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      <PersonNm>Laurie Rudman</PersonNm>
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      <Desc>Inpatient Care: Rehabilitation Services include programs for those recovering from a life-threatening condition, debilitating injury or suffering from acute chronic illness. HSC provides interdisciplinary care for patients with amputations, neurological conditions, orthopedic diagnoses, musculoskeletal diagnoses, multiple trauma, and complications from prolonged hospitalizations. Complex medical and rehabilitation care provide a wide range of services designed to maximize the outcomes of patients who no longer need invasive or acute diagnostic procedures, but who continue to require 24-hour nursing and medical care and/or monitoring. We also provide comprehensive care for individuals who require complex wound management. HSC treats all levels of spinal cord dysfunction. Through its continuum of care and interdisciplinary therapies to pain management and community re-entry. A comprehensive treatment plan is tailored to each individual by a dedicated rehabilitation team led by the Medical Director. The Acquired Brain Injury (ABI) program treats individuals with traumatic brain injuries (i.e. aneurysm, anoxia, tumors) with the goal to maximize patients functional status, independence, psychosocial adjustment and vocational and leisure skills, including community reintegration. The Neurobehavioral Program (NBP) is a long-term, 25-bed inpatient rehabilitation program that specializes in the treatment of individuals who have sustained an acquired brain injury and have been unsuccessful living in the community or in other facilities. The purpose of the NBP is to assist these individuals in managing their independence and to improve their overall quality of life. HSC's Cardiac Medical Unit consists of treatment, therapy and education for patients who are striving to regain, or maintain their functional ability while dealing with the complications from heart failure (Patient Days - 28,465).</Desc>
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        <Desc>Inpatient Care: Respiratory Services include caring for people who have made conscious decisions to live on life support. These patients require significant medical attention along with services to enhance quality of life. Our goal is to liberate patients from ventilator dependency so that they can resume their lives. The hospital for special care is recognized for having the highest ventilator-weaning rate in Connecticut and consistently exceeds the national average. Services for the clinical management of patients with serious respiratory conditions are provided on three distinct units. HSC's 48-bed Laurie Coleman Puglisi respiratory care unit and the 38-bed respiratory step-down unit provide care for patients with multi-system problems and ventilator assistance (Patient Days - 29,684).</Desc>
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        <Desc>The Maximilian E. &amp; Marion O. Hoffman Foundation Outpatient Center is designed to meet the needs of patients that require assistance but do not require hospitalization. Whether from illness, surgery or injury, therapy may be needed to improve muscle strength, coordination and mobility. The Center offers a comprehensive team approach provided by our highly-skilled physical and occupational therapists and speech-language pathologists. Outpatient Programs include Aquatic Therapy, Autism Services, Body Weight Support Elliptical Trainer, Physical Therapy, Psychology and Neuropsychology Services, Occupational Therapy, Orthotics Program, Pulmonary Rehab, Speech Therapy, Swallowing Disorders Center, and Neuromuscular Clinic including Parkinson's Clinic (Visits - 56,425).</Desc>
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        <Desc>Inpatient Care: Satellite Unit / Hartford location is a 25-bed unit located within the walls of the north campus of Saint Francis Hospital and Medical Center in Hartford. The Satellite Unit is specifically for patients needing comprehensive wound management, ventilator-weaning, complex respiratory care, or management of complex medical issues (Patient Days - 8,740).</Desc>
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        <Desc>Inpatient Autism Services: This is a 20-bed program for individuals ages 10 to 21 experiencing the most acute complex Autism Spectrum Disorders and co-occurring psychiatric disorders (Patient Days - 6,742).</Desc>
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        <Desc>Inpatient Care: Pediatric Services is a 29-bed pediatric unit that provides care to children (from newborn to 18 years of age), in need of rehabilitation following an accident, surgery, serious illness, or premature birth, many of whom are technology dependent. HFSC offers programs and services tailored to each child's individual needs to help regain lost skills or develop brand new skills. The ultimate goal is to provide a bridge between acute care and a home setting. (Patient Days - 8,456).</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anne Wojskowicz</PersonNm>
        <TitleTxt>VP &amp; CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>22739</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anna Maria Andarowski</PersonNm>
        <TitleTxt>Asst. Secretary</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald Buccilli PsyD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.23</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ashley Calabrese</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joe Ficocello</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jonathan Frucce</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Selette Jemison DBA</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kimberly Joerg DNP APRN PNP</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kathryn Pizzi</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lloyd Stephen</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angelo Messina CPA Esq</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alexandra Thomas Esq</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Watson MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mother Janice Zdunczyk</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Diane R Chace Esq</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Tevnan CPA</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.25</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tracy McKaveney CPA</PersonNm>
        <TitleTxt>Asst. Treasurer</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <TotReportableCompRltdOrgAmt>36752</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>425576</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>128</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>USRN Partners</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>318 Main Street</AddressLine1Txt>
            <CityNm>Farmington</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06032</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temp. Nurse Staffing</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Soliant Health</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 934411</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31193</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temp. Medical Staffing</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Go LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2074 Park Street</AddressLine1Txt>
            <CityNm>Hartford</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Marketing Communications</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>New England Psychiatric Assoc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>420 S Main Street</AddressLine1Txt>
            <CityNm>Cheshire</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06410</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Minhas Psychiatry LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>28 1st Street</AddressLine1Txt>
            <CityNm>Stamford</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06905</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Services</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>160675</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>1355780</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>945438</AllOtherContributionsAmt>
      <TotalContributionsAmt>2461893</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Fees</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>303135</TotalRevenueColumnAmt>
        <ExclusionAmt>303135</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Rev., Net</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>131465462</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>131465462</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>131768597</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>4633908</TotalRevenueColumnAmt>
        <ExclusionAmt>4633908</ExclusionAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GrossRentsGrp>
        <RealAmt>55531</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>55531</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>55531</TotalRevenueColumnAmt>
        <ExclusionAmt>55531</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
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        <BusinessCd>722514</BusinessCd>
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        <ExclusionAmt>212334</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Other Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>508408</TotalRevenueColumnAmt>
        <ExclusionAmt>508408</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Pharmacy Rebates</Desc>
        <BusinessCd>525100</BusinessCd>
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        <ExclusionAmt>863683</ExclusionAmt>
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        <ManagementAndGeneralAmt>231445</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>292125</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>72257</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>645109</ProgramServicesAmt>
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        <ProgramServicesAmt>9541023</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>199490</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2430452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125449</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>27751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20849</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>54852</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>927956</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>3075717</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>998408</ManagementAndGeneralAmt>
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        <TotalAmt>2997681</TotalAmt>
        <ProgramServicesAmt>2997681</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Recruiting Costs</Desc>
        <TotalAmt>582621</TotalAmt>
        <ProgramServicesAmt>416695</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165926</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>All Other Expenses</Desc>
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        <ProgramServicesAmt>202345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>343066</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>41073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93948</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
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        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
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        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital for Special Care "community" is defined as individuals living with chronic conditions or physical disabilities, statewide. Our patients and program participants regularly offer input on their challenges to meeting health needs beyond the services provided by HFSCs inpatient and outpatient programs. Both inpatient and outpatient satisfaction and outcomes surveys offer insight to health needs and access to community care. HFSCs Patient and Family Advisory Council (PFAC), established in 2020, invites input on topics of concern to individuals using hospital services.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Access to Care / Health Equity - Rated as High Impact, Hard to Implement. To ensure access to coordinated, patient-centered specialty care and care management services, HFSC will provide care to existing and new patients in our medical home programs and advocate on systems issues. Issues include reimbursement for care coordination. Methods will include: Offering multidisciplinary clinics so outpatients can see all clinicians in one visit; Continuing the use of telehealth visits when appropriate to provide continuity of care; Serving as a resource for medically complex children and adults (accepting Medicaid for all programs); Providing evidence of the success of HFSCs models of care; Improving access by continually marketing across all channels to create awareness of HFSCs programs, making the community, other healthcare organizations, and payors aware of HFSC.Autism Services - Rated as High Impact, Easy to Implement. HFSC will continue to add capacity to serve more children and adolescents with ASD; Welcoming new patients to our medical home program for autism; Continue expanding offered services such as adding a PHP program for patients 18-26 years of age in 2025; Developing new services, including special needs swimming lessons; Creating a dental desensitization program for children with ASD Health Care.Workforce Shortages - Rated as High Impact, Hard to Implement. At HFSC, weve invested in building the pipeline for years, helping to create the New Britain High School Health Academy and providing high school students with experiential learning opportunities, partnering with every major academic program in the state to provide clinical internships and residencies. We have collaborated with Connecticuts workforce development leaders to expand training for certified nursing assistants. The pandemic impacted our ability to host students in our hospital, but these programs have returned. Our donors have funded scholarships to help students manage the high cost of nursing, physical therapy and medical education. Develop a robust provider recruitment and retention strategy for advance practice providers and physicians, especially psychologists and neurologists; Further explore opportunities to work with foreign-trained providers; Begin Indeed Direct Hire partnership for key clinical roles; Select and implement additional recruitment &amp; retention strategies; Consider expanding the Academy concept to train potential Behavior Specialists to work with ASD patients both at HFSC and other health care organizations; Continue support for high schools and colleges who are training health care professionals, by offering LTACH level of care rotations and shadowing experiences to student groups; Continue funding scholarships for students entering health care professions.Increasing Physical Activity Levels - Rated as High Impact, Easy to Implement. Following reductions in safety precautions required by the pandemic, the HFSC fitness programs have resumed. Our Adaptive Sports program and member support to our Aquatic and Fitness Center are constrained by our ability to raise philanthropic dollars. Programs will: Offer opportunities to reduce obesity, encourage heart-healthy lifestyles; Introduce individuals to adaptive sports and inclusive recreation programs, designed for their ability levels; Expand our Adaptive Sports Camp, adding an autism track in 2025, our 35th year of camp; Develop Leisure Nights for children with ASD, preparing them to participate in our sports and fitness programs.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable are considered delinquent and written off when all attempts to collect from individuals or other Payor sources have been exhausted. As described in Note 1 Summary of Significant accounting Policies on page 11 of the audited financial statement. It is also the Hospital's practice to review patient accounts regularly to reserve for any potential bad debt.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Part III, Line 8Medicare costs per the Medicare Cost Report worksheet D series.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Collection policies are the same for all patients. Our Hospital does not pursue collection of amounts from patients determined to qualify for financial assistance. Our policy provides that we will not refer any accounts for collection until we can determine whether the individual is insured and therefore not eligible for financial assistance.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Part II - Community Building Activities - Line 8 - Workforce Development: Certified Nursing Assistant Academy - Nursing assistants are an important part of providing the best care for patients. They support nurses and medical professionals and develop relationships with patients. HFSCs certified nursing assistant program offers a five-week curriculum that focuses on building a foundation of healthcare skills and prepares students to successfully pass certification.The program offers no-cost instruction and offers students the opportunity to learn from knowledgeable and experienced nurses in a collaborative environment. Candidates also receive hands-on clinical training in HFSCs unique setting, across all of HFSCs specialty areas with support from experienced nurses and peers. Graduates of the program who successfully pass the curriculum and certification exam may be eligible for employment at HFSC.Classes are provided at no cost to the students. They are required to pay for textbooks, uniforms, background checks, and the examination fee.</ExplanationTxt>
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        <PersonNm>Laurie A Rudman</PersonNm>
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        <PersonNm>Lynn Ricci FACHE</PersonNm>
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        <PersonNm>Megan A McGovern Esq</PersonNm>
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        <PersonNm>Nathan Nartey MD</PersonNm>
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        <PersonNm>Stanislaw Jankowski</PersonNm>
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        <PersonNm>William Pesce DO</PersonNm>
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        <FormAndLineReferenceDesc>Part I, Line 7: Non-Fixed payments not listed above</FormAndLineReferenceDesc>
        <ExplanationTxt>Discretionary bonuses are awarded based on performance.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center of Special Care, Inc. is the parent and sole member of Hospital for Special Care. As such, it approves the appointment of all members of the Hospital's Board.</ExplanationTxt>
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        <ExplanationTxt>The Center of Special Care, Inc is the parent and sole member of The Hospital for Special Care. As such, it has final approval over all strategic and financial decisions made by the Hospital's Board.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Equity = $1394425</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>Interest Rate Swap = -$659113</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
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