2016-08-13T08:41:08-05:00 2015-09-30 440160260 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 64106 990 2014-10-01 060646938 Hartford HealthCare at Home Inc HART 8602494862 1290 Silas Deane Hwy No 4B Wethersfield CT 06109 Mark Keise VP & Executive Director 8602494862 2016-08-13 0 Michael J Engle P00482834 8162216300 2014 2016-09-27 15:27:22Z Rita Parisi 1290 Silas Deane Hwy No 4B Wethersfield CT 06109 77794590 0 X www.harthfordhealthcareathome.org X 1982 CT Hartford HealthCare at Home, Inc. is dedicated to improving the health and well-being of individuals by providing a full range of home care, hospice and community-based health and wellness services. 3 0 781 74 0 0 1869308 2196605 64599610 72774277 1989242 2799420 -153258 9880 68304902 77780182 0 0 0 0 37398780 42869271 0 0 152480 29105195 33794625 66503975 76663896 1800927 1116286 60496198 58546618 21538851 23508131 38957347 35038487 X The mission of the Agency is to provide and safeguard quality home health care to all persons in need, especially the indigent and medically underserved population. The Agency Strongly believes that appropriate health care is a fundamental right and not a privilege. 0 0 55435891 60319418 Hartford HealthCare at Home Inc. (HHC at Home) is one of Connecticut's largest not for profit provider of comprehensive home health care, hospice and private duty services. Founded in 1901 in Hartford and 1903 in Waterbury, the agency has a history of community involvement for over 100 years. Today the agency serves more than 60 communities in the greater Hartford, greater Waterbury and greater Meriden areas from its seven office locations: Hartford, Wethersfield, Mansfield, Waterbury, Glastonbury, East Windsor, and Southington. Hartford HealthCare at Home Inc. is committed to its founding mission of providing quality home care to all persons in need, especially the indigent and medically underserved population. The agency strongly believes that appropriate health care is a fundamental right and not a privilege. No one is turned away and the agency uses contributions, grants and other means to fill the gap when a client cannot pay. Agency staff visits clients in their own environments from the inner city to the suburbs. In fulfillment of its mission, HHC at Home staff often goes into areas others do not serve. This often requires special staff to translate, as well as additional time and resources to ensure patients can adequately access the care they need. The agency also uses charitable funds to offset the difference between the cost of providing care to the indigent and the funds received from the State of Connecticut Medicaid program. On an annual basis, the difference is in excess of $1 million dollars. HHC at Home boasts an unparalleled loyalty to its clients and is strongly committed to helping those most in need to continue receiving care. Charitable gifts are essential to sustaining this mission. HHC at Home services include skilled nursing, physical, occupational, and speech therapy, medical social work and home health aide support. The specialty nursing staff has expertise in wounds, diabetes, cardiac and respiratory issues and provides strategies to enable clients to remain at home and achieve good outcomes. The agency is well known for its home telemonitoring programs aimed at reducing patient readmissions to hospitals. Charitable funding has supported the development and ongoing financial needs of this innovative but non-reimbursable service. HHC at Home is proud of the fact that it continues to achieve very high quality outcomes at or above national and state levels despite serving a large population which lacks the means to fully participate in their care. Hartford HealthCare at Home Inc. Independent Living Services, provide services that allow clients to continue to live safely and independently. These include meals on wheels, assistance with daily personal care such as bathing, dressing, grocery shopping and meal preparation, a 24-hour emergency response system, as well as volunteer support. The agency also provides live-in care for those clients who need round the clock service to remain at home. 9637377 12454859 The Hospice and Palliative Care Programs (H.O.P.E.) work with patients and families in this most difficult of times offering a holistic approach to care of the entire family unit. Nurses, counselors, social workers, physicians, pastoral care and bereavement workers and volunteers devise an integrated approach toward providing basic care to those without insurance, in addition to supplementing services with patients' comfort items not often covered by insurance. There are many more ways that HHC at Home services benefit our community. Health education presentations at community sites, regular health screenings at senior centers, free flu shot clinics to the homeless and those lacking insurance and fall risk prevention programs are a few of the ways the agency provides assistance. Through the use of charitable funds, the needs of patients and their caregivers are being met. They receive medical care that they might not otherwise seek, for fear of not being able to pay. The care they receive improves or stabilizes their health, allowing them to remain independent and return to normal activities as soon as possible. Patients are able to retain their independence and often family members are able to continue working with the peace of mind that their loved one's needs are being met. 65073268 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 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 93 0 1 781 1 0 0 0 0 0 1 1 0 0 0 0 X 3 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X David Baranik Interim Director 8602494862 1290 Silas Deane Hwy Wethersfield CT 06109 Jeffrey Flaks Chair 2.00 58.00 X X 0 1120431 63630 Charles Johnson As of 072015 President 2.00 58.00 X X 0 0 0 Rocco Orlando MD Secretary 2.00 58.00 X X 0 796480 81208 Paul Czepiga Director (Thru June 2015) 1.00 1.00 X 0 0 0 Colleen Sullivan Director (Thru June 2015) 2.00 X 0 0 0 Richard Brooks Director (Thru June 2015) 2.00 X 0 0 0 Thomas Aitken Director (Thru June 2015) 1.00 1.00 X 0 0 0 Charles Hilton Director (Thru June 2015) 1.00 1.00 X 0 0 0 Stacey DiPiazza Director (Thru June 2015) 2.00 X 0 0 0 Carolyn Orrell Director (Thru June 2015) 1.00 1.00 X 0 0 0 John Greene MD Director (Thru June 2015) 1.00 59.00 X 0 600775 48711 Avery Gaddis Director (Thru June 2015) 2.00 X 0 0 0 Clifford Lund Director (Thru June 2015) 1.00 1.00 X 0 0 0 John O'Connell Jr Director (Thru June 2015) 2.00 X 0 0 0 James LaCroix Jr Director (Thru June 2015) 2.00 X 0 0 0 Rita Parisi SVP 2.00 58.00 X 0 401246 78236 Michael Soccio VP & Executive Director 10.00 50.00 X 0 300291 21450 Richard Nankee Former Vice President 60.00 X 0 207513 32884 Eric Hoeppner Vice President 60.00 X 0 220621 30073 Tara Green Director Hospice Oncology 60.00 X 189065 0 22141 Wioletta Remiszewska Laptop Nurse 60.00 X 154789 0 14349 Allison Jean Breault Regional Dir Clinical Ops 60.00 X 135446 0 9788 Theresa Coughlin Director Operations 60.00 X 134342 0 14020 Robert Nolan Assoc Dir Development 60.00 X 136989 0 14370 750631 3647357 430860 24 0 1 0 Hartford HealthCare Rehab Network LLC 181 Patricia M Genova Newington CT 06111 Physical Therapy 11383340 The William W Backus Hospital 326 Washington Street Norwitch CT 06360 Contracted Labor 1183975 Precious Touch Home Healthcare 4 Oldham Avenue 3L Waterbury CT 06705 Contracted Labor 440261 Caring Nurses Inc PO Box 682 Windsor CT 06095 Contracted Labor 294722 The Nurse Network LLC 653 Main Street Plantsville CT 06479 Contracted Labor 257811 12 545732 9249 168923 287450 1185251 2196605 Net Patient Revenue 624100 72774277 72774277 72774277 887667 887667 24288 7108 17180 17180 17180 1911453 300 0 0 1911453 300 1911753 1911753 0 9249 7300 -7300 -7300 77780182 72774277 0 2809300 X 35172140 28736876 6357297 77967 567983 452468 115515 4575772 3315375 1247653 12744 2553376 1997909 549039 6428 147083 147083 2142 2142 123356 123356 17648274 17648274 238211 136026 102185 1681198 999985 666656 14557 2161139 1760678 400461 1184222 864128 320094 1125811 1047615 77374 822 100158 25257 73944 957 15966 15966 2970276 2187991 782285 632044 511536 120508 142773 123600 19173 Medical Supplies 4435810 4435810 Purchased Services 958135 781013 149211 27911 Dues 94226 33416 58870 1940 Repairs & Maintenance 86006 11106 65754 9146 47795 4205 43582 8 76663896 65073268 11438148 152480 1356110 2254919 14925372 16725741 101262 10950158 7313387 4079314 3636771 6084373 10651779 34051029 25176146 60496198 58546618 3769374 3208898 2577961 1811420 466940 14724576 18487813 21538851 23508131 X 28422543 24102394 2092399 2408908 8442405 8527185 38957347 35038487 60496198 58546618 X 1116286 -3984572 -1050574 X X 0 1 X 1 0 X 1807795 981037 1668440 1869308 2196605 8523185 1807795 981037 1668440 1869308 2196605 8523185 827553 7695632 298021 415357 664405 755791 911955 3045529 48465 48465 11617179 277053984 0.66240 0.68080 X Schedule A, Part II, Line 10, Explanation of Other Income: Other Program Revenue - 2012 Amount: $ 48,465. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 2142 0 0 2142 0 Part II-B, Line 1: Hartford HealthCare at Home Inc. pays annual dues to Connecticut Association for Healthcare at Home (CAHC). CAHC allocates a portion of their dues as lobbying expenses. For FY15, 4.3% of dues paid was allocated as lobbying expenses. CAHC conducts lobbying activities on behalf of their members. The total amount of dues allocated for lobbying expenses for FY15 was $2,142. 17212713 852654 -1184714 572923 16307730 16246240 1553244 586771 17212713 6309384 8870912 1542346 476402 16246240 5548772 1381291 620679 6309384 5561987 425929 439144 5548772 0.70000 0.19000 0.11000 0 1 1 424743 424743 3576559 1515141 2061418 6948856 5798246 1150610 3636771 Funds Held in Trust By Others 5480957 C Donor Restricted Investments 4953623 C Investments-Other 217199 C 10651779 Investment in Endowment 25166493 Security Deposits 2135 Patient Refunds 7518 25176146 Due to Third Party Agencies 1100488 Due to Related Parties 16644890 Accrued Pension Liability 742435 18487813 Part V, Line 4: Intended uses of endowment fund. Used in accordance with donor's wishes primarily for health care services and equipment purchases. 0 1 0 0 0 0 0 1 0 Jeffrey Flaks Chair 0 704958 0 270040 0 145433 0 20800 0 42830 0 1184061 0 0 Charles Johnson As of 072015 President 0 0 0 0 0 0 0 0 0 0 0 0 Rocco Orlando MD Secretary 0 547918 0 101743 0 146819 0 37700 0 43508 0 877688 0 0 John Greene MD Director (Thru June 2015) 0 437708 0 101617 0 61450 0 20800 0 27911 0 649486 0 0 Rita Parisi SVP 0 294087 0 69978 0 37181 0 37700 0 40536 0 479482 0 0 Michael Soccio VP & Executive Director 0 202203 0 97486 0 602 0 7800 0 13650 0 321741 0 0 Richard Nankee Former Vice President 0 172198 0 34806 0 509 0 6404 0 26480 0 240397 0 0 Eric Hoeppner Vice President 0 188988 0 31256 0 377 0 6744 0 23329 0 250694 0 0 Tara Green Director Hospice Oncology 155743 0 32658 0 664 0 5699 0 16442 0 211206 0 0 0 Wioletta Remiszewska Laptop Nurse 154458 0 300 0 31 0 4643 0 9706 0 169138 0 0 0 Allison Jean Breault Regional Dir Clinical Ops 134917 0 300 0 229 0 0 0 9788 0 145234 0 0 0 Theresa Coughlin Director Operations 133609 0 300 0 433 0 0 0 14020 0 148362 0 0 0 Robert Nolan Assoc Dir Development 112310 0 24233 0 446 0 4096 0 10274 0 151359 0 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford HealthCare at Home, 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) plan. Participants include certain officers and key employees at the President, Executive Vice President, Senior Vice President and Vice President levels that are reported by Hartford HealthCare at Home, 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. 2014 Serp Payouts made on behalf of the following individuals: Mr. Jeffrey Flaks $97,014* Dr. Rocco Orlando $63,924* Ms. Rita Parisi $34,592* *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 an At Risk Plan that encourages and rewards achievements of significant functional goals for management that contribute to organization(s) strategic and financial direction. The Plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. Form 990, Part VI, Section A, line 1 The organization is governed by a management Board comprised of three employed individuals. These individuals are compensated for their services by Hartford HealthCare Corporation (HHC). HHC is the parent of an integrated healthcare delivery system which includes multiple tax-exempt hospitals that have community boards. Form 990, Part VI, Section A, line 4 The Corporation amended its Certificate of Incorporation during fiscal year 2015. The Amended and Restated Certificate includes the following substantive amendments: The board duties were revised to focus on quality, and the size of the board was reduced. The indemnification provisions were changed consistent with Connecticut law. The Organizations' governing documents are available upon request. Form 990, Part VI, Section A, line 6 Hartford HealthCare at Home 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 reviewed by an independent accounting firm. It was then forwarded to the organization's VP 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 VP of Post Acute Division/HHC and then filed with the IRS. Form 990, Part VI, Section B, line 12c The Hartford HealthCare at Home's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all Covered Individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of Interest disclosure statements are maintained by the HHC Office of Compliance, Audit & Privacy (OCAP). Employee disclosures are reviewed by OCAP 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, 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 Hartford HealthCare at Home, 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 Hartford HealthCare at Home, 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 is performed by the independent third party compensation consulting firm and then reviewed by the committee - Recommendations are made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - The CEO compensation is reviewed by the Committee based on comparative market information and organizational performance - All changes are reviewed and approved by the 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 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 IX, line 11g Other - Medical Professional Fees: Program service expenses 17,648,274. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,648,274. Form 990, Part XI, line 9: Endowment Adjustment to tie to K-1 (Interest & Dividends) -137,270. Endowment Adjustment to tie to K-1 (Realized Gains) -175,613. Endowment Adjustment to tie to K-1 (Other Income) -14,239. Other Non-Operating Gain (Loss) 4,318. Transfer to Affiliate -349,593. Other Fas 158 Provision Adjustment -294,593. Adj for Elimination Entry -83,584. Form 990, Part XII, Line 2c The organization has a committee that assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. Hartford Hospital 80 Seymour Street Hartford CT 06102 060646668 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Windham Community Memorial Hospital Inc 112 Mansfield Ave Willimantic CT 06226 060646966 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Windham Hospital Foundation Inc 112 Mansfield Ave Willimantic CT 06226 562546632 Supporting Organization CT 501(c)(3) 11(a) Windham Community Memorial Hospital 1 Midstate Medical Center 435 Lewis Ave Meriden CT 06451 060646715 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Hartford HealthCare Corporation 80 Seymour Street Hartford CT 06102 222672834 Supporting & Management Services to Hartford Hospital and Affiliates CT 501(c)(3) 11(c) 0 Natchaug Hospital Inc 189 Storrs Road Mansfield Center CT 06226 060966963 Behavioral Health CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Hartford HealthCare Independence at Home Inc 103 Woodland Street Hartford CT 06105 061161422 Home Healthcare CT 501(c)(3) 9 Hartford HealthCare At HomeInc 1 Rushford Center Inc 883 Paddock Avenue Meriden CT 06450 060932875 Substance Abuse Healthcare Services CT 501(c)(3) 7 Hartford HealthCare Corporation 1 Hartford Hospital Auxiliary CO Hartford Hospital 80 Seymour Street Hartford CT 06115 066040747 Fundraising CT 501(c)(3) 11(c) Hartford Hospital 1 Connecticut Health System Inc 80 Seymour Street Hartford CT 06115 222779421 Coordination of Health Delivery CT 501(c)(3) 11(c) Hartford HealthCare Corporation 1 Institute of Living 200 Retreat Avenue Hartford CT 06106 060646683 Supporting Organization to Hartford Hospital CT 501(c)(3) 11(c) Hartford Hospital 1 The Hatch Hospital Corp 112 Mansfield Ave Willimantic CT 06226 066076412 HealthCare Services CT 501(c)(3) 3 Windham Community Memorial Hospital 1 WCMH Women's Auxiliary Inc 112 Mansfield Ave Willimantic CT 06226 060677728 Fundraising CT 501(c)(3) 11(a) Windham Community Memorial 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 Corporation 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 1 Bradley Health Services 100 Grand Street New Britain CT 06050 061367014 Healthcare Services CT 501(c)(3) 9 Hartford HealthCare Corporation 1 Central CT Health Alliance 100 Grand Street New Britain CT 06050 222785033 Support & Managment Svcs. to THOCC and Affiliates - 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