2014-11-13T14:45:14-06:00 2014-03-31 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2013-04-01 060646766 HOSPITAL FOR SPECIAL CARE HOSP 8602232761 2150 CORBIN AVENUE NEW BRITAIN CT 060532266 LAURIE WHELAN SENIOR VP OF FINANCE/CFO 8606126309 2014-11-11 1 ELIZABETH SOLECKI P00235171 8605614000 2013 2015-11-30 17:44:51Z JOHN VOTTO 2150 CORBIN AVENUE NEW BRITAIN CT 060532266 153994525 0 X WWW.HFSC.ORG X 1941 CT HOSPITAL FOR SPECIAL CARE IS A 228 BED REHABILITATION AND CHRONIC DISEASE HOSPITAL, SERVING PATIENTS IN THESE PRIMARY AREAS: INPATIENT AND OUTPATIENT REHABILITATION, RESPIRATORY CARE, MEDICALLY COMPLEX AND PEDIATRICS. 14 13 1190 334 0 0 1039145 8282810 141811910 140654769 1573352 3574423 1557287 1482523 145981694 153994525 10000 6000 0 0 66321709 68827225 0 0 0 76719974 74943235 143051683 143776460 2930011 10218065 133871044 141924949 79705258 80836007 54165786 61088942 X HOSPITAL FOR SPECIAL CARE IS A 228 BED REHABILITATION AND CHRONIC DISEASE HOSPITAL, SERVING PATIENTS IN THESE PRIMARY AREAS: INPATIENT AND OUTPATIENT REHABILITATION, RESPIRATORY CARE, MEDICALLY COMPLEX AND PEDIATRICS. 0 0 46380570 6000 58608222 INPATIENT CARE: RESPIRATORY SERVICES INCLUDE CARING FOR PEOPLE WHO HAVE MADE CONSCIOUS DECISIONS TO LIVE ON LIFE SUPPORT. THESE PATIENTS REQUIRE SIGNIFICANT MEDICAL ATTENTION ALONG WITH SERVICES TO ENHANCE QUALITY OF LIFE. OUR GOAL IS TO LIBERATE PATIENTS FROM VENTILATOR DEPENDENCY SO THAT THEY CAN RESUME THEIR LIVES. HOSPITAL FOR SPECIAL CARE IS RECOGNIZED FOR HAVING THE HIGHEST VENTILATOR-WEANING RATE IN CONNECTICUT AND CONSISTENTLY EXCEEDS THE NATIONAL AVERAGE. SERVICES FOR THE CLINICAL MANAGEMENT OF PATIENTS WITH SERIOUS RESPIRATORY CONDITIONS ARE PROVIDED ON THREE DISTINCT UNITS. HSC'S 36-BED LAURIE COLEMAN PUGLISI RESPIRATORY CARE UNIT AND THE 38-BED RESPIRATORY STEP-DOWN UNIT PROVIDE CARE FOR PATIENTS WITH MULTI-SYSTEM PROBLEMS AND ASSOCIATED RESPIRATORY FAILURE REQUIRING ARTIFICIAL AIRWAY AND VENTILATOR ASSISTANCE. THE CLOSE OBSERVATION UNIT IS AN 11-BED UNIT PROVIDING TECHNOLOGICALLY ADVANCED CLINICAL MANAGEMENT OF ADULT PATIENTS WHO REQUIRE MECHANICAL VENTILATION, AND WHO HAVE POTENTIAL TO BE REMOVED FROM THE VENTILATOR. HOSPITAL FOR SPECIAL CARE IS CERTIFIED BY AMERICAN ASSOCIATION FOR RESPIRATORY CARE (AARC). (29,420 PATIENT DAYS) 46866449 47713225 INPATIENT CARE: REHABILITATION SERVICES INCLUDE PROGRAMS FOR THOSE RECOVERING FROM A LIFE-THREATENING CONDITION, DEBILITATING INJURY OR SUFFERING FROM ACUTE CHRONIC ILLNESS. HSC PROVIDES INTERDISCIPLINARY CARE FOR PATIENTS WITH AMPUTATIONS, NEUROLOGICAL CONDITIONS, ORTHOPEDIC DIAGNOSES, MUSCULOSKELETAL DIAGNOSES, MULTIPLE TRAUMA, AND COMPLICATIONS FROM PROLONGED HOSPITALIZATIONS. COMPLEX MEDICAL AND COMPLEX REHABILITATION PROGRAMS LED BY A BOARD-CERTIFIED INTERNIST PROVIDES A WIDE RANGE OF SERVICES DESIGNED TO MAXIMIZE THE OUTCOMES OF PATIENTS WHO NO LONGER NEED INVASIVE OR ACUTE DIAGNOSTIC PROCEDURES, BUT WHO CONTINUE TO REQUIRE 24-HOUR NURSING CARE AND/OR MONITORING. WE ALSO PROVIDE COMPREHENSIVE CARE FOR INDIVIDUALS WHO REQUIRE COMPLEX WOUND MANAGEMENT. HSC TREATS ALL LEVELS OF SPINAL CORD DYSFUNCTION THROUGH ITS CONTINUUM OF CARE, FROM VENTILATOR MANAGEMENT AND INTERDISCIPLINARY THERAPIES TO PAIN MANAGEMENT AND COMMUNITY RE-ENTRY. A COMPREHENSIVE TREATMENT PLAN IS TAILORED TO EACH INDIVIDUAL BY A DEDICATED REHABILITATION TEAM LED BY A BOARD-CERTIFIED SPINAL CORD INJURY SPECIALIST. THE ACQUIRED BRAIN INJURY (ABI) PROGRAM TREATS INDIVIDUALS WITH TRAUMATIC OR NON-TRAUMATIC BRAIN INJURIES (I.E., ANEURYSM, ANOXIA, TUMORS) WITH THE GOAL TO MAXIMIZE PATIENTS' FUNCTIONAL STATUS, INDEPENDENCE, PSYCHOSOCIAL ADJUSTMENT AND VOCATIONAL AND LEISURE SKILLS INCLUDING COMMUNITY REINTEGRATION. CURRENTLY OUR BRAIN INJURY PROGRAM IS ACCREDITED BY COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). THE NEUROBEHAVIORAL PROGRAM (NBP) IS A LONG-TERM, 25-BED INPATIENT REHABILITATION PROGRAM THAT SPECIALIZES IN THE TREATMENT OF INDIVIDUALS WHO HAVE SUSTAINED AN ACQUIRED BRAIN INJURY AND HAVE BEEN UNSUCCESSFUL LIVING IN THE COMMUNITY OR IN OTHER FACILITIES. THE PURPOSE OF THE NBP IS TO ASSIST THESE INDIVIDUALS IN MANAGING THEIR BEHAVIORS APPROPRIATELY, IN LEARNING SKILLS TO MAXIMIZE THEIR INDEPENDENCE AND TO IMPROVE THEIR OVERALL QUALITY OF LIFE. HSC'S CARDIAC MEDICAL UNIT CONSISTS OF TREATMENT, THERAPY, AND EDUCATION FOR PATIENTS WHO ARE STRIVING TO REGAIN, OR MAINTAIN THEIR FUNCTIONAL ABILITY WHILE DEALING WITH THE COMPLICATIONS FROM HEART FAILURE. (27,561 PATIENT DAYS) 15275110 15392509 INPATIENT CARE: PEDIATRIC SERVICES IS A 30-BED PEDIATRIC UNIT THAT PROVIDES CARE TO CHILDREN (FROM NEWBORN TO 18 YEARS OF AGE), IN NEED OF REHABILITATION FOLLOWING AN ACCIDENT, SURGERY, SERIOUS ILLNESS OR PREMATURE BIRTH, MANY OF WHOM ARE TECHNOLOGY DEPENDENT. HSC OFFERS PROGRAMS AND SERVICES TAILORED TO EACH CHILD'S INDIVIDUAL NEEDS TO HELP REGAIN LOST SKILLS OR DEVELOP BRAND NEW SKILLS. THE ULTIMATE GOAL IS TO PROVIDE A BRIDGE BETWEEN ACUTE CARE AND A HOME SETTING. (8,666 PATIENT DAYS) 6422625 6463129 OUTPATIENT REHABILITATION SERVICES: INCLUDE MULTIDISCIPLINARY SERVICES TO MEET THE NEEDS OF PATIENTS WHO REQUIRE ASSISTANCE BUT DO NOT REQUIRE HOSPITALIZATION. PHYSICAL THERAPISTS FOCUS ON IMPROVING A PERSON'S MOVEMENT, MOBILITY AND STRENGTH TO RESTORE, MAINTAIN AND PROMOTE OPTIMAL PHYSICAL FUNCTION. OCCUPATIONAL THERAPISTS FOCUS ON IMPROVING A PERSON'S ABILITY TO PERFORM DAILY SELF-CARE NEEDS AND ROUTINES WHICH MAY INCLUDE DIFFICULTY WITH SEQUENCING AND PLANNING, ARM AND HAND MOVEMENTS, AND FINE-MOTOR COORDINATION. OUR SPEECH LANGUAGE PATHOLOGY SERVICES AND ASSESSMENTS ARE DESIGNED TO CONSIDER ALL OF THE VARIABLES THAT AFFECT A PATIENT'S ABILITY TO MEET HIS/HER GOALS, INCLUDING ORAL CARE, LEVEL OF INDEPENDENCE IN DAILY ACTIVITIES, MEDICATION AND QUALITY OF LIFE NEEDS. HSC OUTPATIENT FACILITIES INCLUDE A 27,000 SQUARE FOOT AQUATIC REHABILITATION CENTER, FEATURING 2 WHEELCHAIR ACCESSIBLE POOLS: A WARM WATER POOL TO HELP REDUCE PAIN DURING AQUATIC THERAPY AND A COOL WATER POOL FOR FITNESS, ATHLETIC TRAINING AND RECREATION, AS WELL AS A MODERN FITNESS CENTER WITH THE LATEST CARDIOVASCULAR AND STRENGTH-TRAINING EQUIPMENT. THE NEUROMUSCULAR CENTER AT THE HOSPITAL FOR SPECIAL CARE IS THE LARGEST AND MOST COMPREHENSIVE IN THE STATE OF CONNECTICUT, INCLUDING MUSCULAR DYSTROPHY ASSOCIATION (MDA) CLINIC FOR ADULTS AND CHILDREN, AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION (ALSA) CERTIFIED CENTER PROGRAM & CLINIC, NEUROPATHY & GENERAL NEUROMUSCULAR DISEASE CLINIC, ELECTROMYOGRAPHY (EMG) & NEURODIAGNOSTIC LAB, UCHC-HSC MUSCLE & NERVE BIOPSY SERVICE, REHABILITATION SERVICES, SPEECH & LANGUAGE PATHOLOGY, MEDICAL NUTRITION SERVICES, SOCIAL WORK SERVICES, SUPPORT GROUPS, NEUROMUSCULAR AND PULMONARY CLINIC. THE DEPARTMENT OF PSYCHOLOGY PROVIDES A VARIETY OF ASSESSMENT AND TREATMENT SERVICES IN ADULT NEUROPSYCHOLOGY, PEDIATRIC AND ADOLESCENT NEUROPSYCHOLOGY AND REHABILITATION PSYCHOLOGY AND COORDINATES SUPPORT GROUPS FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY AND SPINAL CORD INJURY. HSC ALSO OFFERS OUTPATIENT PULMONARY REHABILITATION PROGRAM TO HELP PERSONS WITH PULMONARY DISEASE REACH HIS/HER MAXIMUM LEVEL OF INDEPENDENCE AND FUNCTION IN THE COMMUNITY BY OFFERING ENDURANCE EXERCISE GROUPS FOR FITNESS TRAINING AND INDIVIDUAL ONE-TO-ONE THERAPY SESSIONS FOR EVALUATION AND TRAINING IN TECHNIQUES TO DECREASE ENERGY EXPENDITURE FOR WALKING, CLIMBING STAIRS, COMPLETING SELF-CARE AND PERFORMING CHORES. IN FY14, HSC LAUNCHED A COMPREHENSIVE COPD DISEASE MANAGEMENT PROGRAM TO HELP PATIENTS WITH MODERATE TO VERY SEVERE COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE). HSC'S AUTISM CENTER PROVIDES A VARIETY OF DIAGNOSTIC, PSYCHOLOGICAL AND ACADEMIC EVALUATIONS AND A FULL RANGE OF THERAPY OPTIONS IN OCCUPATIONAL, SPEECH AND LANGUAGE, AND PHYSICAL THERAPIES FOR CHILDREN AND ADOLESCENTS WITH AUTISM SPECTRUM DISORDERS (ASD). THE AUTISM CENTER STAFF ALSO ASSIST IN THE DEVELOPMENT OF EDUCATIONAL AND BEHAVIORAL PLANS, AS WELL AS THE TRAINING OF CAREGIVERS, TEACHERS OR OTHERS INVOLVED IN THE LIFE OF THE CHILD. THESE SERVICES MAY BE CONTRACTED BY EITHER THE CHILD'S PARENTS OR THE SCHOOL SYSTEM. IN FYE 2014, HSC STARTED OFFERING COMPREHENSIVE EVALUATIONS AND TREATMENT FOR PATIENTS DIAGNOSED WITH PARKINSON'S DISEASE AND RELATED NEUROLOGICAL DISORDERS. HSC ALSO STARTED THE SWALLOWING DISORDERS CENTER TO OFFER COMPREHENSIVE EVALUATION AND TREATMENT FOR PATIENTS EXPERIENCING DYSPHAGIA UTILIZING ADVANCED EQUIPMENT. HSC THERAPY PROGRAMS FEATURE THE LEE SILVERMAN VOICE TREATMENT (LSVT) BIG AND LOUD PROGRAM THAT INCORPORATES LOUD SPECIALISTS IN SPEECH PATHOLOGY AND BIG-CERTIFIED PHYSICAL THERAPISTS. OTHER OFFERINGS THROUGH OUR SPEECH AND SWALLOWING CENTER INCLUDE EXPIRATORY MUSCLE STRENGTH TRAINING (EMST) AND MADISON ORAL STRENGTHENING THERAPEUTIC (MOST) DEVICE APPLICATION TO ASSESS TONGUE MUSCLE STRENGTH AND GUIDE ISOMETRIC PROGRESSIVE RESISTANCE TRAINING TO IMPROVE TONGUE STRENGTH NECESSARY FOR SWALLOWING.(22,019 VISITS) 10035030 12477684 INPATIENT CARE: SATELLITE UNIT/HARTFORD LOCATION IS A 23-BED UNIT LOCATED WITHIN THE WALLS OF THE NORTH CAMPUS OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IN HARTFORD. THE SATELLITE UNIT IS SPECIFICALLY DESIGNED TO PROVIDE SOPHISTICATED TREATMENT AND SERVICES FOR PATIENTS NEEDING COMPREHENSIVE WOUND MANAGEMENT, VENTILATOR-WEANING, COMPLEX RESPIRATORY CARE, OR MANAGEMENT OF COMPLEX MEDICAL ISSUES. THE GOAL IS TO MAXIMIZE THE OUTCOMES OF PATIENTS WHO NO LONGER NEED INVASIVE OR ACUTE DIAGNOSTIC PROCEDURES, BUT WHO CONTINUE TO REQUIRE 24-HR NURSING CARE AND/OR MONITORING. (6,310 PATIENT DAYS) 16457655 18940813 124979784 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 255 0 1 1190 1 0 0 0 0 0 0 0 0 X 14 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAURIE A WHELAN 8606126309 2150 CORBIN AVENUE NEW BRITAIN CT 060532266 X BRADLEE BENN BOARD MEMBER 1.00 1.00 X 0 0 0 DIANE R CHACE ESQ BOARD MEMBER 1.00 1.30 X 0 0 0 GERALDINE DEVERS BOARD MEMBER 1.00 0.30 X 0 0 0 ELIZABETH FUMIATTI BOARD MEMBER 1.00 1.90 X 0 0 0 MICHAEL GENOVESI MD BOARD MEMBER 1.00 0.00 X 0 0 0 HUBERT DAVIS BOARD MEMBER 1.00 0.00 X 0 0 0 GEORGIAN F LUSSIER MSOB BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES MAHONEY CHAIR 1.00 1.90 X X 0 0 0 JOHN C KING ESQ BOARD MEMBER 1.00 0.30 X 0 0 0 LEE D NORDSTROM BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID J KELLY BOARD MEMBER 1.00 1.90 X 0 0 0 JOSEPH G LAFFIN CCP BOARD MEMBER 1.00 0.00 X 0 0 0 ROSEMARY HATHAWAY PHD RN BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN VOTTO DO PRESIDENT & CEO 36.90 3.10 X X 1265528 9589 70339 CARL R FICKS JR ESQ BOARD MEMBER/DIRECTOR CORPORATE & DONOR RELATIONS 1.00 0.60 X 16370 0 16772 RITA E GRYGUS RN MSN VICE CHAIRMAN 1.00 0.30 X X 0 0 0 WILLIAM E SCHUCH ASSISTANT TREASURER 1.00 0.90 X X 0 0 0 SISTER MARY MARK PIZZOTTI DM BOARD MEMBER 1.00 0.30 X 0 0 0 PAUL SCALISE MD SR VP MED. AFFAIRS & CHIEF CLINICAL OFFICER, CHIEF 44.40 0.60 X 372480 0 59514 LAURIE ANN WHELAN SENIOR VP FINANCE, CFO & TREASURER 35.70 4.30 X 264785 40223 38956 FELICIA DEDOMINICIS SVP LEGAL AFFAIRS, CLO, SECRETARY & CORPORATE COMP 33.40 6.60 X 228611 19405 49190 LYNN A RICCI SENIOR VP & COO 31.40 8.60 X 242976 50937 46411 LISA A NEWTON VP OF PATIENT CARE SERVICES 39.40 0.60 X 211793 0 18340 DONALD CYR VP FACILITIES & HOSPITALITY SERVICES 39.40 0.60 X 169633 0 17609 JUDITH TRZCINSKI VP HUMAN RESOURCES 39.40 0.60 X 171565 0 9866 STANISLAW JANKOWSKI VP CHIEF INFORMATION OFFICER 39.40 0.60 X 169651 0 16498 VICTORIA GOLAB VP QUALITY & PATIENT SAFETY OFFICER 39.40 0.60 X 120965 0 20368 CHRISTINE ULATOWSKI EXECUTIVE ASST/ASST SECRETARY 39.40 2.90 X 79600 0 938 JASON JAKUBOWSKI VP EXTERNAL RELATIONS 40.00 0.00 X 151337 0 21056 BRENDA NURSE MD CHIEF, INFECTION DISEASE,EPIDEMIOLOGY 40.00 0.00 X 271046 0 15223 JOHN PELEGANO MD CHIEF OF PEDIATRICS 40.00 0.00 X 232231 0 26479 STEVEN PRUNK MD ASSOC CHIEF INTERNAL & PULMONARY MEDICINE 47.00 0.00 X 259965 0 25152 WILLIAM PESCE CHIEF OF PHYSICAL MEDICINE 40.00 0.00 X 247246 0 25042 THOMAS SOLTIS MD INTERNIST 42.00 0.00 X 217707 0 25213 DAVID CRANDALL FORMER PRESIDENT & CEO 0.00 0.00 X 500603 0 12704 5194092 120154 515670 68 1 1 0 ALLSCRIPTS HEALTHCARE LLC LOCKBOX 077133 PHILADELPHIA PA 19171 INFO TECH SERVICES/EQUIPMENT 1795122 THE HOSPITAL OF CENTRAL CONNECTICUT 100 GRAND ST NEW BRITAIN CT 06050 LABORATORY & RADIOLOGY SERVICES 1078230 SAINT FRANCIS HOSPITAL 114 WOODLAND STREET HARTFORD CT 06105 LEASE & PURCHASED SERVICES 447498 KAESTLE BOOS ASSOCIATES INC 416 SLATER ROAD NEW BRITAIN CT 06050 ARCHITECTURAL & DESIGN 359716 TOTAL LAUNDRY COLLABORATIVE 114 WOODLAND STREET HARTFORD CT 06105 LAUNDRY & LINEN SERVICES 286410 13 5870413 197742 2214655 8282810 PATIENT SERVICE REV. 622000 140320253 140320253 MEMBERSHIP FEES 713940 334516 334516 140654769 3566923 3566923 5683 5683 176692 0 176692 176692 176692 7500 0 7500 7500 7500 DAYCARE SERVICES 624410 555542 555542 CAFETERIA SALES 722210 195953 195953 PROFESSIONAL SERVICES 541900 18053 18053 530600 530600 1300148 153994525 140654769 0 5056946 6000 6000 3602074 3602074 50501239 45530036 4971203 494359 445696 48663 10449107 9420526 1028581 3780446 3408309 372137 277759 277759 136805 136805 45233 45233 3647980 2419773 1228207 312574 312574 7722971 5443710 2279261 87237 87237 1347971 1289586 58385 62135 41124 21011 190960 68047 122913 2212451 2212451 3589219 3235906 353313 763616 763616 CONTRACTUAL ADJUSTMENTS 51072187 51072187 PHARMACY 2286310 2286310 MEDICAL/SURGICAL NON-CH 505127 505127 MISCELLANEOUS EXPENSES 370606 370606 312094 312094 143776460 124979784 18796676 0 11981548 14355449 13361304 13686547 571146 508169 2992674 2488732 103479979 55540885 41907756 47939094 36868949 43955702 26187667 18991256 133871044 141924949 23909421 25343123 0 144737 53255000 52365000 2540837 2983147 79705258 80836007 X 48201839 59910251 5527923 739380 436024 439311 54165786 61088942 133871044 141924949 X 10218065 23914 -3318823 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 226983 226983 124979784 125206767 1000000 250000 0 0 1000000 1000000 2000000 3000000 274556 226983 501539 250000 250000 500000 750000 7641397 688610 424280 6000 5725265 3023022 7205185 467933 373757 10000 395478 7641397 5173186 2097219 93071 2500 147354 8437 7205185 3549365 1497531 309864 5000 169416 9158 5173186 1551107 1593206 689552 2500 246810 35190 3549365 0.61000 0.15000 0.24000 0 1 1 363049 363049 60169696 28623116 31546580 590526 216113 374413 31318739 24451897 6866842 11037969 2249759 8788210 47939094 INSURANCE RESERVES 1850957 PRESENT VALUE OF RETIREMENT BENEFITS 2827871 CHEFA OBLIGATION & DISCOUNT AND ISSUANCE EXPENSE 2428449 DEBT SERVICES FUND 7164981 DUE FROM AFFILIATES 1543778 STOP LOSS RECEIVABLES 3175220 18991256 DUE TO THIRD PARTY PAYORS 2983147 2983147 99665624 23914 -54352815 -54328901 153994525 0 153994525 92742468 0 92742468 51033992 51033992 143776460 PART V, LINE 4: FUNDS ARE HELD BY THE ORGANIZATION TO FUND FUTURE FACILITY MAINTENANCE, PURCHASE NEEDED FACILITY EQUIPMENT, PURCHASE EQUIPMENT AND SERVICES FOR PATIENT CARE, FUND LECTURES, RESEARCH AND EDUCATION AND IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS. IN FY10, A FUND WAS ESTABLISHED FOR THE CONSTRUCTION OF A NEW OUTPATIENT FACILITY BEING FUNDED BY A CAPITAL CAMPAIGN, WHICH WAS MOSTLY COMPLETED IN FY14. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN EQUITY INTEREST IN AFFILIATES -4,555,155. CHANGE IN MINIMUM PENSION LIABILITY 1,596,052. CONTRACTUAL ADJUSTMENTS -51,033,990. EQUITY TRANSFERS TO AFFILIATES -359,722. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRACTUAL ADJUSTMENTS 51,033,990. ROUNDING 2. 1 1 X 1 X 1 X 280.000000000000 0 0 0 683 683 0.00000 62066832 61959006 107826 0.00070 62067515 61959006 108509 0.00070 67097 67097 0.00050 465716 38844 426872 0.00300 814741 626151 188590 0.00130 171818 171818 0.00120 1519372 664995 854377 0.00600 63586887 62624001 962886 0.00670 4928 4928 0.00000 2002 2002 0.00000 6930 6930 1 424699 6561323 8651856 -2090533 X 1 1 1 NOT APPLICABLE 1 1 HOSPITAL FOR SPECIAL CARE 2150 CORBIN AVENUE NEW BRITAIN CT 06053 X X X LONG TERM ACUTE CARE FACILITY HOSPITAL FOR SPECIAL CARE 1 1 X X X X X X X 12 1 1 1 X WWW.HFSC.ORG X X X X X 0 0 1 1 100.000000000000 1 280.000000000000 1 X X 1 1 X X 1 X 1 X X X X 1 X 0 0 HOSPITAL FOR SPECIAL CARE PART V, SECTION B, LINE 3: THE CHNA WAS COMPRISED OF BOTH QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS:QUANTITATIVE DATA: A HOUSEHOLD TELEPHONE SURVEY WAS CONDUCTED WITH 630 RANDOMLY-SELECTED COMMUNITY RESIDENTS. THE SURVEY WAS MODELED AFTER THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) WHICH ASSESSES HEALTH STATUS, HEALTH RISK BEHAVIORS, PREVENTIVE HEALTH PRACTICES, AND HEALTH CARE ACCESS PRIMARILY RELATED TO CHRONIC DISEASE AND INJURY.QUALITATIVE DATA: KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 21 KEY COMMUNITY LEADERS, REPRESENTING A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY.KEY INFORMANT INTERVIEW PARTICIPANT LIST DR. MICHAEL GREY, DR. JEFFREY FINKELSTEIN AND KATHY SCALISE, THE HOSPITAL OF CENTRAL CONNECTICUTPAUL HUTCHEON, CENTRAL CONNECTICUT HEALTH DEPARTMENTSERGIO LUPO AND FRANCINE TRUGLIO, NEW BRITAIN HEALTH DEPARTMENTSHANE LOCKWOOD, PLAINVILLE/SOUTHINGTON HEALTH DEPARTMENTWENDY DEANGELO, WHEELER CLINICRAY GORMAN, COMMUNITY MENTAL HEALTH AFFILIATESYVETTE HIGHSMITH FRANCIS, COMMUNITY HEALTH CENTERSELLEN ROTHBERG, VNA HEALTHCAREPAT CIARDULLO, NEW BRITAIN EMSGRACE DAMIO, HISPANIC HEALTH COUNSELFATMA ANTAR, BERLIN MOSQUEMONSIGNOR DANIEL PLOCHARCZYK, SACRED HEART CHURCH OF NEW BRITAINSTEPHEN J. VARGA, NEW BRITAIN AREA INTER FAITH CONFERENCEJOHN MYERS, SOUTHINGTON YMCAROSEANNE BILODEAU, PATHWAY SENDEROSMARY ROYCE, NEW BRITAIN HOUSING AUTHORITYCAROL ZESUT, NEW BRITAIN POLICE DEPARTMENTTRISH WALDEN, CONNECTICUT SENIOR CARE HOSPITAL FOR SPECIAL CARE PART V, SECTION B, LINE 4: HOSPITAL FOR SPECIAL CARE (HSC) CONDUCTED THE CHNA WITH THE HOSPITAL OF CENTRAL CONNECTICUT (HOCC) IN NEW BRITAIN, CT. THE TWO HOSPITALS OFTEN WORK TOGETHER TO MEET THE HEALTH NEEDS OF THE GREATER NEW BRITAIN COMMUNITY. AS A LONG TERM ACUTE CARE HOSPITAL (LTACH) AND AN ACUTE CARE HOSPITAL RESPECTIVELY, OUR MISSIONS AND SERVICES OFFERED TO THE COMMUNITY ARE QUITE DIFFERENT. HSC PRIORITIZED THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT BY DEVELOPING STRATEGIES RELATED TO THE CLINICAL EXPERTISE AND SERVICES OFFERED BY HSC AS AN LTACH. THE STRATEGIES DEVELOPED BY HOCC WILL ADDRESS THE HEALTH NEEDS OF OTHER MEMBERS OF OUR COMMUNITY BASED ON THE SERVICES PROVIDED BY AN ACUTE CARE FACILITY. HOSPITAL FOR SPECIAL CARE PART V, SECTION B, LINE 7: HSC DID NOT ADDRESS COMMUNITY HEALTH ISSUES IDENTIFIED AS IT RELATES TO CERTAIN DEMOGRAPHIC GROUPS OF WHICH HSC DOES NOT HAVE EXISTING PROGRAMS OR EXPERTISE IN SERVING. EXAMPLES INCLUDE; ACCESS TO HEALTH CARE FOR HISPANICS, SUBSTANCE ABUSE RELATED TO BINGE DRINKING WITH EMPHASIS ON EDUCATION, PREVENTION, TREATMENT, SUPPORTIVE SERVICES AND CARE OF PEOPLE WITH DIABETES. HSC FOCUSED ITS RESOURCES IN AREAS OF NEED WHERE ITS EXISTING PROGRAMS AND EXPERTISE WOULD HAVE THE MOST IMPACT. PART I, LINE 6A - ANNUAL COMMUNITY BENEFIT: PER CONNECTICUT GENERAL STATUTE 19A-127K (A)(1) THE OFFICE OF THE HEALTHCARE ADVOCATE FOR THE STATE OF CONNECTICUT REQUIRES IT TO COLLECT DATA ON COMMUNITY BENEFIT PROGRAMS EVERY 2 YEARS, RATHER THAN ON AN ANNUAL BASIS. OUR REPORTING IS DESIGNED TO CONFORM TO THIS STANDARD. PART I, LINE 7A & 7B - CHARITY CARE COST, UNREIMBURSED MEDICAID: OUR COST WAS DERIVED BASED ON USING WORKSHEET 2 COST TO CHARGE RATIO. PART I, LINE 7, COLUMN (F) - PERCENT OF TOTAL EXPENSE: THE PERCENTAGE WAS CALCULATED USING PART IX, LINE 25, COLUMN (A) TOTAL EXPENSES OF $143,776,460 DIVIDED BY THE NET COMMUNITY BENEFIT EXPENSE LINE 7, COLUMN (E). PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT: BASED ON EXPERIENCES WITH TRAGEDIES SUCH AS THE TERRORIST ATTACKS ON THE U.S. THAT OCCURRED ON 9-11-01 AND HURRICANE KATRINA, THE GOVERNMENT IDENTIFIED THAT HOSPITALS WERE A VITAL ELEMENT OF EMERGENCY RESPONSE BUT HAD NOT BEEN A PRIORITY IN REGARDS TO TRAINING AND USE OF THE NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS). IN ORDER TO ASSURE A COORDINATED EMERGENCY MANAGEMENT RESPONSE, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ESTABLISHED A HOSPITAL PREPAREDNESS PROGRAM (HPP). THE GOAL OF THIS PROGRAM IS TO ASSURE ADEQUATE AND COORDINATED TRAINING, RESOURCES AND POLICY DEVELOPMENT FOR HOSPITALS SO THAT IN A TIME OF LOCAL, STATE OR REGIONAL DISASTER, HOSPITALS WILL READILY SYNERGIZE THEIR EFFORTS VIA UNIFIED COMMAND WITH OTHER LOCAL, STATE AND FEDERAL EMERGENCY AGENCIES AND SERVICES.HOSPITAL FOR SPECIAL CARE (HSC) IS A MEMBER OF THE REGIONAL EMERGENCY SUPPORT PLAN, DESIGNATED AS A MEMBER OF EMERGENCY FUNCTION 8 ALONG WITH ALL AREA ACUTE CARE, LONG TERM CARE, MEDICAL OFFICES, COMMUNITY HEALTH SERVICES AND MEDICAL EMERGENCY RESPONSE ENTITIES. IN TOTAL, THERE ARE 20 EMERGENCY FUNCTIONS THAT ARE A PART OF THIS REGIONAL EMERGENCY SUPPORT PLAN THAT INCLUDES TRANSPORTATION, PUBLIC WORKS, ENGINEERING AND FIREFIGHTING FOR EXAMPLE. REGIONAL ESF 8 MEMBERS MEET QUARTERLY, COORDINATED BY THE DEPARTMENT OF PUBLIC HEALTH EMERGENCY MANAGEMENT SERVICES, TO WORK ON SHARED PROJECTS SUCH AS ALTERNATE CARE FACILITIES POLICIES, EVACUATION PLANS, PANDEMIC FLU PLANNING AND STATEWIDE DRILL PLANNING. HSC PARTICIPATES IN THE WARN COMMUNICATION SYSTEM THAT ALLOWS IMMEDIATE COMMUNICATION AMONGST ESF 8 MEMBERS THROUGHOUT THE STATE OF CONNECTICUT. HSC IS LOCATED IN THE HHS-DESIGNATED REGION 3 AND IS ALSO A MEMBER OF THE CAPITAL REGION EMERGENCY PLANNING COMMITTEE THAT MEETS MONTHLY TO ALLOW EFFECTIVE PLANNING AMONG THE ESP 8 MEMBERS IN THE CAPITOL REGION. HSC IS ALSO ACTIVE IN THE LOCAL ESF 8 THAT INCLUDES ESF 8 MEMBERS FROM NEW BRITAIN AND SOUTHINGTON. EDUCATION AND DRILLS ARE ESSENTIAL COMPONENTS TO TEST OUR ORGANIZATIONAL ABILITY TO RESPOND TO EMERGENCY SITUATIONS. AT A MINIMUM TWICE A YEAR DRILLS INVOLVING OUR COMMUNITY, STATE, AND/OR REGIONAL EMERGENCY MANAGEMENT PARTNERS ARE COMPLETED TO ALLOW TESTING OF PLANS/COMMUNICATIONS AND IDENTIFY OPPORTUNITIES FOR ENHANCING RESPONSES AND/OR COORDINATION OF EFFORT.WORKFORCE DEVELOPMENT: THE NEW BRITAIN ACADEMY FOR HEALTH PROFESSIONS (HEALTH ACADEMY) WAS ESTABLISHED DECEMBER 7, 2009. THE HEALTH ACADEMY EDUCATES AND PREPARES HIGH SCHOOL STUDENTS FOR CAREERS IN THE HEALTHCARE SERVICE INDUSTRY IN NEW BRITAIN AND IS A COLLABORATIVE EFFORT BETWEEN THE BUSINESS COMMUNITY, THE CONSOLIDATED SCHOOL DISTRICT OF NEW BRITAIN, AND NEW BRITAIN'S TWO HOSPITALS, HOSPITAL FOR SPECIAL CARE AND THE HOSPITAL OF CENTRAL CONNECTICUT. THE COMPREHENSIVE CURRICULUM PROVIDES STUDENTS WITH OPPORTUNITIES TO EXPLORE THE HEALTHCARE SERVICE INDUSTRY AND TO DEVELOP UP-TO-DATE SKILLS AND THE KNOWLEDGE-BASE NEEDED FOR CERTIFICATION IN A VARIETY OF HEALTHCARE OCCUPATIONS UPON GRADUATION FROM HIGH SCHOOL. IN ADDITION, STUDENTS CAN START EARNING CREDITS TOWARD A TWO-YEAR AND/OR A FOUR-YEAR COLLEGE DEGREE AND BE PREPARED FOR A 21ST CENTURY CAREER WHILE STILL IN HIGH SCHOOL. THE TARGET POPULATION OF THE ACADEMY IS NEW BRITAIN HIGH SCHOOL STUDENTS. MANY ARE ECONOMICALLY DISADVANTAGED AND UNDERREPRESENTED IN THE HEALTH PROFESSIONS, AND SO THEY HAVE THE POTENTIAL TO BENEFIT GREATLY FROM THE ACADEMY'S WORK-BASED SKILLS AND CAREER COMPETENCY-BUILDING STRATEGIES. PART III, LINE 4: ACCOUNTS RECEIVABLE ARE CONSIDERED DELINQUENT AND WRITTEN OFF WHEN ALL ATTEMPTS TO COLLECT FROM INDIVIDUALS OR OTHER PAYOR SOURCES HAVE BEEN EXHAUSTED, AS DESCRIBED IN NOTE 1 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS. IT IS ALSO THE HOSPITAL'S PRACTICE TO REVIEW PATIENT ACCOUNTS REGULARLY AND RESERVE FOR ANY POTENTIAL BAD DEBTS. PART III, LINE 8: THE ORGANIZATION USES A COST TO CHARGE RATIO AS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE ITS MEDICARE COSTS. PART III, LINE 9B: COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. OUR HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS DETERMINED TO QUALIFY FOR CHARITY CARE. OUR POLICY PROVIDES THAT WE WILL NOT REFER ANY ACCOUNTS FOR COLLECTION UNTIL WE CAN DETERMINE WHETHER THE INDIVIDUAL IS INSURED AND THEREFORE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE HOSPITAL CONTINUALLY WORKS WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY AND HAS PREPARED NEEDS ANALYSES RELATED TO SPECIFIC PROJECTS OVER THE PAST FOUR YEARS. THE HOSPITAL HAS RETAINED OUTSIDE CONSULTING FIRMS TO ASSIST IN THESE STUDIES. IN ADDITION, IT HAS REGULARLY WORKED WITH OTHER ORGANIZATIONS TO ASSIST IT TO DETERMINE THE ONGOING NEEDS OF THE COMMUNITY. AS A RESULT OF THIS PROCESS, THE HOSPITAL HAS IDENTIFIED THE NEED FOR EXPANSION OF NEUROBEHAVIORAL SERVICES, DENTAL SERVICES FOR THE INDIGENT, SPORTS AND TRAINING PROGRAMS, INCLUDING A CAMP FOR THE DISABLED AND HOUSING FOR THE DISABLED. RECENTLY, THE HOSPITAL HAS EXPANDED SERVICES TO MEET THE NEEDS OF THE BRAIN INJURED PATIENT IN THE COMMUNITY. THE HOSPITAL CONDUCTS MEETINGS WITH STAKE HOLDERS TO DETERMINE GAPS IN SERVICE FOR THE POPULATIONS IT SERVES. HSC HAS RECENTLY IDENTIFIED A NEED FOR ACCESS TO AUTISM SERVICES IN CONNECTICUT AND AS A RESULT HAS EXPANDED OUTPATIENT SERVICES WITH AN AUTISM CLINIC, IN PARTNERSHIP WITH UNIVERSITY OF SAINT JOSEPH AND IS PLANNING AN EXPANSION OF INPATIENT SERVICES FOR AUTISM IN THE FUTURE. PART VI, LINE 3: PATIENTS ARE NOTIFIED THAT FINANCIAL ASSISTANCE IS AVAILABLE AT THE TIME OF REGISTRATION. A STATEMENT IS INCLUDED ON THE FINANCIAL DISCLOSURE PAPERWORK WHICH IS COMPLETED AT THE TIME OF ADMISSION AND ON EACH PATIENT BILL AND SUBSEQUENT STATEMENT. FINANCIAL COUNSELING APPOINTMENTS ARE AVAILABLE UPON REQUEST AND INTERPRETER SERVICES ARE AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH. THE HOSPITAL'S CHARITY CARE PROGRAM IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. PART VI, LINE 4: HOSPITAL FOR SPECIAL CARE (HSC) IS LICENSED BY STATE OF CONNECTICUT AS A CHRONIC-DISEASE HOSPITAL AND CERTIFIED BY MEDICARE AS A LONG TERM ACUTE CARE HOSPITAL. UNLIKE ACUTE CARE FACILITIES THAT SERVE THEIR SURROUNDING TOWNS, HSC PATIENTS ARE ADMITTED FROM THROUGHOUT CONNECTICUT AND SOUTHERN NEW ENGLAND.HOSPITAL FOR SPECIAL CARE IS THE ONLY LONG TERM ACUTE CARE HOSPITAL IN THE COUNTRY THAT PROVIDES A CONTINUUM OF CARE FROM PEDIATRICS THROUGH ADULTHOOD. IT IS NATIONALLY RENOWNED FOR TREATMENT IN THE AREAS OF PULMONARY DISEASE, ACQUIRED BRAIN INJURIES, COMPLEX PEDIATRICS, NEUROMUSCULAR DISEASE AND SPINAL CORD INJURIES. IN ADDITION TO ITS 205-BED INPATIENT FACILITY IN NEW BRITAIN, CONNECTICUT, HSC OPERATES A 23-BED SATELLITE SERVING THE GREATER HARTFORD AREA.HOSPITAL FOR SPECIAL CARE OFFERS A FULL SPECTRUM OF MEDICAL TREATMENT FOR COMPLEX REHABILITATION AND CHRONIC DISEASE. INPATIENT SERVICES ARE AUGMENTED BY A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING A FULL FITNESS CENTER SPECIALLY DESIGNED FOR THOSE LIVING WITH PHYSICAL DISABILITIES AS WELL AS THOSE RECOVERING FROM VARIOUS INJURIES AND ILLNESSES.HSC DOES NOT TARGET ANY SPECIFIC NEIGHBORHOOD, INCOME LEVEL, OR MINORITY OR IMMIGRANT POPULATIONS. THE DISEASES AND INJURIES THAT ITS PATIENTS HAVE EXPERIENCED STRIKE ANYONE, ANYWHERE. THE ONLY NEIGHBORHOOD-SPECIFIC PROGRAM THAT A SISTER ENTITY OF HSC PROVIDES IS THE SPECIAL CARE DENTAL CLINIC, OFFERING PREVENTIVE DENTAL CARE TO CHILDREN WITH TITLE 19 MEDICAID HEALTH COVERAGE. MANY OF THE 1,115 CHILDREN SEEN ANNUALLY ARE FROM LIMITED INCOME, IMMIGRANT, INNER CITY FAMILIES. HSC'S COMMUNITY EFFORTS EXTEND THROUGHOUT THE CITY OF NEW BRITAIN AND SURROUNDING TOWNS. PART VI, LINE 5: THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN STRATEGIC PLANNING FOR THE HOSPITAL AND ITS SISTER ENTITIES IN FUNDRAISING, AND IN GENERAL STEWARDSHIP.MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.THE HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN AND EXPAND ACCESS TO PATIENT SERVICES THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: INPATIENT RESPIRATORY SERVICES, REHABILITATION SERVICES INCLUDING BRAIN INJURY AND SPINAL CORD INJURY, SPECIALIZED PEDIATRIC CARE AND A COMPLEMENT OF OUTPATIENT SERVICES FOR THE CHRONIC CONDITIONS HSC TREATS. PART VI, LINE 6: THE HOSPITAL'S SOLE CORPORATE MEMBER IS CENTER OF SPECIAL CARE, INC, A 501(C)(3) CORPORATION (THE "CENTER"). THE CENTER PROVIDES GOVERNANCE OVERSIGHT AND STRATEGIC PLANNING FOR ITS SEVERAL WHOLLY OWNED SUBSIDIARIES. THESE SUBSIDIARIES INCLUDE THE HOSPITAL, AND ITS SISTER ENTITIES, HSC COMMUNITY SERVICES, INC. AND HOSPITAL FOR SPECIAL CARE FOUNDATION, INC. ALL OF THESE ENTITIES ARE 501(C)(3) CORPORATIONS WHOSE COLLECTIVE FOCUS IS TO PROVIDE EXEMPLARY CARE THAT ASSISTS PATIENTS AND THEIR FAMILIES TO IMPROVE THEIR QUALITY OF LIFE AND TO RESPOND AND BE ACCOUNTABLE TO THE NEEDS OF THE COMMUNITIES THEY SERVE.SPECIFIC EXAMPLES OF THESE AFFILIATED ENTITIES' SERVICE TO THESE COMMUNITIES INCLUDE THE OPERATION OF A DENTAL CLINIC SERVING INDIGENT CHILDREN AND DISABLED ADULTS; THE OPERATION OF A MULTI-FACETED SPORTS & TRAINING LEADERSHIP PROGRAM FOR DISABLED CHILDREN AND ADULTS, WHICH PROVIDES A SUMMER SPORTS CAMP FOR DISABLED CHILDREN AND SPORTS TEAMS THAT ENABLE WHEELCHAIR-BOUND ATHLETES TO PARTICIPATE IN TRAINING AND COMPETITION IN TRACK & FIELD, SOCCER, SWIMMING AND BASKETBALL; AND THE FUNDING OF SCHOLARSHIPS FOR NURSING AND RESPIRATORY CARE STUDENTS.IN ADDITION, HSC COMMUNITY SERVICES, INC. IS A CORPORATE MEMBER OF TWO OTHER 501(C)(3) CORPORATIONS, CSI RESIDENTIAL, INC., AND MANES & MOTIONS THERAPEUTIC RIDING CENTER, INC. CSI RESIDENTIAL PROVIDES HUD-SUBSIDIZED HOUSING FOR DISABLED INDIVIDUALS IN THE COMMUNITY. MANES & MOTIONS OPERATES A THERAPEUTIC HORSEBACK RIDING PROGRAM THAT SERVES CHILDREN WITH COGNITIVE AND PHYSICAL DISABILITIES, INCLUDING AUTISM, AND ADULTS AFFECTED BY TRAUMATIC BRAIN INJURY OR POST-TRAUMATIC STRESS DISORDER, INCLUDING COMBAT VETERANS. 1 SCHOLARSHIP 3 6000 PART I, LINE 2: SCHOLARSHIP FUNDS ARE DISTRIBUTED DIRECTLY TO THE INSTITUTION WHICH THE RECIPIENT ATTENDS. X X X X X 1 1 0 0 0 0 0 0 0 JOHN VOTTO DO PRESIDENT & CEO 536731 9589 0 0 728797 0 30909 1716 37032 682 1333469 11987 505675 0 PAUL SCALISE MD SR VP MED. AFFAIRS & CHIEF CLINICAL 368689 0 0 0 3791 0 35361 0 24153 0 431994 0 0 0 LAURIE ANN WHELAN SENIOR VP FINANCE, CFO & TREASURER 259757 40223 0 0 5028 0 19750 4380 12135 2691 296670 47294 0 0 FELICIA DEDOMINICIS SVP LEGAL AFFAIRS, CLO, SECRETARY & 228332 19405 0 0 279 0 24052 2405 20092 2641 272755 24451 0 0 LYNN A RICCI SENIOR VP & COO 237554 50937 0 0 5422 0 32279 10138 890 3104 276145 64179 0 0 LISA A NEWTON VP OF PATIENT CARE SERVICES 211272 0 0 0 521 0 2575 0 15765 0 230133 0 0 0 DONALD CYR VP FACILITIES & HOSPITALITY SERVICES 167284 0 1584 0 765 0 2761 0 14848 0 187242 0 0 0 JUDITH TRZCINSKI VP HUMAN RESOURCES 133181 0 0 0 38384 0 2777 0 7089 0 181431 0 0 0 STANISLAW JANKOWSKI VP CHIEF INFORMATION OFFICER 167730 0 639 0 1282 0 2129 0 14369 0 186149 0 0 0 JASON JAKUBOWSKI VP EXTERNAL RELATIONS 147999 0 0 0 3338 0 1172 0 19884 0 172393 0 0 0 BRENDA NURSE MD CHIEF, INFECTION DISEASE,EPIDEMIOLOG 270105 0 0 0 941 0 4080 0 11143 0 286269 0 0 0 JOHN PELEGANO MD CHIEF OF PEDIATRICS 231126 0 0 0 1105 0 3789 0 22690 0 258710 0 0 0 STEVEN PRUNK MD ASSOC CHIEF INTERNAL & PULMONARY MED 259690 0 0 0 275 0 3060 0 22092 0 285117 0 0 0 WILLIAM PESCE CHIEF OF PHYSICAL MEDICINE 246971 0 0 0 275 0 2562 0 22480 0 272288 0 0 0 THOMAS SOLTIS MD INTERNIST 217186 0 0 0 521 0 3446 0 21767 0 242920 0 0 0 DAVID CRANDALL FORMER PRESIDENT & CEO 0 0 0 0 500603 0 0 0 12704 0 513307 0 0 0 PART I, LINES 4A-B CERTAIN OFFICERS AND HIGHLY PAID EMPLOYEES ARE ENROLLED IN A NON-QUALIFIED BENEFIT PLAN. PAYMENTS TO THE PLAN WERE AS FOLLOWS: JOHN VOTTO $62,330. LAURIE WHELAN $21,070. FELICIA DEDOMINICIS $24,549. LYNN RICCI $39,607. PAUL SCALISE $24,568. DAVID CRANDALL RECEIVED SEVERANCE OF $500,603 AND NONTAXABLE BENEFITS OF $12,704 DURING CALENDAR YEAR 2013 FROM HOSPITAL FOR SPECIAL CARE. JOHN VOTTO RECEIVED DEFERRED COMPENSATION OF $707,198, WHICH IS INCLUDED IN HIS OTHER COMPENSATION AMOUNT. $505,675 OF THIS DISTRIBUTION WAS REPORTED AS A NONTAXABLE BENEFIT TO HIM ON PRIOR FORM 990'S. A CONNECTICUT HEALTH AND EDUCATION FACILITIES AUTHORITY 060806186 20774UNN1 2007-06-28 47786346 TO REFUND A PORTION OF A PRIOR ISSUE AND CONSTRUCTION 0 0 0 B CONNECTICUT HEALTH AND EDUCATION FACILITIES AUTHORITY 060806186 20774U4T9 2010-07-18 11098250 TO REFUND A PORTION OF A PRIOR ISSUE AND CONSTRUCTION 0 0 0 A 3108035 3108035 2009 1 0 1 1 B 11098250 206371 256155 6169513 4466211 2011 1 0 1 1 A 0 1 0 0 0.00590 0.00590 0 0 1 B 0 1 0 0 0.00590 0.00590 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 1 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS AND CERTIFICATE OF INCORPORATION WERE REVISED. FORM 990, PART VI, SECTION A, LINE 6 HOSPITAL FOR SPECIAL CARE'S SOLE MEMBER IS THE CENTER OF SPECIAL CARE, INC. CENTER OF SPECIAL CARE, INC. IS THE PARENT ORGANIZATION OF HOSPITAL FOR SPECIAL CARE AND ALL ITS RELATED SUBSIDIARIES. FORM 990, PART VI, SECTION A, LINE 7A THE CENTER OF SPECIAL CARE, INC. IS THE PARENT AND SOLE MEMBER OF THE HOSPITAL FOR SPECIAL CARE. AS SUCH, IT APPROVES THE APPOINTMENT OF ALL NEW MEMBERS OF THE HOSPITAL'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE CENTER OF SPECIAL CARE, INC. IS THE PARENT AND SOLE MEMBER OF HOSPITAL FOR SPECIAL CARE. AS SUCH, IT HAS FINAL APPROVAL OVER ALL STRATEGIC AND FINANCIAL DECISIONS MADE BY THE HOSPITAL'S BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES THE 990 TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR AN INDEPENDENT REVIEW. ANY QUESTIONS OR CONCERNS ARE ADDRESSED PRIOR TO THE 990 BEING FILED. PRIOR TO FILING, A COPY OF THE COMPLETED 990 IS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL OFFICERS, DIRECTORS, MANAGERS, AND OTHER KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. EVERY YEAR THE STATEMENT IS PRESENTED TO THOSE INDIVIDUALS REQUIRED TO COMPLETE THE FORM AND COMPLETION OF THE FORM IS MONITORED TO ENSURE COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION FOR THE ORGANIZATION'S CEO, OFFICERS, AND KEY EMPLOYEES IS AS FOLLOWS. THE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE CONSISTING ENTIRELY OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. ANNUALLY, THE COMMITTEE IS GIVEN RECOMMENDATIONS FROM AN INDEPENDENT CONSULTANT REGARDING THE COMPENSATION OF THOSE EMPLOYEES IDENTIFIED ABOVE. THE COMMITTEE HAS THE SOLE DISCRETION TO ACCEPT OR REVISE THE RECOMMENDATIONS OF THE CONSULTANT IN SETTING THE COMPENSATION OF THE PREVIOUSLY IDENTIFIED EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND OTHER OPERATING DATA AVAILABLE TO THE GENERAL PUBLIC IN ITS SEC REQUIRED CONTINUING DISCLOSURE ON ITS OUTSTANDING MUNICIPAL DEBT. THESE FILINGS HAVE BEEN MADE TO THE NATIONALLY RECOGNIZED MUNICIPAL SECURITIES INFORMATION REPOSITORIES AS MANDATED BY THE SEC. ALL OF THESE FILINGS HAVE BEEN AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE (11): DURING THE FISCAL YEAR, CARL R. FICKS, JR., ESQ. RESIGNED FROM HIS POSITION AS A BOARD MEMBER OF THE ORGANIZATION AND WAS HIRED BY HOSPITAL FOR SPECIAL CARE AS DIRECTOR CORPORATE & DONOR RELATIONS. THE COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A, LINE (11) IS SOLELY RELATED TO HIS SERVICES AS DIRECTOR CORPORATE & DONOR RELATIONS. HE WAS NOT COMPENSATED FOR THE SERVICES HE PROVIDED AS A BOARD MEMBER. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -359,722. CHANGE IN EQUITY INTEREST IN AFFILIATES -4,555,155. CHANGE IN MINIMUM PENSION LIABILITY 1,596,052. ROUNDING 2. HOSPITAL FOR SPECIAL CARE FOUNDATION INC 2150 CORBIN AVENUE NEW BRITAIN CT 06053 061534092 FUNDRAISING CT 501(C)(3) LINE 11B, II N/A 0 CENTER OF SPECIAL CARE INC 2150 CORBIN AVENUE NEW BRITAIN CT 06053 061464177 PARENT ENTITY FOR HOSPITAL AND AFFILIATES CT 501(C)(3) LINE 11B, II N/A 0 HSC COMMUNITY SERVICES INC 2150 CORBIN AVENUE NEW BRITAIN CT 06053 061464179 COMMUNITY SUPPORT CT 501(C)(3) LINE 9 N/A 0 CSI RESIDENTIAL INC 2150 CORBIN AVENUE NEW BRITAIN CT 06053 311584385 HOUSING FOR THE DISABLED CT 501(C)(3) LINE 9 N/A 0 MANES AND MOTIONS THERAPEUTIC RIDING CENTER INC 2150 CORBIN AVENUE NEW BRITAIN CT 06053 061550599 THERAPEUTIC HORSEBACK RIDING CT 501(C)(3) LINE 7 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 HOSPITAL FOR SPECIAL CARE FOUNDATION INC B 497800 AMOUNT TRANSFERRED HSC COMMUNITY SERVICES INC B 108036 AMOUNT TRANSFERRED MANES & MOTIONS THERAPEUTIC RIDING CENTER B 69227 AMOUNT TRANSFERRED HOSPITAL FOR SPECIAL CARE FOUNDATION INC C 5870413 AMOUNT TRANSFERRED HOSPITAL FOR SPECIAL CARE FOUNDATION INC M 313793 FMV HSC COMMUNITY SERVICES INC O 327894 SALARY ALLOCATION HOSPITAL FOR SPECIAL CARE FOUNDATION INC O 330067 SALARY ALLOCATION MANES & MOTIONS THERAPEUTIC RIDING CENTER O 135480 SALARY ALLOCATION HSC COMMUNITY SERVICES INC Q 447052 AMOUNT OF REIMBURSEMENT HOSPITAL FOR SPECIAL CARE FOUNDATION INC Q 139480 AMOUNT OF REIMBURSEMENT HOSPITAL FOR SPECIAL CARE FOUNDATION INC R 71911 DONATIONS TRANSFERRED HSC COMMUNITY SERVICES INC S 315341 IMPROVEMENTS TRANSFERRED