2026-08-12T09:04:05-05:00 2025-09-30 440160260 Forvis Mazars LLP 120 E Palmetto Park Road Suite 403 Boca Raton FL 33432 990 2024-10-01 060646938 Hartford HealthCare at Home Inc HART 8606963555 1290 Silas Deane Hwy 4B Wethersfield CT 06109 Mark Keise Authorized Signer 8606963555 2026-08-12 0 0 April Arnold P01559426 5612991820 2024 2025-03-06 01:10:19Z Eric Smullen 1290 Silas Deane Hwy 4B Wethersfield CT 06109 153240296 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. 4 0 1064 148 0 0 1020092 519426 143636593 151171818 2725982 1549052 0 0 147382667 153240296 0 0 0 0 119439105 123896971 0 0 46574 42640689 43597924 162079794 167494895 -14697127 -14254599 109913862 115624494 108357473 126307905 1556389 -10683411 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 102916484 111095238 Home Health Care:Hartford HealthCare at Home, Inc. is one of Connecticut's largest nonprofit providers of comprehensive home health care, hospice, and private duty services. Founded in Hartford in 1901 and Waterbury in 1903, the agency has a history of community involvement spanning more than 100 years. Today, the agency serves more than 148 towns in Connecticut.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, 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 visit clients in their own environments, from the inner city to the suburbs. In fulfillment of its mission, Hartford HealthCare at Home, Inc. staff often go into areas others do not serve. This requires additional staff to provide translation services to ensure patients understand their health needs. 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 amount exceeds $3 million. Hartford HealthCare at Home, Inc. boasts unparalleled loyalty to its clients and is strongly committed to helping those most in need continue receiving care. Charitable gifts are essential to sustaining this mission. Hartford HealthCare at Home, Inc. services include skilled nursing, physical, occupational, and speech therapy, medical social work, and home health aide support. The specialty nursing staff has expertise in wound care, diabetes, cardiac and respiratory issues, and provides strategies to enable clients to remain at home and achieve good outcomes. The agency also provides Meals on Wheels. Charitable funding has supported the development and ongoing financial needs of this innovative but non-reimbursable service. Hartford HealthCare at Home, Inc. 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 that lacks the means to fully participate in its care.Hartford HealthCare at Home, Inc. Independent Living Services provides services that allow clients to continue living safely and independently. These include assistance with daily personal care, such as bathing, dressing, grocery shopping, and meal preparation; a 24-hour emergency response system; and volunteer support. The agency also provides live-in care for clients who need around-the-clock service to remain at home. 31721288 40076580 Hospice:The Hospice Programs work with patients and families during end-of-life situations, offering a holistic approach to the care of the entire family unit. In addition to supplementing services with patients' comfort items not often covered by insurance, nurses, counselors, social workers, physicians, pastoral care providers, bereavement workers, and volunteers devise an integrated approach toward providing basic care to those without insurance. There are many more ways that Hartford HealthCare at Home, Inc. services benefit our community, including health education presentations at community sites and regular health screenings at senior centers.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 family members are often able to continue working with the peace of mind that their loved ones' needs are being met. 134637772 1 1 0 1 0 0 0 0 0 1 1 0 1 0 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 88 0 1 1064 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X David Baranik VP Finance 8606963511 9 Farms Spring Road Farmington CT 06032 Chibueze Agba Director, President & Treasurer 2.00 58.00 X X 0 1732247 320713 Bimal Patel Director & Secretary 2.00 58.00 X X 0 1617571 75459 Rocco Orlando MD Director & Secretary (Thru 12/2024) 2.00 58.00 X X 0 1100929 80338 MaryEllen Kosturko Director & Chair 2.00 58.00 X X 0 735497 156872 Eric Smullen Director, SVP, Community Network 1.00 59.00 X X 0 602209 73376 David Baranik VP, Finance 7.00 54.00 X 0 442171 29766 Lisa Connolly VP, Community Living 10.00 50.00 X 0 389080 61163 Chris Carlin VP, Community Network 10.00 50.00 X 0 345192 67495 Heather DePaolo VP, Human Resources 10.00 50.00 X 0 336130 49373 Kathy Dellamura VP Clinical Services 60.00 0.00 X 343363 0 12874 Andrea Griffith VP Business Operations 60.00 0.00 X 341065 0 9965 Jeanne Bodyk VP Business Operations 60.00 0.00 X 254365 0 45766 Lysbeth Ann Harakaly Primary Care RN 60.00 0.00 X 203361 0 28240 Bridget Durette Baylor RN 60.00 0.00 X 177806 0 20068 1319960 7301026 1031468 332 0 1 0 Pennant Services Inc 1675 E Riverside Dr Eagle ID 83616 Management Services 7513946 Simitree Acquisition LLC PO BOX 186859 Hamden CT 06518 Consulting Services 1280195 Invaserv LLC PO Box 661220 Dallas TX 75266 Medical Services 953224 Lawrence & Memorial Hospital Inc 365 Montauk Avenue New London CT 06320 Medical Services 514488 Torrington Center for Nursing & Rehabili 80 Fern Drive Torrington CT 06790 Rehabilitation Services 204897 6 1021 108522 409883 519426 Net Patient Revenue 621610 151171818 151171818 151171818 1065205 1065205 483847 0 483847 483847 483847 153240296 151171818 0 1549052 101415685 90691360 10693871 30454 2348000 2099708 247587 705 12374986 11066378 1304892 3716 7758300 6937889 818081 2330 16000 16000 715 715 57319 57319 2262279 2262279 93145 64370 28775 2236218 1171990 1064062 166 3584849 2330152 1254697 1141894 1129565 12329 2971805 2902423 69382 44895 38820 6075 4218057 2446473 1771584 308775 279190 29585 280710 280710 Purchased Services 21821578 6455605 15356770 9203 Medical Supplies 4360634 4360634 Repairs & Maintenance 108911 67621 41290 Dues 90023 52496 37527 117 109 8 167494895 134637772 32810549 46574 1785514 2443783 53 53 23930 23930 24278030 25282158 1246928 2064704 13334461 10205997 3432242 3128464 76975744 81131722 2171421 1549680 109913862 115624494 11686249 9746224 96671224 116561681 108357473 126307905 X -24984787 -30496010 26541176 19812599 1556389 -10683411 109913862 115624494 X -14254599 2863942 -849143 X 0 1 X 1 1 1 X 1486755 1093503 605976 1020092 519426 4725752 128745943 127616784 115602844 143636593 151171818 666773982 130232698 128710287 116208820 144656685 151691244 671499734 0 0 0 671499734 647695 647838 1518265 2576632 1065205 6455635 647695 647838 1518265 2576632 1065205 6455635 130880393 129358125 117727085 147233317 152756449 677955369 0.99050 0.99010 0.00950 0.00990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 715 715 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 FY25 8.60% 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 expense was $715. 51662289 3007000 -657000 55326289 47421289 3581000 -660000 51662289 45963289 864000 -594000 47421289 50144289 -3647000 534000 45963289 38167855 11976434 50144289 0.69000 0.16000 0.15000 0 1 1 657420 657420 6598396 4607783 1990613 1544002 1543705 297 4519425 4054509 464916 15218 15218 3128464 Investment in Endowment LLC 38022904 C Unrestricted Investment in Endowment 17889803 C Permanent Investment in Endowment 8917897 C Funds Held in Trust By Others 8075494 C Temporary Restricted Investment in Endowment 8003434 C Investments Publicly Traded 222190 C 81131722 Due to/from Affiliates 114788109 Other Program Liabilities 1497002 Accrued Malpractice Insurance 239231 Serp Liability 37339 116561681 Part V, Line 4: Harford HealthCare at Home, Inc., has adopted investment and spending policies for Endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the Endowment assets. Endowment assets include those assets of donor-restricted funds that the organization must hold in perpetuity or for a donor-specific period(s). Under this policy, the Endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of at least 4% over the long term. Actual returns in any given year may vary from this amount. Harford HealthCare at Home's Endowment consists of hundreds of individual funds established for a variety of purposes. Net assets associated with Endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. 1 1 0 0 0 0 0 1 0 Chibueze Agba Director, President & Treasurer 0 1068418 0 646405 0 17424 0 261954 0 58759 0 2052960 0 0 Bimal Patel Director & Secretary 0 911697 0 499149 0 206725 0 24150 0 51309 0 1693030 0 0 Rocco Orlando MD Director & Secretary (Thru 12/2024) 0 655578 0 293966 0 151385 0 24150 0 56188 0 1181267 0 0 MaryEllen Kosturko Director & Chair 0 487103 0 241841 0 6553 0 121902 0 34970 0 892369 0 0 Eric Smullen Director, SVP, Community Network 0 349842 0 185393 0 66974 0 24150 0 49226 0 675585 0 0 David Baranik VP, Finance 0 325396 0 110206 0 6569 0 24150 0 5616 0 471937 0 0 Lisa Connolly VP, Community Living 0 282903 0 102272 0 3905 0 24150 0 37013 0 450243 0 0 Chris Carlin VP, Community Network 0 253152 0 91206 0 834 0 23961 0 43534 0 412687 0 0 Heather DePaolo VP, Human Resources 0 248602 0 86691 0 837 0 22962 0 26411 0 385503 0 0 Kathy Dellamura VP Clinical Services 100403 0 27467 0 215493 0 4539 0 8335 0 356237 0 0 0 Andrea Griffith VP Business Operations 99510 0 27467 0 214088 0 2089 0 7876 0 351030 0 0 0 Jeanne Bodyk VP Business Operations 196081 0 55414 0 2870 0 9307 0 36459 0 300131 0 0 0 Lysbeth Ann Harakaly Primary Care RN 161379 0 41810 0 172 0 7261 0 20979 0 231601 0 0 0 Bridget Durette Baylor RN 138509 0 39250 0 47 0 6395 0 13673 0 197874 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, Human Resources and Compensation Consulting Practice of Gallagher, to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. Part I, Lines 4a-b: In 2024, Kathy Dellamura (Highest Compensated Employee) received a lump sum severance payment in the amount of $213,404. In 2024, Andrea Griffith (Highest Compensated Employee) received a lump sum severance payment in the amount of $213,610. Part I, Lines 4a-b Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by Hartford HealthCare at Home, Inc., on its 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 contributions made before January 1, 2025, at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. Participants vest in contributions made after January 1, 2025 at the earlier of having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. 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. 2024 SERP Accruals were made on behalf of the following individuals: Chibueze Agba $237,804 MaryEllen Kosturko $97,752 2024 SERP Payouts were made on behalf of the following individuals: Bimal Patel $90,405* Rocco Orlando $46,677* Eric Smullen $26,790* *For these individuals, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee 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. These goals contribute to the 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 1a The organization is governed by a Management Board comprised of four 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 3 Effective 05/13/2025 , Hartford HealthCare at Home, Inc. entered into a Management Service Agreement with Pennant Services, Inc. that provides management and consulting services. 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 11b The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm and forwarded to Management 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 by the Authorized Signer and then filed with the IRS. Form 990, Part VI, Section B, line 12c The hospital'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 and physician disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor, when deemed appropriate, to determine if there is a potential conflict. Conflict mitigation plans are developed by OCI. Other individuals who may review potential conflicts of interest and approve conflict management plans include: the SVP/EVP of the department/area in which the individual works, the Institute Physician-In-Chief, the Medical Group Physician-In-Chief, the Regional Vice President of Medical Affairs, and/or the HHC Legal Department. 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, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. The following steps were taken: - The 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 independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; -The President & CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the President & CEO 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 XI, line 9: Change In Pension And Post-Retirement Funding Obligation -849,143. Form 990, Part III, Lines 3A & B Although the organization was not required to undergo A-133 Federal Audit, the results were included in a consolidated A-133 audit performed at the parent level Hartford HealthCare Corporation. 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