2013-08-05T13:17:47-05:00 2012-09-30 346565596 Ernst & Young US LLP 55 Ivan Allen Jr Blvd Suite 1000 Atlanta GA 30308 990 2011-10-01 060646668 Hartford Hospital HART 8606966200 80 Seymour Street PO Box 5037 Hartford CT 061025037 Thomas Marchozzi 8605455000 2013-08-05 0 Chad D Franks P01071312 4048748300 2011 2016-02-24 21:20:13Z Jeffrey Flaks 80 Seymour Street Hartford CT 06102 1158172408 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 150-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 2012, the hospital had 41,251 discharges and 99,811 emergency department visits. The Hospital owns and operates the State's only Air Ambulance System (LifeStar). 14 10 8107 1392 1726386 -102624 39885454 50463051 911673420 994234347 26731204 21910378 7662857 11625136 985952935 1078232912 1390713 267919 0 0 559021985 597207276 0 0 1364047 389765452 409536237 950178150 1007011432 35774785 71221480 1166702504 1326505378 659754390 765877368 506948114 560628010 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 127692741 143496090 At the completion of fiscal year 2012 (FY2012), there were 68 medical staff members in Hartford Hospital's Division of Cardiology. The staffing was comprised of 14 full-time hospital-employed faculty cardiologists, 47 private practice cardiologists, 7 full-time employed hospitalists and 4 doctoral-level researchers. The Cardiology division members published 44 publications in peer-reviewed journals in 2012. Total cardiology full-time equivalent employees including patient care units for 2012 was 360. Medical Cardiology Non-ICU units had 4,714 discharges. Cardiac Surgery Non-ICU units had 1,049 discharges. Medical Cardiology patient days were 20,218. Cardiac Surgery patient days were 7,783. Medical Cardiology ICU discharges were 1,264 with 4,182 days; Cardiac Surgery ICU discharges were 1,172 with 5,397 days. DIVISION OF CARDIOLOGY PATIENT CARE ACTIVITIESCardiac Catheterization Laboratory: For FY2012, there were 3,841 total cases: 3,339 Coronary and 502 Peripheral. Of the Coronary procedures, 2,135 were Diagnostic and 1,204 Interventional. There was a 5% decrease in Angioplasties, 2% increase in Cardiac Diagnostic Studies and 2% increase in Peripheral studies. 89 Percutaneous Coronary Interventions (PCI) were done on an Outpatient basis, up from 22 in FY2011. Peripheral Volume included the following: 502 total cases; 164 diagnostic; 338 interventional. The PCI length of stay (LOS) was 2.57 days, lower than the ACC NCDR average (2.92 days). The 'Emergent' case status for PCIs at Hartford Hospital was 23.8% compared to 15.6% for similar hospitals. In addition, 20% of all PCIs were STEMIs compared to 14% at similar-sized hospitals (source: Q1, 2012 ACC NCDR Report). Median time to PCI from STEMI was 51.5 minutes which is near the 90th percentile for all hospitals. The 50th percentile was 60.4 minutes (source: Q1, 2012 ACC NCDR Report). 22% of our patients were direct transfers and 23% came in through the Hartford Hospital Emergency Room. 50% of all cardiac lab cases were Elective, 39% Urgent and 11% Emergent. This was a slight increase in Electives from previous year (44%). There was a threefold increase in Structural Heart Interventions; 19 in FY11 vs 56 in FY12. There were 23 Valvuloplasties, 19 Trans Aortic Valve Replacements (TAVR) and 14 Ventricular Assist devices.Cardiac Electrophysiology Laboratory: For FY2012, there were a total of 1,183 cases performed. There were 758 patient visits. There were 215 cardiac ablations. 290 implantable cardioverter defibrillator (ICD) cases were performed. Of these, 12% were ICD generator changes, 21% were biventricular ICD generator changes, 31% were initial biventricular ICD implants, and 36% were initial single or dual chamber ICD implants. 247 pacemaker (PM) cases were performed; a 113% increase from FY2011. Of these, 10% were PM generator changes, 2% were biventricular PM generator changes, 43% were initial biventricular PM implants, and 45% were initial single or dual chamber PM implants. 16 laser lead extractions were performed. 58 lead cases (other than laser) were performed and 166 Lead/Device explants were preformed.Nuclear Cardiology/Exercise Stress Test Laboratories:There was a total 2,351 nuclear cardiology imaging studies performed at Hartford Hospital in FY2012. Cardiac PET represented 97 of the total procedures. Among the satellite nuclear cardiology programs, there were 187 scans performed in Avon; 324 scans performed in Glastonbury; 624 performed at Retreat Avenue; 226 scans performed at Blue Back Square, West Hartford, and 180 performed in Farmington. Overall, FY2012 nuclear cardiology volume for both HH and satellites (including Cardiac PET) totaled 3,892 procedures. The PET decrease is due to a recall of the isotope and decrease in carrier approval and the usage of appropriateness criteria for nuclear cardiology procedures. There were a total of 2,686 stress tests performed at Hartford Hospital in FY2012. Of these procedures, 420 were standard ETT (increased 16% from FY2011), 2,254 were combined with perfusion imaging (increased 8% from FY2011) and 72 were with Cardiac PET (decrease due to product recall).Echocardiography:In FY2012, the Hartford Hospital Echocardiography Lab performed 9,700 transthoracic studies, 659 transesophageal echocardiographic studies, and 184 stress echocardiograms. Full-time sonographer staff has increased from 7 to 8. Approximately 47% of transthoracic studies were performed at the bedside, similar to the previous year. The Echocardiography laboratory has been an instrumental part of the Transcatheter Aortic Valve Implantation procedure that was implemented as a collaborative process at Hartford Hospital this year. Cardiac Surgery: FY2012 proved to be a great year in Cardiac Surgery. Hartford Hospital successfully recruited Dr. Robert Hagberg from Beth Israel Deaconess Medical Center/Harvard Medical School in Boston as Chief of Cardiac Surgery. Cardiac Surgery clinical statistics include: 714 cases in FY2012, 371 CABG-only cases, 98 CABG/Valve, 185 Valves and 59 other procedures. There was a slight decrease in CABG surgeries but a compensatory increase in Valve surgeries. 43% of all CABG only surgeries were off pump, a 3% decrease. The National rate of Off-Pump CAB is 18%. For Isolated CABG surgeries, our Deep Sternal Wound Infection rate remains at 0% for the second year. This had previously been at 1.8%. Hartford Hospital was in the top 5% in the United States for CAB and CAB/Valve volume and top 10% for Valves. (Source: STS Fall 2011 report). Our CABG mortality was 1.9% and our risk adjusted Observed to Expected Mortality ratio continues to be favorable. 14 Heart Transplants were done at Hartford Hospital in FY2012.Advanced Heart Failure and Transplant Center:The Center for Advanced Heart Failure's Infusion Clinic continues to provide successful outpatient therapy for decompensated heart failure patients thereby reducing length of stay, preventing re-admission and allowing patients to stay in the comfort of their own home. Outpatient Intravenous Diuretic Therapy continues to be a major draw for new referrals. It has been highly effective in stabilizing patients with acute heart failure syndrome. During FY2012, a total of 130 new patients were seen, and a total of 1,480 infusions were performed (200 more than 2011). At the same time, the number of new patients seen in the infusion center has increased by 100% compared to 2009. In addition, a number of heart failure (re)admissions to the hospital were prevented due to a new program, the Emergency Department Heart Failure Infusion Center (EDHFIC) Program, initiated by Dr. Jason Gluck and the Emergency Department. Patients with heart failure are screened, and if they meet criteria they are assessed for treatment in the Infusion Center rather than being admitted. This has provided better patient care as well as decreased (re)admissions for the heart failure population.The Mechanical Circulatory Support ("VAD"):The VAD program has shown excellent quality of life and functional capacity for end-stage HF patients. It has provided continuous growth over the past year with a total of 25 VAD implanted this year (21 HMII, 13Impella, 4 Tandem). The destination VAD Program has shown top 10% outcome in the country with the lowest infection rate (2%) and lowest incidence of right sided failure (0.5%). The DT Program is a significant milestone in the therapy for advanced heart failure and has the potential for further future growth considering the many end-stage HF patients that are not eligible for heart transplantation. Heart Transplant Program (HHTP):In FY2012, the Hartford Hospital Heart Transplant Program (HHHTP) performed 14 orthotopic heart transplants with a one year survival rate over 90%. A new protocol for HIV was adopted by the Transplant Program, and the first HIV patient was transplanted in CT. More than 150 previously transplanted heart patients are followed by the Hartford Hospital Transplant team.Preventive Cardiology:Preventive Cardiology includes cholesterol management, LDL-apheresis, cardiovascular sports medicine consultation, counseling/stress management, smoking cessation 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 with an automatic referral system for patients being discharged with cardiac diagnoses. There were over 14,000 Cardiac Rehabilitation visits at the four sites: Hartford, Glastonbury, Avon and West Hartford. In September 2012, the Avon and West Hartford sites relocated and services consolidated to a new site in Farmington. The smoking cessation program continues to provide services to both patients and employees. 69555870 57907611 The Institute of Living (Hartford Hospital's Department of Psychiatry) is referred to as the IOL. The IOL's achievements in 2012 must be considered in the context of the continuing overall failure of the mental health system(s) in America to meet the needs of our mentally ill. In last year's report it was noted that the Substance Abuse and Mental Health Services Administration (SAMHSA) estimated that in 2011 less the 40% of individuals experiencing a mental illness received treatment and less than 60% of those with a severe mental illness received any psychiatric services. Very little has changed since then. The IOL's most significant access/quality initiative this year has been the "Purple Pod Initiative," a multispecialty, multidisciplinary effort to plan for an expansion of psychiatric services in the Emergency Department. This includes a physical renovation of the Purple Pod space as well as enhancements to staffing, leadership and process improvements which will continue through 2013. At the same time, planning for implementation of a proactive model for consultation/liaison services (the Behavioral Intervention Team or BIT model) proceeded with several grant applications being made. Our multi-year "culture change" program this year focused on the completion of comfort rooms on all our inpatient units, the implementation of a sensory/comfort plan for all adult and geriatric patients and continued reductions in the use of seclusion and restraint. We continued our focus on suicide assessment/prevention as national suicide rates continued to rise (10% increase from 2000 to 2010). The IOL's residency programs continued to thrive with an outstanding class of new residents in both our general adult and child and adolescent residencies. Our research programs had an excellent year as well with over $7 million in new grants awarded and 101 publications generated. As we enter 2013 we look forward to the many challenges that will face our system of care and we anticipate and accommodate to the needs of health care reform.Statistical Data:Total discharges for the year were 4,115. The number of adult day treatments was 13,688. The IOL treated 2,039 patients for eating disorder and 3,996 for Schizophrenia rehabilitation. A total of 2,235 patients received Geriatric day treatment, 4,334 received professional day treatment, 6,481 received Child/Adolescent day treatment and 2,778 went through the DBT program. The average length of stay was 9.3 days and the average daily census was 104.6. Hartford residents accounted for 34% of admissions and 65% of admissions were from other areas within the state. Patient Care Activities and Program Development:Patient care activities and program development were guided by the IOL's internal goals for 2012. Highlights included a focus on significant growth in the Young Adult Program which received a $350,000 grant to establish a clinic to complement its partial hospitalization and IOP programs. Other program highlights for this year included:Assessment Center: Clinicians evaluated 6,460 patients in the Hartford Hospital Emergency Department (10% increase over 2011), 2,294 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.Inpatient Services: Total discharges were 4,115 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 opened the Transitional Learning Academy at the beginning of the year and saw enrollment grow by 25% over the year.Geriatric Division: Remained very active with inpatient, day hospital, outpatient and nursing home components. Electroconvulsive therapy utilization remains high. Consultation/Liaison Service and Emergency Department: Utilization continues to grow. Major focus was the Purple Pod Initiative. Quality and Performance Measures:The 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 annually to the Hartford Hospital Quality Council. Highlights of this year's quality initiatives include suicide prevention and assessment, reduction in the use of seclusion and restraint, and fall prevention. Other quality/safety initiatives included the continued focus on our computerized clinical "alert" system, corporate compliance, and environment of care. Another important initiative implemented this year was "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.Research, Training and Education:Research: 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 $7.7 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 101 articles, book chapters, and books, made 82 presentations, and received numerous awards and honors over the course of the year. Training: The IOL's three psychiatry residency programs are complemented by psychology internship and post-doctoral programs as well as training opportunities in psychiatric social work, nursing and occupational/vocational therapies. Our training programs remain extremely competitive.Continuing Education: The mission of the Institute's Continuing Medical Education program is to support the hospital's quality care goals by promoting continuous improvement in clinical practice through education. The Institute has received the "Excellence in CME Award" from the CT State Medical Society in each of the last 14 years. 26095866 106886399 IMAGING CENTER AT HARTFORD HOSPITALThere are currently 186 full time employees in the Radiology Department. General radiology's procedures increased from 36,747 to 38,326 which was a 3.7% increase from prior year. MRI procedures increased from 9,893 to 10,708 which was a 6.5% increase. CT procedures increased from 41,322 to 41,915 which was a 0.7% increase. Fluoroscopy volume was increased by 8.0%. This change represented an additional 401 procedures when compared to prior year. Nuclear Medicine nationally has continued to decrease. Our decrease was 3.4%. Our Outpatient PET volume has increased by 11.5% and our inpatient volume has decreased by 84%. ED imaging increased from 43,916 in FY 11 to 45,775 which was a 4.23% increase. Ultrasound volume was increased by 3.1%.from 12,805 to 13,204. This increase in volume was partially due to an increase in breast biopsies and breast ultrasound exams. Mammography showed a decrease of 2.1% which was due to the Mobile Mammography service not being operational. The Department had a five hundred thousand dollar donation which facilitated the purchase of a coach and a Hologic Digital mammography unit. The coach was delivered in February and had its first site visit April 17, 2012. We have performed over eight hundred mammograms since April. OR imaging showed growth which was more outpatients than inpatients. The increase was 4.6%, representing 387 more procedures.Interventional Radiology patients were increased by 3.9%. Interventional Neuroradiology volume was increased by 12.8%. Diagnostic procedures increased by 9.5% while therapeutic cases increased by 18.5%. On April 4, 2012, Drs. Gary Spiegel, Martin Ollenschleger and Stephan Ohki were the first in New England to use the Solitaire FR stent for a stroke procedure which successfully removed the clot in half the time of previous devices. INR and IR combined had an increase in volume by 4.7%. The Department also initiated 24/7 in-house radiology coverage, renovated the Mammography Reading Room and started installation of a new Fluoroscopy Suite. In addition, the Department created an Associate-Chief position for supporting service-line development and institute initiatives as well as initiated the Next Accreditation System (NAS) for the radiology residency program compliant with early adaptors of the American College of Graduate Medical Education's (ACGME) new system for residency review and accreditation.2012 HighlightsNuclear Medicine:Volumes for OR Sentinel lymph node scans have stayed the same. The OR purchased 2 new Neo probes which now allow for better scheduling of patients for surgery. Inpatients PET scans decreased by 17% while outpatient PET scans increased by 8%. I-131 therapies increased by 187%, volume changed from 8 per year to 23. Pre and Post Sirt Spheres scans have increased by 41%.CT Section:CT has been approved to replace the Qxi eight slice scanner for a high-end scanner to improve our ability to build our cardiac CTA program. CT is an integral part of the new TAVR program which is an innovative procedure that replaces diseased heart valves non-invasively. Cardiac CTAs are now available for ED patients. The department aspires to build this program which will make an impact on chest pain turnarounds. CT has purchased a microwave ablation unit which reduces ablation time in half when compared to cryoablations.IR Section:The department treated its 200th mechanical stroke patient this past summer. We installed 2 new state of the art Siemens single plane Artisrooms . These have advanced imaging capabilities for Dyna CT scan.General Radiography:Quality images and efficiency greatly enhanced with the replacement of 4 analog rooms and 3 portable units to digital radiography as well as 4 ED traumas rooms. Overall, the department is very close to being fully digital in general radiography.Teaching, Research and EducationThe Radiology Residency currently trains twenty residents. This year's graduating class had a 100% pass rate on the national board examination. The program graduates went on to fellowship training programs at some of the premier national programs. The residents broadly participated in research and department quality and safety programs. Additionally, the radiology training program converted to a more extensive and detailed system for tracking of teaching, attending engagement, resident learning and department-wide participation in scholarly activities called the Next Accreditation System (NAS). Dr. Michael O'Loughlin, associate - Chief of Education and Research, leads the residency program. The (NAS) was initiated this year and will carry forward into 2013.People and StaffingConduct quarterly radiologist lead in-service training for technologist and mid-level staff.Establish recurring "town hall" meetings between radiology physician leadership and staff.Create check-list pathway for new staff to demonstrate core equipment competencies.Recruit Radiologist with Extra-mural research funding (e.g. K-grant or RO1) and support with academic time. 652662351 267919 689624435 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 and 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 2012 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:PartnershipsWe 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 GroupsIndividuals and families can obtain support and education from our more than 30 support groups.Outpatient ClinicsWe operate several low- or no-cost outpatient clinics to provide the poorest among us with high-quality health care. In 2011, those clinics had more than 73,000 patient visits.Community OutreachWe 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.ContributionsWe provide financial and in-kind contributions to nonprofit organizations that serve the community.Health Professions EducationHartford 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 OutreachHartford 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 problemsEmergency ServicesFrom minor injuries to large-scale catastrophes, Hartford Hospital is the region's leading resource in an emergency.* Our Emergency Department had approximately 100,000 visits in 2012. * 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 1,100 patients annually.* 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.ResearchIn 2012, we supported approximately 250 community benefit research projects, expending a total of $12,844,741. Our research helps expand the medical community's knowledge and gives our patients access to leading-edge treatments. 652662351 267919 689624435 876006828 1 1 0 1 0 0 0 0 0 1 1 1 1 0 1 0 0 1 0 1 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 1 824 0 1 8107 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 X 14 10 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 X Jeffrey Flaks 35.00 X X 964787 0 67231 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 3.00 X X 203414 0 0 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 Neil Yeston MD 40.00 X 568828 0 78967 Joseph J Klimek MD 40.00 X 2939783 0 55124 Harold I Schwartz MD 40.00 X 574631 0 175414 Jamie M Roche MD 40.00 X 423252 0 72583 Thomas J Marchozzi 20.00 X 690977 0 62526 Wendy E Elberth 40.00 X 279355 0 42036 Laurine Bow 40.00 X 201744 0 59806 Carol S Garlick 40.00 X 199238 0 33875 Rocco Orlando 30.00 X 584734 0 88633 Bimal Patel 40.00 X 483312 0 48200 Donna Handley 40.00 X 289680 0 42828 James M Blazar 20.00 X 526556 0 63763 Richard G Stys 20.00 X 405557 0 49885 Sonal Shah 30.00 X 275361 0 34805 Yvette Melendez 35.00 X 270992 0 41573 Michele B Bush Esq 20.00 X 503415 0 71722 Karen T Goyette 40.00 X 247358 0 38449 Betsy Boatman 40.00 X 212887 0 29673 Rita Parisi 20.00 X 313651 0 58439 Lenworth Jacobs MD 40.00 X 594476 0 26252 Cheryl Ficara 40.00 X 254857 0 53435 Tracy A Church 20.00 X 237657 0 33031 Luis Taveras 20.00 X 336925 0 34362 Susan Huntington 40.00 X 323293 0 29212 Peter Q Fraser 40.00 X 106638 0 15811 Stuart Markowitz 40.00 X 100000 0 0 Orlando C Kirton MD 40.00 X 592661 0 84052 Joel I Sorosky MD 40.00 X 538627 0 68378 Paul Thompson MD 40.00 X 536368 0 179277 Michael Lindberg MD 40.00 X 360958 0 71697 Kevin P Keating MD 40.00 X 393096 0 71431 Judith Pepe MD 40.00 X 340705 0 62059 Vernon Y Kwok MD 40.00 X 228934 0 20393 Robert S Dicks MD 40.00 X 202146 0 55151 Alan Laites 40.00 X 204959 0 10659 Christopher Clyne MD 40.00 X 484698 0 67512 Karyn L Butler MD 40.00 X 417749 0 62798 Inam Kureshi MD 40.00 X 158421 0 0 Paul W Crespi 40.00 X 413171 0 63058 Alan J Smally MD 40.00 X 378636 0 83868 Detlef Wencker MD 40.00 X 374415 0 57483 Jonathan A Hammond MD 40.00 X 409257 0 25575 Patricia Sheiner MD 40.00 X 187033 0 12724 Jeffrey Kluger MD 40.00 X 486602 0 27728 Steven L Zweibel MD 40.00 X 486896 0 42444 John F Greene Jr MD 40.00 X 425912 0 54492 Eric Crespo MD 40.00 X 381959 0 37696 Mark W Sebastian MD 40.00 X 495886 0 54245 Elliot T Joseph 0.00 X 1651291 0 175301 Stephan O'Neill 0.00 X 338744 0 60724 James K Kinsella 0.00 X 221803 0 80389 Linda B Spivack 0.00 X 224982 0 19668 Paul S Besson Esq 0.00 X 346063 0 12873 Alfred Herzog MD 0.00 X 123702 0 8716 Gary V Heller MD 0.00 X 371469 0 65291 24890501 0 3043317 895 1 1 0 University of Connecticut Health Center 263 Farmington Avenue Farmington CT 06030 Interns, Residents and Medical Services 21955318 FIP Construction Inc 10 McKee Place Cheshire CT 06410 Construction 13716862 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 Software Support Services 5687720 Connecticut Multipsecialty Group PC 85 Seymour Street Hartford CT 06106 Medical Services 3360028 Air Methods Corporation PO Box 172892 Denver CO 80217 Aviation Services 3033524 180 1399677 258694 37651504 11153176 2552646 50463051 Patient Care 624100 987703326 987703326 Ref. Testing & Fees 621500 4446589 3017906 1428683 Free Bed Income 621400 1896181 1896181 Sale of By Products 900099 185895 185895 Library 541700 2356 2356 994234347 11109226 11109226 2881923 0 2881923 2881923 2881923 90344348 21350 79493827 70719 10850521 -49369 10801152 10801152 244080 1399677 374950 -130870 -130870 Inc. From Inv - Other 900003 5406574 5111227 295347 Cafeteria Income 722210 3467509 3467509 8874083 1078232912 997914535 1726386 28128940 192919 192919 75000 75000 20013814 15028872 4984942 2895934 497533 2398401 416702278 376828878 38783248 1090152 58353885 47402194 10951691 67415785 54747078 12668707 31825580 26365193 5460387 950137 950137 643414 643414 145237 145237 1769212 1062290 706922 58537034 52849188 5687846 5492938 55000 5437938 14539615 14422951 116664 1060462 217874 806276 36312 25237380 20905775 4331605 1744304 1525096 217004 2204 178651 66290 112361 4517043 3480302 1036741 8519221 4259611 4259610 47345574 33116143 14213417 16014 14459859 11978117 2481742 Medical Supplies 134369312 134369312 Purchased Services 38895508 30735614 8064657 95237 Bad Debt 22658424 22645968 12456 Equipment & Ppty Maint 14851334 12641704 2209630 13621578 10537926 3076188 7464 1007011432 876006828 129640557 1364047 37959740 67549972 90183767 53372534 5069321 6555214 136565342 175777067 11054903 11444006 10161480 8182321 1016532749 653919912 319493675 362612837 329477915 387217959 114096152 128093912 55670129 67518507 25811034 25811034 31159046 32370015 1166702504 1326505378 120841013 169073583 538913377 596803785 659754390 765877368 X 240155196 259069182 85467133 105046304 181325785 196512524 506948114 560628010 1166702504 1326505378 X 71221480 -17541585 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 145237 0 0 145237 0 Explanation of Lobbying Activities: Part II-B, Line 1: Hartford Hospital paid Kenneth L. Przybysz, LLC and Gaffney Bennett & Associates for their lobbying efforts on behalf of the organization during the fiscal year. Przybysz, LLC and Gaffney Bennett & Associates were paid $4,570 and $66,625 respectively. Efforts mainly included 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). 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. CHA and AHA conduct lobbying activities on behalf of their members. The total amount of dues allocated for lobbying expenses for FY12 was $74,042. 108251287 959611 14072208 3629476 119653630 112783609 329266 106788 4968376 108251287 106412056 1357240 6795833 1781520 112783609 111529519 175575 -2825233 2467805 106412056 0.57000 0.43000 0 0 19538073 19538073 521243700 341879092 179364608 475750976 312040820 163710156 362612837 Funds Held in Trust 128093912 F 128093912 Investment Malpractice Captive 21874429 F Other Assets 16759067 F Insurance Receivable 28885011 F 67518507 Accrued Post Retirement Expenses 372843056 Accrued Asbestos Costs 2522839 Other Net Liabilities 32627011 Long Term Debt - Interco Bonds 188810879 596803785 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. North America/Caribbean 1 2 Program Services Insurance 8124224 North America/Caribbean Investment 21874429 1 2 0 0 1 2 29998653 0 29998653 1 0 1 0 0 0 Black & Red Ball 1643757 1399677 244080 56913 152263 95810 69964 1643757 1399677 244080 56913 152263 95810 69964 374950 -130870 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 8368383 8368383 0.00850 168635686 148312496 20323190 0.02060 177004069 148312496 28691573 0.02910 6185671 105 6185566 0.00630 49199376 14439509 34759867 0.03530 9307561 5378427 3929134 0.00400 12844711 12844711 0.01300 15119435 11721892 3397543 0.00350 92656754 31539933 61116821 0.06210 269660823 179852429 89808394 0.09120 216666 216666 0.00020 203942 203942 0.00020 186660 3585 183075 0.00020 3293 3293 0.00000 126195 140 126055 0.00010 7174 7174 0.00000 19008 19008 0.00000 54713 54713 0.00010 817651 3725 813926 0.00080 0 22658425 0 294968734 268788601 26180133 X 1 1 1 1 Hartford Hospital

80 Seymour Street Hartford CT 06102

X X X X X Hartford Hospital 1 1 1 250.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X X 1 0 1 X X 0 0 13 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 Hosp Healthcare - Enfield

113 Elm Street Enfield CT 06082

Rehabilitation Services Hartford Hospital Sleep Lab

533 Cottage Grove Road Bloomfield CT 06002

Sleep Lab Glastonbury Surgery Center LLC

195 Eastern Boulevard Glastonbury CT 06033

Nuclear Cardiology, Education 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

Nuclear Cardiology, Education Center Avon Healthcare Center

100 Simsbury Road Avon CT 06001

Nuclear Cardiology, Education Center Duncaster Primary Care Satellite

40 Loeffler Road Bloomfield CT 06002

Primary Care 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 audited Financial Statements, (AFS). Total expense was adjusted for: bad debt expense, directly identified community benefit expense and non-patient care expense, (as adjusted from the Medicare cost report). This was then divided by the total AFS gross revenue to develop the cost to charge ratio. 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 I, L7 Col(f): The Bad Debt Expenses included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 22,658,424 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 $800,000 on community building activities during fiscal year 2012. 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 immediately adjacent community the Hospital serve 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. Leadership Development - Hartford Hospital supported the Latinas and Power Symposium, which provided professional development sessions on financial stability, personal growth, entrepreneurship and career building. This effort enhanced the job opportunities and improved the financial judgment of those currently living in poverty.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 16 of the Audited Financial Statement.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 2012 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 13g: A public notice regarding financial assistance and availability of free beds funds are posted at all of the registration sites, including admitting and emergency department. Hartford Hospital Part V, Section B, Line 19d: 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 unfavorably 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 unfavorably 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. HH 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 an affiliate 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 containment strategies. These organizations provide significant benefits to the community. These benefits are not reported in the Community Benefit data provided by the hospital. Reports Filed With States Part VI, Line 7 CT 1 American Heart Association PO Box 3049 Syracuse NY 13220 135613797 501(c)(3) 5000 FMV Annual support for research, education, treatment and government advocacy for cardiovascular disease. 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. Bushnell Center for the Performing Arts 166 Capitol Ave Hartford CT 06106 060662112 501(c)(3) 5000 FMV Arts in Education program, which uses arts strategies to teach core curriculum to diverse, economically disadvantaged students in Grades Pre-K through 12 in the Hartford Public School District. Connecticut Children's Medical Center 282 Washington St Hartford CT 06106 222619869 501(c)(3) 5000 FMV To provide funding for innovative equipment and programs in the heart program at the Medical Center. Connecticut Forum 750 Main St Hartford CT 06103 061343149 501(c)(3) 6500 FMV To provide panel discussions among renowned experts to encourage the free and active exchange of ideas that inform, challenge, entertain, inspire and build bridges among all people and organizations in our community. Connecticut Science Center 250 Columbus Blvd Hartford CT 06103 061538101 501(c)(3) 10000 FMV To support science education, exhibits and programs. Cystic Fibrosis Foundation 306 Industrial Mark Rd Suite 107 Middletown CT 06457 060834391 501(c)(3) 5000 FMV Efforts to improve the lives of the 30,000 children and adults living with cystic fibrosis through research. Greater Hartford Arts Council 45 Pratt St Hartford CT 06123 237111486 501(c)(3) 10000 FMV To provide free summer theater education at Little Theater of Manchester, emergency first aid training to Front of House Managers at the Bushnell Center for Performing Arts, actor housing at TheaterWorks, nutritious snacks for children enrolled in Charter Oak Cultural Center's after-school program, a full trimester of cultural classes for students at The Artists Collective, and a number of other mission-based programs in Greater Hartford. Hartford Public High School Nursing Academy 55 Forest St Hartford CT 06105 066001870 501(c)(3) 5819 FMV Support to Nursing Academy to encourage nursing careers to inner city youth. Hartford Stage 50 Church St Hartford CT 06103 060790484 501(c)(3) 5000 FMV Support for Hartford Stage's education programs that serve the region's underserved youth. Hartford Symphony Orchestra 100 Pearl St Hartford CT 06103 060637319 501(c)(3) 5000 FMV To support the orchestra in providing free programs for local children. Jewish Foundation 333 Bloomfield Ave Suite C West Hartford CT 06117 060655482 501(c)(3) 5600 FMV To support the Kosher Food Pantry and the Jewish Employment Transitions Services, which has helped people find jobs and has provided networking and job-search workshops. Leadership Greater Hartford 30 Laurel St Hartford CT 06106 061167174 501(c)(3) 5000 FMV To develop programming and allow people who could not otherwise afford these programs to attend. Mandell Jewish Community Center 335 Bloomfield Ave West Hartford CT 06117 060662142 501(c)(3) 5000 FMV To support the Family Room Parenting Center programs for children, parents and professional caregivers and educators. My Sister's Place 102 Pliny St Hartford CT 06129 061079879 501(c)(3) 5000 FMV Programs for homeless children in this shelter. Petit Family Foundation PO Box 310 Plainville CT 06062 230627813 501(c)(3) 10000 FMV To provide $25,000 scholarships for women in science at Bay Path College and at Quinnipiac University. Spanish American Merchants Association 95 Park St Hartford CT 06106 061390672 501(c)(3) 50000 FMV SAMA serves as a vehicle for the economic growth of small business, in particular Latino, to acquire a better understanding of basic business management and economic principles through technical assistance, education and advocacy. SAMA's office is a neighbor of the Hospital's Women's Ambulatory Health Center and a strong presence in the Latino community. University of Connecticut Foundation 2390 Alumni Drive Unit 3206 Storrs CT 06269 066070722 501(c)(3) 15000 FMV UConn Health Center Mission Fund for expenses related to education and conferences. Urban League 140 Woodland St Hartford CT 06105 066066491 501(c)(3) 10000 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 19 19 Tapestry Awards 3 10000 Sons and Daughters Scholarship Awards 65 65000 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 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, Institute of Living, Jefferson House, or Cedar Mountain 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 X X X X 1 1 0 0 0 0 0 1 0 Jeffrey Flaks 578495 0 367920 0 18372 0 32425 0 34806 0 1032018 0 0 0 Andrew L Salner MD 203414 0 0 0 0 0 0 0 0 0 203414 0 0 0 Neil Yeston MD 473270 0 80268 0 15290 0 49973 0 28994 0 647795 0 0 0 Joseph J Klimek MD 454032 0 72496 0 2413255 0 0 0 55124 0 2994907 0 2371573 0 Harold I Schwartz MD 431706 0 109137 0 33788 0 146322 0 29092 0 750045 0 0 0 Jamie M Roche MD 328412 0 76869 0 17971 0 45900 0 26683 0 495835 0 0 0 Thomas J Marchozzi 497032 0 173443 0 20502 0 36100 0 26426 0 753503 0 0 0 Wendy E Elberth 242635 0 36000 0 720 0 26012 0 16024 0 321391 0 0 0 Laurine Bow 199835 0 0 0 1909 0 36678 0 23128 0 261550 0 0 0 Carol S Garlick 174912 0 23470 0 856 0 19190 0 14685 0 233113 0 0 0 Rocco Orlando 451211 0 110160 0 23363 0 59375 0 29258 0 673367 0 0 0 Bimal Patel 266513 0 216211 0 588 0 33832 0 14368 0 531512 0 0 0 Donna Handley 247110 0 40688 0 1882 0 18325 0 24503 0 332508 0 0 0 James M Blazar 399602 0 120943 0 6011 0 38586 0 25177 0 590319 0 0 0 Richard G Stys 309393 0 94536 0 1628 0 24228 0 25657 0 455442 0 0 0 Sonal Shah 215828 0 54961 0 4572 0 18604 0 16201 0 310166 0 0 0 Yvette Melendez 227091 0 41785 0 2116 0 18975 0 22598 0 312565 0 0 0 Michele B Bush Esq 431766 0 65173 0 6476 0 56389 0 15333 0 575137 0 0 0 Karen T Goyette 187284 0 59666 0 408 0 14700 0 23749 0 285807 0 0 0 Betsy Boatman 184586 0 27945 0 356 0 15022 0 14651 0 242560 0 0 0 Rita Parisi 243049 0 56505 0 14097 0 41175 0 17264 0 372090 0 0 0 Lenworth Jacobs MD 564368 0 0 0 30108 0 0 0 26252 0 620728 0 0 0 Cheryl Ficara 232799 0 21658 0 400 0 29400 0 24035 0 308292 0 0 0 Tracy A Church 197762 0 34000 0 5895 0 15908 0 17123 0 270688 0 0 0 Luis Taveras 244414 0 42000 0 50511 0 15821 0 18541 0 371287 0 0 0 Susan Huntington 253382 0 68750 0 1161 0 17150 0 12062 0 352505 0 0 0 Orlando C Kirton MD 553542 0 0 0 39119 0 54642 0 29410 0 676713 0 0 0 Joel I Sorosky MD 519805 0 0 0 18822 0 39775 0 28603 0 607005 0 0 0 Paul Thompson MD 516304 0 0 0 20064 0 152303 0 26974 0 715645 0 0 0 Michael Lindberg MD 342910 0 0 0 18048 0 45900 0 25797 0 432655 0 0 0 Kevin P Keating MD 375100 0 0 0 17996 0 45900 0 25531 0 464527 0 0 0 Judith Pepe MD 326620 0 0 0 14085 0 36601 0 25458 0 402764 0 0 0 Vernon Y Kwok MD 222215 0 0 0 6719 0 0 0 20393 0 249327 0 0 0 Robert S Dicks MD 201320 0 0 0 826 0 32027 0 23124 0 257297 0 0 0 Alan Laites 180587 0 18031 0 6341 0 0 0 10659 0 215618 0 0 0 Christopher Clyne MD 389684 0 77562 0 17452 0 39775 0 27737 0 552210 0 0 0 Karyn L Butler MD 400366 0 0 0 17383 0 36100 0 26698 0 480547 0 0 0 Inam Kureshi MD 158421 0 0 0 0 0 0 0 0 0 158421 0 0 0 Paul W Crespi 306216 0 85941 0 21014 0 39775 0 23283 0 476229 0 0 0 Alan J Smally MD 345939 0 0 0 32697 0 59375 0 24493 0 462504 0 0 0 Detlef Wencker MD 360429 0 0 0 13986 0 33010 0 24473 0 431898 0 0 0 Jonathan A Hammond MD 409257 0 0 0 0 0 0 0 25575 0 434832 0 0 0 Patricia Sheiner MD 168541 0 15000 0 3492 0 0 0 12724 0 199757 0 0 0 Jeffrey Kluger MD 386345 0 76441 0 23816 0 0 0 27728 0 514330 0 0 0 Steven L Zweibel MD 395349 0 79170 0 12377 0 27663 0 14781 0 529340 0 0 0 John F Greene Jr MD 384018 0 0 0 41894 0 39775 0 14717 0 480404 0 0 0 Eric Crespo MD 318422 0 63240 0 297 0 24647 0 13049 0 419655 0 0 0 Mark W Sebastian MD 495113 0 0 0 773 0 34835 0 19410 0 550131 0 0 0 Elliot T Joseph 1058368 0 486360 0 106563 0 130564 0 44737 0 1826592 0 0 0 Stephan O'Neill 219520 0 0 0 119224 0 38434 0 22290 0 399468 0 0 0 James K Kinsella 92668 0 0 0 129135 0 66478 0 13911 0 302192 0 0 0 Linda B Spivack 110541 0 0 0 114441 0 9155 0 10513 0 244650 0 0 0 Paul S Besson Esq 0 0 0 0 346063 0 276 0 12597 0 358936 0 0 0 Alfred Herzog MD 106605 0 0 0 17097 0 0 0 8716 0 132418 0 0 0 Gary V Heller MD 368516 0 0 0 2953 0 52257 0 13034 0 436760 0 0 0 Part I, Line 1a Tax imdemnification and gross-up payments to individuals for benefits are included as taxable income on Form W-2. The box related to health or social club dues or initiation fees is checked. Hartford Hospital, a member of Hartford HealthCare Corporation 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 The organization does not have a formal written policy relating to gross-up payments. Requests for gross-up payments are reviewed by both the Tax & Payroll departments to ensure compliance with Federal and State regulations. Payments are included in the recipient's form W-2 and are taxed as required. Part I, Lines 4a-b Mr. Stephan O'Neill (former Officer) severance payment began in September of 2011. Total severance payment in 2011 was $111,660. Mr. Paul Besson (former Officer) severance payment began in January of 2011. Total severance payment in 2011 was $345,050. Ms. Linda B. Spivack (former Officer) severance payment began in July of 2011. Total severance payment in 2011 was $113,556. Dr. Joseph J. Klimek was paid a lump sum amount of $2,371,573 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. Klimek including the SERP payment was $2,994,907. 2011 SERP accruals made on behalf of the following individuals: Dr. Harold Schwartz $68,596 Dr. Paul Thompson $74,454 Dr. Orlando Kirton $14,867 Elliot Joseph $90,789 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 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: $4,407,727(d)Description of Transaction: Mr Douglas Elliot is a board member of Hartford Hospital. He is also an executive at the The Hartford Insurance Group (The Hartford). The Hartford provided Auto and Marine insurance policies to Hartford Hospital and Affiliates 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: $494,525(d)Description of Transaction: Mr Greg Deavens is a board member of Hartford Hospital. He is also an executive at Mass Mutual Life Insurance Company. Mass Mutual provided certain insurance coverages to Hartford Hospital and affiliates. Mr Deavens has no personal involvement in any of these transactions.(e)Sharing of Organization's Revenue? No X 12 2552646 FMV 0 1 0 Form 990, Part VI, Section A, line 6 Hartford Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. Form 990, Part VI, Section A, line 7a The sole member of the organization has the authority to approve/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 CFO for review. The final form was provided to the entire Board and reviewed by the Board at one of its scheduled meetings. Once the entire review process was completed, the form was signed by the CFO 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). All directors, officers and senior management of the organization complete and sign a Conflict of Interest statement. The statement includes an itemization and description of any actual or potential conflict of interest and all material facts related thereto for such director, officer or senior manager by virtue of his or her activities or the activities of related persons. Directors, officers and senior managers are urged to be inclusive in this disclosure since the disclosure of potential and actual conflicts of interest is essential to ensuring discussion of the conflict. Conflict of Interest disclosure statements are returned to the HHC Office of Compliance, Audit & Privacy (OCAP). All disclosures are reviewed by OCAP under the direction of legal counsel and the HHC Executive Compliance Steering Committee (ECSC), who shall exercise good faith judgment as to whether a conflict exists. Legal counsel and the ECSC shall be responsible for monitoring transactions or arrangements in which a director, officer and senior management may have a conflict of interest and for assuring that the director, officer or senior management serves the hospital's best interests. OCAP, legal counsel and/or the ECSC may consult with any director, officer or senior manager and obtain information necessary for an ordinarily prudent person to make a judgment as to whether a conflict exists and each director, officer or senior manager shall cooperate with such requests. OCAP, legal counsel and/or the ECSC shall provide guidance to the director, officer or senior manager and to the board of directors as to the appropriate course of action. Legal counsel and the ECSC shall seek the advice and approval of the full Board of Directors in determining whether a conflict of interest exists and that the director, officer or senior manager serves the organization's best interests. When a conflict of interest is discovered, such director, officer or senior manager with the conflict will be required to refrain from participating in any discussion or action concerning such conflicted situation in accordance with policy. If, after completing and signing the annual disclosure statement, an actual or potential conflict arises, the director, officer or senior manager with the conflict shall promptly notify OCAP in writing. Form 990, Part VI, Section B, line 15 The Independent Executive Compensation Committee hires an outside consultant, Integrated Healthcare Strategies, to determine best practices in governing executive compensation for those employees who report directly to the CEO of Hartford HealthCare Corporation. The following steps are 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 and regional 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 are 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 5: Net unrealized gains on investments: 70792185. Sch K-1 Reconciling Items -295347. Pension Adjustment -37733912. Transfer to Affiliates -50304508. Rounding -3. Total to Form 990, Part XI, Line 5: -17541585. Part IV, Line 12 and Part XII, Line 2b Hartford Hospital did not receive a separate audited financial statement and is included in a consolidated audited financial statement. Average Hours Per Week Form 990 Part VII, Column B Certain employees listed on Part VII of Form 990 share their time between Hartford Hospital and other related organizations. These are all full time employees that average 40-60 hours per week. Their hours and salaries are allocated between Hartford Hospital and Hartford Health Care Corporation for expenditure purposes. 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 80 Seymour Street Hartford CT 06102 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 Psychiatric Services 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 VNA Health Care Inc 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 Corp 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 - Shell CT 501(C)(3) 11 (b) Hartford HealthCare Corp 1 1 The Orchards of Southington 34 Hobart Street Southington CT 06489 061490803 Residential Services for Senior Care CT 501(C)(3) 9 Central CT Senior Health Services Inc 1 Community Mental Health Affiliates 270 John Downey Drive New Britain CT 06051 060934544 Mental Health & Substance Abuse Treatment Provider CT 501(C)(3) 7 Hartford HealthCare Corp 1 Mulberry Gardens of Southington LLC 58 Mulberry Street Plantsville CT 06479 820586577 Assisted Living & Adult Day Care Facility CT 501(C)(3) 9 Central CT Senior Health Services Inc 1 The Hatch Hospital Corp 112 Mansfield Avenue Willimantic CT 06226 066076412 Healthcare Services CT 501(C)(3) 3 Windham Community Memorial Hospital 1 Windham Community Memorial Hospital Women's Auxiliary Inc 112 Mansfield Avenue Willimantic CT 06226 060677728 Fundraising CT 501(C)(3) 11 (a) Windham Community Memorial Hospital 1 Midstate Medical Center Auxiliary 435 Lewis Avenue Meriden CT 06451 066063082 Fundraising CT 501(C)(3) 3 Midstate Medical Center 1 HHC PhysiciansCare Inc 80 Seymour Street Hartford CT 06102 454456939 Practice Medicine and Provide Health Care Services to the Public CT 501(C)(3) 9 Hartford HealthCare Corp 1 Hartford HealthCare Accountable Care Org Inc 200 Retreat Avenue Fl 9 Hartford CT 06102 460886367 To Manage and Coordinate Care for Medicare Beneficiares CT 501(C)(3) HHC PhysiciansCare Inc 1 Hartford HealthCare Corp Group (VEBA) 777 Main Street Hartford CT 06102 266671355 Healthcare Services CT 501(C)(9) N/A Hartford HealthCare Corp 1 Central CT Sports Medicine Center LLC 15 Masairio Drive Suite 104 Berlin CT 06037 223196509 Physical Therapy CT N/A New Britain MRI Limited Partnership 100 Grand Street New Britain CT 06050 061271349 Magnetic Resonance Imaging CT N/A New Britain Occupational Health Center LLC 440 New Britain Avenue Plainville CT 06062 061484904 Occupational Healthcare 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 294336 1096009 0 0 0.50000 Glastonbury Endoscopy Center LLC 300 Western Boulevard Glastonbury CT 06033 261721234 Endoscopy Services CT N/A Related 448859 123624 0 0 0.50000 Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury CT 06033 262600828 Surgery Services CT N/A Related 1463349 -100242 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 HHMOB Corporation & Subsidiary 80 Seymour Street Hartford CT 06102 061140244 Real Estate Parking CT N/A C CHS Insurance LTD FB Perry Bld 40 Church St Hamilton BD Captive Insurance BD N/A C 21681320 21874429 0.42500 Windham Health Services Inc 112 Mansfield Avenue Willimantic CT 06226 061461101 Home Healthcare CT N/A C Windham Physician Hospital Organization 112 Mansfield Avenue Willimantic CT 06226 061441614 Medical Services CT N/A C Windham Family Medical Services 112 Mansfield Avenue Willimantic CT 06226 061491649 Medical Services CT N/A C CenConn Services Inc 100 Grand Street New Britain CT 06050 222836001 Investment Management CT N/A C Grand Indemnity Co LTD 40 Church Street Hamilton BD 980609499 Professional Liability BD N/A C Hartford Physician Services PC 80 Seymour Street Hartford CT 06102 061254082 Medical Services CT N/A C Meriden Imaging Center 101 North Plains Industrial Road Meriden CT 06429 061541468 Imaging CT N/A S Hartford Physician Hospital Organization Inc 80 Seymour Street Hartford CT 06102 222785918 Physician & Hospital Support CT N/A C 107408 13600434 0.50000 1 0 1 1 1 0 0 0 1 1 1 1 0 1 1 1 1 1 CHS Insurance Ltd K 1205004 FMV CHS Insurance Ltd Q 13961197 FMV CHS Insurance Ltd P 293541 FMV CHS Insurance Ltd R 21874430 FMV Eastern Rehabilitation Network L 2238553 FMV Eastern Rehabilitation Network N 13808102 FMV Eastern Rehabilitation Network P 261013 FMV Eastern Rehabilitation Network D 3000000 FMV Eastern Rehabilitation Network A 127326 FMV HHMOB N 648444 FMV HHMOB I 128704 FMV HHMOB P 1113051 FMV HHMOB J 882162 FMV HHMOB A 4353 FMV HHMOB O 936511 FMV HHMOB E 850000 FMV Immediate Medical Care Center P 304169 FMV Immediate Medical Care Center K 429226 FMV Immediate Medical Care Center A 662484 FMV Immediate Medical Care Center N 544632 FMV Immediate Medical Care Center L 723104 FMV Immediate Medical Care Center Q 2248482 FMV Midstate Medical Center P 4066290 FMV Midstate Medical Center K 7379783 FMV Midstate Medical Center N 2122290 FMV Natchaug Hospital Inc P 139884 FMV Rushford Center Inc P 106168 FMV Rushford Center Inc A 8995 FMV The Hospital of Central Connecticut K 1704602 FMV The Hospital of Central Connecticut P 75099 FMV Institute Of Living J 239236 FMV Institute Of Living D 1500000 FMV VNA Health Care Inc K 259045 FMV VNA Health Care Inc P 102703 FMV Windham Hospital K 223503 FMV Windham Hospital P 1517381 FMV Windham Hospital D 139604 FMV Institute Of Living P 50583 FMV Hartford Hospital Auxiliary C 258694 FMV