HARTFORD HEALTHCARE MEDICAL GROUP INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HARTFORD HEALTHCARE MEDICAL GROUP INC (EIN 45-4456939)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-09
- IRS object ID
- 201702219349300805
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-09T10:31:16-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Clarendon Street 44th Floor | AddressLine1Txt |
| City | Boston | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02116 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454456939 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HHC PhysiciansCare Inc | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A Hartford HealthCare Medical Group | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HHCP | BusinessNameControlTxt |
| Phone | 8606966200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 Seymour Street | AddressLine1Txt |
| City | Hartford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Vincent DiBattista | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 8605455000 | PhoneNum |
| Signature | 2017-08-09 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanne Schuster | PreparerPersonNm |
| PTIN | P00743154 | PTIN |
| Phone | 6172662000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Vincent DiBattista | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 Seymour Street | AddressLine1Txt |
| City | Hartford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $124,582,209 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.hartfordhealthcaremedicalgroup.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | The Mission of Hartford HealthCare Medical Group is to put the patients first, provide coordinated quality care and value, exceed the expectations of patients, providers, staff and the community that it serves. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1177 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $111,508,090 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $124,582,209 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,224 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $111,509,314 | PYTotalRevenueAmt |
| CY Total Revenue | $124,582,209 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $117,475,795 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $131,003,438 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,583,931 | PYOtherExpensesAmt |
| CY Other Expenses | $61,851,167 | CYOtherExpensesAmt |
| PY Total Expenses | $160,059,726 | PYTotalExpensesAmt |
| CY Total Expenses | $192,854,605 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$48,550,412 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$68,272,396 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,888,789 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,298,170 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,818,786 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,471,612 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,070,003 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,826,558 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Mission of Hartford HealthCare Medical Group is to put patients first, provide coordinated quality care and value, and exceed the expectations of patients, providers, staff and the community that it serves. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $55,408,210 | ExpenseAmt |
| Revenue | $41,347,161 | RevenueAmt |
| Desc | The Primary Care program has 61 physicians and 40 advanced practitioners who provide primary care to a wide region within central and eastern Connecticut. Physicians have privileges at Hartford Hospital, Hospital of Central Connecticut, MidState Medical Center, Windham Community Memorial Hospital and Backus Hospital. The practices saw 322,965 patient visits in 2016. Our providers are credentialed in both internal and family medicine, with a commitment to providing sick visits within 24 hours. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,618,031 | ExpenseAmt |
| Revenue | $15,684,847 | RevenueAmt |
| Desc | The Urological Surgery practice has 20 surgeons and 5 advanced practitioners who provide care at Hartford Hospital, Hospital of Central Connecticut, MidState Medical Center, Lawrence and Memorial Hospital and UCONN Health Center. The group is active in teaching medical students and residents through UCONN and Hartford Hospital. The group saw 68,590 patient visits in 2016.The Urology providers have expertise in a wide range of areas that are involved in the diagnosis and treatment, including bladder disease, incontinence and voiding dysfunction, prostate cancer diagnosis, treatment and after care, female urology and pediatric urology. Minimally invasive surgical options are available, including robotic surgery. Providers' areas of expertise also include: - Stone disease diagnosis and treatment including lithotripsy - Male sexual function diagnosis and treatment - Urologic oncology, including diagnosis and treatment of kidney, bladder and prostate cancer - Vasectomy and vasectomy reversal - Sexually transmitted disease diagnosis and treatment - Benign prostatic hyperplasia (BPH) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,675,044 | ExpenseAmt |
| Revenue | $7,146,672 | RevenueAmt |
| Desc | The Cardio Thoracic practice has 7 surgeons and 9 advanced practitioners who provide care at Hartford Hospital and UCONN Health Center. The group saw 4,475 visits in 2016.Our cardiovascular surgeons were the first in Connecticut to integrate the latest advancements in robotics and computer technology during surgical procedures. The Department of Cardiovascular Surgery is a team of experienced and dedicated surgeons who offer a full range of sophisticated cardiac surgical services in the following areas: - Coronary Artery Bypass Surgery, including: beating heart bypass (off pump), robotic assisted, minimally invasive approaches.- Heart Valve Surgery, including: mitral valve replacement, aortic valve replacement, minimally invasive approaches.- Surgery for Advanced Heart Failure, including: heart transplantation, ventricular assist devices/mechanical circulatory support, high risk coronary artery bypass, valve repair or replacement, and left ventricular reconstruction.- Complex Aortic Surgery, including: aortic root, ascending aorta, aortic arch and dorsal aortic replacement, endovascular (stent graft), thoracic and abdominal aortic repair.- Cardiac Arrhythmia Surgery, including: pacemakers and defibrillators, maze procedure for atrial fibrillation.- General Thoracic surgery, including: minimally invasive lung surgery (VATS, Robotic), Esophageal surgery.- Peripheral Vascular Surgery, including: Endovascular (stent graft) abdominal aneurysm repair, peripheral artery bypass, carotid artery surgery.- Bloodless Medicine and Surgery. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $90,274,737 | ExpenseAmt |
| Revenue | $60,403,529 | RevenueAmt |
| Desc | In addition to the above, the organization provides additional healthcare services to its patients. HHC MG is one of the largest practices in Connecticut with numerous locations throughout Connecticut and over 250 physicians and advanced practitioners. HHC MG offer Primary Care, Urgent Care, Walk-in services, and more than 30 different specialties. Many of our offices have evening and weekend hours to accommodate busy schedules. We are a member of Hartford Health Care and are affiliated with some of the region's top hospitals including Hartford Hospital, The Hospital of Central Connecticut, MidState Medical Center, Windham Hospital, and Backus Hospital. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $90,274,737 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $60,403,529 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $177,976,022 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 125 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1177 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ellen Liquindoli | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8605457188 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1290 Silas Deane Highway | AddressLine1Txt |
| City | Wethersfield | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Rocco Orlando MD | |||||||||
| Director, Physician | 2.00 | 60.00 | Yes (X) | $0 | $898,279 | $106,883 | |||
| Jeffrey Flaks | |||||||||
| Director | 2.00 | 60.00 | Yes (X) | $0 | $1,371,766 | $113,623 | |||
| Jeffrey Brown MD | |||||||||
| Director, Physician | 60.00 | Yes (X) | $183,245 | $0 | $23,645 | ||||
| Louis Meyer MD | |||||||||
| Director, Physician | 60.00 | Yes (X) | $214,531 | $0 | $44,041 | ||||
| Steven Shichman MD | |||||||||
| Director, Physician | 60.00 | Yes (X) | $625,805 | $0 | $83,560 | ||||
| James Blazar | |||||||||
| Director (Thru Dec. 2015) | 0.00 | 60.00 | Yes (X) | $0 | $652,220 | $135,887 | |||
| Cara Riddle DO | |||||||||
| Director, Physician | 60.00 | Yes (X) | $182,408 | $0 | $23,575 | ||||
| James Cardon MD | |||||||||
| Chair, Physician | 3.00 | 60.00 | Yes (X) | $0 | $728,927 | $143,465 | Yes (X) | ||
| James Watkins MD | |||||||||
| COO (Thru 9/2016) | 60.00 | 0.00 | $0 | $419,333 | $52,422 | Yes (X) | |||
| Jeffrey Cohen MD | |||||||||
| Chief Physician Officer | 60.00 | $740,737 | $0 | $89,096 | Yes (X) | ||||
| Robert Gallagher MD | |||||||||
| Cardiothoracic Surgeon | 60.00 | $1,343,328 | $0 | $91,272 | Yes (X) | ||||
| Robert Hagberg MD | |||||||||
| Chair,Dept. Cardiac Surgery | 60.00 | $1,091,096 | $0 | $90,190 | Yes (X) | ||||
| Charles Castiglione MD | |||||||||
| Plastic Surgeon | 60.00 | $941,110 | $0 | $84,306 | Yes (X) | ||||
| Paul Vignati MD | |||||||||
| Colorectal Surgeon | 60.00 | $893,132 | $0 | $84,745 | Yes (X) | ||||
| Jonathan Hammond MD | |||||||||
| Cardiothoracic Surgeon | 60.00 | $844,101 | $0 | $80,297 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,059,493 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,070,525 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,247,007 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 243 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Meridian Billing Management | |||||
| 75 Post Office Park | Wilbraham | MA | 01095 | Medical Services | $891,362 |
| J Morrissey & Company Inc | |||||
| 289 Broad Street | Windsor | CT | 06095 | Staffing Services | $639,608 |
| Mmodal Services LTD | |||||
| 5000 Meridian Boulevard | Franklin | TN | 37067 | Transcription Svcs | $251,987 |
| Optuminsight Inc | |||||
| PO Box 860215 | Minneapolis | MN | 55486 | Medical Services | $144,347 |
| MUSA CHS Physicians (MARSH) | |||||
| PO Box 310380 | Des Moines | IA | 50331 | Prof Liab Insurance | $109,634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Care | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $124,582,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $124,582,209 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $124,582,209 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,582,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $124,582,209 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,759,680 | TotalAmt |
| Program Services | $6,759,680 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,979,197 | TotalAmt |
| Program Services | $99,220,123 | ProgramServicesAmt |
| Management And General | $5,759,074 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,645,425 | TotalAmt |
| Program Services | $6,302,917 | ProgramServicesAmt |
| Management And General | $342,508 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,886,437 | TotalAmt |
| Program Services | $6,531,507 | ProgramServicesAmt |
| Management And General | $354,930 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,732,699 | TotalAmt |
| Program Services | $5,437,233 | ProgramServicesAmt |
| Management And General | $295,466 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850 | TotalAmt |
| Management And General | $850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,436,510 | TotalAmt |
| Program Services | $1,436,510 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,643 | TotalAmt |
| Program Services | $17,880 | ProgramServicesAmt |
| Management And General | $61,763 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,728,981 | TotalAmt |
| Program Services | $1,937,828 | ProgramServicesAmt |
| Management And General | $791,153 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,340,200 | TotalAmt |
| Program Services | $4,088,129 | ProgramServicesAmt |
| Management And General | $2,252,071 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,585,875 | TotalAmt |
| Program Services | $10,595,848 | ProgramServicesAmt |
| Management And General | $990,027 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,255 | TotalAmt |
| Program Services | $238,948 | ProgramServicesAmt |
| Management And General | $83,307 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $698,281 | TotalAmt |
| Program Services | $663,995 | ProgramServicesAmt |
| Management And General | $34,286 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,098,647 | TotalAmt |
| Program Services | $9,944,918 | ProgramServicesAmt |
| Management And General | $2,153,729 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,941,238 | TotalAmt |
| Program Services | $7,616,381 | ProgramServicesAmt |
| Management And General | $324,857 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,344,744 | TotalAmt |
| Program Services | $5,088,271 | ProgramServicesAmt |
| Management And General | $256,473 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $7,925,203 | $7,925,203 | |
| Purchased Services | $4,400,478 | $3,375,391 | $1,025,087 |
| Dues, Subs & Licenses | $593,019 | $575,310 | $17,709 |
| Misc. Expense | $137,987 | $30,297 | $107,690 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,256 | TotalAmt |
| Program Services | $189,653 | ProgramServicesAmt |
| Management And General | $27,603 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,854,605 | TotalAmt |
| Program Services | $177,976,022 | ProgramServicesAmt |
| Management And General | $14,878,583 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,460,080 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,428,149 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,446,607 | BOYAmt |
| EOY | $10,385,899 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,782 | BOYAmt |
| EOY | $251,782 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,685 | BOYAmt |
| EOY | $494,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,310,846 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,071,626 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,484,114 | BOYAmt |
| EOY | $12,239,220 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,792,452 | BOYAmt |
| EOY | $7,466,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,888,789 | BOYAmt |
| EOY | $33,298,170 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,623,463 | BOYAmt |
| EOY | $14,999,109 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,195,323 | BOYAmt |
| EOY | $16,472,503 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,818,786 | BOYAmt |
| EOY | $31,471,612 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,070,003 | BOYAmt |
| EOY | $1,826,558 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,070,003 | BOYAmt |
| EOY | $1,826,558 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,888,789 | BOYAmt |
| EOY | $33,298,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$68,272,396 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $59,028,951 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $78,276,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $109,744,661 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $111,508,014 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,582,209 | CurrentTaxYearAmt |
| Total | $424,111,591 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $78,276,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $109,744,661 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $111,508,014 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,582,209 | CurrentTaxYearAmt |
| Total | $424,111,591 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $424,111,591 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $78,276,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $109,744,661 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $111,508,014 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,582,209 | CurrentTaxYearAmt |
| Total | $424,111,591 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,183,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,269,074 | DepreciationAmt |
| Book Value | $3,914,548 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,382,532 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,802,552 | DepreciationAmt |
| Book Value | $5,579,980 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,744,692 | OtherCostOrOtherBasisAmt |
| Book Value | $2,744,692 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,239,220 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Security Deposits | $50,042 |
| Other Assets | $255,139 |
| Insurance Receivable | $7,161,765 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,466,946 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $5,381,318 |
| Accrued Pension Plan | $733,619 |
| Other Liabilities - IBNR | $3,274,596 |
| Accrued Malpractice Insurance | $7,082,970 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,472,503 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| Central America/Caribbean | 0 | 0 | Program Services | Insurance Premiums | $428,795 |
| South Asia | 0 | 0 | Program Services | Indexing Services | $114,704 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $543,499 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $543,499 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Sch F, Part II, Line 1 | FormAndLineReferenceDesc |
| Explanation | The Insurance Premiums and Indexing Services are being reported on a cash basis. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rocco Orlando MD | ||||||||||||||
| Director, Physician | $0 | $566,368 | $0 | $203,507 | $0 | $128,404 | $0 | $56,425 | $0 | $50,458 | $0 | $1,005,162 | $0 | $0 |
| Jeffrey Flaks | ||||||||||||||
| Director | $0 | $813,226 | $0 | $382,765 | $0 | $175,775 | $0 | $60,445 | $0 | $53,178 | $0 | $1,485,389 | $0 | $0 |
| Jeffrey Brown MD | ||||||||||||||
| Director, Physician | $178,895 | $0 | $4,213 | $0 | $137 | $0 | $12,818 | $0 | $10,827 | $0 | $206,890 | $0 | $0 | $0 |
| Louis Meyer MD | ||||||||||||||
| Director, Physician | $209,878 | $0 | $4,307 | $0 | $346 | $0 | $15,397 | $0 | $28,644 | $0 | $258,572 | $0 | $0 | $0 |
| Steven Shichman MD | ||||||||||||||
| Director, Physician | $612,789 | $0 | $5,150 | $0 | $7,866 | $0 | $36,550 | $0 | $47,010 | $0 | $709,365 | $0 | $0 | $0 |
| James Blazar | ||||||||||||||
| Director (Thru Dec. 2015) | $0 | $468,254 | $0 | $171,418 | $0 | $12,548 | $0 | $92,690 | $0 | $43,197 | $0 | $788,107 | $0 | $0 |
| Cara Riddle DO | ||||||||||||||
| Director, Physician | $178,861 | $0 | $3,418 | $0 | $129 | $0 | $12,760 | $0 | $10,815 | $0 | $205,983 | $0 | $0 | $0 |
| James Cardon MD | ||||||||||||||
| Chair, Physician | $0 | $499,738 | $0 | $192,081 | $0 | $37,108 | $0 | $97,242 | $0 | $46,223 | $0 | $872,392 | $0 | $0 |
| James Watkins MD | ||||||||||||||
| COO (Thru 9/2016) | $0 | $327,664 | $0 | $89,952 | $0 | $1,717 | $0 | $14,310 | $0 | $38,112 | $0 | $471,755 | $0 | $0 |
| Jeffrey Cohen MD | ||||||||||||||
| Chief Physician Officer | $604,019 | $0 | $116,110 | $0 | $20,608 | $0 | $36,550 | $0 | $52,546 | $0 | $829,833 | $0 | $0 | $0 |
| Robert Gallagher MD | ||||||||||||||
| Cardiothoracic Surgeon | $1,017,235 | $0 | $287,445 | $0 | $38,648 | $0 | $36,550 | $0 | $54,722 | $0 | $1,434,600 | $0 | $0 | $0 |
| Robert Hagberg MD | ||||||||||||||
| Chair,Dept. Cardiac Surgery | $907,158 | $0 | $95,150 | $0 | $88,788 | $0 | $36,550 | $0 | $53,640 | $0 | $1,181,286 | $0 | $0 | $0 |
| Charles Castiglione MD | ||||||||||||||
| Plastic Surgeon | $893,553 | $0 | $5,150 | $0 | $42,407 | $0 | $36,550 | $0 | $47,756 | $0 | $1,025,416 | $0 | $0 | $0 |
| Paul Vignati MD | ||||||||||||||
| Colorectal Surgeon | $864,380 | $0 | $5,150 | $0 | $23,602 | $0 | $36,550 | $0 | $48,195 | $0 | $977,877 | $0 | $0 | $0 |
| Jonathan Hammond MD | ||||||||||||||
| Cardiothoracic Surgeon | $516,993 | $0 | $309,726 | $0 | $17,382 | $0 | $36,550 | $0 | $43,747 | $0 | $924,398 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of HHC PhysiciansCare Inc., hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. |
| Part I, Line 4b | Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retrement Plan (SERP). Participants include certain officers and key employees at the President, Executive Vice President, Senior Vice President and Vice President levels that are reported by HHC PhysiciansCare, Inc. on Form 990, Part VII. Contributions are made by Hartford Healthcare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause or upon reaching age 65. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2015 Serp Accruals made on behalf of the following individuals: Mr. Flaks $21,245 Mr. Blazar $56,140 Dr. Cardon $60,692 Mr. Flaks $106,225* Dr. Orlando $68,545* *For these individuals, vesting occurred, causing taxable income. A portion of the vested amount was used to pay the associated tax liability. The remaining balance stayed in the SERP account. |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals for management that contribute to organization(s) strategic and financial direction. The Plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | The organization does not have any independent board members as all board members are compensated for their service to the organization either by the organization itself or by a related organization - Hartford HealthCare. The Foundation is a member of an integrated healthcare delivery system which includes multiple tax-exempt hospitals that have community boards. |
| Form 990, Part VI, Section A, line 6 | HHC PhysiciansCare, Inc. 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/remove 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 forwarded to the Director of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the President of the Organization and then filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The PhysiciansCare's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all Covered Individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of Interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee (the Committee) which includes representation from the Medical Staff, the Legal Department, Human Resources, Supply Chain Management and Compliance. The Committee assesses and may recommend the conflicting interest either be (a) eliminated for a continued relationship with HHC/HHC MG, or (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. |
| Form 990, Part VI, Section B, line 15 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of HHC PhysiciansCare, Inc., hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. The following steps were taken: - Use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of HHC PhysiciansCare, Inc., established and regularly reviews Executive Compensation Philosophy - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors - Analysis of current total compensation versus market performed by independent third party compensation consulting firm, reviewed by the committee - Recommendations are made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - The CEO compensation reviewed by Committee based on comparative market information and organizational performance - All changes are reviewed and approved by Executive Compensation Committee The CEO compensation determination process is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. |
| Form 990, Part VI, Section C, line 18 | The Organization's Form 990, Form 1023 and its attachments are available for public inspection at the organization's address upon request. |
| Form 990, Part VI, Section C, line 19 | The Organization's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. |
| Form 990, Part XI, line 9: | Transfer from Affiliate 59,028,951. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Hartford Hospital | ||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 060646668 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) |
| Hartford HealthCare Corporation | ||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 222672834 | Support and Management Services to Hartford Hospital and Affiliates | CT | 501(C)(3) | 11(c) | 0 | |
| Windham Community Memorial Hospital | ||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) |
| Windham Hospital Foundation Inc | ||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(C)(3) | 11(a) | Windham Community Memorial Hospital | Yes (1) |
| Natchaug Hospital Inc | ||||||||||
| 189 Storrs Road | Mansfield Center | CT | 06226 | 060966963 | Behavioral Health | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) |
| Hartford HealthCare at HomeInc | ||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home HealthCare | CT | 501(C)(3) | 7 | Hartford HealthCare Corporation | Yes (1) |
| Rushford Center Inc | ||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Health Care Services | CT | 501(C)(3) | 7 | Hartford HealthCare Corporation | Yes (1) |
| Hartford Hospital Auxiliary co Hartford Hospital | ||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 066040747 | Fundraising | CT | 501(C)(3) | 11(c) | Hartford Hospital | Yes (1) |
| Connecticut Health System Inc | ||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Delivery | CT | 501(C)(3) | 11(c) | Hartford HealthCare Corporation | Yes (1) |
| Hartford HealthCare Independence at Home Inc | ||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Health Care | CT | 501(C)(3) | 9 | Hartford HealthCare At Home Inc | Yes (1) |
| MidState Medical Center | ||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) |
| WCMH Women's Auxiliary Inc | ||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(C)(3) | 11(a) | Windham Community Memorial Hospital | Yes (1) |
| The Hospital of Central CT | ||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 060646768 | Healthcare Services | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) |
| Hartford HealthCare Senior Services Inc | ||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(C)(3) | 9 | Hartford HealthCare Corporation | Yes (1) |
| Bradley Health Services | ||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 061367014 | Healthcare Services | CT | 501(C)(3) | 9 | Hartford HealthCare Corporation | Yes (1) |
| The Orchards of Southington | ||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Citizens | CT | 501(C)(3) | 9 | Hartford HealthCare Senior Services Inc | Yes (1) |
| Rushford Foundation Inc | ||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(C)(3) | 11(a) | Rushford Center Inc | Yes (1) |
| Mulberry Gardens of Southington LLC | ||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(C)(3) | 9 | Hartford HealthCare Senior Services Inc | Yes (1) |
| MidState Medical Center Auxiliary | ||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(C)(3) | 11(a) | MidState Medical Center | Yes (1) |
| Caring for Colleagues Employee Crisis Fund | ||||||||||
| 100 Grand Street | New Britain | CT | 06052 | 264469178 | Employee Fund | CT | 501(C)(3) | 7 | Hartford HealthCare Corporation | Yes (1) |
| Hartford HealthCare Accountable Care Org Inc | ||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(C)(3) | 7 | HHC PhysiciansCare Inc | Yes (1) |
| Hartford HealthCare Corp Group (VEBA) | ||||||||||
| 777 Main Street | Hartford | CT | 06102 | 266671355 | Medical Benefits Trust | CT | 501(c)(9) | N/A | Hartford HealthCare Corporation | Yes (1) |
| Backus Corporation | ||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222757608 | Support Services | CT | 501(C)(3) | 11(b) | Hartford HealthCare Corporation | Yes (1) |
| Backus HealthCare Inc | ||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Support Services | CT | 501(C)(3) | 11(a) | Hartford HealthCare Corporation | Yes (1) |
| The William W Backus Hospital | ||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Hospital | CT | 501(C)(3) | 3 | Hartford HealthCare Corporation | Yes (1) |
| Hartford Healthcare Endowment LLC | ||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Endowment Management | CT | 501(C)(3) | 11(a) | Hartford HealthCare Corporation | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Omni Home Health Services E CT LLC | |||||||
| 12 Case Street 317 | Norwich | CT | 06360 | 061458837 | Home Health Care | CT | N/A |
| New Britain MRI Limited Partnership | |||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic Resonance Imaging | CT | N/A |
| Hartford HealthCare Endowment LLC | |||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Endowment Management | CT | N/A |
| Ambulance Service of Mancheser LLC | |||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Service | CT | N/A |
| Connecticut Imaging Partners LLC | |||||||
| 111 Founders Plaza | East Hartford | CT | 06108 | 134298940 | Imaging Services | CT | N/A |
| Glastonbury Endoscopy Center LLC | |||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Services | CT | N/A |
| Glastonbury Surgery Center LLC | |||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Services | CT | N/A |
| Hartford - Middlesex Clinical System LLC | |||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affilate Support Services | CT | N/A |
| Med-East Assoc LLC | |||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A |
| HHC Southington Surgery Center LLC | |||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 465500829 | Surgery Services | CT | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HHMOB Corporation & Subsidiary | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||
| Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church St | Hamilton | BD | BD | ||||||
| Windham Health Services Inc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061461101 | Home Health Care | CT | N/A | C | Yes (1) | ||||
| Windham Physician Hospital Organization | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061441614 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Windham Family Medical Services | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061491649 | Medical Services | CT | N/A | C | Yes (1) | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Holding Company | CT | N/A | C | Yes (1) | ||||
| Hartford Physician Services PC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Meriden Imaging Center | |||||||||||||
| 101 North Plains Indusrial Park | Meriden | CT | 06429 | 061541468 | Imaging | CT | N/A | S | Yes (1) | ||||
| Hartford Physician Hospital Organization Inc | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222785918 | Physician & Hospital Support | CT | N/A | C | Yes (1) | ||||
| Aetna Ambulance Service Inc | |||||||||||||
| PO Box 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | N/A | C | Yes (1) | ||||
| Metro Wheelchair Service Inc | |||||||||||||
| PO Box 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | Yes (1) | ||||
| WWB Corporation | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061094836 | Holding Company | CT | N/A | C | Yes (1) | ||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Healthcare Services | CT | N/A | C | Yes (1) | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | N/A | C | Yes (1) | ||||
| Windham Professional Office Condominium Association Inc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | Yes (1) | ||||
| MidState Medical Group PC | |||||||||||||
| 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HHMOB | ||
| A | $1,268,724 | FMV |
| HHMOB | ||
| P | $369,238 | FMV |
| HHC Indemnity Services Limited | ||
| M | $3,466,424 | FMV |
| Windham Community Memorial Hospital | ||
| A | $582,667 | FMV |
| Windham Community Memorial Hospital | ||
| P | $276,601 | FMV |
| Windham Community Memorial Hospital | ||
| Q | $586,038 | FMV |
| Windham Community Memorial Hospital | ||
| O | $113,082 | FMV |
| MidState Medical Center | ||
| A | $735,459 | FMV |
| MidState Medical Center | ||
| O | $275,728 | FMV |
| Hartford Hospital | ||
| M | $354,976 | FMV |
| Hartford Hospital | ||
| L | $6,760,320 | FMV |
| Hartford Hospital | ||
| A | $1,162,602 | FMV |
| Hartford Hospital | ||
| O | $2,101,504 | FMV |
| Hartford Hospital | ||
| R | $215,810 | FMV |
| The Hospital of Central Connecticut | ||
| O | $686,881 | FMV |
| The Hospital of Central Connecticut | ||
| A | $383,412 | FMV |
| William W Backus Hospital | ||
| O | $539,647 | FMV |
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