2024-08-14T09:49:10-05:00 2023-09-30 346565596 Ernst & Young US LLP One Manhattan West New York NY 10001 990 2022-10-01 060646668 Hartford Hospital HART 8605450585 80 Seymour Street Hartford CT 06106 MARK KEISE VP of Finance 8605450585 2024-08-14 0 0 Nicole Sokolowski P01683199 2127733000 2022 2024-08-08 14:25:15Z Bimal Patel 80 Seymour Street Hartford CT 06106 2599698765 0 X www.hartfordhospital.org X 1854 CT To improve the health and healing of the people and communities we serve. 12 11 10801 739 981460 0 34615133 24784312 2266090304 2537766652 27915442 28116776 -10209259 -8425772 2318411620 2582241968 713087 728894 0 0 836439274 929355183 0 0 2315736 1360639328 1529863248 2197791689 2459947325 120619931 122294643 2387172618 2447991131 770385328 789589014 1616787290 1658402117 X To improve the health and healing of the people and communities we serve. 0 0 364373148 0 383720310 The Hartford HealthCare Heart & Vascular Institute, a national leader in cardiovascular disease prevention, treatment, surgery and research, cares for more patients and performs more advanced cardiac procedures than any other cardiac program in Connecticut with doctors using the most innovative technology available to provide the very best, personalized care for patients. Our Cardiologists care for your heart and blood vessels. They're skilled at diagnosing and treating a wide range of heart conditions without the use of surgery. The Hartford HealthCare Heart & Vascular institute provides treatments to a wide range of heart and vascular conditions at all of our acute care hospitals, which includes Hartford Hospital. Dedicated to the care of the heart in all its complexities, Hartford Hospital's Cardiology Division offers outstanding multi-disciplinary cardiovascular programs designed to provide excellence in treatment, diagnosis and management through the entire spectrum of cardiovascular disease.The Division has an unwavering commitment to provide the very best care to our cardiac patients who need clinical services, angioplasty, surgery or other procedures, as well as others who want to make their hearts healthier through preventive, pharmacological or rehabilitative therapy. Heart & Vascular Services provided at Hartford Hospital includes: Atrial Fibrillation CenterCardiovascular SurgeryChest Pain CenterCongestive Heart Disease CenterHeart Failure Infusion ProgramHeart Failure Rescue ProgramHeart TransplantationLDL-Apheresis CenterMinimally Invasive Maze SurgeryMitral Valve RepairNuclear CardiologyPreventive CardiologyTranscatheter Aortic Valve Replacement (TAVR) ProgramVascular LaboratoryVascular SurgeryAdult Congenital Heart DiseaseAbnormal Heart RhythmsAnginaAortic Aneurysm & DissectionAortic DiseaseBroken Heart SyndromeCardiac TumorsCardiomyopathyCarotid Artery DiseaseChest PainCholesterolCoronary Artery DiseaseDeep Vein ThrombosisEndocarditisHeart FailureHeart AttackHypertensionMarfan SyndromeMesenteric Artery DiseaseMitral Valve RepairMyocardial Infarction (Heart Attack)MyocarditisPalpitationsPericarditisPeripheral AneurysmPeripheral Artery DiseasePulmonary EmbolismRenal Artery DiseaseSyncopeThoracic Outlet SyndromeValvular Heart DiseaseVein TherapiesHartford Hospital has again been rated as the No. 1 hospital in the Hartford Metro Area and among the best hospitals in Connecticut for 2023-24 by U.S. News & World Report. Hartford Hospital was also recognized as high-performing in Orthopedics, Aortic Valve Surgery, Heart Bypass Surgery, Heart Failure, Colon Cancer Surgery, Lung Cancer Surgery, Prostate Cancer Surgery, Hip Replacement, Knee Replacement as well as other critical areas.For FY23, there were 57,608 cases with an average length of stay of 6.2 days. 227951666 0 248498382 Hartford HealthCare is Connecticut's most comprehensive healthcare network. Our fully integrated health system includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, two community hospitals. The Cancer Institute, headed by a visionary leadership team, offers the same high-quality care you'd get at an academic health system but delivered in convenient community settings. Advanced treatments and services are available in offices and centers across our system all offered by fellowship-trained experts in various types of cancer. These community efforts are enhanced by our membership in the Memorial Sloan Kettering (MSK) Cancer Alliance. This connection offers invaluable access to current research trials that can connect you with the latest medications and treatments for your cancer. Often, you can join research trials from the convenience of your local Cancer Institute site. This distinctive cancer care and clinical research partnership means the Hartford HealthCare Cancer Institute brings the most innovative, evidence-based cancer care from MSK directly into community settings across our state. Previously, patients had to travel to New York to get this level of care.Partnering with MSK has helped Hartford HealthCare expand its research portfolio to include more cancer types than ever before, and to add a Cancer Care Innovation Unit at Hartford Hospital. The unit enables Hartford HealthCare to provide Phase I clinical trials to patients, meaning they have access to the most promising drugs in the development pipeline.We've also drafted standards that guarantee you will receive the same high level of care no matter which location you visit or provider you see. Our community approach to cancer treatment has been recognized nationally. In 2017, the Cancer Institute became one of only a few U.S. systems to earn the American College of Surgeons' Commission on Cancer accreditation. Historically, such approval was only given to individual locations. The Hartford HealthCare Cancer Institute encompasses comprehensive cancer centers at seven hospitals across Connecticut Hartford Hospital, The Hospital of Central Connecticut, Backus Hospital, Midstate Medical Center, Windham Hospital, Charlotte Hungerford Hospital and St Vincent's Medical Center. Collectively, the cancer programs within the Cancer Institute treat about 6,000 new cancer patients per year while caring for tens of thousands of existing patients, offering a full range of innovative, evidence-based and personalized treatments designed to meet the needs of each individual patient. Our innovative Institute approach is unlike any other in the state and is among the most highly regarded in the nation. Through our Institute, which is organized around a specific disease and not necessarily location, we can apply best practices throughout our system so that patients receive the same high standards of care no matter where they live or which Hartford HealthCare cancer center they choose. For all of our patients, a dedicated team of oncologists, surgeons, radiologists, pathologists, nurses, clinical researchers, technicians and others collaborate to provide the exact course of care they need. The Institute's multidisciplinary disease management teams meet and collaborate regularly to lend expertise and insight on numerous cancer types, translating into exceptional coordinated care. The Institute's accomplished, fellowship-trained physicians are nationally recognized for their level of sophisticated care in areas such as radiation oncology, medical oncology and surgical oncology. Patients are also cared for in an environment that emphasizes compassion and personal connections, with a team of trained nurse navigators who provide guidance and support to patients and families, from diagnosis to recovery. The Institute also boasts a thriving survivorship program. In 2017, the Institute was accredited as a network by the American College of Surgeons Commission on Cancer, one of a select few institutes nationwide to be recognized as a system, rather than individual cancer centers. For patients coming through our doors with a cancer diagnosis, that means three things: standardized care, more options and more hope.More than four years after the Hartford HealthCare Cancer Institute became the charter member of the Memorial Sloan Kettering (MSK) Cancer Alliance, cancer patients now have unprecedented access to the world's most advanced clinical trials. And more than ever before, physicians, nurses, pharmacists and researchers are working collaboratively to implement cancer treatment standards and protocols developed at MSK, the premier cancer treatment center in the country. For FY23, the approximate number of cases treated were as follows:Hartford Hospital: 2,886Hospital of Central Connecticut: 1,331Backus Hospital: 959Midstate Medical Center: 405Windham Hospital: 70Charlotte Hungerford Hospital: 267St Vincent's Medical Center: 736The five most common types of cancer diagnosed by teams of specialists at the Hartford HealthCare Cancer Institute are cancers of the Breast, Lung, Prostate, Bladder & Colon. Each patient has a unique scenario requiring a personalized plan.Approximately 1,662 Breast Cancer cases were treated across the system as follows:Hartford Hospital: 622Hospital of Central Connecticut: 363Backus Hospital: 256Midstate Medical Center: 152Windham Hospital: 16Charlotte Hungerford Hospital: 72St Vincent's Medical Center: 181Approximately 732 Lung Cancer cases were treated across the system as follows:Hartford Hospital: 298Hospital of Central Connecticut: 165Backus Hospital: 141Midstate Medical Center: 42Windham Hospital: 9Charlotte Hungerford Hospital: 23St Vincent's Medical Center: 54Approximately 807 Prostate Cancer cases were treated across the system as follows:Hartford Hospital: 325Hospital of Central Connecticut: 140Backus Hospital: 122Midstate Medical Center: 46Windham Hospital: 1Charlotte Hungerford Hospital: 57St Vincent's Medical Center: 116 Approximately 408 Bladder Cancer cases were treated across the system as follows:Hartford Hospital: 154Hospital of Central Connecticut: 62Backus Hospital: 89Midstate Medical Center: 40 Windham Hospital: 3Charlotte Hungerford Hospital: 27St Vincent's Medical Center: 33Approximately 330 Colon Cancer cases were treated across the system as follows:Hartford Hospital: 130Hospital of Central Connecticut: 56Backus Hospital: 52Midstate Medical Center: 23Windham Hospital: 2Charlotte Hungerford Hospital: 20St Vincent's Medical Center: 47As always, Hartford HealthCare is creating a better future for healthcare in Connecticut and beyond. We are 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 alliances to enhance access to services. We invest in technology and training to develop new pathways to improve the timeliness, efficiency and accuracy of our services. 146924878 0 144132862 At Hartford HealthCare's Ayer Neuroscience Institute, the concept of a second opinion is taken to a new level. Each week, all our specialists, neurologists, neurosurgeons, neuropsychologists, neurointensivists, and neuro-critical care nurses meet to review each individual case. Together, they pool their knowledge and experience to give our patients the most advanced treatment plan possible. We are the only System in the region that operates this way. We also have the region's only neurological intensive care unit.More than fifty million Americans will experience a disorder of the brain or nervous system each year. Common disorders include stroke, brain tumors, memory disorders, sleep disorders, movement disorders, chronic headaches, spinal cord injuries, severe back and neck pain, seizures, and Parkinson's disease. The HHC Neuroscience Center offers a unique integration between neurology, neuroscience and neurosurgery, to give patients a comprehensive approach to treating and/or managing their symptoms and living a healthier, more balanced life. The Institute offer an integrated, interdisciplinary approach to care, coupled with state-of-the-art technology and techniques that enable us to provide every patient the best possible outcome. Our physicians practice some of the most advanced treatments available in the nation, including minimally invasive brain and spine surgery, at-home seizure monitoring and pain management.Conditions treated at the Institute include: Headaches; Epilepsy; Stroke; Movement Disorders; Multiple Sclerosis; Pain Management; Hearing Loss and more. The Institute is made up of departments that provide these services to our patients at its various locations that include Hartford Hospital. Our departments include: Epilepsy Center; Headache Center; Hearing and Balance Center; Memory Care Center; Chase Family Movement Disorder Center, among others. During FY23, Hartford Hospital treated 31,864 cases with an average length of stay of 7.9 days across its various locations within the Greater Hartford region. 1524833871 728894 1760433638 Hartford Hospital, founded in 1854, is one of the largest teaching hospitals and tertiary care centers in New England with perhaps the region's busiest surgery practice and has been training physicians for over 160 years. It is a member of Hartford HealthCare Corporation, a large, diversified health care system.The hospital is a regional referral center that provides high-quality care in all clinical disciplines. Among its divisions is The Institute of Living, a 114-bed mental health facility with a national and international reputation of excellence. Jefferson House, a 104-bed long-term care facility, is also part of Hartford Hospital. The hospital's active medical staff includes more than 1,000 physicians and dentists within 18 departments. It is an 867-bed hospital occupying a 65-acre campus in downtown Hartford and operating satellite facilities in Avon, Bloomfield, Cheshire, Enfield, Farmington, Glastonbury, Granby, Manchester, Meriden, Newington, Prospect, South Windsor, Vernon, Wallingford, West Hartford, Wethersfield and Windsor.In addition to above, the hospital provides services/programs including but not limited to the following:BariatricsBehavioral & Mental HealthBone & Joint InstituteCancer CareCardiology & Heart CareCedar Mountain CommonsCenter for Musculoskeletal HealthCritical CareCystic Fibrosis CenterDentalDiabetesEmergency ServicesEye CareEye SurgeryGastroenterologyHeadache CenterHearing & BalanceHerniasImaging ServicesIntegrative MedicineJefferson HouseLIFE STARLiver & HepatologyLung & PulmonaryMedical Weight LossMinimally Invasive SurgeryMovement Disorders CenterNeurosciencesPalliative CarePain TreatmentPediatricsPhysical RehabilitationPrimary Care & Family MedicineRobotic SurgerySenior ServicesSleep DisordersSpine CareStrokeSurgical Weight LossThoracic SurgeryTransplant ServicesTraumatologyUrology & KidneyVascularWomen's Health ServicesWound CareWeight Loss 1524833871 728894 1760433638 2264083563 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 461 0 1 10801 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CT X Sean Curtin 8605450585 80 Seymour Street Hartford CT 06106 Jeffrey Flaks CEO, HHC 40.00 20.00 X 0 3854775 54605 Bimal Patel President 50.00 10.00 X X 0 1334381 144062 Ajay Kumar MD Former Key Employee 0.00 60.00 X 0 1078153 156052 Kenneth Robinson MD Dept Chair Emergency Medicine 60.00 X 673993 0 58002 Adam Steinberg MD VP, Medical Affairs 20.00 40.00 X 0 572402 57200 Cheryl Ficara VP, Operations 20.00 40.00 X 0 554806 57690 Suparna Dutta MD Dir Dept of Medicine 60.00 X 526527 0 47424 Radhika Mehendru MD Psychiatrist MHN 60.00 X 520952 0 35038 Javeed Sukhera MD Chair Psych IOL, Chief Psych HH 60.00 X 490606 0 43467 Mandeep Kumar MD Physician 60.00 X 486700 0 34087 Lynn Rossini VP, Philanthropy 60.00 X 418198 0 39955 Melanie Tucker Former Key Employee 0.00 60.00 X 0 378912 47121 Julie Drouin Former Officer 0.00 X 0 393091 13537 Gregory Jones VP, Community Health and Engagement 60.00 X 0 376985 25571 Gregory Makowski MD VP (Thru May 2023) 60.00 X 0 355840 27457 Sean Curtin VP, Finance 20.00 40.00 X 0 324259 57742 Laura Bailey VP, Patient Care Services 60.00 X 0 319072 59541 Elizabeth Ciotti Former Key Employee 0.00 60.00 X 0 293834 31497 Keith Grant VP, Operations 60.00 X 0 239194 24756 Arnold Chase Director 2.00 X 0 0 0 Samuel Gray Jr Director 2.00 X 0 0 0 Brian MacLean Director 2.00 X 0 0 0 Michael O'Loughlin MD Director 2.00 X 0 0 0 Dariush Owlia MD Director 2.00 X 0 0 0 E Carol Polifroni Director 2.00 X 0 0 0 Matthew Saidel MD Director 2.00 X 0 0 0 Elease Wright Director 2.00 X 0 0 0 Eric Zachs Director 2.00 X 0 0 0 Alexia Cruz Chair 3.00 X X 0 0 0 Allison Lawrence Vice Chair 3.00 X X 0 0 0 3116976 10075704 1014804 1929 1 1 0 University of Connecticut Health Center 263 Farmington Avenue Farmington CT 06030 Medical Services 35208705 Origin Incorporated 1800 SW 1st Street Ste 510 Portland OR 97201 Staffing Services 34968164 Shields Specialty Pharmacy Holdings LLC 100 Tech Ctr Dr Stoughton MA 02072 Management Services 17327735 Morrison Management SP Inc Acure Care 400 Northbridge Road Sandy Springs GA 30350 Food Services 10956895 Berstein-Magoon-Gay LLC PO Box 61323 King of Prussia PA 19406 Laundry Services 8270184 63 2385700 613617 12144083 9640912 359015 24784312 Net Patient Revenue 624100 2252808600 2252808600 Pharmacy 541700 269779400 268507666 1271734 Inc. From Inv - Other 900003 14075803 14613273 -537470 Reference Testing 621500 1073396 855653 217743 BioMedical Engineering 811000 29453 29453 2537766652 14307054 14307054 2797323 15416258 -12618935 -12618935 -12618935 13758022 1221798 0 1170098 13758022 51700 13809722 13809722 287025 2385700 870441 -583416 -583416 Cafeteria Income 722210 4776579 4776579 4776579 2582241968 2536785192 981460 19691004 X 653894 653894 75000 75000 425997 425997 777398820 721264474 55010232 1124114 41823136 38781923 2957865 83348 62171135 57650296 4396939 123900 47536095 43209229 4208283 118583 218294 218294 272168 272168 1002222 1002222 259653172 259653172 1157269 855880 292108 9281 26499437 16460308 9879414 159715 115627847 61030711 54597136 38361785 28986348 9367437 8000 896380 802669 78746 14965 1454137 1392209 59351 2577 16248431 9911543 6336888 211742888 190583796 21159092 64957435 59481850 5474628 957 18347695 18347695 Medical Supplies 605787241 605787241 Hospital Provider User 81445862 81445862 Purchased Services 48261935 38014513 10193702 53720 Equipment & Ppty Maint 29940410 25512376 4426217 1817 7988640 4182574 3617304 188762 2459947325 2264083563 193548026 2315736 46921913 50305850 7416688 8042945 248655610 232295436 38884462 47421258 7779290 6811859 1423435433 984737813 480941576 438697620 173702 62647978 1004299341 1020179858 7616618 49557855 48546604 502542181 525425105 2387172618 2447991131 135363805 138807589 3764927 4188004 4796873 4578831 626459723 642014590 770385328 789589014 X 1142752950 1169133013 474034340 489269104 1616787290 1658402117 2387172618 2447991131 X 122294643 2881643 -83561459 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 272168 0 0 272168 0 Part II-B, Line 1: Hartford Hospital paid annual dues to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. The total amount of dues allocated for lobbying expenses for FY23 was $272,168. 201155961 349000 8245000 19313000 229062961 272746961 172000 -9251000 62512000 201155961 224637523 2215396 52406623 6512581 272746961 210297523 3370000 16495000 5525000 224637523 208513523 1364000 5917000 5497000 210297523 0.46000 0.54000 0 1 1 10633596 10633596 813149757 550444006 262705751 80175942 63907532 16268410 519476138 370386275 149089863 438697620 Investment in Endowment 852025735 F Funds Held in Trust 168154123 F 1020179858 Due from Affiliates 291400631 Other Non Current Assets 129797777 ST/LT Malpractice Claims 81617081 Right-of-Use Lease Assets/Bond Billing 11557883 CSV Life Insurance 11051733 525425105 Payable to HHC - Interco Bonds 457165264 Other Net Liabilities 79788914 Long Term Accrued Malpractice 55536712 Hospital Provider User Fee 20213517 Accrued Post Retirement Expenses 1518515 Current Accrued Malpractice 10968362 Accrued Post Retirement Expenses 16823306 642014590 Part V, Line 4: The Hospital 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 Hospital 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. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes including but not limited to patient care, research and capital needs. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, 0 0 Program Service Research Activities 163067 East Asia and the Pacific 0 0 Program Service Research Activities 121154 Europe (Including Iceland & Greenland) 0 0 Program Service Research Activities 31913 Europe (Including Iceland & Greenland) 0 0 Program Service Donation Expense 10000 0 0 0 0 0 0 326134 0 326134 0 0 0 0 0 0 Part III Accounting Method: Sch F, Part 1, Line 3, Column F The transactions shown on Part I of Sch F are being reported on a cash basis. Black and Red Ball 2460068 2196143 263925 90208 224496 361205 105722 Stars Dancing for Parkinson's 198200 175100 23100 1475 36607 40138 500 10090 1 14457 14457 2672725 2385700 287025 1475 126815 264634 361705 115812 870441 -583416 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 0 21532625 21532625 0.00880 396294818 317918139 78376679 0.03190 417827443 317918139 99909304 0.04070 7400188 7400188 0.00300 75446363 21836176 53610187 0.02180 11368263 11368263 0.00460 2588049 2588049 0.00110 24369840 13356721 11013119 0.00450 121172703 35192897 85979806 0.03500 539000146 353111036 185889110 0.07570 261516 261516 0.00010 83565 83565 0.00000 55221 55221 0.00000 400302 400302 0.00010 0 46876125 0 276553444 297859791 -21306347 X 1 1 1 1 Hartford Hospital 80 Seymour Street Hartford CT 06106 hartfordhospital.org 0046 X X X X X Hartford Hospital 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X See Part V, Page 8 X X 1 22 1 See Part V, Page 8 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 Hartford Hospital Part V, Section B, Line 5: The Community Health Needs Assessment is a systematic, data-driven approach to determining the health status, behaviors and needs of residents in Hartford HealthCare's service areas. The information garnered from the assessment may be used by Hartford HealthCare to inform decisions and guide efforts to improve community health and wellness. Hartford HealthCare operates in five Community Benefit regions Central Region (Hospital of Central Connecticut & MidState Medical Center), East Region (Backus Hospital, Natchaug Hospital & Windham Hospital), Hartford Region (Hartford Hospital), Northwest Region (Charlotte Hungerford Hospital) and Fairfield Region (St. Vincent's Medical Center). The regional approach includes partners within and across regions, hospital services areas, and community-based health equity champions. Recognizing the need to reduce and eliminate health disparities and to increase diversity at the leadership and governance levels of health care and other local organizations is a central and necessary first step in community health improvement. The second step to improving health equity is to collect and use data about race, ethnicity, and language preference to develop a shared understanding of the challenges in the community. Education about cultural sensitivity is also required. The HHC regional teams involved a team of health "Equity Champions" representing multiracial or other marginalized communities to help ensure the research is reflective of the community perspectives.Hartford Hospital worked closely with health service area collaboratives including local public health departments to complete its CHNA. At a minimum, local public health worked with Hartford Hospital to review hospital, state and local data and help define 2022 CHNA priorities. Additionally, to increase their understanding of community members' perspectives on identified health issues and ideas for addressing them, staff solicited input from individuals representing the broad interests of the community such as staff from social service and public health organizations and community residents. Staff collected feedback through a range of methods, including focus groups and interviews. Community input came from diverse groups in terms of age, race/ethnicity, cultural group, and other demographics. A special effort was made to reach historically underserved communities. Where possible, the hospital aligned their process with assessments being conducted by local public health and other community agencies. The assessment involved substantial qualitative data gathering to highlight local knowledge and expertise, and support outreach efforts for community engagement. The primary qualitative mixed-mode approach engaged policy leaders, key stakeholders, nonprofit organizations, health care consumers, the criminal justice system, diversity representatives, people experiencing homelessness, and others throughout the hospital service area. - Health Equity Champions Outreach- Stakeholder One-to-One Interviews- Focus Group Discussions There were eight individuals interviewed from the Hartford region, and participants included those from organizations servicing seniors; people supporting those experiencing homelessness; providers; leadership at FQHCs; local health department representatives; and other social service representatives. Interviews occurred in March 2022 and averaged 30 minutes, with individuals' enthusiastic participation. Data from multiple sources were gathered and assessed, including secondary data published by others and primary data obtained through community input. Input from the community was received through key stakeholder interviews. Interviewees represented the broad interests of the community and included individuals with special knowledge of or expertise in public health as listed below: Center for Healthy Aging Connecticut Alliance for Basic Human Needs FoodShare/CT Food Bank Hartford Food System City of Hartford Health Department Hartford Hospital, Emergency Medicine Hispanic Health Council Interval House Phillips Metropolitan CME Church Southside Institutions Neighborhood Alliance (SINA) United Way of Central and Northeastern Connecticut Urban League of Greater Hartford Hartford HealthCare Behavioral Health Network Hartford Hospital, OBGYN Services The Village for Families & Children Community Health Services (FQHC) Hartford Hospital Part V, Section B, Line 6a: For this community health assessment, Hartford Hospital collaborated with the following Hartford Healthcare hospitals: Backus Hospital, Charlotte Hungerford Hospital, Hospital of Central Connecticut, Midstate Medical Center, Natchaug Hospital, and Windham Hospital. These facilities collaborated by gathering and assessing secondary data together, scheduling and conducting interviews together, and by relying on shared methodologies, report formats, and staff to manage the CHNA process.Part V, Section B, Line 7ahttps://hartfordhospital.org/community-health-needs-assessment Hartford Hospital Part V, Section B, Line 7d: The needs assessment was published in September 2022 and is available on the hospital's website. In addition, electronic copies are available upon request. Part V, Section B, Line 10ahttps://hartfordhospital.org/community-health-needs-assessment Hartford Hospital Part V, Section B, Line 11: The 2021 Community Health Needs Assessment ("CHNA") for Hartford Hospital, part of Hartford HealthCare's (HHC) Hartford Region, leveraged numerous sources of local, regional, state and national data along with input from community-based organizations and individuals to provide insight into the current health status, health-related behaviors and community health needs for the Hospital service area. In addition to assessing traditional health status indicators, the 2022 CHNA took a close look at social determinants of health (SDH) such as poverty, housing, transportation, education, fresh food availability, and neighborhood safety and contains an Equity Profile. These two enhancements are in response to the lessons of COVID and in recognition of an emerging national priority to identify and address health disparities and inequities. HHC and Hartford Hospital are committed to addressing these disparities and inequities through its Community Health Improvement Plan (CHIP). The intent of our CHIP is to be responsive to community needs and expectations and create a plan that can be effectively executed to leverage the best of the system resources, regional hospital and network resources, and community partners. The CHIP supports HHC's mission "to improve the health and healing of the people and communities we serve and is part of HHC's vision to be "most trusted for personalized coordinated care." More specifically, this CHIP is collectively aimed at living our Value of Equity which reminds us all to do the just thing.The 2022 assessment identified mental health outreach, staff recruitment and access to care as priority needs for 2022-25 across all Hartford Hospital geography. In addition, Hartford Hospital continued working on the priorities identified through previous CHNA and 2018-2021 CHIP. Local work and progress related to those priorities is described below.Prioritized communities:- disadvantaged communities, people of color, and others who have historically lacked adequate access to services.Objective/goal progress: Mental Health Outreach Partner with Community Groups to Foster Training: *Community Resource Group Collaboration: 2 events-28 organizations *QPR: 1 group-25 individuals *NARCAN: 4 events-13 individuals *SMART: 39 groups-90 individuals Leverage community response teams to support families in crisis: *3 groups-45 individuals Education opportunities to de-stigmatize mental illness: *Mental Health First Aid Training: 15 events-194 individuals *Participate in community events: 15 events-1163 individualsCommunity Webinars on Introduction to: Substance Use Disorder, Schizophrenia, Anxiety, Dementia, Depression, Bipolar Disorder: 22 webinars-128 attendees *Community Support groups including substance use and survivors of suicide loss groups: 63 support groups-326 individuals *World Suicide Prevention Day Conference-282 individuals *Braindance Awards-200 individualsStaff Recruitmenton Talent Acquisition DEIB workgroup *Established/Charter Approved: 1/2024 *Monthly meetings *14 participants Recruitment *18 campus and career events in the Hartford RegionAccess to Care Food4Health Clinic: *Currently service 22 clinics at Hartford Hospital and have expanded to include a F4H clinic at the IOL. *2 in-person cooking classes *58 staff members Smoking Cessation Program- Community Health: *2 in person events- 208 individuals Cancer Community Outreach Screening Events: *110 outreach events *Community members impacted: 2080 *Increased outreach events by 1,122% Mobile Mammography Screenings: *29 mobile outreach events *Community members impacted: 450 Improve ambulatory preventative care in the primary care settings: Improve diabetes control and BP control in vulnerable zip codes *Target met for HTN: 72% *BP screening with RNs: 83 *BP Monitors given to patients: 109 *Target met for A1C: 28% *DM teaching with RNs: 61 *APC/DLC mutual patients' partnership: 128All needs identified in the CHNA are currently being addressed. Hartford Hospital Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of health care expenses. Hartford Hospital Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Line 16a, FAP website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance/financial-assistancePart V, Line 16b, FAP Application website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance/financial-assistancePart V, Line 16c, FAP Plain Language Summary website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance/financial-assistance Hartford Hospital Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. 47 1 - Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury CT 06033 Surgery Services 2 - HHC Hartford Surgery Center LLC 100 Avon Meadow Lane Avon CT 06001 Surgery Services 3 - Glastonbury Endoscopy Center LLC 300 Western Boulevard Suite B Glastonbury CT 06033 Endoscopy Services 4 - CT GI Endoscopy Center LLC 4 Northwestern Drive Bloomfield CT 06002 GI Services 5 - Jefferson House 1 John Stewart Drive Newington CT 06111 Nursing Home 6 - Hartford Hospital 334 North Main Street West Hartford CT 06117 Rehabilitation Department 7 - Cedar Mountain Commons 3 John Stewart Drive Newington CT 06111 Assisted Living 8 - Hartford Hospital 129 Patricia M Genova Drive Newington CT 06111 Diagnostic Laboratory 9 - Hartford Hospital 80 Fisher Drive Avon CT 06001 Cancer Center 10 - Hartford Hospital 505 Willard Avenue Suite 1 Newington CT 06111 Eye Surgery Center 11 - Hartford Hospital 1559 Sullivan Avenue South Windsor CT 06074 Wellness Center, Rehabilitation Department 12 - Hartford Hospital 11 South Road Suite 260 Farmington CT 06030 Cardiac Rehabilitation 13 - Hartford Hospital 230 North Main Street Manchester CT 06042 Rehabilitation Department 14 - Hartford Hospital 704 Hebron Avenue Glastonbury CT 06033 Wellness Center 15 - Hartford Hospital 1290 Silas Deane Highway Wethersfield CT 06109 Education Room 16 - Hartford Hospital 135 Darling Drive Avon CT 06001 Grace Webb School 17 - Hartford Hospital 988 Silas Deane Highway Wethersfield CT 06109 Rehabilitation Department 18 - Hartford Hospital 35 Talcottville Road Suite 2 Vernon CT 06066 Wellness Center, Rehabilitation Department 19 - Hartford Hospital 136 Berlin Road Cromwell CT 06416 Rehabilitation Department 20 - Hartford Hospital 533 Cottage Grove Road Bloomfield CT 06002 Sleep Disorder Center 21 - Hartford Hospital 701 North Colony Drive Wallingford CT 06492 Rehabilitation Department 22 - Hartford Hospital 100 Hazard Avenue Enfield CT 06082 Wellness Center, Rehabilitation Department 23 - Hartford Hospital 462 Queen Street Southington CT 06489 Center for Healthy Aging, Rehabilitation Department 24 - Hartford Hospital 73 Waterbury Road Prospect CT 06712 Rehabilitation Department 25 - Hartford Hospital 406 Farmington Avenue Farmington CT 06030 Rehabilitation Department 26 - Hartford Hospital 1064 East Main Street Suite 205 Meriden CT 06450 Rehabilitation Department 27 - Hartford Hospital 1060 Day Hill Road Windsor CT 06095 Wellness Center, Rehabilitation Department 28 - Hartford Hospital 376 Tolland Turnpike Suite 301 Manchester CT 06042 Cancer Center 29 - Hartford Hospital 2 Northwestern Drive Bloomfield CT 06002 Center for Healthy Aging, Rehabilitation Department 30 - Hartford Hospital 18 East Granby Road Granby CT 06035 Rehabilitation Department 31 - Hartford Hospital 280 South Main Street Cheshire CT 06410 Rehabilitation Department, Wellness Center 32 - Hartford Hospital 100 Grand Street New Britain CT 06050 Cardiac Services 33 - Hartford Hospital 1215 Litchfield Street Torrington CT 06790 Cardiology Department 34 - Hartford Hospital 2979 Main Street Bridgeport CT 06606 Transplant Services 35 - Hartford Hospital 112 Mansfield Avenue Willimantic CT 06226 Transplant Department 36 - Hartford Hospital 100 Simsbury Road Avon CT 06001 Wellness Center, Rehabilitation Department 37 - Hartford Hospital 339 West Main Street Avon CT 06001 Wellness Center 38 - Hartford Hospital 680 South Main Street Cheshire CT 06410 Rehabilitation Services 39 - Hartford Hospital 305 Western Boulevard Glastonbury CT 06033 Education Services, Rehabilitation Department 40 - Hartford Hospital 330 Western Boulevard Glastonbury CT 06033 Wellness Center 41 - Hartford Hospital 376 Tolland Turnpike Suite 201 Manchester CT 06042 Cancer Center 42 - Hartford Hospital 445 South Main Street West Hartford CT 06110 Rehabilitation Department 43 - Hartford Hospital 65 Memorial Road West Hartford CT 06107 Wellness Center, Rehabilitation Department, Surgery Center 44 - Hartford Hospital 1025 Silas Deane Highway Wethersfield CT 06109 Rehabilitation Department 45 - Hartford Hospital 1260 Silas Deane Highway Wethersfield CT 06109 Wellness Center, Sleep Disorder Center 46 - Hartford-Middlesex Clinical System LLC 80 Seymour Street Hartford CT 06106 Affiliate Support Services 47 - Connecticut Imaging Partners LLC 1260 Silas Deane Highway Suite 100 Wethersfield CT 06109 Imaging Services Part I, Line 3c: Hartford Hospital used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:Although the organization does not prepare a formal Community Benefit Report, quarterly reports are submitted to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Strategy (OHS) annually. Part I, Line 7: The organization utilized an overall cost to charge ratio (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations. Part II, Community Building Activities: Hartford Hospital coordinates with various organizations to perform community building activities that addresses issues related to Social Determinants of Health, and as such, the hospital interacts with the community to address these needs and facilitates appropriate responses. The total expenditure for FY23 is $400,302. Part III, Line 3: A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2023 would be immaterial. Part III, Line 4: Please see the text of the footnote that describes bad debt expense beginning on page 25 of the Audited Financial Statement. The Footnote is also applicable Part III, Line 2. Part III, Line 8: Providing care those in need, including Medicare and Medicaid patients, and serving all patients regardless of ability to pay is an essential part of the community benefit standard, as well as our mission in our community. We serve these patients without regard to the payment shortfall. Therefore Medicare shortfall should be considered Community Benefit. The organization used cost to charge ratio as determined by Medicare Cost report. Part III, Line 9b: Hartford Hospital has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: Patients who are deemed ineligible for financial assistance or who receive a partial discount and do not pay their bills may be subject to the following Extraordinary Collection Action (ECAs):*Wage Garnishments*Liens on primary and secondary residences, bank or investment accounts, or other assets*Legal actions and reporting the matter to one or more credit rating agencies*Other ECAs not listed aboveIf an individual has not submitted an application within the first 120 days from the date on which Hartford HealthCare first issues its first, post-discharge billing statement, then Hartford HealthCare may begin engaging in the ECAs described above.ECAs may begin after the first 120 days from the date on which Hartford HealthCare issues its first, post-discharge billing statement. If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, Hartford HealthCare will take all reasonable available measures to remove any collection actions such as negative reporting to a credit bureau or liens that have been filed.Before Hartford HealthCare initiates any collection actions, it will issue a written notice to the last known address of record for the patient (or his/her family) that describes the specific collection activities it intends to initiate (or resume), provides a deadline after which such action(s) will be initiated (or resumed), and includes a plain language summary of this Policy. ECAs can begin no sooner than 30 days from the date written notice is transmitted. Patients who are ineligible for financial assistance, or qualify for partial financial assistance and who are cooperating in good faith to resolve the outstanding accounts, may be offered extended payment plans. No further collection action will be taken as long as the patient continues to meet the terms of the payment plan. Part VI, Line 2: The Hartford HealthCare Community Health Needs Assessment (CHNA) serves as a component in the overall efforts to improve community health and health equity in each of the seven-hospital service areas. It is a process that provides a means of identifying and collecting community data while engaging community members in both the data collection and the prioritization of collaborative efforts for improving the well-being of the area. The ultimate purpose of the HHC CHNA is to improve community health and to do so in an effective and efficient way. The supporting objectives are to do the following: 1. Enhance Community Engagement and Better Incorporate the Consumer's Voice - CHNA/CHIP process leads to continuous and trusting feedback loops with diverse populations and enhances our methods for on-going engagement with the communities we serve. 2. Grow and Sustain our Community-based Partnerships - CHNA/CHIP process leads to more formalized partnerships with regional and community organizations and collaborations, and more meaningful relationships with key community opinion leaders. 3. Align Community Health with our Equity Value and Across the Regions - CHNA/CHIP process leads to a greater sense of team and purpose within HHC, assures each region is equitably resourced, and that collectively we know and understand more about identifying community health needs and improving health outcomes. 4. Bring Greater Clarity and Social Impact to our Community Health Work - CHNA/CHIP process leads to more effective, justified, measurable, and reportable interventions across our collective CHIPs and inspires and informs our social investment, sponsorship, and donation activities.Approach:The major pieces of the assessment helped to assemble a large list of needs. Major assessment activities are listed below. Note that the survey and qualitative research numbers refer to HHC system CHNA activities not solely this hospital. * Data analysis an extensive set of Hospital Service Area (HSA) data tables reflecting demographics, Social Influencers of Health, lifestyle characteristics, disease incidence (morbidity and mortality) and others * Qualitative research an in-depth series of 100 stakeholder interviews and 30 focus group discussions * Survey research a bilingual community survey with approximately 600 responses Interestingly, ALL of the needs are important, yet to achieve the ultimate goal of the CHNA, HHC leaders deployed a needs prioritization process to identify a granular list of 12 needs. The prioritization process and other assessment activities are described in the body of this CHNA.Categories of needs:In order to truly affect change and address high-priority needs, needs were identified and categorized into the following groups: * Ones with the greatest opportunity for immediate impact (i.e., the "low hanging fruit" issues for which HHC can take a leadership role and rapidly deploy activities and resources) * Issues supported by the data that have the greatest impact on health outcomes * Needs identified by community as urgent or high-priority concerns * Issues that present the greatest opportunity for collaboration and policy changeThe CHNA is formulated in a way to ultimately impact individuals and families in the service area. To accomplish this, HHC leaders will take CHNA results and deploy a systematic approach to developing the Community Health Improvement Plan (CHIP) an activity critical to achieving this ultimate goal. Some of the initial, well-defined steps to develop and deploy the CHIP include the following: STEP 1 - Culling the Findings Brainstorming with your local collaboratives by answering the following questions: CHNA Immediate Impact findings where is the low hanging fruit? CHNA Greatest Impact findings -- what will most influence health outcomes? CHNA Most Desired Change findings - what change does the community most want? CHNA Forging Opportunities findings - where are the greatest opportunities for partnership? STEP 2 - Organizing the focus areas and assembling your rationale for action STEP 3 - Selecting your Strategies and Interventions STEP 4 Executing and EvaluationAssessment Approach & Methodology Hartford HealthCare (HHC) worked with its assessment partners Crescendo Consulting Group and DataHaven to formalize and deploy a highly inclusive assessment framework. The framework was structured to be welcoming to priority communities and others, steeped in best practices, and designed to triangulate insights. At the conclusion of the process, the local stakeholders developed a succinct, prioritized list of community needs. To do this, the methodology included a mixed modality approach quantitative, qualitative, and technology-based techniques to learn about the human stories and voices while weaving them with the best available data. Crescendo engaged community partners, used data analytics, and invited others to join the discovery process to help describe a positive cycle of change. The assessment activities meet the following goals: * Identify community resources, strengths, and barriers. * Develop a deeper understanding of community health equity and inequalities. * Enable the community to coalesce around, and act upon, the opportunities for population health improvement.The assessment involved substantial qualitative data gathering to highlight local knowledge and expertise, and support outreach efforts for community engagement. The primary qualitative mixed-mode approach engaged policy leaders, key stakeholders, non-profit organizations, health care consumers, the criminal justice system, diversity representatives, people experiencing homelessness, and others throughout the hospital service area. * Health Equity Champions Outreach * Stakeholder One-to-One Interviews * Focus Group Discussions Systemwide, 100 interviews and 30 focus group discussions were held. Conversations with community stakeholders helped us identify weaknesses of programs and resources in the community. Part VI, Line 3: Hartford Hospital provides information about its Financial Assistance Policy as follows: (1) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication.(2) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail.(3) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page.(4) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients.(5) Includes the tag line "Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications. Part VI, Line 4: Hartford Hospital is one of the largest teaching hospitals and tertiary care centers in New England. Hartford Hospital is an 867-bed regional referral center that operates a Level 1 Trauma Center and has an active medical staff with more than 1,280 physicians and dentists. Among its divisions are The Institute of Living, a 114-bed mental health facility, and Jefferson House, a 104- bed long-term care facility. The hospital is the major teaching hospital affiliated with the University of Connecticut Medical School, serving the New England region. The hospital's mission includes providing complex and innovative care to those in need, teaching, and research. More information about the hospital can be found here: www.hartfordhospital.orgHartford Hospital is a member of Hartford HealthCare. Hartford HealthCare operates seven acute-care hospitals, air-ambulance services, behavioral health and rehabilitation services, a physician group and clinical integration organization, skilled-nursing and home health services, and a comprehensive range of services for seniors, including senior-living facilities. For more information, please visit https://hartfordhealthcare.org/The Hartford Hospital Service Area includes 12 locations and a total of 505,850 people, with 121,054 residing in Hartford. The composite snapshot indicates: * The Hartford Hospital Service Area is a region of 505,850 residents, 52% of whom are people of color. The regions population has increased by 0.063% since 2010. * Of the regions 196,890 households, 59% are homeowner households. * Approximately 36% of the Hartford Hospital HSAs households are cost burdened, meaning they spend at least 30% of their total income on housing costs. * Among the regions adults ages 25 and up, 36% have earned a bachelors degree or higher. * The Hartford Hospital HSA is home to 330,438 jobs, with the largest share in the Health Care and Social Assistance sector. * The median household income in the Hartford Hospital HSA is $76,359. The average life expectancy in the Hartford Hospital HSA is 79.5 years. * Approximately 56% of adults in the Hartford Hospital HSA say they are in excellent or very good health. * In 2020, 241 people in the Hartford Hospital HSA died of drug overdoses.* Approximately 82% of adults in the Hartford Hospital HSA are satisfied with their area, and 49% say their local government is responsive to residents needs. * Approximately 69% of adults in the Hartford Hospital HSA report having stores, banks, and other locations in walking distance of their home, and 81% say there are safe sidewalks and crosswalks in their neighborhood. Part VI, Line 5: The Board is responsible for maintaining outstanding quality services and credentials its medical staff. The majority of Hartford Hospital's governing board is comprised of persons who either reside or work in its primary service area, and they are neither employees nor contractors of the Hospital.Hartford Hospital extends medical staff privileges to all qualified physicians in its community. The Hospital has partnered with the City of Hartford Department of Health and Human Services and the Hispanic Health Center to provide health services to the underserved in the community. In addition, the Hospital participates in research projects with the Hispanic Health Council to improve community health and well-being.The Hospital has contracted to use the services of an organization to assist its patients in determining eligibility and applying for state and federal means-tested programs, as well as for the Hospital's Financial Assistance Program.As a tertiary health center, teaching hospital and Level 1 Trauma Center, Hartford Hospital provides specialized services not available at other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O. Part VI, Line 6: Hartford HealthCare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Hartford Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care".The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. Part VI, Line 7, Reports Filed With States CT 1 ReadyCT 350 Church Street 3rd Floor Hartford CT 06103 274704040 501(c)(3) 157464 0 Sponsorship for the Hartford Public High School Allied Health program. City of Hartford 550 Main Street Hartford CT 06103 066001870 501(c)(3) 57229 0 The DominGO! Program allows residents and visitors to interact with our community in a fun, active and health way. The DominGO! Program will reclaim our streets for people for walking, biking, food, music, dance and meeting new people. In addition, funds were given to help support the Hartford High School system. Connecticut Golf Foundation 55 Golf Club Road Cromwell CT 06416 061510744 501(c)(3) 40000 0 Connecticut Golf Foundation enable kids to build the strength of character that empowers them through a lifetime of new challenges. They integrate the game of golf with life skills curriculum, create learning experiences that build inner strength, self confidence and resilience that kids carry to everything they do. Connecticut Cancer Foundation 15 North Main Street Old Saybrook CT 06475 061240574 501(c)(3) 39150 0 The Connecticut Cancer Foundation is committed to reducing the burden of cancer for Connecticut cancer patients and their families. They provide direct financial assistance to Connecticut cancer patients for everyday living expenses such as rent, mortgage, utilities, car payments, medical co-pays, food, medications and more. The Connecticut Science Center 250 Columbus Blvd Hartford CT 06103 061538101 501(c)(3) 35000 0 Sponsorship for the Hartford HealthCare Health Lab. The Connecticut Science Center is dedicated to inspiring lifelong learning through interactive and innovative experiences that explore our changing world through science. They strive to create an engaging and sustainable science center that serves families and schools and has a significant impact on student and adult learning in Connecticut. They seek to develop the minds of future thinkers and inventors who will compete in the ever-expanding global marketplace for technology and innovation. And they endeavor to create a Connecticut workforce that meets the projected growth of jobs in science-related fields. Hartford Symphony Orchestra Inc 166 Capitol Avenue Hartford CT 06106 060637319 501(c)(3) 30000 0 The Hartford Symphony Orchestra aims to deliver uniquely powerful and emotional experiences that lift and transform the spirit. They engage the community and foster a joy for music and an appreciation of its transformative power. American Heart Association Inc PO Box 4002012 Des Moines IA 50340 135613797 501(c)(3) 30000 0 The American Heart Association mission is to fight heart disease and stroke and helping families thrive. They are dedicated to improve heart health and reducing deaths from cardiovascular disease and stroke. University of Saint Joseph 1678 Asylum Avenue West Hartford CT 06117 060646829 501(c)(3) 30000 0 The University of Saint Joseph provides a rigorous liberal arts and professional education for a diverse student population in an inclusive environment that encourages strong ethical values, personal integrity and a sense of responsibility to the needs of society. Town of Newington 131 Cedar Street Newington CT 06111 066002047 Government 28000 0 Funds provided to the Town of Newington for their Good Samaritan Fund. Audacy Operations Inc PO Box 74090 Cleveland OH 44194 043196245 501(c)(3) 25000 0 Audacy Operations purpose is to bring people together through voices they trust and content they love. They embrace and reflect the diversity of our communities in our workforce and in our content in order to build a stronger, more equitable world. The Amistad Center for Art & Culture Inc 600 Main Street Hartford CT 06103 222849122 501(c)(3) 25000 0 The Amistad Center for Art & Culture, Inc. is a cultural institution that celebrates and presents art influenced by people of African descent. Their mission is to interpret and celebrate African American arts and humanities and to educate the public about their importance and influence in American life. Connecticut Brian Tumor Alliance Inc PO Box 370514 West Hartford CT 06137 260307367 501(c)(3) 20000 0 The Connecticut Brain Tumor Alliance, Inc. is dedicated to providing hope and support to brain tumor patients and caregivers, while advancing brain tumor awareness, quality of care and brain tumor research. ERRACE 180 Cider Brook Road Avon CT 06001 110303001 501(c)(3) 15000 0 The ERRACE organization was created by a group of professionals with common goals. They strive to raise the awareness of cancer, raise funds for cancer research and inspire the community to be active and health conscious. Health Assistance InterVention Education Network for CT Hlth Professionals 1210 Mill Street East Berlin CT 06023 510642913 501(c)(3) 12500 0 HAVEN's mission is to enhance patient safety by supporting the health and well-being of our Connecticut health professionals. They accomplish its mission through education and prevention, early identification and intervention, referral for evaluation and treatment, support and accountability but do not engage in the practice of medicine or mental healthcare. The Connecticut Forum 750 Main Street Hartford CT 06103 061343149 501(c)(3) 12000 0 The Connecticut Forum serves Connecticut and beyond with live, unscripted panel discussions among renowned experts and celebrities and community outreach programs. They promote open, honest, civil dialogue that exchanges ideas that allow us to question our assumptions, consider new points of view, entertain our souls and connect with each other. Arthritis Foundation Inc 1355 Peachtree Street NE Suite 600 Atlanta GA 30309 581341679 501(c)(3) 10000 0 The Arthritis Foundation's mission is pursuing a cure for America's #1 cause of disability while championing the fight to conquer arthritis with life-changing science, resources, advocacy and community connections. Ron Foley Pancreatic Cancer Foundation Inc 1000 Farmington Avenue Suite 108A West Hartford CT 06107 271386741 501(c)(3) 10000 0 The Foundation is dedicated to promoting early detection through awareness and education with hopes to find a cure through research. They sponsor a series of fundraising and annual events to build awareness and raise funds for patient assistance, education and research. Zero - The End of Prostate Cancer PO Box 320721 Alexandria VA 22320 593400922 501(c)(3) 10000 0 Zero Prostate Cancer's mission is to end prostate cancer and help all who are impacted. They advances research, provides support and creates solutions to achieve health equity to meet the most critical needs of our community. Southside Institutions Neighborhood Alliance Inc (SINA) 400 Washington Street Hartford CT 06106 061501542 501(c)(3) 10000 0 SINA has been successful in reversing the negative trend in homeownership, stimulated renewal of the neighborhood's principal commercial corridor, opened up employment opportunities for neighborhood residents, acted as an economic development catalyst for neighborhood businesses, and provided leadership for comprehensive neighborhood strategies. In the process, it is fashioning a national model for neighborhood revitalization. Hartford Promise Inc 750 Main Street Suite 1108-1 Hartford CT 06103 810924703 501(c)(3) 10000 0 Sponsorship for the Hartford Promise Prom. Camelo Communication 2200 Winter Springs Blvd Ste 106-254 Oviedo FL 32765 463203231 9726 0 Sponsorship for Meriden and New Haven Puerto Rican Festival and Pratt Street Social Event. Burton & Phyllis Hoffman Foundation Inc 750 Connecticut Boulevard East Hartford CT 06108 061546659 501(c)(3) 8984 0 The Burton & Phyllis Hoffman Foundation has raised over one million dollars thus far towards charities involving arts, health, medicine, education and social well-being that give back to the greater Hartford community. Hands on Hartford Inc 55 Bartholomew Avenue Hartford CT 06106 060861268 501(c)(3) 8560 0 Hands on Hartford, Inc. serves Hartford's most economically challenged residents in the areas of food, housing and health. They provide programs that change lives and renew human possibly. American Cancer Society Inc 250 Williams Street NW Suite 400 Atlanta GA 30303 131788491 501(c)(3) 7500 0 American Cancer Society's mission is to improve the lives of people with cancer and their families through advocacy, research and patient support, to ensure everyone has an opportunity to prevent, detect, treat and survive cancer. Max Cares Foundation Inc 249 Pearl Street 2nd Floor Hartford CT 06103 474568220 501(c)(3) 6633 0 The Max Cares Foundation's mission is to provide financial assistance to non-profit educational and charitable organizations in the Greater Hartford community. The Foundation has established a scholarship program for graduating seniors who intend to pursue careers in the hospitality and/or culinary fields. Crohn's & Colitis Foundation Inc 3010 Westchester Avenue Suite 106 Purchase NY 10577 136193105 501(c)(3) 6148 0 The Foundation's mission is to cure Crohn's disease and ulcerative colitis and to improve the qualify of life of children and adults affected by these diseases. The Foundation sponsors basic and clinical research and offer a wide range of educational programs for patients and healthcare professionals. They also provide supportive services to help people cope with these chronic intestinal diseases. 25 1 Hazel Vail Scholarships 1 10000 Sons and Daughters Scholarship Awards 30 65000 Part I, Line 2: Upon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted. Schedule I, Part III Once recipients are determined, the funds are sent directly to the institutions and not to individuals. Required qualifications The Sons and Daughters/Hazel Vail Scholarships are available to children of Hartford Hospital employees who meet eligibility requirements. The applicant must be financially dependent on the employee by being claimed on either parent's tax return. The applicant must be enrolled as a full-time student in a 4 year Accredited Undergraduate Program. The applicant must be the son or daughter (biological, adopted, stepchild, or legal ward) of a Hartford Hospital employee (full-time or part-time, budgeted to work at least 24 hours per week). The dependent of a Hartford Hospital employee who is also employed at Hartford Hospital is eligible to apply if they are budgeted to work less than 24 hours per week. Applicant must have a verifiable GPA of 3.0 or higher to apply. Applicants are chosen on 1 criteria. 1. GPA (must be at least a 3.0 or higher to apply) 1 1 0 0 0 0 0 1 0 Jeffrey Flaks CEO, HHC 0 1636053 0 1318571 0 900151 0 21350 0 33255 0 3909380 0 0 Bimal Patel President 0 848231 0 480078 0 6072 0 133836 0 10226 0 1478443 0 0 Ajay Kumar MD Former Key Employee 0 679721 0 392860 0 5572 0 118267 0 37785 0 1234205 0 0 Kenneth Robinson MD Dept Chair Emergency Medicine 616774 0 56187 0 1032 0 21350 0 36652 0 731995 0 0 0 Adam Steinberg MD VP, Medical Affairs 0 436122 0 133921 0 2359 0 21350 0 35850 0 629602 0 0 Cheryl Ficara VP, Operations 0 400528 0 144956 0 9322 0 21350 0 36340 0 612496 0 0 Suparna Dutta MD Dir Dept of Medicine 422969 0 103198 0 360 0 21350 0 26074 0 573951 0 0 0 Radhika Mehendru MD Psychiatrist MHN 518993 0 600 0 1359 0 21350 0 13688 0 555990 0 0 0 Javeed Sukhera MD Chair Psych IOL, Chief Psych HH 430366 0 0 0 60240 0 21350 0 22117 0 534073 0 0 0 Mandeep Kumar MD Physician 405984 0 70600 0 10116 0 6100 0 27987 0 520787 0 0 0 Lynn Rossini VP, Philanthropy 339808 0 73313 0 5077 0 21350 0 18605 0 458153 0 0 0 Melanie Tucker Former Key Employee 0 303976 0 74369 0 567 0 21350 0 25771 0 426033 0 0 Julie Drouin Former Officer 0 125826 0 0 0 267265 0 6410 0 7127 0 406628 0 0 Gregory Jones VP, Community Health and Engagement 0 289846 0 80131 0 7008 0 21350 0 4221 0 402556 0 0 Gregory Makowski MD VP (Thru May 2023) 0 287058 0 60949 0 7833 0 21350 0 6107 0 383297 0 0 Sean Curtin VP, Finance 0 247257 0 76525 0 477 0 21350 0 36392 0 382001 0 0 Laura Bailey VP, Patient Care Services 0 246456 0 71314 0 1302 0 21350 0 38191 0 378613 0 0 Elizabeth Ciotti Former Key Employee 0 222153 0 68521 0 3160 0 19080 0 12417 0 325331 0 0 Keith Grant VP, Operations 0 205721 0 33244 0 229 0 17167 0 7589 0 263950 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford Hospital, 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 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 Hospital 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 the plan 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. 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. Mr. Jeffrey Flaks has agreed to participate in CASD in place of a traditional SERP. See Schedule L, Part V, for a broader description. Mr. Flaks' deferred compensation benefit is 17.6% of $1,800,000, which is $316,800. The following individual participate in a CAP-EX (a split dollar life insurance arrangment in place of a traditional SERP): Jeffrey Flaks: $0. See Schedule L, Part V for broader description of the arrangement In 2022, Julie Drouin (Former Officer) received a lump sum severance payment in the amount of $266,648. 2022 SERP Accruals were made on behalf of the following individuals: Bimal Patel $112,486 Ajay Kumar $96,917 2022 SERP Payout was made on behalf of the following individual: Jeffrey Flaks $498,002* *For this individual, 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. Jeffrey Flaks President/CEO, HHC See Part V X 13470890 13514924 0 1 1 13514924 Form 990, Schedule L, Part II The organization provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "Collateral Assignment Split-Dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not an actual loan because no funds are transferred to the executive. Rather, the "loan" treatment applies because after the executive has received retirement benefits, the organization recovers all outlays plus interest. The recovery right is a key advantage of CASD for the organization. Rather than paying retirement benefits to the executive that would never be recovered, under CASD the organization recovers not only it outlays, but also consideration for the time value of money. CASD works as follows:The organization deposits funds into cash value life insurance policies on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against the cash surrender values in the policy to supplement retirement income. Policy performance is closely monitored. If policy performance lags, the executive's borrowing rights are reduced to protect the organization's recovery rights. At the executive's death, the policy death proceeds are first used to repay the organization its outlay plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any projected retirement borrowing the executive did not access during life. Any remaining death proceeds are available to be paid to the executive's beneficiaries. However, Mr. Flaks decided to make a gift of the excess proceeds, estimated to total $15,711,908, to the organization to provide additional funding for the organization's charitable activities. Gift of excess proceeds (estimated): Jeffrey Flaks $15,711,908. X 12 359015 FMV 0 0 1 0 Part I, Column (b): The number of contributions reported represents the number of securities contributed. Form 990, Part VI, Section A, line 6 Hartford Hospital 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. It was then forwarded to the organization's top management including the HHC, 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 HHC, VP of Finance, as authorized signer for HH, 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 Hospital, 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 Hospital, 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 Hospital's Form 990, 990T and form 1023 and its attachments are available upon request. Form 990, Part VI, Section C, line 19 The Hospital'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 Medical Professional Fees: Program service expenses 259,653,172. Management and general expenses 0. Fundraising expenses 0. Total expenses 259,653,172. Form 990, Part XI, line 9: Net Unrestricted Other Changes in Joint Ventures -14,280,434. Transfer to Affiliated Entity -57,647,443. Change in Pension and Post-Retirement Funding Obligation -11,633,582. 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