2014-08-08T08:02:06-05:00 2013-09-30 346565596 Ernst & Young US LLP 2005 Market St 700 Philadelphia PA 19103 990 2012-10-01 222672834 Hartford HealthCare Corporation HART 8606966200 One State Street Suite 19 Hartford CT 06103 Thomas Marchozzi 8605455000 2014-08-08 0 Wendy J Clavin P00870950 2154485000 2012 2015-11-30 17:44:51Z Elliot T Joseph One State St Ste 19 Hartford CT 06103 127286566 0 X www.hartfordhealthcare.org X 1985 CT Hartford HealthCare provides health care system support, management and governance to a fully integrated health care system including a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, two community hospitals, the state's most extensive behavioral health services network, a statewide clinical laboratory operation, a Medical Foundation , a regional home care system, an array of senior care services, and a physical therapy rehabilitation network. 15 12 959 12 69798778 3190215 0 0 118037212 125736756 356711 98910 1367813 1450900 119761736 127286566 0 266670 0 0 14185428 69228522 0 0 0 133890142 65759834 148075570 135255026 -28313834 -7968460 684868914 1077552025 440335424 454919548 244533490 622632477 X Hartford HealthCare's mission is to improve the health and healing of the people and communities we serve. Today, Hartford HealthCare is creating a better future for health care in Connecticut and beyond. Our health care system is a community of caregivers engaged in developing a coordinated, consistent high standard of care. We use research and education as partners in care delivery. We create and engage in meaningful connections to enhance access to services. We invest in technology and develop new pathways to improve the timeliness, efficiency and accuracy of our services. HHC is guided by its values of Caring, Safety, Excellence and Integrity. The values guide our vision to be nationally respected for excellence in patient care and most trusted for personalized coordinated care. 1 0 131788895 266670 57487788 Hartford HealthCare (HHC) is organized as a support organization to govern, manage and provide support services to its member organization subsidiaries that are organized exclusively for public welfare, charitable, scientific and educational purposes. The organization provides support and management services to further the programs and activities of its member organization subsidiaries, which include Hartford Hospital; MidState Medical Center; The William W. Backus Hospital; The Hospital of Central Connecticut; Windham Community Memorial Hospital; Natchaug Hospital; Rushford Center, Inc.; Hartford HealthCare At Home, Inc.; Clinical Laboratory Partners; Hartford HealthCare Medical Group; Hartford HealthCare Rehabilitation Network, LLC; and other subsidiaries.HHC in conjunction with its member organization subsidiaries develops and implements programs to further the quality and accessibility of health care services; create efficiency in the utilization of health care facilities and services; and provide high-quality, coordinated care to the public through initiatives that are designed to transform care delivery. Examples of these initiatives include:* The HHC Cancer Institute Our Cancer Institute was established to deliver comprehensive, coordinated care for more than 6,000 new patients each year, no matter where at each of our cancer centers patients need us. In recognition of our multidisciplinary approach and excellence, Memorial Sloan Kettering (MSK) selected the Hartford HealthCare Cancer Institute as its charter member of its Cancer Alliance in 2013. This partnership - unique in cancer care - means HHC Cancer Institute patients will have unprecedented access to MSK clinical trials conducted by HHC physicians in HHC communities where they live.* CESI The Center for Education, Simulation and Innovation (CESI) at Hartford Hospital is the region's leading site for advance simulation training and biotechnology evaluation. CESI provides skill-based training to clinicians and emergency responders from across the U.S. and around the world. It is one of only 78 Level-I Comprehensive Accredited Education Institutes certified by the American College of Surgeons. CESI also works in collaboration with industry leaders to assess emerging medical technologies and training techniques. * LIFE STAR Hartford Hospital operates Connecticut's only critical air helicopter service, which responds to and provides air transport for patients who require advanced care due to trauma or a severe accident around the clock. LIFE STAR matters when seconds count: the aircraft can be airborne within minutes of a request for service, and can travel at 155 miles per hour. Each year, about 900 patients are transported on LIFE STAR's two specially equipped aircraft. More than 20,000 patients have been served since the program was established. * ICP Integrated Care Partners (ICP) is Hartford HealthCare's physician-led organization dedicated to delivering personalized, comprehensive and coordinated care to patients. It is a community of both employed and private-practice physicians that defines shared performance objectives, quality standards and evidence-based medicine protocols. ICP forges partnerships with health plans, employers and providers. Its mission is to be a high-performing network of integrated providers, successfully delivering value-based population health. HHC member organizations subsidiaries serve as crucial community safety nets, provide charity care to our most vulnerable neighbors and are active corporate citizens in their regions. In FY2012, Hartford HealthCare member organization subsidiaries provided $170 million in community benefits, $86 million of which was charity care. Other innovative and outcomes-oriented community benefits programs include:* Hartford Hospital's Black Men's Health Project, a comprehensive approach to addressing the health prospects of black men and the disparities relative to the rate at which they suffer from chronic diseases like hypertension, diabetes, cancers and other health challenges.* The Hospital of Central Connecticut's M.O.M.S. (Mothers Offering Mothers Support) program, which provides mentors to help women 21 and under become successful and confident mothers.* Backus Hospital's Healthy Community program, which effectively integrates community benefits and services, community health education, and sustainability efforts to improve health care access in Eastern Connecticut's areas of greatest health care need. 131788895 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 95 0 1 959 1 1 1 1 BD 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X Carol Wardell 8606966200 One State Street Suite 19 Hartford CT 06103 Elliot T Joseph 30.00 30.00 X X 0 1724083 386116 Nancy Dean 2.00 X 0 0 0 Brian MacLean 2.00 X 0 0 0 John E Dillaway 2.00 X 0 0 0 Elizabeth Conway 2.00 X 0 0 0 Greg Deavens 2.00 X 0 0 0 William H Trachsel 2.00 X 0 0 0 David P Hess 2.00 X 0 0 0 Laura R Estes 2.00 X 0 0 0 Ramani Ayer 3.00 X X 0 0 0 David B Hyman DDS 3.00 X X 0 0 0 William A Conway MD 2.00 X 0 0 0 Lawrence McGoldrick 2.00 X 0 0 0 Anthony Joyce 2.00 X 0 0 0 John J Patrick Jr 2.00 X 0 0 0 Elsa M Nunez June 2013 2.00 X 0 0 0 Rocco Orlando MD 30.00 30.00 X 0 631237 157512 James E Fantus 60.00 X 365365 0 71549 Thomas J Marchozzi 30.00 30.00 X 0 732298 139261 James M Blazar 30.00 30.00 X 0 520609 120638 Richard G Stys 30.00 30.00 X 0 474611 112551 Sonal Shah 10.00 50.00 X 0 266341 36499 Jeffrey A Flaks 30.00 30.00 X 0 856801 160788 Tracy A Church 30.00 30.00 X 0 469838 108760 Luis Taveras 30.00 30.00 X 0 509009 121797 Rita Parisi 30.00 30.00 X 0 333338 97190 Lucille A Janatka 30.00 30.00 X 0 681989 149577 Kent I Stahl 30.00 30.00 X 0 435266 32208 Jeffrey L Walter 20.00 40.00 X 0 253008 42327 Clarence Silvia 20.00 40.00 X 0 790227 241617 Ellen D Rothberg 20.00 40.00 X 0 286089 59337 Stephen W Larcen 20.00 40.00 X 0 605497 131389 Margaret Marchak 60.00 X 0 0 0 David Whitehead 30.00 30.00 X 0 1054517 39768 James Cardon 30.00 30.00 X 0 0 0 Anthony Mastroianni 60.00 X 212089 0 35867 David J Molusis 60.00 X 195077 0 22710 Gregory Makowski 60.00 X 248487 0 38016 John Presto 60.00 X 226035 0 37546 Laila O Mnayer 60.00 X 226011 0 37837 Jaber Aslanzadeh 60.00 X 194719 0 16627 Donna Handley 0.00 60.00 X 0 294225 49399 Stephan O'Neill 0.00 X 0 222133 19887 Carol S Garlick 0.00 60.00 X 0 213808 38010 Paul S Besson ESQ 0.00 X 0 144060 11225 Yvette Melendez 0.00 60.00 X 0 280265 31228 Michele B Bush ESQ 0.00 X 0 438245 30268 Jamie M Roche MD 0.00 60.00 X 0 420352 80160 1667783 12637846 2657664 29 1 1 0 Huron Consulting Group PC 3005 Momentum Place Chicago IL 60689 Consulting Services 8563006 FIP Construction Inc 10 McKee Place Cheshire CT 06410 Construction 3469847 Pricewaterhousecoopers LLP PO Box 7247-8001 Philadelphia PA 19170 Consulting Services 3011870 Towers Watson Pennsylvania Inc PO Box 8500 S6110 Philadelphia PA 19178 Consulting Services 2915736 Ernst & Young PO Box 827006 Philadelphia PA 19182 Auditing Services 2575152 64 Laboratory Services 621500 95459151 25660373 69798778 System Support Fee 541900 30277605 30277605 125736756 88074 88074 10836 0 10836 10836 10836 Income - Pass Thru Ent. 900003 1450900 1450900 1450900 127286566 57388878 69798778 98910 X 266670 266670 1678405 1080878 597527 53865717 53865717 1394314 1389626 4688 8881019 8859741 21278 3409067 3399166 9901 2049771 2049771 391198 391198 391768 391768 16591356 16591356 1220599 1220599 3986949 3986949 2558788 2558788 4124404 4124404 596013 596013 320903 320903 606510 606510 1273168 1273168 5119384 5119384 263847 263847 Medical Supplies 14610542 14610542 Purchased Services 7280242 7280242 Federal Income Tax 1470000 1470000 Repairs & Maintenance 1179777 1179777 1724615 1724615 135255026 131788895 3466131 0 18525 11334377 8373399 8647707 6245789 9574192 8546298 38842356 1237145 1473384 1585735 1768901 66905372 20177419 30867033 46727953 31519526 7671569 243209801 569816439 353265663 381695147 684868914 1077552025 22882727 53434906 817376 330790655 327920287 85844666 73564355 440335424 454919548 X 205302490 572276477 17816000 20916000 21415000 29440000 244533490 622632477 684868914 1077552025 X -7968460 386067447 X X 0 1 X 1 0 X X X 0 0 0 Hartford Hospital 060646668 3 1 1 1 0 Midstate Medical Center 060646715 3 1 1 1 0 Windham Community Memorial Hospital 060646966 3 1 1 1 0 Natchaug Hospital 060966963 3 1 1 1 0 Hartford HealthCare at Home Inc 060646938 7 1 1 1 0 Hosp Of Central CT 060646768 3 1 1 1 0 Rushford Center Inc 060932875 3 1 1 1 0 William W Backus Hospital 060250773 3 1 1 1 0 Hartford HealthCare PhysiciansCare Inc 454456939 9 1 1 1 0 9 0 Schedule A, Part IV, Supplemental Information: Hartford HealthCare (HHC) is organized as a support organization to govern, manage and provide support services to its member organization subsidiaries that are organized exclusively for public welfare, charitable, scientific and educational purposes. The organization provides support and management services to further the programs and activities of its member organization subsidiaries, which include Hartford Hospital; MidState Medical Center; The William W. Backus Hospital; The Hospital of Central Connecticut; Windham Community Memorial Hospital; Natchaug Hospital; Rushford Center, Inc.; Hartford HealthCare At Home, Inc.; Clinical Laboratory Partners; Hartford HealthCare Medical Group; Hartford HealthCare Rehabilitation Network, LLC; and other subsidiaries. HHC in conjunction with its member organization subsidiaries develops and implements programs to further the quality and accessibility of health care services; create efficiency in the utilization of health care facilities and services; and provide high-quality, coordinated care to the public through initiatives that are designed to transform care delivery. Examples of these initiatives include: * The HHC Cancer Institute Our Cancer Institute was established to deliver comprehensive, coordinated care for more than 6,000 new patients each year, no matter where at each of our cancer centers patients need us. In recognition of our multidisciplinary approach and excellence, Memorial Sloan Kettering (MSK) selected the Hartford HealthCare Cancer Institute as its charter member of its Cancer Alliance in 2013. This partnership - unique in cancer care - means HHC Cancer Institute patients will have unprecedented access to MSK clinical trials conducted by HHC physicians in HHC communities where they live. * CESI The Center for Education, Simulation and Innovation (CESI) at Hartford Hospital is the region's leading site for advance simulation training and biotechnology evaluation. CESI provides skill-based training to clinicians and emergency responders from across the U.S. and around the world. It is one of only 78 Level-I Comprehensive Accredited Education Institutes certified by the American College of Surgeons. CESI also works in collaboration with industry leaders to assess emerging medical technologies and training techniques. * LIFE STAR Hartford Hospital operates Connecticut's only critical air helicopter service, which responds to and provides air transport for patients who require advanced care due to trauma or a severe accident around the clock. LIFE STAR matters when seconds count: the aircraft can be airborne within minutes of a request for service, and can travel at 155 miles per hour. Each year, about 900 patients are transported on LIFE STAR's two specially equipped aircraft. More than 20,000 patients have been served since the program was established. * ICP Integrated Care Partners (ICP) is Hartford HealthCare's physician-led organization dedicated to delivering personalized, comprehensive and coordinated care to patients. It is a community of both employed and private-practice physicians that defines shared performance objectives, quality standards and evidence-based medicine protocols. ICP forges partnerships with health plans, employers and providers. Its mission is to be a high-performing network of integrated providers, successfully delivering value-based population health. HHC member organizations subsidiaries serve as crucial community safety nets, provide charity care to our most vulnerable neighbors and are active corporate citizens in their regions. In FY2012, Hartford HealthCare member organization subsidiaries provided $170 million in community benefits, $86 million of which was charity care. Other innovative and outcomes-oriented community benefits programs include: * Hartford Hospital's Black Men's Health Project, a comprehensive approach to addressing the health prospects of black men and the disparities relative to the rate at which they suffer from chronic diseases like hypertension, diabetes, cancers and other health challenges. * The Hospital of Central Connecticut's M.O.M.S. (Mothers Offering Mothers Support) program, which provides mentors to help women 21 and under become successful and confident mothers. * Backus Hospital's Healthy Community program, which effectively integrates community benefits and services, community health education, and sustainability efforts to improve health care access in Eastern Connecticut's areas of greatest health care need. 1 1 0 1 1000 0 0 1 390768 0 0 391768 0 Explanation of Lobbying Activities: Part II-B, Line 1: Hartford HealthCare Corp. paid Kenneth Przybysz LLC, Gaffney Bennett & Associates, Baker Donelson Bearman Caldwell & Berkowitz and Kozak & Salina for their lobbying efforts on behalf of the organization during the fiscal year. These vendors were paid $15,940, $158,250, $201,078 and $15,500 respectively. Their efforts mainly include the lobbying of Connecticut State Legislators in the interest of a group of affiliated hospitals in the State of Connecticut. 20698499 3574535 17123964 6198020 2951464 3246556 39466313 13651420 25814893 542540 542540 46727953 Investment in HHMOB 13906801 C Investment in CCHA 229303000 C Investment in Ambulance of Manchester 5615971 C Investment in William T. Backus Hospital 320699000 C Investment in CT Physicians Svcs. LLC 291667 C 569816439 Other Assets 13860492 Intercompany Allocation - Bond Debt 366622243 Due to Affiliates 1212412 381695147 Program Related Liability 14978505 Taxable Bond Liability 50000000 Long Term Lease 8585850 73564355 Central America/Caribbean 1 2 Investment In Captive 46309504 1 2 0 0 1 2 46309504 0 46309504 0 0 1 0 0 0 1 Connecticut Women's Hall of Fame 320 Fitch Street New Haven CT 06515 061492895 501(C)(3) 10000 FMV Sponsorship for the 19th Annual Induction Ceremony and Celebration. Proceeds from the sponsorship are used to further the mission to honor publicly the achievements of Connecticut women and preserve their stories, educate the public and inspire the continued achievements of women. New Britain Museum of American Art 56 Lexington Street New Britain CT 06052 061422234 501(C)(3) 10000 FMV Sponsorship of the 2013 Art Party of the Year Event. The proceeds from the party are used to support the organization's mission which is to educate and engage thousands of visitors. Travelers Championship 90 State House Hartford CT 06103 421684133 501(C)(3) 85000 FMV The Greater Hartford Community Foundation, Inc. was formed on October 21, 2005 as a nonprofit organization to promote community based fundraising activities and events, including sporting, cultural, educational and other charitable fundraising activities and events, The Foundation's primary fundraising activity is the Travelers Championship, Connecticut's annual PGA TOUR golf tournaments. The net proceeds realized by the tournament and other such activities and events are for the benefit of the citizens, social welfare organizations and other institutions of the community. Hartford Business Improvement District 31 Pratt St Fl 5 Hartford CT 06103 412229120 501(C)(3) 22300 FMV 2013 Hartford Has It Street Banner Sponsorship. The proceeds from sponsorship are used to assist the organization in completing its mission: To bring about positive and lasting change by enhancing the economic vitality and quality of life within the district. Connecticut Science Center 250 Columbus Boulevard Hartford CT 06103 061538101 501(C)(3) 5000 FMV Reef Sponsorship. The proceeds from the sponsorship are used to assist the organization in accomplishing its mission to inspire life-long learning through the operation of a statewide science center. Leadership Greater Hartford Inc 30 Laurel Street Hartford CT 06106 061167174 501(C)(3) 7500 FMV The proceeds from the sponsorship are used to assist the organization in accomplishing its mission to develop, connect and inspire diverse leaders to build strong and vibrant communities throughout Greater Hartford. Juvenile Diabetes Sponsoship 26 Broadway Fl 14 New York NY 10004 231907729 501(C)(3) 5000 FMV HHC donated $5,000 to an event. Poceeds from the sponsorship were used to assist the organization to accomplish its mission to find a cure for Type I diabetes and its complications through the support of research. 7 X X X X 1 1 0 0 0 0 0 1 0 Elliot T Joseph 0 1113869 0 498420 0 111794 0 335604 0 50512 0 2110199 0 0 Rocco Orlando MD 0 468271 0 139077 0 23889 0 120976 0 36536 0 788749 0 0 James E Fantus 291324 0 73317 0 724 0 44159 0 27390 0 436914 0 0 0 Thomas J Marchozzi 0 546278 0 165018 0 21002 0 108509 0 30752 0 871559 0 0 James M Blazar 0 410711 0 103809 0 6089 0 90359 0 30279 0 641247 0 0 Richard G Stys 0 367600 0 105300 0 1711 0 81582 0 30969 0 587162 0 0 Sonal Shah 0 219533 0 44770 0 2038 0 17901 0 18598 0 302840 0 0 Jeffrey A Flaks 0 628837 0 208912 0 19052 0 120981 0 39807 0 1017589 0 0 Tracy A Church 0 339398 0 103020 0 27420 0 77971 0 30789 0 578598 0 0 Luis Taveras 0 423134 0 84840 0 1035 0 93061 0 28736 0 630806 0 0 Rita Parisi 0 248026 0 72611 0 12701 0 70173 0 27017 0 430528 0 0 Lucille A Janatka 0 521480 0 130374 0 30135 0 112758 0 36819 0 831566 0 0 Kent I Stahl 0 344475 0 88546 0 2245 0 17321 0 14887 0 467474 0 0 Jeffrey L Walter 0 233226 0 0 0 19782 0 30100 0 12227 0 295335 0 0 Clarence Silvia 0 621708 0 142744 0 25775 0 222100 0 19517 0 1031844 0 0 Ellen D Rothberg 0 239356 0 46733 0 0 0 33833 0 25504 0 345426 0 0 Stephen W Larcen 0 396648 0 161500 0 47349 0 102350 0 29039 0 736886 0 0 David Whitehead 0 664686 0 0 0 389831 0 22000 0 17768 0 1094285 0 0 Anthony Mastroianni 172518 0 39391 0 180 0 4688 0 31179 0 247956 0 0 0 David J Molusis 159312 0 35585 0 180 0 4843 0 17867 0 217787 0 0 0 Gregory Makowski 201660 0 46311 0 516 0 6190 0 31826 0 286503 0 0 0 John Presto 121797 0 103335 0 903 0 6371 0 31175 0 263581 0 0 0 Laila O Mnayer 204635 0 21100 0 276 0 6325 0 31512 0 263848 0 0 0 Jaber Aslanzadeh 176280 0 17923 0 516 0 5254 0 11373 0 211346 0 0 0 Donna Handley 0 250443 0 41408 0 2374 0 19873 0 29526 0 343624 0 0 Stephan O'Neill 0 0 0 0 0 222133 0 113 0 19774 0 242020 0 0 Carol S Garlick 0 175463 0 37177 0 1168 0 20585 0 17425 0 251818 0 0 Paul S Besson ESQ 0 0 0 0 0 144060 0 0 0 11225 0 155285 0 0 Yvette Melendez 0 230501 0 47648 0 2116 0 19624 0 11604 0 311493 0 0 Michele B Bush ESQ 0 107319 0 0 0 330926 0 10948 0 19320 0 468513 0 0 Jamie M Roche MD 0 328465 0 73416 0 18471 0 47000 0 33160 0 500512 0 0 Part I, Line 1a Please see Sch O, Part VI, Section B, Line 15 for comments regarding compensation. Part I, Lines 4a-b Mr. Stephan O'Neill (former Officer) severance payment began in September of 2011 and ended August 2012. Total severance payment in 2012 was $223,320. Mr. Paul Besson (former Officer) severance payment began in January of 2011 and ended May 2012. Total severance payment in 2012 was $143,771. Ms. Michele B. Bush (former SVP General Counsel) severance payment began in May 2012. Total severance payment in 2012 was $324,450. 2012 SERP accruals made on behalf of the following individual: Mr. Elliot Joseph $294,854 Mr. Thomas Marchozzi $71,508 Mr. James Fantus $36,659 Mr. Stephen Larcen $55,350 Mr. Jeffrey Walter $23,339 Mr. James Blazar $51,905 Ms. Tracy Church $44,642 Mr. Jeffrey Flaks $83,981 Dr. Rocco Orlando $60,226 Ms. Rita Parisi $29,820 Mr. Richard Stys $51,030 Mr. Luis Taveras $50,904 Part I, Line 7 Hartford Hospital (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 Compensation Committee discretionary assessment of annual performance and individual contribution to results. A State of Connecticut Health & Education Facilities Authority 060806186 20774YCZ8 2011-09-29 330863039 Refund portions of existing debt and obtain funds for future capital needs. 0 0 1 A 331293047 19572000 4652264 43371997 254544730 8722025 2012 0 1 0 1 A 0 1 0 0 0.01490 0.00000 0.01490 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 Form 990, Schedule K On September 29, 2011 Hartford HealthCare Corporation (Corporation) issued approximately $330,863,000 of CHEFA Revenue Bonds Series A & B. In conjunction with the issuance of the HHC 2011 Bonds, an obligated group was formed. The members of the obligated group are the Corporation, Hartford Hospital, The Hospital of Central Connecticut, Windham Community Memorial Hospital and Midstate Medical Center (collectively referred to as the Obligated Group). The Obligated Group members are identified as either an obligated group member or a designated affiliate. Obligated Group members are jointly and severally liable under a Master Trust Indenture (MTI) to make all payments required with respect to obligations under the MTI. The Corporation does have the right to name designated affiliates, although presently none exist. Though designated affiliates are not obligated to make debt service payments on the obligations under the MTI, each designated affiliate would have an independent designated affiliate agreement and promissory note with the Corporation with stipulated repayment terms and conditions, each subject to the governing law of the obligated groups' state of incorporation. In addition, the Corporation may cause each designated affiliate to transfer such amounts as necessary to enable the obligated group members to comply with the term of the MTI, including payment of the outstanding obligations. The HHC 2011 Bonds were issued to refund portions of existing debt under the Corporation, and to obtain funds for future capital needs. The total refunded amount of debt was $189,706,774. This consisted of various types of bonds held by the obligated group. These Series A, B & C Bonds were issued on the following dates: 8/1/1996, 12/22/1997, 8/3/2000, 5/16/2002, 11/15/2007, 3/29/2007, 8/2/2008, 6/18/2008. An amount of $95,450,067 was set aside for future construction and equipment purchase. The construction cost of approximately $60,450,000 was designated for a parking garage, an emergency department construction and various other construction projects. The balance of the $95M was designated for the purchase of medical equipment. Schedule K, Part III, Line 4 HHC monitors and calculates percent of private business use on an annual basis or if a significant event occurs during the year. Schedule K, Part III, Line & Part V HHC is aware of the bond requirements and although a written policy is not yet in place, HHC would evaluate remediation and any violation of federal tax requirements as necessary. The organization is currently drafting such policies and expect the policies to be in place by the end of fiscal year 2014. See Part V See Part V See Part V 0 Business Transaction Involving Interested Persons (a) Name of Interested Person: Gregory Makowski, MD(b) Relationship between Interested Person and Organization: Key Employee, CLP(c) Amount of Transactions: $40,911(d) Description of Transaction: Dr. Makowski's spouse, Dr. Melinda L. Ramsby of Farmington Arthritis and Rheumatology, has an in-office phlebotomist provided by Clinical Laboratory Partners (CLP). CLP is single member LLC owned by Hartford HealthCare Corporation. The phlebotomist services represent a cost of $40,911 to CLP. This cost is incurred for the convenience of the patients as outlined in a formal technical agreement between CLP and Dr. Ramsby. This arrangement is mutually beneficial to both parties.(e) Sharing of Organization Revenues? = No(a) Name of Interested Person: Brian MacLean(b) Relationship between Interested Person and Organization: Director(c) Amount of Transactions: $6,368,136(d) Description of Transaction: Mr. Brian MacLean is a board member of Hartford HealthCare Corporation. Mr. MacLean is also an Executive Officer of the Travelers Insurance Company. The company provides certain insurance coverages for Hartford HealthCare and subsidiaries. A substantial portion of the transactions between HHC and Travelers relates to self insurance reimbursement. Mr. MacLean has no personal involvement in any of these transactions which are not material to the financial position of Travelers.(e) Sharing of Organization Revenues? = No(a) Name of Interested Person: Greg Deavens(b) Relationship between Interested Person and Organization: Director(c) Amount of Transactions: $443,116(d) Description of Transaction: Mr. Greg Deavens is a board member of Hartford HealthCare Corporation. Mr. Deavens is also an Executive at Mass Mutual Life Insurance Company. Mass Mutual provided certain insurance coverage to Hartford HealthCare and subsidiaries. Mr. Deavens has no personal involvement in any of these transactions which are not material to the financial position of Mass Mutual. (e) Sharing of Organization Revenues? = No New Program Services Form 990, Part III, line 2 On August 1, 2013 (the Acquisition Date), Hartford HealthCare Corporation (the Corporation) acquired Backus Corporation, a system of health care affiliates that provides services throughout the eastern region of Connecticut including The William W. Backus Hospital (Backus), Backus Health Care, Inc., WWB Corporation, Omni Home Health Services of Eastern Connecticut LLC dba Backus Home Health Services, and Backus Physician Services, LLC. The Corporation became the sole corporate member of Backus Corporation and a full corporate affiliation was completed. Pursuant to the acquisition agreement, the Corporation acquired Backus Corporation by means of an inherent contribution where no consideration was transferred by the Corporation. The Corporation accounted for this business combination by applying the acquisition method, and accordingly, the inherent contribution received was valued as the excess of assets acquired over liabilities assumed. In determining the inherent contribution received all assets acquired and liabilities assumed were measured at fair value as of the Acquisition Date. Form 990, Part VI, Section B, line 11 The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the CFO for review. The Form was also reviewed by the Finance Committee prior to submission to the Board. The final Form was provided to the entire Board and reviewed by the Board and the Compensation Committee. Once the entire review process was completed, the Form was signed by the CFO and then filed with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The Hartford HealthCare 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). All employee disclosures are reviewed by OCAP to determine if there is a potential conflict. Legal counsel will review all cases where the individual has a significant financial interest and these cases are forwarded to the System Executive Compliance Steering Committee. The System Executive Compliance Steering Committee will assess and may recommend 1) the conflict be eliminated, 2) the proposed activity be prohibited, or 3) a Conflict of Interest management plan be implemented. Results of the survey of board members is 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 Compensation reported on Hartford HealthCare Corporation's tax return is paid through its subsidiaries. The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare hires an outside consultant, Integrated Healthcare Strategies, to determine best practices in governing executive compensation for the CEO and Senior Executives of Hartford HealthCare Corporation. All compensation reported on this tax return follows Hartford Hospital's compensation policy as outlined below: The following steps were taken: -Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare established and regularly reviews Executive Compensation Philosophy - Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" - National peer groups are selected for comparison based on organizational size, operating revenue, geography and other relevant factors - Analysis of current total compensation versus market performed by independent third party compensation consulting firm, reviewed by the committee - Recommendations made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - CEO compensation determined by Committee based on comparative market information and organizational performance - All changes reviewed and approved by Executive Compensation Committee The compensation determination process for the CEO and other Senior Executives is reviewed on an annual basis. Form 990, Part VI, Section C, line 19 The Form 990, 990T and Form 1023 and its attachments are available upon request. Hartford HealthCare Corporation's governing documents, financial statements and Conflict of Interest documents are also made available upon request. Other Fees Form 990, Part IX, line 11g Medical Professional Fees: Program service expenses 16,591,356. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,591,356. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Transfers to Affiliates 66,417,000. True Up of K-1 Income 66. Misc -601. Transfer of Expenses - Related Organization -1,048,018. Backus Contribution 320,699,000. Form 990, Part IV, Line 12 and Part XII, line 2 The organization's financial statements are included in the consolidated financial statement which was audited by an independent accounting firm. In addition, the organization has a committee that assumes responsibility for oversight of the audit of its financial statements. Other Salaries & Wages Form 990, Part VII and Part IX, line 7 The organization itself does not pay salaries or provide fringe benefits. A majority of the salaries and fringe benefits are allocated from related organizations. The remaining salaries and fringe benefits are from Clinical Laboratory Partners which is a wholly owned Limited Liability Company. Clinical Laboratory Partners LLC 129 Patricia M Genova Drive Newington CT 06111 061525596 Medical Laboratories CT 4422000 24237000 Hartford HealthCare Corporation Practice Central LLC 85 Seymour Street Hartford CT 06102 364692507 Health Care & Health Delivery CT -2677000 669000 Hartford HealthCare Corporation Integrated Care Partners LLC One State Street Suite 19 Hartford CT 06103 371740267 Electronic Health System Data Sharing Services CT 0 0 Hartford HealthCare Corporation 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 Connecticut Health System Inc 80 Seymour Street Hartford CT 06102 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