopic surgery. Our future goals include further growth of the program, while being mindful of the types of procedures, where the use of robotics may be beneficial to the patient.*Pelvic floor: The new Women's GI Health Center is working closely with varied disciplines on women's health issues. A new office procedure was introduced into practice to help treat rectal incontinence, Solesta injectable gel. In addition, the division is treating more patients with fecal incontinence with the use of interstim neural stimulator.Division of Podiatric Surgery - As a division that works heavily within the hospital with multiple specialities, our outcomes continue to be excellent for limb salvage. With the advent of new interventional vascular procedures by our vascular colleagues and diligent work by our division, limb salvage rates seem to stay high. We are working on different type of measures to quantify these results.Division of Plastic Surgery - The Plastic Surgery Department provides clinical services at the Connecticut Children's Medical Center and at Hartford Hospital. Our surgical volume has remained stable, and includes all types of plastic and reconstructive procedures. Our Plastic Surgeons frequently collaborate with other surgical specialists, providing state-of-the-art multidisciplinary surgical care. Common surgical procedures performed include: complex wound closures including flaps and grafts, craniofacial reconstruction, craniofacial fracture repair, cleft lip/palate reconstruction, breast surgery/ reconstruction, body contouring, skin/soft tissue tumor excision/repair, upper extremity/hand surgery/reconstruction, and cosmetic surgery/non-surgical cosmetic procedures.Division of Surgical Critical Care and Trauma - The Division of Surgical Critical Care is dedicated to providing state-of-the-art, comprehensive care to critically ill and injured patients. The Division is also committed to training fellows to assume leadership roles in the field of critical care and to insure that the educational goals of surgical and non-surgical residents are met.Patient Care - The Surgical Critical Care Division is comprised of three patient-focused intensive care units providing care in the area of General Surgery/Trauma, Cardiothoracic and Neurocritical care to over 3,100 critically ill or injured patients per year. The Division includes a total of 46 ICU beds and 12 stepdown beds to provide continuity of care throughout the patients' acute hospital course. Total SICU admissions continues to increase from 3,104 (FY2012) to 3,370 (FY2013). Average length of stay was lower in FY2013 at 4.1 days compared to 5.3 days in FY2012.Division of Surgical Oncology - The Division of Surgical Oncology had another successful year. The number of patients and surgical procedures continues to increase. Our division members not only continue to provide cutting-edge hospital services, but also participate in local and national meetings. We have also been very active providing community education through talks and television appearances.* Published manuscripts and abstracts - Over the past year, the division published articles in Surgery and Connecticut Medicine and updated three chapters on the Up to Date website for the treatment of cancer.* Invited presentations - The division presented "The Surgical Approach to Melanoma" at the annual Mary Mulready Cancer Symposium. Members of the division also gave various talks throughout the community educating the public on ductal carcinoma in situ of the breast, melanoma, and pancreas cancer. We had a poster presented at the New England Surgical Society annual meeting on partial breast irradiation in patients treated at Hartford Hospital.Division of Thoracic Surgery - FY2013 was marked by three new general thoracic surgeons joining the Hartford HealthCare ranks. STS General Thoracic Surgery Database shows Hartford Hospital to be in the upper 25th percentile regarding lowest morbidity and mortality for both pulmonary lobectomy and esophagectomy compared with the other 232 institutions participating in the STS General Thoracic Surgery database.Division of Transplant Surgery - The Vascular Access cases have increased by approx 20% and the Surgeons have met frequently with Nephrologists to meet their needs of establishing quality markers. Transplants were down 3 overall for the year. Clinical volume showed an increase of 25% for new Hepatology patients and opened South Windsor, Windham, and Manchester satellites for our program. 668056489 185000 789362529 Founded in 1854, Hartford Hospital is one of the largest teaching hospitals and tertiary care centers in New England and has a robust clinical research program. It is an 867-bed hospital occupying a 65-acre campus in downtown Hartford and operating satellite facilities in Avon, Enfield, Glastonbury, Newington, West Hartford, Wethersfield, Windsor and South Windsor.Hartford Hospital has New England's second-busiest surgical practice, after Massachusetts General. It is ranked among the top 10 centers in the country for experience in robotic surgery and performs more minimally invasive surgery than any hospital in the region. The hospital owns and operates LIFE STAR, the state's only critical-care air transport system, and is Hartford's only Level I trauma center.Hartford Hospital is committed to promoting and sustaining the health and well-being of the people in our community. We treat the members of our community like family, providing our world-class clinical care to everyone, regardless of their ability to pay. According to the Office of Health Care Access 2013 Annual Report, Hartford Hospital is the second-largest provider of Medicaid services in the state.Assessing Community Health NeedsThe Hospital collaborates with numerous partners in an ongoing effort to identify the health needs of our community. In 2012, we completed a Community Health Needs Assessment in collaboration with the Hartford Department of Health and Human Services, St. Francis Hospital and Medical Center, the University of Connecticut Health Center and Connecticut Children's Medical Center. We are using the findings from this newest study to be sure our programs continue to respond to the community's health needs. A Community Health Needs Assessment will be conducted every three year as required by law. Charity Care and Financial AssistanceThe Hospital provides free and low-cost care that respects the dignity of each patient. We offer prompt Medicaid eligibility assessments and financial assistance reviews. Financial assistance brochures are available on-site and online in both English and Spanish. Our Patient Access and Financial Assistance team has bilingual staff members who assist patients who speak Spanish, Portuguese, French, Italian and Russian. Hartford Hospital's interpreter line provides assistance with other languages, so that we can continue to meet the needs of our diverse population. Financial assistance coordinators are available in the hospital, in our Emergency Department and at our outpatient locations. When necessary, we work with patients to develop payment plans. Hartford Hospital improves community health in many ways:Partnerships - We partner with numerous community-based organizations to advance our shared goals, stimulate economic development, and improve both the health and quality of life of our neighbors.Support Groups - Individuals and families can obtain support and education from our more than 30 support groups.Outpatient Clinics - We operate several low- or no-cost outpatient clinics to provide the poorest among us with high-quality health care.Community Outreach - We regularly bring health education and screenings out into the community through health fairs, lectures and special events. We particularly reach out to those who are uninsured or underinsured.Contributions - We provide financial and in-kind contributions to nonprofit organizations that serve the community.Health Professions Education - Hartford Hospital contributes to the long-term health of our community by educating hundreds of physicians, nurses and other health care professionals every year. Since many remain to practice in the area, we help ensure that there will be enough qualified health professionals to meet the community's growing needs.Cancer Outreach - Hartford Hospital is a national leader in providing expert, state-of-the-art cancer care. We bring that expertise to the community through:* Community-based screenings for prostate and colorectal cancer* Mobile Mammography* The Partnership for Breast Care, a comprehensive center that coordinates prompt evaluation and treatment of breast problems.Emergency Services - From minor injuries to large-scale catastrophes, Hartford Hospital is the region's leading resource in an emergency.* Our Emergency Department had approximately 101,000 visits in FY2013. * We are the area's only Level I Trauma Center.* We operate LIFE STAR, the state's only critical care helicopter transport system. LIFE STAR transports emergency/critical care patients to tertiary care centers in a 150-mile radius, transporting approximately 900 patients in FY2013.* We are the state-designated Center of Excellence for Bioterrorism and Emergency Preparedness, responsible for planning and coordinating emergency response throughout north-central and eastern Connecticut.Research - In 2013, the Hospital supported approximately 290 community benefit research projects, expending a total of $12,726,896. Our research helps expand the medical community's knowledge and gives our patients access to leading-edge treatments. 668056489 185000 789362529 901633413 1 1 0 1 0 0 0 0 0 1 1 1 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 832 0 1 8335 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 X 15 7 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 NH X Carol Wardell 8606966200 80 Seymour Street Hartford CT 061025037 Jeffrey Flaks 30.00 30.00 X X 856801 0 160788 Stacy R Nerenstone 2.00 X 0 0 0 Douglas G Elliot 3.00 X X 0 0 0 Greg Deavens 2.00 X 0 0 0 Jeffry Nestler MD 2.00 X 0 0 0 Andrew L Salner MD 60.00 X X 483116 0 48664 Joseph Henry 2.00 X 0 0 0 Gregory M Jones 2.00 X 0 0 0 Roger Klene 2.00 X 0 0 0 David R McHale 2.00 X 0 0 0 Jarrod B Post 2.00 X 0 0 0 Magdalena Rodriguez 2.00 X 0 0 0 Westley V Thompson 2.00 X 0 0 0 James M Loree 2.00 X 0 0 0 Stuart Markowitz MD 60.00 X X 641318 0 51056 Rebecca Lobo 2.00 X 0 0 0 Joseph J Klimek MD 60.00 X 549668 0 23076 Harold I Schwartz MD 60.00 X 576090 0 141396 Jamie M Roche MD 60.00 X 420352 0 80160 Thomas J Marchozzi 30.00 30.00 X 732298 0 139261 Wendy E Elberth 60.00 X 279894 0 44254 Carol S Garlick 60.00 X 213808 0 38010 Bimal Patel 60.00 X 327199 0 35316 Donna Handley 60.00 X 294225 0 49399 Yvette Melendez 60.00 X 280265 0 31228 Karen T Goyette 60.00 X 240219 0 44820 Betsy Boatman 60.00 X 214801 0 29417 Rita Parisi 30.00 30.00 X 333338 0 97190 Lenworth Jacobs MD 60.00 X 3706565 0 76475 Cheryl Ficara 60.00 X 311651 0 64528 Peter Q Fraser 60.00 X 294397 0 48569 Gerald J Boisvert 60.00 X 0 0 0 Carolyn Hoban 60.00 X 0 0 0 Orlando C Kirton MD 60.00 X 618526 0 93208 Joel I Sorosky MD 60.00 X 551247 0 76126 Paul Thompson MD 60.00 X 1939027 0 157731 Michael Lindberg MD 60.00 X 366278 0 77003 Vernon Y Kwok MD 60.00 X 231792 0 25457 Alan Laites 60.00 X 224954 0 11214 Christopher Clyne MD 60.00 X 450856 0 70949 Karyn L Butler MD 60.00 X 396986 0 69982 Ikram Kureshi MD 60.00 X 187907 0 0 Paul W Crespi 60.00 X 414670 0 75015 Alan J Smally MD 60.00 X 385713 0 89926 Patricia Sheiner MD 30.00 30.00 X 0 913486 41874 Robert Hagberg MD 30.00 30.00 X 0 780677 33180 Steven Shichman MD 30.00 30.00 X 0 562147 71675 Jeffrey Kluger MD 60.00 X 452315 0 30010 Steven L Zweibel MD 60.00 X 462803 0 71070 John F Greene Jr MD 60.00 X 444050 0 77720 Charles J Ingardia 60.00 X 1187289 0 32041 Adam Borgida 60.00 X 382035 0 63801 Elliot T Joseph 0.00 X 1724083 0 386116 Neil Yeston MD 0.00 X 573654 0 93495 Stephan O'Neill 0.00 X 222133 0 19887 Rocco Orlando 0.00 X 631237 0 157512 Paul S Besson Esq 0.00 X 144060 0 11225 James M Blazar 0.00 X 520609 0 120638 Richard G Stys 0.00 X 474611 0 112551 Sonal Shah 0.00 X 266341 0 36499 Michele B Bush Esq 0.00 X 438245 0 30268 Gary V Heller MD 0.00 X 374038 0 63339 Alfred Herzog MD 0.00 X 122831 0 8937 Tracy A Church 0.00 X 469838 0 108760 Luis Taveras 0.00 X 509009 0 121797 Kevin P Keating MD 0.00 X 372937 0 76455 Judith Pepe MD 0.00 X 344546 0 65423 Robert S Dicks MD 0.00 X 205599 0 62253 Detlef Wencker MD 0.00 X 380709 0 60231 Jonathan A Hammond MD 0.00 X 802828 0 40353 28029761 2256310 3947328 926 1 1 0 University of Connecticut Health Center 263 Farmington Avenue Farmington CT 06030 Interns, Residents and Medical Services 23747922 Downes Construction Company LLC 200 Stanley Street New Britain CT 06051 Construction 22846763 FIP Construction Inc 10 Mckee Place Cheshire CT 06410 Construction 10773507 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 Software Support Services 8125913 Connecticut Multispecialty Group PC 85 Seymour Street Hartford CT 06106 Medical Services 4844140 195 1423432 207096 31080275 11632249 4188346 44343052 Patient Care 624100 991753396 991753396 Ref. Testing & Fees 621500 4163402 2700106 1463296 Free Bed Income 621400 2287771 2287771 Sale of By Products 900099 241937 241937 Library 541700 1855 1855 998448361 10235755 10235755 2433037 0 2433037 2433037 2433037 457693153 27883 347575095 93119 110118058 -65236 110052822 110052822 220323 1423432 643661 -423338 -423338 Inc. From Inv - Other 900003 7080136 6727907 352229 Cafeteria Income 722210 3431186 3431186 10511322 1175601011 1003711117 1817380 125729462 108000 108000 77000 77000 17252810 10445654 6807156 7566887 3029534 4537353 430157188 389902363 39230680 1024145 67889209 54661421 13227788 71092464 57601728 13490736 32704973 26818078 5886895 651595 65070 586525 366852 366852 111310 111310 1460885 1460885 68286773 56129760 12157013 3327176 168831 3158345 41972763 27735268 14109039 128456 760360 228342 498720 33298 26120260 22972673 3147587 1344206 1184620 158924 662 126330 84210 42120 5704487 4131562 1572925 14766187 12447033 2319154 49452979 35074025 14361679 17275 9487937 61581 9426356 Medical Supplies 139288611 139288611 Purchased Services 46045335 31421786 14448027 175522 Equipment & Ppty Maint 15739731 13430932 2308799 Miscellaneous Expenses 7942548 7561487 381061 5883335 5542959 336183 4193 1065688191 901633413 162671227 1383551 67549972 19915933 53372534 13806708 6555214 5080340 175777067 173856997 11444006 11186533 8182321 11562814 1088779342 700146649 362612837 388632693 387217959 447048832 128093912 134914172 67518507 52241424 25811034 25811034 32370015 11477061 1326505378 1295534541 169073583 199745547 596803785 470330221 765877368 670075768 X 259069182 299792317 105046304 116856893 196512524 208809563 560628010 625458773 1326505378 1295534541 X 109912820 -46556472 1474416 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 111310 0 0 111310 0 Explanation of Lobbying Activities: Part II-B, Line 1: Hartford Hospital paid $25,000 to Coalition to Protect America's Health Care for lobbying efforts on behalf of the organization during the fiscal year. Efforts mainly include the lobbying of Connecticut State Legislators in the interest of a group of specialty hospitals in the State of Connecticut. Hartford Hospital also pays annual dues to Connecticut Hospital Association (CHA) and American Hospital Association (AHA). CHA and AHA conduct lobbying activities on behalf of their members. Both CHA and AHA allocate a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA and AHA conduct lobbying activities under current Medicare rules. The total amount of dues allocated for lobbying expenses for FY13 was $86,310. 119653630 4719250 11853804 3480169 132746515 108251287 959611 14072208 3629476 119653630 112783609 329266 106788 4968376 108251287 106412056 1357240 6795833 1781520 112783609 111529519 175575 -2825233 2467805 106412056 0.56000 0.44000 0 1 1 20374554 20374554 583200481 382182734 201017747 485204307 317963915 167240392 388632693 Funds Held in Trust 134914172 F 134914172 Accrued Post Retirement Expenses 218856421 Accrued Asbestos Costs 2497171 Other Net Liabilities 35036294 Long Term Debt - Interco Bonds 210952089 Due to Afiliates 2988246 470330221 Description of Intended Use of Endowment Funds: 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 programs supported by its endowment 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, as approved by the Board of Directors, the endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of a 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. The endowment includes donor-restricted endowment funds. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. In addition to the Endownment Funds, other funds are set aside by management or by the Board of Directors for future capital improvements, research, education, and debt service funds for existing obligations and outstanding long term debt. Central America/Caribbean 0 0 Program Services Captive Insurance - Professional and General Liability 12738912 0 0 0 0 0 0 12738912 0 12738912 1 0 0 0 0 0 Black & Red Ball 1643755 1423432 220323 45608 216921 249588 131544 1643755 1423432 220323 45608 216921 249588 131544 643661 -423338 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 8960183 8960183 0.00840 180277662 137616683 42660979 0.04000 189237845 137616683 51621162 0.04840 6666832 1036 6665796 0.00630 52515768 16242180 36273588 0.03400 6147652 2655579 3492073 0.00330 12726896 12726896 0.01190 19608599 11814379 7794220 0.00730 97665747 30713174 66952573 0.06280 286903592 168329857 118573735 0.11120 11324 11324 0.00000 2631 2631 0.00000 97311 7860 89451 0.00010 300 120 180 0.00000 109687 109687 0.00010 1933 1933 0.00000 112293 112293 0.00010 11761 120 11641 0.00000 347240 8100 339140 0.00030 0 17413292 0 266874001 238271154 28602847 X 1 1 1 1 Hartford Hospital

80 Seymour Street Hartford CT 06102

X X X X X Hartford Hospital 1 1 X X X X X X X X X 12 1 1 1 X X X X 0 0 1 1 250.000000000000 1 400.000000000000 1 X X X 1 1 X X X X 1 0 1 X X 0 0 12 Eye Center - Newington

505 Willard Avenue Newington CT 06111

Eye Center West Hartford Surgery Center

65 Memorial Road Suite 500 West Hartford CT 06102

General Cardiology, Integrative Medicine The Sleep Center

1260 Silas Dean Hwy Wethersfield CT 06109

Sleep Lab Hartford Hospital Sleep Lab

533 Cottage Grove Road Bloomfield CT 06002

Sleep Lab Glastonbury Surgery Center LLC

195 Eastern Boulevard Glastonbury CT 06033

Surgery Center Glastonbury Endoscopy Center LLC

300 Western Boulevard Glastonbury CT 06033

Endoscopy Center, Education Center Avon Family Wellness Center

339 West Main Street Avon CT 06001

Wellness Center Hartford Hosp Healthcare - Windsor

1060 Day Hill Road Windsor CT 06095

Education Center Hart Hosp Healthcare - Wethersfield

1260 Silas Dean Hwy Wethersfield CT 06109

Education Center Avon Healthcare Center

100 Simsbury Road Avon CT 06001

Nuclear Cardiology, Education Center Enfield Family Wellness Center

100 Hazard Avenue Enfield CT 06082

Wellness Center South Windsor Family Wellness Center

1559 Sullivan Avenue South Windsor CT 06074

Wellness Center Part I, Line 3c: Hartford Hospital used Federal Poverty Guidelines to determine eligibility. 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: Hartford Hospital recognizes the impact that the social determinants of health have on the wellness of the community it serves. The Hospital spent in excess of $300,000 on community building activities during fiscal year 2013. The Hospital has addressed quality of life issues affecting residents in our community, who are predominantly minorities. Examples of these efforts to affect job opportunities and poverty; quality of housing; neighborhood safety; and education can be found in the following Community Building activities. Advocacy for Community Health Improvement - Since the community the Hospital serves is predominantly minorities, senior management provides expertise and resources to organizations in order to address social inequities and civil rights issues. Among these organizations are the Connecticut Coalition for Environmental Justice, Community Partners in Action (to assist people in the criminal justice system), Community Solutions (to provide alternatives to incarceration programs), and the Anti Defamation League.Coalition Building - Hartford Hospital provides senior management support and resources to affect the allocation decisions and fundraising efforts by local organizations such as the United Way, Hartford Foundation for Giving, and the Connecticut Council for Philanthropy to ensure programs to improve the wellness of local residents. These organizations make financial contributions to local agencies to provide free social services to our underprivileged population.Community Support - To address the personal safety for participants at evening activities, as well as to prevent vandalism and break-ins, Hartford Hospital provides security patrols around the Girl Scout campus 24/7. Management participates on the boards of local homeless and domestic violence shelters and supports periodic employee activities to provide personal care and food items to those in need. The Hospital has donated funds to provide free ice skating at Bushnell Park during the winter season to allow underprivileged children and their families an opportunity to exercise outdoors in a safe environment.Economic Development - Hartford Hospital is active in the marketing efforts to promote Hartford by the following organizations in order to bring more jobs and commerce to the city: Greater Hartford Visitors Convention Bureau; Metro Hartford Alliance; The Children's Museum, Connecticut Center for Advanced Technology; and Chambers of Commerce for towns in the Hospital's service area.Housing - Hartford Hospital is a member of the Southside Institutions Neighborhood Alliance (SINA), a collaborative effort of Hartford Hospital, Connecticut Children's Medical Center and Trinity College. The City of Hartford has one of the lowest percentages of home ownership in the country. Renters are often exposed to lead paint, a potentially dangerous toxin to children. SINA has endeavored to address the need for safe, clean housing and provide commitment to and pride for the neighborhood and community by promoting homeownership. In the past year, SINA completed construction of 10 single family homes, which were all sold to first time home buyers with incomes less than 80% of area median income. Hartford Hospital directly provided a significant portion of the funds that made this project a success. Additionally, SINA began construction of four two family homes and one single family home which also will be sold to first time home buyers with incomes less that 80% of area median income. Mentoring Programs - Hartford Hospital provides support to programs such as Our Piece of the Pie for social and personal growth of urban youth; spelling bees; Hartford Public Schools city-wide Science Fair; and college scholarships through Capital Community College and Southside Institutions Neighborhood Alliance. Part III, Line 4: Please see the text of the footnote that describes bad debt expense beginning on page 19 of the Audited Financial Statement.Part III, Line 3: In 2012 a pre-bad debt financial assistance screening was put 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 2013 would be immaterial. Part III, Line 8: Providing for those in need, including Medicare patients and serving all patients regardless of their ability to pay is an essential part of the organization's mission. The hospital serves all patients without regard to any payment shortfall. The organization Medicare Cost Report was used to accumulate actual costs related to Part III, Section B, Line 6. 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. Hartford Hospital Part V, Section B, Line 3: Input was solicited from leading health care and social services providers, not for profit business leaders, and local residents. Specifically input was received in the following ways:1. Key Informant Interviews: Each partner identified 5 to 10 people in management or leadership positions with various community organizations including health and human services, religious organizations, and government agencies, 85 in all. Respondents were asked, via phone interview, to critically evaluate health needs pertinent to the community through their experience. Survey questions focused on underserved populations and access to care issues in the City of Hartford. In total, 59 interviews were conducted. See appendix for complete list of participants.2. Harford Survey Project: In order to better understand Hartford's human service needs and barriers to receiving services, a face to face survey by Urban Alliance, a local non profit organization, was conducted. 402 resident surveys were completed at 12 locations throughout the city to promote geographical and ethnic diversity among respondents; these locations include grocery stores, pharmacies, and community events and programs. Respondents were asked to indentify if they would benefit from any of 12 service areas, the possible barriers to obtaining these services, and which three areas of the 12 have a need for additional services. In addition they were asked to rank the top tree service areas in Hartford that they believed were in most need. Of the total respondents 57% were female and 43% were male. The ethnicity breakdown was 39% African American, 37% Latino, 9% White, and 8% West Indian. Age categories for respondents were 27% between 18 and 29 years old, 42% between 30 and 49, 2% between 50 and 64 and 6% were 65 and older. Hartford Hospital Part V, Section B, Line 4: Hartford Hospital conducted the needs assessment with two other hospital facilities: Saint Francis Hospital and Connecticut Children's Medical Center. Hartford Hospital Part V, Section B, Line 5c: The needs assessment was published in March 2012 and is available on the hospital's website. In addition, copies were distributed to local non-profit organizations, colleges, churches, and state and local government representatives. These reports are also made available in waiting areas of the various departments within the hospital. Hartford Hospital Part V, Section B, Line 7: At a meeting in April 2012, the hospitals, Hartford's Department of Health and Humans Services, and local partners met to prioritize the health issues determined by the needs assessment. Participants engaged in a ranking exercise and rated each issue on a 5 point likert Scale based on the following criteria: scope & severity, ability to impact and gaps in services. The higher the average, the greater perceived significance of the issue. Access to Care, Obesity, Diabetes, Cardiovascular disease, and Mental and Behavioral health rose to the top. Sexually Transmitted Diseases, Infant Mortality, Oral Health, Environmental Health, Asthma, and Cancer were at the bottom of the list. Participants came to the consensus that all the health issues identified in the needs assessment were important, but they noted the need to focus resources and efforts toward specific health issues such as the five identified. However, they stressed the importance of adopting broad reaching system changes that would improve coordination of care for individuals living in the City of Hartford. Hartford Hospital Part V, Section B, Line 14g: A public notice regarding financial assistance and availability of free beds funds are posted at all of the admission sites, including admitting and emergency department. Patients are also encouraged to call service center if they need financial assistance. Hartford Hospital Part V, Section B, Line 20d: Hartford Hospital is in the process of adopting proposed 501r regulations. Once the regulations are final the hospital will be in compliance. Part VI, Line 2: Hartford Hospital conducted a Community Health Needs Assessment in collaboration with the Hartford Department of Health and Human Services, St. Francis Hospital and the Connecticut Children's Medical Center. The Health Needs Assessment was completed in March, 2012. The consortium hired a national consulting firm to conduct Key Respondent interviews with local social service, health, government and community leaders. In addition, the results from a survey of over 400 Hartford residents by the Urban Alliance were incorporated into the findings. To be in compliance with IRS regulations, the Hospital will conduct a Needs Assessment at leat once in every three years, and adopt an implementation strategy to meet the community health needs identified through such assessment. Part VI, Line 3: Hartford Hospital disseminates information about its Financial Assistance Policy as follows: (i) provide signage regarding this Policy and written summary information describing the Policy along with financial assistance contact information in the Emergency Department, Labor and Delivery areas and all other Hospital patient registration areas: (ii) directly provide to each patient written summary information describing the Policy along with financial assistance contact information in admissions, patient registration discharge, billing and collection written communications; (iii) post the Policy on the Hospital's Home page; (iv) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy. Part VI, Line 4: Hartford Hospital is located in the capital of the State of Connecticut, which is one of the poorest cities in the nation with 31.9% of all of its residents and 38.3% of its families with children under the age of 18 living below the poverty line (US Census 2010). According to the CHNA just completed, the City of Hartford's population of 124,775+/- remains overwhelmingly minority and is comprised of 42% Hispanic, 37% Black. White and other groups make up the rest of the population. The median age of Hartford residents is 31 (CERC, 2011). This compares with Hartford County's median age of 40. In 2010, the median income per household within the City of Hartford was $26,055(CERC, 2011). This compares with Hartford County's median household income of $60,177 (CERC, 2011). According to the Connecticut Department of Labor, the unemployment rate in the City of Hartford was estimated to be 15.4% in October, 2011 versus a statewide rate of 8.2%. There is one other acute care hospital in Hartford proper and two smaller acute care hospitals in nearby suburbs. 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 academic medical 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.Hartford Hospital is the Center for Emergency Medical Preparedness for the Connecticut Department of Emergency Management and Homeland Security for Regions 3 and 4. These regions include 15 hospitals. Hartford Hospital has responsibility for planning and training activities that service all of these hospitals. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Sch O. Part VI, Line 6: Hartford Hospital is a subsidiary of Hartford HealthCare Corporation (HHC). HHC strives to provide compassionate care designed to deliver the necessary health services needed by the community. Hartford HealthCare Strategic Planning and Community Benefit Planning Committee of the HHC Board of Directors ensures the oversight for these services by each hospital community. 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."HHC affiliation creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows the 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 flagship tertiary medical center of the system hospitals.The affiliation further enhances the hospitals' 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. Reports Filed With States Part VI, Line 7 CT 1 Arthritis Foundation 35 Cold Spring Road 411 Rocky Hill CT 06067 060672782 501(c)(3) 25000 FMV Annual support for the Arthritis Foundation programs and services to those who suffer from arthritis, as well as to fund vitally important research. Connecticut Children's Medical Center 282 Washington St Hartford CT 06106 222619869 501(c)(3) 5000 FMV To provide funding for state-of-the-art equipment and innovative programs and enable the Medical Center to invest in new equipment and research initiatives. Connecticut Science Center 250 Columbus Blvd Hartford CT 06103 061538101 501(c)(3) 5000 FMV To support science education, exhibits and programs. Greater Hartford Arts Council 45 Pratt St Hartford CT 06123 237111486 501(c)(3) 10000 FMV Donation provided for a nationally recognized program for inner-city teens to partcipate in a formal arts apprenticeship program to develop valuable life-long career skills in the arts, as well as interviewing skills and how to write a resume. Leadership Greater Hartford 30 Laurel St Hartford CT 06106 061167174 501(c)(3) 5000 FMV To develop programming and allow people to attend who could not otherwise afford these programs. University of Connecticut Foundation 10 Talcott North Road Farmington CT 06032 066070722 501(c)(3) 12500 FMV To support the Uconn Health Center Bioscience educational, reseach and clinical programs. Urban League 140 Woodland St Hartford CT 06105 066066491 501(c)(3) 5000 FMV To support programs in the areas of workforce development and training, education and youth development and economic empowerment services to individuals in the Connecticut Capital Region. Analeh TV Productions 38 Sinclair Street Windsor CT 06095 061524408 501(c)(3) 5500 FMV $1,500 for Nutrition progamming, part of which changes traditional Latino recipes to be more healthful with less fat and sodium. $4,000 to provide sponsorship for production of this Spanish language talk television program. Connecticut Public Broadcasting Network 1049 Asylum Avenue Hartford CT 06105 060758938 501(c)(3) 5000 FMV To sponsor CPTV's 50th Anniversary gala to support educational progamming for children and adults. Girl Scouts of Connecticut 340 Washington St Hartford CT 06106 060653117 501(c)(3) 5000 FMV Two $2,500 donations to support the Girl Scouts programs and camps to inspire girls to do their best, reach new heights, become true leaders, and serve their community. Hartford Marathon 41 Sequin Drive Glastonbury CT 06033 061415320 501(c)(3) 10000 FMV The Hartford Marathon Foundation holds events to raise health awareness in the community, as well as putting over $1.5 million into the area economically annually. Latino News Network 11 Talcott Notch Road Farmington CT 06032 455100303 C Corp 5000 FMV To produce "Health Tips", a regularly-featured article that educates the leadership of this on-line Latino publication on health promotion. Unversity of Hartford 200 Bloomfield Avenue West Hartford CT 06117 060731360 501(c)(3) 5000 FMV Two $2,500 donations to provide scholarship funds, tuition assistance and educational programming for students. Wadsworth Atheneum 600 Main Steet Hartford CT 06103 060653111 501(c)(3) 5000 FMV To support the Atheneum's ongoing exhibitions and public programs. 13 1 Tapestry Awards 3 10000 Sons and Daughters Scholarship Awards 67 67000 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, 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/Tapestry 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 or attending any of Hartford Hospital's School of Allied Health Programs. 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 20 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 20 hours per week at Hartford Hospital. If the student is budgeted to work more than 20 hours at Hartford Hospital, the student is not eligible for the scholarship, but may instead apply for tuition reimbursement from the hospital. Applicant must have a verifiable GPA of 3.0 or higher to apply Applicants are chosen on 3 criteria. 1. Based on parent's years of service to Hartford Hospital. 2. GPA (must be at least a 3.0 or higher to apply) 3. Essay score X X 0 1 1 1 0 0 0 0 0 1 0 Jeffrey Flaks 628837 0 208912 0 19052 0 120981 0 39807 0 1017589 0 0 0 Andrew L Salner MD 480146 0 0 0 2970 0 17500 0 31164 0 531780 0 0 0 Stuart Markowitz MD 459913 0 175110 0 6295 0 17500 0 33556 0 692374 0 0 0 Joseph J Klimek MD 455816 0 72222 0 21630 0 0 0 23076 0 572744 0 0 0 Harold I Schwartz MD 433936 0 97350 0 44804 0 105659 0 35737 0 717486 0 0 0 Jamie M Roche MD 328465 0 73416 0 18471 0 47000 0 33160 0 500512 0 0 0 Thomas J Marchozzi 546278 0 165018 0 21002 0 108509 0 30752 0 871559 0 0 0 Wendy E Elberth 239928 0 38340 0 1626 0 25670 0 18584 0 324148 0 0 0 Carol S Garlick 175463 0 37177 0 1168 0 20585 0 17425 0 251818 0 0 0 Bimal Patel 267512 0 59099 0 588 0 22917 0 12399 0 362515 0 0 0 Donna Handley 250443 0 41408 0 2374 0 19873 0 29526 0 343624 0 0 0 Yvette Melendez 230501 0 47648 0 2116 0 19624 0 11604 0 311493 0 0 0 Karen T Goyette 189136 0 50144 0 939 0 14700 0 30120 0 285039 0 0 0 Betsy Boatman 184916 0 29529 0 356 0 13083 0 16334 0 244218 0 0 0 Rita Parisi 248026 0 72611 0 12701 0 70173 0 27017 0 430528 0 0 0 Lenworth Jacobs MD 574069 0 91943 0 3040553 0 0 0 76475 0 3783040 0 3001990 0 Cheryl Ficara 256034 0 51155 0 4462 0 33165 0 31363 0 376179 0 0 0 Peter Q Fraser 241970 0 50750 0 1677 0 17500 0 31069 0 342966 0 0 0 Orlando C Kirton MD 577407 0 1500 0 39619 0 56856 0 36352 0 711734 0 0 0 Joel I Sorosky MD 530683 0 0 0 20564 0 40750 0 35376 0 627373 0 0 0 Paul Thompson MD 519049 0 0 0 1419978 0 107357 0 50374 0 2096758 0 1397231 0 Michael Lindberg MD 350150 0 0 0 16128 0 44580 0 32423 0 443281 0 0 0 Vernon Y Kwok MD 225568 0 0 0 6224 0 0 0 25457 0 257249 0 0 0 Alan Laites 182841 0 37153 0 4960 0 0 0 11214 0 236168 0 0 0 Christopher Clyne MD 392105 0 39945 0 18806 0 40750 0 30199 0 521805 0 0 0 Karyn L Butler MD 379089 0 0 0 17897 0 37000 0 32982 0 466968 0 0 0 Ikram Kureshi MD 187907 0 0 0 0 0 0 0 0 0 187907 0 0 0 Paul W Crespi 311409 0 81707 0 21554 0 46640 0 28375 0 489685 0 0 0 Alan J Smally MD 350401 0 0 0 35312 0 60750 0 29176 0 475639 0 0 0 Patricia Sheiner MD 0 791292 0 100000 0 22194 0 0 0 41874 0 955360 0 0 Robert Hagberg MD 0 651077 0 90000 0 39600 0 0 0 33180 0 813857 0 0 Steven Shichman MD 0 562147 0 0 0 0 0 34500 0 37175 0 633822 0 0 Jeffrey Kluger MD 388799 0 39367 0 24149 0 0 0 30010 0 482325 0 0 0 Steven L Zweibel MD 404182 0 40973 0 17648 0 37000 0 34070 0 533873 0 0 0 John F Greene Jr MD 400750 0 0 0 43300 0 47000 0 30720 0 521770 0 0 0 Charles J Ingardia 339498 0 0 0 847791 0 0 0 32041 0 1219330 0 813451 0 Adam Borgida 370387 0 0 0 11648 0 31063 0 32738 0 445836 0 0 0 Elliot T Joseph 1113869 0 498420 0 111794 0 335604 0 50512 0 2110199 0 0 0 Neil Yeston MD 229382 0 56417 0 287855 0 58439 0 35056 0 667149 0 0 0 Stephan O'Neill 0 0 0 0 222133 0 113 0 19774 0 242020 0 0 0 Rocco Orlando 468271 0 139077 0 23889 0 120976 0 36536 0 788749 0 0 0 Paul S Besson Esq 0 0 0 0 144060 0 0 0 11225 0 155285 0 0 0 James M Blazar 410711 0 103809 0 6089 0 90359 0 30279 0 641247 0 0 0 Richard G Stys 367600 0 105300 0 1711 0 81582 0 30969 0 587162 0 0 0 Sonal Shah 219533 0 44770 0 2038 0 17901 0 18598 0 302840 0 0 0 Michele B Bush Esq 107319 0 0 0 330926 0 10948 0 19320 0 468513 0 0 0 Gary V Heller MD 369828 0 0 0 4210 0 35372 0 27967 0 437377 0 0 0 Alfred Herzog MD 106605 0 0 0 16226 0 0 0 8937 0 131768 0 0 0 Tracy A Church 339398 0 103020 0 27420 0 77971 0 30789 0 578598 0 0 0 Luis Taveras 423134 0 84840 0 1035 0 93061 0 28736 0 630806 0 0 0 Kevin P Keating MD 354415 0 0 0 18522 0 47000 0 29455 0 449392 0 0 0 Judith Pepe MD 322899 0 11250 0 10397 0 33374 0 32049 0 409969 0 0 0 Robert S Dicks MD 204774 0 0 0 825 0 32611 0 29642 0 267852 0 0 0 Detlef Wencker MD 368953 0 0 0 11756 0 31171 0 29060 0 440940 0 0 0 Jonathan A Hammond MD 490873 0 311955 0 0 0 0 0 40353 0 843181 0 0 0 Part I, Line 1a Tax indemnification and gross-up payments to individuals for benefits were included as taxable income on their 2012 Form W-2. The box related to health or social club dues or initiation fees is checked. Hartford Hospital maintains memberships at two local clubs. These clubs do not allow for corporate memberships, therefore, the membership fees are paid directly to the clubs, but accounts are assigned to individual executives. These executives do not derive any personal benefit from the use of the clubs and any use is for business purposes only. These executives are not taxed, and are required to sign an annual attestation that they do not derive any personal benefit from the use of these club memberships. The memberships reside at Hartford Hospital and can be reassigned at will. Part I, Line 1b In 2013, the Organization implemented a new Tax Gross-Up policy which restricts the use of future gross-up. For calendar 2012, no such policy was in place. Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare Corporation, on behalf of Hartford Hospital, hires an outside consultant, Integrated Healthcare Strategies, to determine best practices in governing executive compensation. Part I, Lines 4a-b Mr. Stephan O'Neill (former Officer) severance payment began in September of 2011 and ended August 2012. Total severance payment in 2012 was $223,320. Mr. Paul Besson (former Officer) severance payment began in January of 2011 and ended May 2012. Total severance payment in 2012 was $143,771. Dr. Neil Yeston (former Vice President) severance payment began in July of 2012. Total severance payment in 2012 was $277,529 Ms. Michele B. Bush (former SVP General Counsel) severance payment began in May of 2012. Total severance payment in 2012 was $324,450. Dr. Charles J. Ingardia was paid a lump sum amount of $813,451 to close out his participation in the Hartford Hospital Supplemental Employee Retirement Plan (SERP), upon his reaching Normal Retirement Age, as required under the SERP. Total compensation to Dr. Ingardia including the SERP payment was $1,187,289. Dr. Lenworth M. Jacobs was paid a lump sum amount of $3,001,990 to close out his participation in the Hartford Hospital Supplemental Employee Retirement Plan (SERP), upon his reaching Normal Retirement Age, as required under the SERP. Total compensation to Dr. Jacobs including the SERP payment was $3,706,565. Dr. Paul T. Thompson was paid a lump sum amount of $1,397,231 to close out his participation in the Hartford Hospital Supplemental Employee Retirement Plan (SERP), upon his reaching Normal Retirement Age, as required under the SERP. Total compensation to Dr. Thompson including the SERP payment was $1,939,027. 2012 SERP accruals made on behalf of the following individuals: Mr. Elliot Joseph $294,854 Mr. Thomas Marchozzi $71,508 Dr. Harold Schwartz $31,515 Dr. Paul Thompson $33,052 Dr. Orlando Kirton $16,106 Mr. James Blazar $51,905 Ms. Tracy Church $44,642 Mr. Jeffrey Flaks $83,981 Dr. Rocco Orlando $60,226 Ms. Rita Parisi $29,820 Mr. Richard Stys $51,030 Mr. Luis Taveras $50,904 Part I, Line 7 The hospital has an At Risk Plan that encourages and rewards achievements of significant functional goals for management that contribute to 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. See Part V See Part V See Part V 0 Business Transactions Involving Interested Persons (a)Name of Person: Douglas Elliot(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $250,000(d)Description of Transaction: Mr. Douglas Elliot is a board member of Hartford Hospital. Mr. Elliot is also an executive at the The Hartford Insurance Group (The Hartford). The Hartford provides certain insurance services to Hartford Hospital and other member entities and received premium fees for the risk. Mr. Elliot has no personal involvement in any of these transactions. (e)Sharing of Organization's Revenue? No(a)Name of Person: Greg Deavens(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $443,116(d)Description of Transaction: Mr. Greg Deavens is a board member of Hartford Hospital. Mr. Deavens is also an executive at Mass Mutual Life Insurance Company. Mass Mutual provided certain insurance coverages to Hartford Hospital and other member entities. Mr. Deavens has no personal involvement in any of these transactions.(e)Sharing of Organization's Revenue? No(a)Name of Person: James Loree(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $1,582,270(d)Description of Transaction: Mr. James Loree is a board member of Hartford Hospital. Mr. Loree is an Officer of Stanley Black & Decker an entity that sells commercial security and other services to Hartford HealthCare Corporation member entities including Hartford Hospital. Total payments received from Hartford HealthCare member entities were $1,582,270.(e)Sharing of Organization's Revenue? No(a)Name of Person: Jarrod Post(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $4,052,379(d)Description of Transaction: Mr. Jarrod Post is a board of Hartford Hospital. Mr. Post is currently a CEO of Connecticut Multispecialty Group P.C. The P.C. provides services to Hartford HealthCare member entities. Total transactions between the P.C. and HHC member entities were $4,052,379 during the year.(e)Sharing of Organization's Revenue? No(a)Name of Person: Jeffry Nestler, M.D.(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $1,017,000(d)Description of Transaction: Dr. Jeffry Nestler is a board of Hartford Hospital. Dr. Nestler is currently the President of Connecticut GI PC. The PC provides services to Hartford Hospital. Total transactions between the PC and Hartford Hospital were approximately $1,017,000 during the year.(e)Sharing of Organization's Revenue? No X 12 4188346 FMV 0 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/deny 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 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 VP of Finance for review. The final form was forwarded to the entire Board for review. Once the review process was completed, the form was signed by the VP of Finance and then filed with the Internal Revenue Service. 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, Audit & Privacy (OCAP). All employee disclosures are reviewed by OCAP to determine if there is a potential conflict. Legal counsel will review all cases where the individual has a significant financial interest and these cases are forwarded to the System Executive Compliance Steering Committee. The System Executive Compliance Steering Committee will assess and may recommend 1) the conflict be eliminated, 2) the proposed activity be prohibited, or 3) a Conflict of Interest management plan be implemented. Results of the survey of board members is 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, to determine best practices in governing executive compensation. The following steps were taken: - 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 - 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 performed by independent third party compensation consulting firm, reviewed by the committee - Recommendations made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - CEO compensation determined by Committee based on comparative market information and organizational performance - All changes reviewed and approved by Executive Compensation Committee The CEO compensation determination process 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 19 Form 990, 990T and Form 1023 and its attachments are available upon request. Hartford Hospital's governing documents, financial statements and Conflict of Interest statements are also made available upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Sch K-1 Reconciling Items -352,229. Pension Adjustment 153,353,962. Transfer to Affiliates -151,527,317. Connecticut Health System Inc 80 Seymour Street Hartford CT 06102 222779421 Coordination of Health Care Delivery CT 501(C)(3) 11 (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) 11 (c) N/A 1 Institute of Living 200 Retreat Avenue Hartford CT 06106 060646683 Supporting Organization to Hartford Hospital CT 501(C)(3) 11 (c) Hartford Hospital 1 Windham Community Memorial Hospital 112 Mansfield Avenue Willimantic CT 06226 060646966 Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corp 1 Windham Hospital Foundation Inc 112 Mansfield Avenue Willimantic CT 06226 562546632 Supporting Organization CT 501(C)(3) 11 (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 Corp 1 Natchaug Hospital Inc 189 Storrs Road Mansfield Center CT 06226 060966963 Behavioral Health CT 501(C)(3) 3 Hartford HealthCare Corp 1 Hartford HealthCare At HomeInc 103 Woodland Street Hartford CT 06105 060646938 Home Healthcare CT 501(C)(3) 7 Hartford HealthCare Corp 1 Rushford Center Inc 883 Paddock Avenue Meriden CT 06450 060932875 Substance Abuse Healthcare Services CT 501(C)(3) 7 Hartford HealthCare Corp 1 VNA Health Resources Inc 103 Woodland Street Hartford CT 06105 061161422 Home Healthcare CT 501(C)(3) 9 Hartford HealthCare At Home Inc 1 Hartford Hospital Auxiliary co Hartford Hospital 80 Seymour Street Hartford CT 06115 066040747 Fundraising CT 501(C)(3) 11 (c) 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 Corp 1 Central CT Senior Health Svc dba Southington Care 45 Meriden Avenue Southington CT 06489 222635676 Sub-Acute & Long Term Healthcare CT 501(C)(3) 9 Hartford HealthCare Corp 1 Bradley Health Services 100 Grand Street New Britain CT 06050 061367014 Healthcare Services CT 501(C)(3) 9 Hartford HealthCare Corp 1 Central CT Health Alliance 100 Grand Street New Britain CT 06050 222785033 Support & Management Svcs. to TOCC and Affiliates - 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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 Unrelated 351478 1447487 0 0 0.50000 Glastonbury Endoscopy Center LLC 300 Western Boulevard Glastonbury CT 06033 261721234 Endoscopy Services CT N/A Related 664069 127621 0 0 0.50000 Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury CT 06033 262600828 Surgery Services CT N/A Related 4919949 516628 0 0 0.51000 Hartford - Middlesex Clinical System LLC 80 Seymour Street Hartford CT 06110 061543605 Affiliate Support Services CT N/A Unrelated -135 0 0 0.50000 Med-East Assoc LLC 1703 West Main Street Willimantic CT 06226 061469575 Outpatient Care Clinic CT N/A Hartford HealthCare Endowment LLC 80 Seymour Street Hartford CT 06102 454181103 Endowment Management CT N/A Excluded Under 512 14783902 501056685 0 0 0.70920 HHMOB Corporation & Subsidiary 80 Seymour Street Hartford CT 06102 061140244 Real Estate & Parking CT N/A C 0 CHS Insurance LTD FB Perry Bld 40 Church St Hamilton BD Captive Insurance BD N/A C 0 Windham Health Services Inc 112 Mansfield Avenue Willimantic CT 06226 061461101 Home Healthcare CT N/A C 0 Windham Physician Hospital Organization 112 Mansfield Avenue Willimantic CT 06226 061441614 Medical Services CT N/A C 0 Windham Family Medical Services 112 Mansfield Avenue Willimantic CT 06226 061491649 Medical Services CT N/A C 0 CenConn Services Inc 100 Grand Street New Britain CT 06050 222836001 Holding Company CT N/A C 0 Grand Indemnity Co LTD 40 Church Street Hamilton BD 980609499 Professional Liability BD N/A C 0 Hartford Physician Services PC 80 Seymour Street Hartford CT 06102 061254082 Medical Services CT N/A C 0 Meriden Imaging Center 101 North Plains Industrial Road Meriden CT 06429 061541468 Imaging CT N/A S 0 Hartford Physician Hospital Organization Inc 80 Seymour Street Hartford CT 06102 222785918 Physician & Hospital Support CT N/A C -253281 2444211 0.50000 0 Aetna Ambulance Service Inc POBOX 1150 Manchester CT 06045 060795431 Ambulance Services CT N/A C 0 Metro Wheelchair Service Inc POBOX 300 Manchester CT 06045 060878432 Wheelchair Services CT N/A C 0 WWB Corporation 326 Washington Street Norwich CT 06360 061094836 Holding Company CT N/A C 0 ConnCare Inc 326 Washington Street Norwich CT 06360 061387598 Health Care Services CT N/A C 0 Backus Medical Center Condo Assoc Inc 330 Washington Street Norwich CT 06360 061542647 Condo Association CT N/A C 0 Windham Profeesional Office Condominium Association Inc 1120 Mansfield Avenue Willimantic CT 06226 061090041 Condo Association CT N/A C 0 Select Physicians Network 112 Mansfield Avenue willimantic CT 06226 061426901 Managing offices of physicians and surgeons. 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