2017-08-09T10:31:16-05:00 2016-09-30 346565596 Ernst & Young US LLP 200 Clarendon Street 44th Floor Boston MA 02116 990 2015-10-01 454456939 HHC PhysiciansCare Inc D/B/A Hartford HealthCare Medical Group HHCP 8606966200 80 Seymour Street Hartford CT 06102 Vincent DiBattista President 8605455000 2017-08-09 0 Jeanne Schuster P00743154 6172662000 2015 2021-01-29 14:40:06Z Vincent DiBattista 80 Seymour Street Hartford CT 06102 124582209 0 X www.hartfordhealthcaremedicalgroup.com X 2012 CT 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. 8 0 1177 0 0 0 0 0 111508090 124582209 1224 0 0 0 111509314 124582209 0 0 0 0 117475795 131003438 0 0 0 42583931 61851167 160059726 192854605 -48550412 -68272396 43888789 33298170 32818786 31471612 11070003 1826558 X 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. 0 0 55408210 41347161 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. 22618031 15684847 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) 9675044 7146672 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. 90274737 60403529 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. 90274737 60403529 177976022 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 125 0 1 1177 1 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Ellen Liquindoli 8605457188 1290 Silas Deane Highway Wethersfield CT 06109 Rocco Orlando MD Director, Physician 2.00 60.00 X 0 898279 106883 Jeffrey Flaks Director 2.00 60.00 X 0 1371766 113623 Jeffrey Brown MD Director, Physician 60.00 X 183245 0 23645 Louis Meyer MD Director, Physician 60.00 X 214531 0 44041 Steven Shichman MD Director, Physician 60.00 X 625805 0 83560 James Blazar Director (Thru Dec. 2015) 0.00 60.00 X 0 652220 135887 Cara Riddle DO Director, Physician 60.00 X 182408 0 23575 James Cardon MD Chair, Physician 3.00 60.00 X X 0 728927 143465 James Watkins MD COO (Thru 9/2016) 60.00 0.00 X 0 419333 52422 Jeffrey Cohen MD Chief Physician Officer 60.00 X 740737 0 89096 Robert Gallagher MD Cardiothoracic Surgeon 60.00 X 1343328 0 91272 Robert Hagberg MD Chair,Dept. Cardiac Surgery 60.00 X 1091096 0 90190 Charles Castiglione MD Plastic Surgeon 60.00 X 941110 0 84306 Paul Vignati MD Colorectal Surgeon 60.00 X 893132 0 84745 Jonathan Hammond MD Cardiothoracic Surgeon 60.00 X 844101 0 80297 7059493 4070525 1247007 243 0 1 0 Meridian Billing Management 75 Post Office Park Wilbraham MA 01095 Medical Services 891362 J Morrissey & Company Inc 289 Broad Street Windsor CT 06095 Staffing Services 639608 Mmodal Services LTD 5000 Meridian Boulevard Franklin TN 37067 Transcription Svcs 251987 Optuminsight Inc PO Box 860215 Minneapolis MN 55486 Medical Services 144347 MUSA CHS Physicians (MARSH) PO Box 310380 Des Moines IA 50331 Prof Liab Insurance 109634 5 Patient Care 621110 124582209 124582209 124582209 124582209 124582209 0 0 6759680 6759680 104979197 99220123 5759074 6645425 6302917 342508 6886437 6531507 354930 5732699 5437233 295466 850 850 1436510 1436510 79643 17880 61763 2728981 1937828 791153 6340200 4088129 2252071 11585875 10595848 990027 322255 238948 83307 698281 663995 34286 12098647 9944918 2153729 7941238 7616381 324857 5344744 5088271 256473 Medical Supplies 7925203 7925203 Purchased Services 4400478 3375391 1025087 Dues, Subs & Licenses 593019 575310 17709 Misc. Expense 137987 30297 107690 217256 189653 27603 192854605 177976022 14878583 0 2460080 8428149 11446607 10385899 251782 251782 485685 494243 25310846 13071626 17484114 12239220 5792452 7466946 43888789 33298170 16623463 14999109 16195323 16472503 32818786 31471612 X 11070003 1826558 11070003 1826558 43888789 33298170 X -68272396 59028951 X 0 1 X 1 0 X 78276707 109744661 111508014 124582209 424111591 78276707 109744661 111508014 124582209 424111591 0 0 0 424111591 78276707 109744661 111508014 124582209 424111591 X 5183622 1269074 3914548 17382532 11802552 5579980 2744692 2744692 12239220 Security Deposits 50042 Other Assets 255139 Insurance Receivable 7161765 7466946 Due to Affiliates 5381318 Accrued Pension Plan 733619 Other Liabilities - IBNR 3274596 Accrued Malpractice Insurance 7082970 16472503 Central America/Caribbean 0 0 Program Services Insurance Premiums 428795 South Asia 0 0 Program Services Indexing Services 114704 0 0 0 0 0 0 543499 0 543499 1 0 0 0 0 0 Sch F, Part II, Line 1 The Insurance Premiums and Indexing Services are being reported on a cash basis. 0 1 0 0 0 0 0 1 0 Rocco Orlando MD Director, Physician 0 566368 0 203507 0 128404 0 56425 0 50458 0 1005162 0 0 Jeffrey Flaks Director 0 813226 0 382765 0 175775 0 60445 0 53178 0 1485389 0 0 Jeffrey Brown MD Director, Physician 178895 0 4213 0 137 0 12818 0 10827 0 206890 0 0 0 Louis Meyer MD Director, Physician 209878 0 4307 0 346 0 15397 0 28644 0 258572 0 0 0 Steven Shichman MD Director, Physician 612789 0 5150 0 7866 0 36550 0 47010 0 709365 0 0 0 James Blazar Director (Thru Dec. 2015) 0 468254 0 171418 0 12548 0 92690 0 43197 0 788107 0 0 Cara Riddle DO Director, Physician 178861 0 3418 0 129 0 12760 0 10815 0 205983 0 0 0 James Cardon MD Chair, Physician 0 499738 0 192081 0 37108 0 97242 0 46223 0 872392 0 0 James Watkins MD COO (Thru 9/2016) 0 327664 0 89952 0 1717 0 14310 0 38112 0 471755 0 0 Jeffrey Cohen MD Chief Physician Officer 604019 0 116110 0 20608 0 36550 0 52546 0 829833 0 0 0 Robert Gallagher MD Cardiothoracic Surgeon 1017235 0 287445 0 38648 0 36550 0 54722 0 1434600 0 0 0 Robert Hagberg MD Chair,Dept. Cardiac Surgery 907158 0 95150 0 88788 0 36550 0 53640 0 1181286 0 0 0 Charles Castiglione MD Plastic Surgeon 893553 0 5150 0 42407 0 36550 0 47756 0 1025416 0 0 0 Paul Vignati MD Colorectal Surgeon 864380 0 5150 0 23602 0 36550 0 48195 0 977877 0 0 0 Jonathan Hammond MD Cardiothoracic Surgeon 516993 0 309726 0 17382 0 36550 0 43747 0 924398 0 0 0 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. 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. 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