2026-01-30T10:55:13-06:00 2024-09-30 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2023-10-01 060646755 CONNECTICUT CHILDREN'S MEDICAL CENTER % BRIDGETT FEAGIN CONN 8605459000 282 WASHINGTON STREET HARTFORD CT 061063322 BRIDGETT FEAGIN EVP/CFO 8605459000 2025-05-15 true true SCOTT J MARIANI P00642486 9738989494 2023 2025-03-06 01:10:19Z X JAMES E SHMERLING DHA FACHE 282 WASHINGTON STREET HARTFORD CT 061063322 637649357 false X WWW.CONNECTICUTCHILDRENS.ORG X 1921 CT CONNECTICUT CHILDREN'S MEDICAL CENTER IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN THROUGH FAMILY-CENTERED CARE, RESEARCH, EDUCATION AND ADVOCACY. 21 18 2692 134 0 0 42198775 112340681 494618899 521068387 234451 2652219 1668858 1588070 538720983 637649357 197503 200228 0 0 256513488 266712246 0 0 0 245482596 280651280 502193587 547563754 36527396 90085603 883059452 1014261160 384832752 434900078 498226700 579361082 X CONNECTICUT CHILDREN'S MEDICAL CENTER IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN THROUGH FAMILY-CENTERED CARE, RESEARCH, EDUCATION AND ADVOCACY. WE EMBRACE DISCOVERY, TEAMWORK, INTEGRITY AND EXCELLENCE IN ALL THAT WE DO. THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 397537092 200228 521068387 EXPENSES INCURRED TO PROVIDE ACUTE CARE INPATIENT AND OUTPATIENT SERVICES TO CHILDREN FROM CONNECTICUT AND THE SURROUNDING AREA. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 397537092 true true false true false false false false false true true false true true true true false true false false true false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true 263 0 true 2692 true false false false false false false false false false false true false X 21 18 false false false false true true true true true false false true true true true true true true true false X BRIDGETT FEAGIN 8605458544 282 WASHINGTON STREET HARTFORD CT 06106 X JAMES E SHMERLINGDHAFACHE Director - President/CEO 55.0 0.0 X X 1961111 0 46672 Christine M Finck MD FACS EVP Surgeon-In-Chief 55.0 0.0 X 0 1220285 144489 Robert E Duncan EVP Chief Operating Officer 55.0 0.0 X 862162 0 157369 Bridgett Feagin MBA EVP Chief Financial Officer 55.0 0.0 X 847727 0 138590 Juan C Salazar MD MPH EVP/ACAD AFF/PHYS-IN-CHIEF 55.0 0.0 X 898864 0 53793 R Moses Vargas Esq SVP Chief Legal Officer 55.0 0.0 X 592641 0 105583 Paul H Dworkin MD EVP Community Child Health 55.0 0.0 X 649880 0 19300 Lawrence E Milan MA SVP Human Resources 55.0 0.0 X 604651 0 33385 Deb Pappas MBA VP MKTG/COMMUNICATIONS OFFICER 55.0 0.0 X 569238 0 43622 Jung Park Former Key Employee 55.0 0.0 X 546428 0 42057 Nicole Murray-Posner MD Dir - Pres Med Staff 55.0 0.0 X 0 551455 33122 Sarah Matney MSOL BSN RN SVP, CLINICAL SERVICES & CNO 55.0 0.0 X 472768 0 96640 Lori R Pelletier PhD MBA SVP, CQO & PT SAFETY OFFICER 55.0 0.0 X 462079 0 93110 Ryan C Calhoun VP Strategy & Care Integration 55.0 0.0 X 443201 0 50111 William A Agostinucci MS VP Corporate Services 55.0 0.0 X 414762 0 32526 Richelle Demayo MD CHIEF MEDICAL INFO OFFICER 55.0 0.0 X 393213 0 30976 Aimee Monroy Smith SVP, GOV'T RELATIONS & EXT AFF 55.0 0.0 X 319958 0 73198 Jonathan M Carroll MBA SVP CIO (Eff 10/30/23) 55.0 0.0 X 79867 0 43671 Jonathan Rubin Chairman - Director 1.0 0.0 X X 0 0 0 Jeffrey P Klenk Vice Chairman - Director 1.0 0.0 X X 0 0 0 Tina Brown-Stevenson Secretary - Director 1.0 0.0 X X 0 0 0 Andrea Balogh Director 1.0 0.0 X 0 0 0 Scott Braunstein Director 1.0 0.0 X 0 0 0 Shari G Cantor Director; Ex-Officio 1.0 0.0 X 0 0 0 Frank Ferrucci Director 1.0 0.0 X 0 0 0 Christopher Holley Director 1.0 0.0 X 0 0 0 Preston Kodak III Director 1.0 0.0 X 0 0 0 Dorothy Levine MD Director 1.0 0.0 X 0 0 0 Burke Magnus Director 1.0 0.0 X 0 0 0 Otis Maynard Director 1.0 0.0 X 0 0 0 Stephen Miller Director 1.0 0.0 X 0 0 0 CARLOS MOUTA Director 1.0 0.0 X 0 0 0 Michelle Murphy Director 1.0 0.0 X 0 0 0 David M Roth Esq Director; Ex-Officio 1.0 0.0 X 0 0 0 Jennifer Schwab MD Director 1.0 0.0 X 0 0 0 Steven Solecki Director 1.0 0.0 X 0 0 0 TINA ST PIERRE Director 1.0 0.0 X 0 0 0 JAMES W FANELLI CFP Director (TERM 12/31/2023) 1.0 0.0 X 0 0 0 ANDREW ZEITLIN Director (TERM 12/31/2023) 1.0 0.0 X 0 0 0 10118550 1771740 1238214 480 true true false DPR Construction 315 East Robinson Street Suite 100 ORLANDO FL 32801 Construction 45714208 University of Connecticut PO Box 2759 HARTFORD CT 061452188 MEDICAL 41059311 VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE COURT WEST SAN DIEGO CA 92121 staffing 16263253 Hartford Hospital 80 Seymour Street HARTFORD CT 06106 Medical 11522292 Cannon Design of CT 50 Fountain Plaza Suite 200 BUFFALO NY 14202 ARCHITECTURE 9687461 81 46173749 37152977 29013955 112340681 NET PATIENT SERVICE REVENUE 622310 497668982 497668982 OTHER HEALTHCARE RELATED REVENUE 622310 23399405 23399405 521068387 1192818 1192818 0 0 340101 340101 0 340101 340101 1459401 1459401 1459401 1459401 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 1247969 1247969 1247969 637649357 521068387 4240289 X 157228 157228 43000 43000 0 0 7943839 7943839 0 215808413 153785777 62022636 16018037 11438298 4579739 6603575 4749254 1854321 20338382 14031450 6306932 0 553591 381922 171669 413084 284987 128097 351583 242557 109026 0 0 59975309 41438173 18537136 2741229 1891174 850055 5827635 4020485 1807150 12642086 8721775 3920311 0 19525813 13470858 6054955 595260 410670 184590 0 477702 329566 148136 1098582 757912 340670 0 19149956 13211555 5938401 5933781 4093716 1840065 MEDICAL SUPPLIES 79231918 54662100 24569818 0 GRANT EXPENDITURES 41573423 41573423 0 0 SPECIALITY GROUP SUPPORT 21791818 21791818 0 0 REPAIRS & MAINTENANCE 2188002 1509503 678499 0 6580508 4539891 2040617 547563754 397537092 150026662 0 25551264 78467246 0 0 0 0 81370094 90277462 0 0 0 0 0 0 7334801 9355501 3578546 4019670 576668493 277742299 161015654 298926194 0 0 0 0 412123580 313135412 0 0 192085513 220079675 883059452 1014261160 43009068 83849054 0 0 0 0 135827146 133721091 0 0 0 0 182732023 188318253 0 0 23264515 29011680 384832752 434900078 X 322285698 379190652 175941002 200170430 498226700 579361082 883059452 1014261160 X 90085603 2501783 -11453004 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 179864 false 171719 true 351583 false SCHEDULE C, PART II-B, LINES 1G & 1I CONNECTICUT CHILDREN'S MEDICAL CENTER ADVOCATES FOR CHILD-FRIENDLY POLICIES AT THE CONNECTICUT GENERAL ASSEMBLY AND THE UNITED STATES CONGRESS. ADVOCACY CAN INCLUDE MESSAGING SENT TO LEGISLATORS VIA EMAIL, LETTERS AND SOCIAL MEDIA AND SOMETIMES THE PROVISION OF OPPORTUNITIES FOR MEDICAL CENTER EMPLOYEES, MEDICAL STAFF AND SUPPORTERS IN THE COMMUNITY TO REACH OUT TO THEIR SENATORS AND REPRESENTATIVES BY SHARING ACTION ALERTS THROUGH EMAIL. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, CONNECTICUT HOSPITAL ASSOCIATION AND NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TOWARDS LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THIS ORGANIZATION. THIS ALLOCATION AMOUNTED TO $171,719 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE ORGANIZATION PAID OUTSIDE INDEPENDENT CONSULTING FIRMS A TOTAL OF $88,719 TO LOBBY ON BEHALF OF THE MEDICAL CENTER FOR LEGISLATION AFFECTING CHILDREN'S HEALTH AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITIES A PERCENTAGE OF COMPENSATION PAID TO CERTAIN CONNECTICUT CHILDREN'S MEDICAL CENTER EMPLOYEES TO REPRESENT TIME SPENT LOBBYING ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $91,145 DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. VOLUNTEER PARTICIPATION IN LOBBYING ACTIVITIES INCLUDING PHONE CALLS, EMAILS AND LETTERS TO LEGISLATORS AND FEDERAL AND STATE POLICY MAKERS REGARDING VARIOUS CHILD-RELATED ISSUES. THERE WAS NO MONEY INVOLVED IN THESE VOLUNTEER TRANSACTIONS. 30826968 1157811 1070707 1654405 31401081 29376232 1456416 876474 882154 30826968 27981046 1113813 1164980 0 883607 0 29376232 26768462 792402 841650 0 421468 0 27981046 25957822 427432 927364 0 544156 0 26768462 1.00000 false true true 150674280 90226119 60448161 45869327 25457785 20411542 204710694 161973632 42737062 175414192 84763 175329429 298926194 INVESTMENT IN CCMC FOUNDATION 200976158 F FUNDS HELD IN TRUST BY OTHERS 104048887 F OTHER INVESTMENTS 250000 F AWUIL - RESTRICTED FOR CAPITAL 7860367 F 313135412 DUE FROM AFFILIATED ENTITIES 119205 INSURANCE RECEIVABLE 1003802 OTHER RECEIVABLES 6771376 OTHER ASSETS 33169437 RIGHT OF USE ASSET - OPERATING 141598152 RIGHT OF USE ASSET - FINANCING 37417703 220079675 0 DUE TO THIRD PARTIES 2500765 LEASE INCENTIVE OBLIGATION 4877873 DUE TO AFFILIATES 17416736 OTHER LONG-TERM LIABILITIES 4216306 29011680 X SCHEDULE D, PART V, QUESTION 4 THE ENDOWMENT FUNDS REPORTED IN SCHEDULE D, PART V, ARE HELD BY CONNECTICUT CHILDREN'S FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR THE BENEFIT OF CONNECTICUT CHILDREN'S MEDICAL CENTER. THE ENDOWMENTS CONSIST OF INDIVIDUAL DONOR RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES WHICH ARE HELD AND CONTROLLED BY THE FOUNDATION. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON DONOR-IMPOSED RESTRICTIONS. AT SEPTEMBER 30, 2024 AND 2023, THE MEDICAL CENTER HAD $31,401,081 AND $30,826,968, RESPECTIVELY, IN ENDOWMENTS HELD AT THE FOUNDATION WHICH ARE RECORDED BY THE MEDICAL CENTER THROUGH ITS INTEREST IN THE FOUNDATION. SCHEDULE D, PART X, QUESTION 2 AN INDEPENDENT FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S MEDICAL CENTER AND SUBSIDIARIES FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2024 AND SEPTEMBER 30, 2023; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): "THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO MATERIAL TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024 AND 2023." IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2024 AND SEPTEMBER 30, 2023 THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): "THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO MATERIAL TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024 AND 2023." Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 8248388 0 0 0 0 8248388 8248388 true false false false false false SCHEDULE F, PART I THIS ORGANIZATION PAID NEW ENGLAND PEDIATRICS INDEMNITY, LTD. ("NEPI"), A FINANCIAL VEHICLE, $8,248,388 ON BEHALF OF AND FOR THE BENEFIT OF THIs ORGANIZATION. true true X true X 250. true X 500. true true true false true true 963478 963478 0.00180 280507826 175428984 105078842 0.19190 281471304 175428984 106042320 0.19370 15983081 3050157 12932924 0.02360 14817698 337642 14480056 0.02640 12543655 2351912 10191743 0.01860 35000 35000 0.00010 43379434 5739711 37639723 0.06870 324850738 181168695 143682043 0.26240 6344645 1774404 4570241 0.00830 5987911 3242291 2745620 0.00500 38943 52500 -13557 0.00000 12371499 5069195 7302304 0.01330 true 4341806 1215706 57786 94966 -37180 X true true 5 1 CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON STREET HARTFORD CT 06106 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X X X 1 2 CCMC - NICU JOHN DEMPSEY HOSPITAL 263 FARMINGTON AVENUE FARMINGTON CT 06030 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X X 1 3 CCMC - NICU HARTFORD HOSPITAL 80 SEYMOUR STREET HARTFORD CT 06102 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X X 1 4 CCMC - PEDIATRIC IP UNIT ST MARY'S 56 FRANKLIN STREET WATERBURY CT 06706 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X X X X 1 5 CCMC SPECIALTY CENTER - INFUSION 10 BIRDSEYE ROAD FARMINGTON CT 06032 WWW.CONNECTICUTCHILDRENS.ORG 2-CH X 1 CONNECTICUT CHILDREN'S MEDICAL CENTER 1 false false true X X X X X X X X X 22 true false false true X WWW.CONNECTICUTCHILDRENS.ORG X true 22 true WWW.CONNECTICUTCHILDRENS.ORG false true X 250. 500. X X X X true true X X X true X WWW.CONNECTICUTCHILDRENS.ORG X WWW.CONNECTICUTCHILDRENS.ORG X WWW.CONNECTICUTCHILDRENS.ORG X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTIONS 5 & 6 WHILE CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE ORGANIZATION DEVELOPED THE CHNA WITH STRONG GUIDANCE FROM CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE"). ADDITIONALLY, THE ORGANIZATION contracted WITH the United Way of Central and Northeastern Connecticut and partnered with VARIOUS OUTSIDE ORGANIZATIONS AS WELL AS A VARIETY OF KEY COMMUNITY STAKEHOLDERS. THIS COLLABORATION ALLOWED THE ORGANIZATION TO PRESENT COMMUNITY HEALTH NEEDS ACROSS THE AGE SPAN AND Sectors OF SERVICE AND WITHIN THE CONTEXT OF KEY COMMUNITY CONTRIBUTORS TO HEALTH. PRIMARY DATA COLLECTION EFFORTS =============================== AS DESCRIBED IN THE ORGANIZATION'S CHNA, IN AN EFFORT TO TAKE INTO ACCOUNT INPUT FORM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE ORGANIZATION USED A VARIETY OF METHODS TO COMPILE DATA. THESE METHODS ARE OUTLINED BELOW: KEY INFORMANT MEETING: ---------------------- The United Way of Central and Northeastern Connecticut HOSTED A KEY INFORMANT MEETING TO INFORM THE COMMUNITY HEALTH NEEDS ASSESSMENTS OF CONNECTICUT CHILDREN'S AND other hospitals in Hartford. THE MEETING INCLUDED A PRESENTATION OF HARTFORD WELL-BEING SURVEY DATA FROM DATA-HAVEN. PARTICIPANTS SHARED THOUGHTS ON DEMOGRAPHICS & INCOME, HOUSEKEEPING, EDUCATION, COMMUNITY HEALTH, HEALTH & COMMUNITY VITALITY & INFRASTRUCTURE, AND ECONOMIC OPPORTUNITY & JOB ACCESS. THE MEETING INCLUDED 18 PARTICIPANTS FROM various INSTITUTIONS/ORGANIZATIONS. FOCUS GROUPS: ------------- CONNECTICUT CHILDREN'S SPONSORED six FOCUS GROUPS (ONE in Spanish) TO INFORM THIS CHNA. The focus groups were held through zoom in partnership with: - Catholic Charities Archdiocese of Hartford. - Salvation Army - Harc, Inc. - Greater Hartford YWCA - Hartford Parent University x2 (1 in Spanish) SCHOOL NURSE AND SOCIAL WORKER SURVEY: ------------------------------------- CONNECTICUT CHILDREN'S COMMISSIONED A SURVEY OF SCHOOL NURSES and social workers WHO WORK AT HARTFORD PUBLIC SCHOOLS AND RECEIVED 29 RESPONSES. ADDITIONAL SOURCES: ------------------- CONNECTICUT CHILDREN'S REVIEWED MANY ADDITIONAL SOURCES OF INFORMATION TO INFORM THIS CHNA, WHICH ARE LISTED IN THE REFERENCES PAGE OF THE CHNA. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 10 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTIONS 7A AND 10, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FULL CHNA, IMPLEMENTATION STRATEGY AND ANNUAL COMMUNITY BENEFIT REPORTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.CONNECTICUTCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFITS SCHEDULE H, PART V, SECTION B, QUESTION 11 THROUGHOUT THE CHNA THE ORGANIZATION IDENTIFIED THE FOLLOWING UNMET COMMUNITY HEALTH NEEDS: - Healthy, Stable, and Secure Housing - Access to Nutritious Food - Access to Healthcare - Educational and Occupational Opportunities - Safe Neighborhoods and Violence Prevention THE ORGANIZATION'S CHNA OFFERS A NUMBER OF LONG-RANGE RECOMMENDATIONS THAT INFORM THE THREE-YEAR IMPLEMENTATION STRATEGY ("STRATEGY"). THE STRATEGY SERVES AS A FLUID DOCUMENT AND MAY FLUCTUATE AS THE CAPACITY OF CONNECTICUT CHILDREN'S TO BUILD PARTNERSHIPS TO ADDRESS THE STATED OBJECTIVES, ALONG WITH OTHER OBJECTIVES YET TO BE IDENTIFIED, BECOMES CLEARER. THE PROCESS FOR SETTING GOALS AND OBJECTIVES IN THE STRATEGY INVOLVED REVIEWING THE CHNA RECOMMENDATIONS AND ENGAGING WITH HOSPITAL LEADERSHIP, COMMUNITY PROGRAM STAFF, AND COMMUNITY BASED PROGRAMS TO DETERMINE THE FOLLOWING COURSE OF ACTION. CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE") HOUSES THE MANY PROGRAMS AND RESOURCES THAT CONNECT THE LARGER ORGANIZATION TO COMMUNITY OPPORTUNITIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF CONNECTICUT'S CHILDREN. THE OFFICE'S PROGRAMS ENGAGE IN RIGOROUS DATA COLLECTION AND MEASUREMENT TO ENSURE THAT THEIR EFFORTS ARE EFFECTIVE. THESE PROGRAMS CURRENTLY USE, OR HAVE DEVELOPED IN RESPONSE TO THE 2022 CHNA, THE FOLLOWING OBJECTIVES AND ASSOCIATED MEASURES TO TRACK CONNECTICUT CHILDREN'S PROGRESS IN ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA. Healthy, Stable, and Secure Housing ------------------------------------ GOAL: Improve housing conditions and affordability to make housing healthy, stable and secure for Hartford families. OBJECTIVES: 1) Decrease the number of families of children living in houses with hazards. 2) Increase cross-collaboration between partners that address housing conditions to make houses healthier, stable, and secure. 3) Influence policies that promote healthy, stable and secure housing for families. Access to Nutritious Foods -------------------------- GOAL: Improve access to nutritious food for Hartford children and families. OBJECTIVES: 1) Expand access to programs that promote healthy nutrition and provide food to children and families. 2) Increase early detection of children and families with high risk of food insecurity. 3) Influence policies that promote access to healthy and nutritious food. Access to Healthcare --------------------- GOAL: Identify and address barriers in access to healthcare for underserved and vulnerable families and children in Hartford. OBJECTIVES: 1) Improve access to medical and non-medical resources for families and children. 2) Expand value-based care models within primary care settings to increase the quality and affordability of care. 3) Expand the Connecticut Newborn Screening Network in primary care settings to identify gaps in care for children ages 0-5. 4) Influence policies that address barriers in the access of healthcare for underserved and vulnerable populations. Educational and Occupational Opportunities ------------------------------------------ GOAL: Increase access to learning, higher education, and workforce development opportunities for Hartford children, youth and caregivers. 1) Facilitate school readiness initiatives aimed at increasing reading level among children and families. 2) Facilitate access to higher education opportunities. 3) Promote access to workforce development and job training programs to youth, parents and caregivers. Safe Neighborhood and Violence Prevention ----------------------------------------- GOAL: Decrease violence and violent injuries in Hartford neighborhoods. OBJECTIVES: 1) Reduce violent re-injury for gunshot wounds among youth. 2) Influence policies that promote safe neighborhoods and violence prevention. SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.CONNECTICUTCHILDRENS.ORG/BILLING-AND-FINANCES 9 CCMC SPECIALTY CENTER 505 FARMINGTON AVENUE FARMINGTON CT 06030 SPEECH THERAPY, AUDIOLOGY, SLEEP LAB, EEG, EMG, AMBULATORY SURGERY CENTER CCMC SPECIALTY CENTER 399 FARMINGTON AVENUE FARMINGTON CT 06032 OCCUPATIONAL & PHYSICAL THERAPY, RADIOLOGY, MOTION ANALYSIS CCMC SPECIALTY CENTER 310 WESTERN BOULEVARD GLASTONBURY CT 06033 OCCUPATIONAL, PHYSICAL & SPEECH THERAPY, AUDIOLOGY, RADIOLOGY, ECHO CCMC HARTFORD HOSP BONE & JOINT INST 31 SEYMOUR STREET HARTFORD CT 06106 RADIOLOGY CCMC SPECIALTY CENTER 676 HEBRON AVENUE GLASTONBURY CT 06033 SLEEP LAB, PHYSICAL THERAPY CCMC 100 RETREAT 100 RETREAT AVENUE HARTFORD CT 06016 SPEECH THERAPY, NUTRITION CCMC 111 FOUNDERS 111 FOUNDERS PLAZA EAST HARTFORD CT 06108 CLINICAL NUTRITION CCMC AVON FAMILY WELLNESS CENTER 100 SIMSBURY ROAD AVON CT 06001 PHYSICAL THERAPY, OCCUPATIONAL THERAPY CCMC SOLTERA ACADEMY 300 JOHN DOWNEY DRIVE CONNECTICUT DEPARTMENT CT 06051 OCCUPATIONAL THERAPY SCHEDULE H, PART I; LINE 3C CONNECTICUT CHILDREN'S IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO FAMILIES WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR OTHER GOVERNMENT ASSISTANCE, OR ARE OTHERWISE UNABLE TO PAY FOR EMERGENT OR OTHER MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATIONS. ITS FINANCIAL ASSISTANCE POLICY OUTLINES ELIGIBILITY CRITERIA, PARAMETERS, AND THE PROCESS FOR PROVIDING FAIR AND CONSISTENT FINANCIAL ASSISTANCE TO PATIENTS AND FAMILIES. IN CONTINUANCE OF ITS MISSION, CONNECTICUT CHILDREN'S HAS ESTABLISHED THE FINANCIAL ASSISTANCE PROGRAMS TO ASSIST FAMILIES WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED AND INELIGIBLE FOR OTHER GOVERNMENT ASSISTANCE. ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTHCARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE, BASED UPON DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY. THE GRANTING OF FINANCIAL ASSISTANCE SHALL BE BASED ON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON FPL, WHICH IS DEPENDENT UPON FAMILY SIZE AND FAMILY INCOME. FULL FINANCIAL ASSISTANCE (FREE CARE): PATIENTS MAY QUALIFY FOR A 100% DISCOUNT OF BILLED CHARGES FOR EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES OR INSURANCE COST SHARES (CO-PAYS, COINSURANCE AND DEDUCTIBLES) AS LONG AS THE FOLLOWING CRITERIA ARE MET: - ANNUAL FAMILY INCOME THAT IS LESS THAN OR EQUAL TO 250% OF THE FEDERAL POVERTY LEVEL, AS DETERMINED BY GUIDELINES PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (FPL); - CONNECTICUT, MASSACHUSETTS OR NEW YORK RESIDENT; - EFFORTS TO EXHAUST ALL OTHER PAYMENT OPTIONS SUCH AS MEDICAID, COPAY PROGRAMS, ENDOWMENT FUNDS, HEALTH SPENDING ACCOUNTS AND FLEXIBLE SPENDING ACCOUNTS HAVE BEEN SATISFIED; AND - COMPLETED A PROGRAM APPLICATION, AND PROVIDED SUPPORTING DOCUMENTATION TO VERIFY INCOME PARTIAL FINANCIAL ASSISTANCE (DISCOUNTED CARE): UNINSURED PATIENTS, WHO DO NOT QUALIFY FOR MEDICAID, WITH FAMILY INCOME OVER 250% BUT LESS THAN OR EQUAL TO 500% OF FPL, ARE ELIGIBLE FOR PARTIAL FINANCIAL ASSISTANCE. THESE PATIENTS MAY QUALIFY FOR A 45% DISCOUNT OF BILLED CHARGES FOR EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES. SCHEDULE H, PART I; LINE 6A THE ORGANIZATION PREPARED A COMMUNITY BENEFIT REPORT, WHICH REPORTS THE RESULTS OF ITS EFFORTS TO SERVICE THE COMMUNITY AND HAVE A MEASURABLE IMPACT ON CHILDREN AND FAMILIES ACROSS THE STATE OF CONNECTICUT AND BEYOND. THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE AND CAN BE FOUND AT THIS ADDRESS: HTTPS://WWW.CONNECTICUTCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFITS/ ADDITIONALLY, HARD COPIES WERE DISTRIBUTED TO KEY COMMUNITY LEADERS AND WERE MADE AVAILABLE ON REQUEST THROUGH CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH. SCHEDULE H, PART I; LINE 7 LINES 7A AND 7B WERE DETERMINED USING A RATIO OF COST TO CHARGES. LINES 7E THROUGH 7I WERE ALL REPORTED AT TRUE COST, NOT USING A COST TO CHARGE RATIO. SCHEDULE H, PART II CONNECTICUT CHILDREN'S MEDICAL CENTER'S ("CONNECTICUT CHILDREN'S") CORE MISSION IS TO IMPROVE THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN ACROSS THE STATE OF CONNECTICUT. WE RECOGNIZE THAT CHILDREN DO NOT LIVE IN ISOLATION. THEY ARE PART OF FAMILIES AND COMMUNITIES. IN ORDER TO FULFILL OUR MISSION, WE PROVIDE LEADERSHIP, PARTICIPATE IN COMMUNITY BASED PROGRAMS THAT HELP BUILD HEALTHIER COMMUNITIES, AND STRENGTHEN SYSTEMS THAT SUPPORT FAMILIES. CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE") WAS CREATED TO SERVE AS A COORDINATING ENTITY FOR OUR COMMUNITY-ORIENTED PROGRAMS AND PROVIDE US WITH A STRONGER ADVOCACY VOICE IN SUPPORTING IMPROVED SYSTEMS FOR SUPPORTING FAMILIES. THE FOLLOWING ARE COMMUNITY-BASED PROGRAMS UNDER THE OFFICE'S UMBRELLA: - CARE COORDINATION COLLABORATIVE MODEL - CENTER FOR CARE COORDINATION - CHILDHOOD PROSPERITY LAB - CHILDREN'S CENTER ON FAMILY VIOLENCE - CONNECTICUT CHILDREN'S LEADERS IN ADVANCED SOLUTIONS IN PEDIATRICS (CLASP) - CONNECTICUT CHILDREN'S CENTER FOR GLOBAL HEALTH - CONNECTICUT NEWBORN SCREENING NETWORK - EASY BREATHING - EDUCATING PRACTICES - Hartford Youth Health Identification and Linkage Consortium (HYHIL) - HEALTHY HOMES PROGRAM - HELP ME GROW NATIONAL CENTER - INJURY PREVENTION CENTER - NORTH HARTFORD ASCEND PROMISE NEIGHBORHOODS GRANT - PERSON-CENTERED MEDICAL HOME - RESIDENT EDUCATION IN ADVOCACY AND COMMUNITY HEALTH - START CHILDHOOD OFF RIGHT PROGRAM ALL PROGRAMS HAVE ELEMENTS OF COMMUNITY BUILDING IN THEIR PURPOSE. SOME INVOLVE WORKING WITH LOCAL COMMUNITIES, SOME WITH STATEWIDE COMMUNITIES, SOME WORK ON NATIONAL LEVELS, AND SOME PROVIDE OUR EXPERTISE TO CLINICIANS TO HELP THEM BETTER SERVE FAMILIES IN THEIR COMMUNITIES. THE OFFICE FOCUSES ON PROMOTING OPTIMAL HEALTH, DEVELOPMENT AND WELL-BEING ACROSS ALL SECTORS IMPACTING CHILDREN. IT PAYS PARTICULAR ATTENTION TO ADDRESSING SOCIAL DRIVERS OF HEALTH THAT SERVE AS MAJOR RISK FACTORS FOR POORER OUTCOMES. NO ONE ENTITY ALONE CAN HAVE THE KIND OF IMPACT THAT IS DESIRED. TO THAT END, THE PROGRAMS LISTED ABOVE, WORK WITH MORE THAN 150 COMMUNITY PARTNERS. ADDITIONAL COMMUNITY BUILDING INCLUDES THE OFFICE'S WORK WITH THE NEIGHBORHOOD PARTNERSHIP KNOWN AS SOUTHSIDE INSTITUTIONS NEIGHBORHOOD ALLIANCE ("SINA"). SINA IS A NEIGHBORHOOD PARTNERSHIP BETWEEN CONNECTICUT CHILDREN'S, HARTFORD HOSPITAL, AND TRINITY COLLEGE. CONNECTICUT CHILDREN'S PAYS DUES TO SUPPORT SINA'S ANNUAL OPERATIONS BUDGET. THREE EMPLOYEES FROM CONNECTICUT CHILDREN'S ARE ON SINA'S BOARD OF DIRECTORS. SINA WORKS TO BUILD NEW OWNER-OCCUPIED HOUSING, IN PLACE OF BLIGHTED PROPERTIES. TO DATE, SINA HAS BUILT MORE THAN 85 HOMES IN THE AREA, ADDING CLOSE TO $500,000 PER YEAR TO THE CITY'S TAX BASE. HARTFORD WAS HAVING DISCUSSIONS WITH THE STATE REGARDING ITS LARGE OPERATING DEFICIT. CONTRIBUTING TO THE DEFICIT IS THE LOW RATE OF HOMEOWNERSHIP. ADDITIONALLY, Connecticut Children's HEALTHY HOMES PROGRAM BEGAN WORKING WITH SINA TO IDENTIFY WAYS THAT THE TWO COULD COMPLEMENT ONE ANOTHER. SINA'S OUTREACH STAFF BEGAN TO LOOK AT OPPORTUNITIES TO IDENTIFY PROPERTY OWNERS IN THE NEIGHBORHOOD WHO COULD BENEFIT FROM HEALTHY HOMES INTERVENTIONS. STAFF AT CONNECTICUT CHILDREN'S ATTEND AND PARTICIPATE WITH THE NEIGHBORHOOD REVITALIZATION ZONE MEETINGS HELD MONTHLY, WHERE THE FOCUS IS ON PUBLIC SAFETY AND OTHER QUALITY OF LIFE ISSUES. A COMPONENT OF SINA'S ECONOMIC DEVELOPMENT THAT HELPS ADDRESS POVERTY IN THE NEIGHBORHOOD, WHICH IS A MAJOR SOCIAL DRIVER OF HEALTH IS THEIR WALK TO WORK PROGRAM, THIS IS AN EMPLOYMENT PROGRAM FOR LOCAL RESIDENTS. SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT IS BASED UPON HISTORICAL COLLECTION PERCENTAGE ANALYSIS OF ACCOUNTS WRITTEN OFF. BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S") AND ITS SUBSIDIARIES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. CONNECTICUT CHILDREN'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL FACILITIES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S AND SUBSIDIARIES: NET REVENUE FROM SERVICES TO PATIENTS AND CHARITY CARE ------------------------------------------------------ NET PATIENT SERVICE REVENUES ARE RECOGNIZED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE MEDICAL CENTER EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING COMMERCIAL AND GOVERNMENTAL PROGRAMS) AND OTHERS AND INCLUDE VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS AND INVESTIGATIONS. GENERALLY, THE MEDICAL CENTER BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUES ARE RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE MEDICAL CENTER. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME ARE RECOGNIZED BASED ON ACTUAL SERVICES INCURRED IN RELATION TO TOTAL EXPECTED (OR ACTUAL) PAYMENTS. THE MEDICAL CENTER BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE MEDICAL CENTER RECEIVING INPATIENT ACUTE CARE SERVICES. THE MEDICAL CENTER MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE FACILITY TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME ARE RECOGNIZED WHEN SERVICES ARE PROVIDED AND THE MEDICAL CENTER DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT. GENERALLY, BECAUSE ALL THE MEDICAL CENTER'S PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, THE MEDICAL CENTER HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ASC 606-10-50-14(A), AND THEREFORE, THE MEDICAL CENTER IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. THE MEDICAL CENTER DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICY, AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE MEDICAL CENTER DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE MEDICAL CENTER DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. THE MEDICAL CENTER HAS ELECTED THE PRACTICAL EXPEDIENT ALLOWED UNDER FASB ASC 606-10-32-18 AND DOES NOT ADJUST THE PROMISED AMOUNT OF CONSIDERATION FROM PATIENTS AND THIRD-PARTY PAYORS FOR THE EFFECTS OF A SIGNIFICANT FINANCING COMPONENT DUE TO THE MEDICAL CENTER'S EXPECTATION THAT THE PERIOD BETWEEN THE TIME THE SERVICE IS PROVIDED TO A PATIENT AND THE TIME THAT THE PATIENT OR A THIRD-PARTY PAYOR PAYS FOR THAT SERVICE WILL BE ONE YEAR OR LESS. THE MEDICAL CENTER DOES, IN CERTAIN INSTANCES, ENTER INTO PAYMENT AGREEMENTS WITH PATIENTS THAT ALLOW PAYMENTS IN EXCESS OF ONE YEAR, HOWEVER IN THESE CASES THE FINANCING COMPONENT IS NOT DEEMED TO BE SIGNIFICANT TO THE CONTRACT. LAWS AND REGULATIONS GOVERNING THE MEDICAID PROGRAMS ARE COMPLEX AND SUBJECT TO INTERPRETATION. THE MEDICAL CENTER BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS AND IS NOT AWARE OF ANY PENDING OR THREATENED INVESTIGATIONS INVOLVING ALLEGATIONS OF POTENTIAL WRONGDOING. WHILE NO SUCH REGULATORY INQUIRIES HAVE BEEN MADE, COMPLIANCE WITH SUCH LAWS AND REGULATIONS CAN BE SUBJECT TO FUTURE GOVERNMENT REVIEW AND INTERPRETATION, AS WELL AS SIGNIFICANT REGULATORY ACTION, INCLUDING FINES, PENALTIES AND EXCLUSION FROM THE MEDICAID PROGRAM. CHANGES IN THE MEDICAID PROGRAM AND THE REDUCTION OF FUNDING LEVELS COULD HAVE AN ADVERSE IMPACT ON THE MEDICAL CENTER. SETTLEMENTS WITH THIRD PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS DUE TO AUDITS, REVIEWS OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYOR, CORRESPONDENCE FROM THE PAYOR AND THE MEDICAL CENTER'S HISTORICAL SETTLEMENT ACTIVITY, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED. ESTIMATED SETTLEMENTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN (THAT IS, NEW INFORMATION BECOMES AVAILABLE), OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. THERE WAS NO IMPACT TO NET PATIENT SERVICE REVENUES IN 2024 AND 2023 DUE TO CHANGES IN ESTIMATES OF THIRD-PARTY RESERVES. THE MEDICAL CENTER HAS AGREEMENTS WITH VARIOUS HEALTH MAINTENANCE ORGANIZATIONS (HMOS) TO PROVIDE MEDICAL SERVICES TO SUBSCRIBING PARTICIPANTS. UNDER THESE AGREEMENTS, THE MEDICAL CENTER RECEIVES PER DIEM AND FEE-FOR-SERVICE PAYMENTS FOR CERTAIN COVERED SERVICES BASED UPON DISCOUNTED FEE SCHEDULES. GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE MEDICAL CENTER ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED OR UNDERINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE MEDICAL CENTER ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGES BY ANY CONTRACTUAL ADJUSTMENT, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENT TO NET PATIENT SERVICE REVENUES IN THE PERIOD OF THE CHANGE. For the years ended September 30, 2024 and 2023, the impact of changes in the estimates of discounts and contractual adjustments for performance obligations satisfied in prior years was insignificant to the consolidated financial statements. THE MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE MEDICAL CENTER. ESSENTIALLY, THOSE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE MEDICAL CENTER UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOME. THE COSTS OF CHARITY CARE INCURRED WERE APPROXIMATELY $1,280,000 AND $1,000,000 FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY. THE COST OF CHARITY CARE IS DERIVED FROM BOTH ESTIMATED AND ACTUAL DATA. THE ESTIMATED COST OF CHARITY CARE INCLUDES THE DIRECT AND INDIRECT COST OF PROVIDING SUCH SERVICES AND IS ESTIMATED UTILIZING THE MEDICAL CENTER'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND SCHEDULE H, PART III, SECTION B; QUESTION 9B CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S") HAS A BILLING AND COLLECTION POLICY. THE PURPOSE OF THIS POLICY IS TO ENSURE THAT THE ORGANIZATION'S BILLING, CREDIT AND COLLECTION PRACTICES COMPLY WITH ALL FEDERAL AND STATE LAWS, REGULATIONS GUIDELINES AND POLICIES. CONNECTICUT CHILDREN'S IS COMMITTED TO PROVIDING THE AVAILABLE HEALTHCARE, ALONG WITH CONVENIENT BILLING SERVICES, PAYMENT OPTIONS AND FINANCIAL ASSISTANCE. CONNECTICUT CHILDREN'S WILL MAKE EVERY EFFORT TO COMMUNICATE THE PATIENT FINANCIAL ASSISTANCE, BILLING, CREDIT AND COLLECTION PROCESSES TO THE PATIENT AND/OR THEIR FAMILY. PATIENTS AND THEIR FAMILIES ARE RESPONSIBLE TO PROVIDE TIMELY AND ACCURATE INFORMATION SUCH AS, BUT NOT LIMITED TO, DEMOGRAPHIC, INSURANCE, AND INCOME TO CONNECTICUT CHILDREN'S TO FACILITATE THE PATIENT FINANCIAL ASSISTANCE, BILLING, CREDIT AND COLLECTION PROCESSES. IT IS THE RESPONSIBILITY OF THE PATIENTS AND THEIR FAMILIES TO KNOW, UNDERSTAND, AND COMPLY WITH THEIR INSURANCE COVERAGE, COINSURANCE, COPAYS, DEDUCTIBLES, AND BENEFIT/COVERAGE LIMITATIONS. CONNECTICUT CHILDREN'S PROVIDES PATIENT FINANCIAL SERVICES TO HELP FAMILIES NAVIGATE THE PROCESS OF BILLING AND MEDICAL INSURANCE. IN ADDITION, CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO PROVIDE COPIES OF ITEMIZED PATIENT BILLS, EXPLAIN PARTICULAR BILLS, SET UP PAYMENT ARRANGEMENTS OR REVIEW WHAT COSTS INSURANCE HAS PAID AND WHAT PAYMENTS ARE DUE. AS A COURTESY TO ITS PATIENTS, CONNECTICUT CHILDREN'S SUBMITS BILLS TO THEIR INSURANCE COMPANIES AND MAKES EVERY EFFORT TO ADVANCE THEIR CLAIM. HOWEVER, IT MAY BECOME NECESSARY FOR A POLICY HOLDER TO CONTACT THEIR INSURANCE PROVIDER OR SUPPLY ADDITIONAL INFORMATION REQUIRED FOR CLAIMS PROCESSING PURPOSES OR TO EXPEDITE PAYMENT. THE ORGANIZATION REQUESTS BILLS BE PAID IN FULL WITHIN THIRTY (30) DAYS. THE GUARANTOR IS RESPONSIBLE TO OBTAIN THE NECESSARY FUNDS FROM ANY SOURCE, SUCH AS OBTAINING A LOAN THROUGH THEIR BANK AND/OR CREDIT UNION. IF THE GUARANTOR IS UNABLE TO PAY BY OBTAINING A LOAN OR USE OF A CREDIT CARD, PAYMENT ARRANGEMENTS MAY BE MADE WITH COUNSELORS. MONTHLY PAYMENTS ARE REQUIRED. COMPLIANCE WITH IRC 501(R)(6) ------------------------------ CONNECTICUT CHILDREN'S DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") PRIOR TO THE EXPIRATION OF THE "NOTIFICATION PERIOD." THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS MAY BE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD CONNECTICUT CHILDREN'S, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF A FAP-ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. A) REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; OR B) DEFERRING, DENYING OR REQUIRING PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF AN INDIVIDUAL'S NONPAYMENT FOR PREVIOUSLY PROVIDED CARE. CONNECTICUT CHILDREN'S MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THEY WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FAP AND WILL TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: - THE PATIENT WILL BE PROVIDED WITH WRITTEN NOTICE WHICH: (1) INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; (2) IDENTIFIES THE ECA(S) THAT CONNECTICUT CHILDREN'S INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND (3) STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED; - THE PATIENT WILL RECEIVE A COPY OF THE PLS WITH THIS WRITTEN NOTIFICATION; AND - REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. CONNECTICUT CHILDREN'S WILL ACCEPT AND PROCESS ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE CHNA REPORTED IN SCHEDULE H, PART V, SECTION B, THE ORGANIZATION CONTINUALLY WORKS TO ASSESS THE HEALTH OF THE COMMUNITY IN A NUMBER OF WAYS. WE COLLECT DATA REGARDING HOSPITAL USAGE AND REPORT THAT INFORMATION TO THE CONNECTICUT HOSPITAL ASSOCIATION. THAT DATA IS ANALYZED TO LOOK AT TRENDS AND OFTEN SUPPORTS OUR RESEARCH OR APPLICATIONS FOR GRANTS. EACH OF THE GRANTS THAT WE APPLY FOR INCORPORATES THE USE OF DATA AND RESEARCH TO EITHER RESPOND TO A NEED IDENTIFIED BY AN OUTSIDE FUNDING SOURCE, OR RESPOND TO A NEED THAT OUR ORGANIZATION HAS IDENTIFIED. CONNECTICUT HOSPITAL ASSOCIATION HAS A NUMBER OF MEETING GROUPS THAT GATHER PEOPLE FROM HOSPITALS ACROSS THE STATE TO SHARE TRENDS THAT THEY ARE SEEING AND SHARE BEST PRACTICES. THERE IS A POPULATION HEALTH GROUP AND A COMMUNITY HEALTH GROUP. A RECENTLY FORMED SOCIAL DETERMINANTS OF HEALTH GROUP HAS REPLACED THE HEALTH EQUITY GROUP. CONNECTICUT CHILDREN'S IS REPRESENTED ON ALL OF THESE. WE ARE ALSO REPRESENTED ON BOARDS OF DIRECTORS/ADVISORY BOARDS OF A NUMBER OF ENTITIES THAT HELP US UNDERSTAND THE NEEDS OF THE COMMUNITY. A FEW EXAMPLES INCLUDE: - BEHAVIORAL AND MENTAL HEALTH POLICY OVERSIGHT COMMITTEE - BEHAVIORAL HEALTH PARTNERSHIP OVERSIGHT COUNCIL - CHILDREN'S MENTAL HEALTH PLAN IMPLEMENTATION COMMITTEE - CITY OF HARTFORD'S HEALTH DEPARTMENT'S PUBLIC HEALTH ADVISORY COMMITTEE - COMMISSION ON RACIAL EQUITY IN PUBLIC HEALTH - CONNECTICUT AREA HEALTH EDUCATION CENTER - CONNECTICUT HOSPITAL ASSOCIATION'S COMMUNITY HEALTH AND EQUITY COMMITTEE - CONNECTICUT HOSPITAL ASSOCIATION'S HEALTH EQUITY ADVISORY GROUP - CONNECTICUT HOSPITAL ASSOCIATION'S MENTAL HEALTH COMMITTEE - CONNECTICUT HOSPITAL ASSOCIATION'S WORKGROUP ON PEDIATRIC EMERGENCY CARE - NORTH HARTFORD'S TRIPLE AIM - SOUTHSIDE INSTITUTE NEIGHBORHOOD ALLIANCE - STATE DEPARTMENT OF PUBLIC HEALTH'S HEALTH IMPROVEMENT TASK FORCE - STATE SUICIDE ADVISORY COMMITTEE - THE CHILDREN'S FUND/CHILD HEALTH AND DEVELOPMENT INSTITUTE - UNITED WAY OF CENTRAL AND NORTHEASTERN CONNECTICUT - URBAN LEAGUE OF GREATER HARTFORD SCHEDULE H, PART VI; QUESTION 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: 1) THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"), FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE ALL AVAILABLE ON THE ORGANIZATION'S WEBSITE. 2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE WITHIN VARIOUS AREAS THROUGHOUT CT CHILDREN'S FACILITIES. THIS INCLUDES, BUT IS NOT LIMITED TO, EMERGENCY ROOMS, PATIENT REGISTRATION CHECK-IN AREAS AND THE PATIENT ACCESS DEPARTMENT. 3) THE ORGANIZATION'S FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTES THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED WITHIN CT CHILDREN'S PRIMARY SERVICE AREA. 4) ALL PATIENTS OF THE MEDICAL CENTER WILL BE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE/DISCHARGE PROCESS. COPIES OF THE PLS WILL BE MADE AVAILABLE AT ALL CONNECTICUT CHILDREN'S SPECIALTY GROUP OFFICE LOCATIONS. 5) SIGNS OR DISPLAYS INFORMING PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE CONSPICUOUSLY POSTED IN PUBLIC LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, PATIENT REGISTRATION CHECK-IN AREAS AND THE PATIENT ACCESS DEPARTMENT. 6) CT CHILDREN'S WILL ALSO MAKE REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART VI; QUESTION 4 CONNECTICUT CHILDREN'S PROVIDES STATE OF THE ART MEDICAL AND SURGICAL CARE FOR PATIENTS ACROSS CONNECTICUT AND BEYOND. IN ADDITION, THE ORGANIZATION IS COMMITTED TO STRENGTHENING CHILDREN, FAMILIES AND COMMUNITIES SO THEY ARE BEST POSITIONED TO PROMOTE CHILDREN'S HEALTH, DEVELOPMENT AND WELL-BEING. AMONG ITS MOST NOTABLE EFFORTS LOCALLY, CONNECTICUT CHILDREN'S IS NOW IN THE PROCESS OF OVERSEEING A FIVE-YEAR, $30-MILLION MULTI-PARTNER EFFORT TO BUILD A CRADLE TO CAREER INITIATIVE, THE NORTH HARTFORD ASCEND-PROMISE NEIGHBORHOODS GRANT, TO ADDRESS EDUCATIONAL, HEALTH AND OTHER DISPARITIES FACED BY RESIDENTS OF NORTH HARTFORD. IN ADDITION, CONNECTICUT CHILDREN'S IS WELL KNOWN FOR PILOT-TESTING INITIATIVES THAT ADDRESS THE SOCIAL DRIVERS OF HEALTH IN HARTFORD, AND THEN REFINING THEM AND SCALING THEM FOR IMPLEMENTATION IN ADDITIONAL COMMUNITIES AROUND THE STATE AND COUNTRY. FOUNDED IN 1637, HARTFORD IS AMONG THE OLDEST CITIES IN THE UNITED STATES. IT IS HOME TO THE COUNTRY'S OLDEST ART MUSEUM, THE WADSWORTH ATHENEUM MUSEUM OF ART; THE OLDEST PUBLIC PARK, BUSHNELL PARK; AND THE OLDEST CONTINUOUSLY PUBLISHED NEWSPAPER, THE HARTFORD COURANT. HARTFORD IS ALSO HOME TO REAL ART WAYS, A NON-PROFIT ART SPACE ESTABLISHED IN 1975 HOSTING CONTEMPORARY ART, MUSIC, AND FILM PRODUCTION. AUTHORS MARK TWAIN AND HARRIET BEECHER STOWE ARE AMONG THE CITY'S MOST NOTABLE FORMER RESIDENTS. DESPITE ITS RICH HISTORY, RESIDENTS WHO LIVE IN HARTFORD CONTINUE TO EXPERIENCE EXTENSIVE DISPARITIES COMPARED TO RESIDENTS LIVING IN OTHER PARTS OF THE STATE. SUCH DISPARITIES INCLUDE ACCESS TO AFFORDABLE AND EQUITABLE HEALTHCARE; HEALTHY, STABLE AND AFFORDABLE HOUSING; NUTRITIOUS FOOD AND PLACES TO SAFELY PLAY; HIGHER RATES OF CHRONIC ILLNESSES IN THE AREAS OF MENTAL HEALTH, ASTHMA, OBESITY, DIABETES, LEAD POISONING; GREATER EXPOSURE TO TRAUMA, VIOLENCE AND INJURIES; AND LOWER RATES OF ACADEMIC AND CAREER SUCCESS. IN 2021, THE LATEST YEAR DATA ARE AVAILABLE, HARTFORD HAD A POPULATION OF 120,576 RESIDENTS, OF WHICH 44.7 PERCENT ARE HISPANIC OR LATINO, 37.2 PERCENT ARE BLACK OR AFRICAN AMERICAN, AND 14.9 PERCENT ARE WHITE. HARTFORD CONSISTENTLY RANKS AMONG THE POOREST CITIES OF ITS SIZE IN THE COUNTRY. TABLE 1 DEPICTS AREAS IN WHICH HARTFORD RESIDENTS LAG BEHIND THE STATE OF CONNECTICUT AS A WHOLE. U.S. CENSUS DATA HIGHLIGHT THAT HARTFORD RESIDENTS ARE POORER, EXPERIENCE LESS HOUSING STABILITY, ACHIEVE LOWER LEVELS OF EDUCATION, ARE LESS LIKELY TO HAVE HEALTH INSURANCE, AND ARE MORE LIKELY TO HAVE A DISABILITY THAN RESIDENTS ACROSS CONNECTICUT, WHICH IS AMONG THE WEALTHIEST STATES IN THE NATION BASED ON PER CAPITA INCOME. TABLE 1: HARTFORD DISPARITIES SOURCE: U.S. CENSUS MEDIAN HOUSEHOLD INCOME: HARTFORD RESIDENTS = $36,154 & CONNECTICUT RESIDENT = $79,855 HOMEOWNERSHIP RATE: HARTFORD RESIDENTS = 24.9% & CONNECTICUT RESIDENTS = 66.1% RESIDENTS LIVING IN POVERTY: HARTFORD RESIDENTS = 28% & CONNECTICUT RESIDENTS = 9.7% OWNER OCCUPIED HOUSING RATES: HARTFORD RESIDENTS = 24.9% & CONNECTICUT RESIDENTS = 66.1% HIGH SCHOOL GRADUATE OR HIGHER EDUCATION: HARTFORD RESIDENTS = 73.9% & CONNECTICUT RESIDENTS = 90.9% BACHELOR'S DEGREE OR HIGHER EDUCATION: HARTFORD RESIDENTS = 17% & CONNECTICUT RESIDENTS = 40% PERSONS WITHOUT HEALTH INSURANCE UNDER AGE 65: HARTFORD RESIDENTS = 10.4% & CONNECTICUT RESIDENTS = 7.0% PERSONS WITH DISABILITIES UNDER AGE 65: HARTFORD RESIDENTS = 11.3% & CONNECTICUT RESIDENTS = 7.6% THE CITY'S MAJOR EMPLOYERS INCLUDE THE STATE OF CONNECTICUT, RAYTHEON TECHNOLOGIES, EVERSOURCE ENERGY, HARTFORD HEALTHCARE, THE HARTFORD FINANCIAL SERVICES GROUP, AETNA, THE TRAVELERS, UNITEDHEALTHCARE, TRINITY COLLEGE, UNIVERSITY OF CONNECTICUT, AND CONNECTICUT CHILDREN'S. AS OF MAY 2022, THE UNEMPLOYMENT RATE FOR RESIDENTS OF HARTFORD STOOD AT 3.9% COMPARED TO 4.0% FOR THE STATE OF CONNECTICUT, ACCORDING TO THE CONNECTICUT DEPARTMENT OF LABOR. SCHEDULE H, PART VI; QUESTION 5 CONNECTICUT CHILDREN'S MEDICAL CENTER HAS A VISION TO TRANSFORM CHILDREN'S HEALTH AND WELL-BEING AS ONE TEAM. WHILE THE ORGANIZATION PROVIDES LEADING MEDICAL CARE, TREATMENT, AND FOLLOW-UP SUPPORT WITHIN ITS FACILITIES, SOME OF THEIR BEST WORK IS PROMOTING CHILDREN'S HEALTH HAPPENS WITHIN CONNECTICUT'S COMMUNITIES. CONNECTICUT CHILDREN'S OFFICE OF COMMUNITY CHILD HEALTH (THE OFFICE) SERVES AS OUR ORGANIZATION'S KEY VEHICLE FOR PROMOTING CHILDREN'S OPTIMAL HEALTH, DEVELOPMENT AND WELL-BEING. WE PROMOTE COMMUNITY HEALTH ON A LOCAL, STATEWIDE AND NATIONAL LEVEL. OFFICE ADMINISTRATORS, PROGRAM LEADERS, AND STAFF ALL INTERFACE WITH DIFFERENT COMMUNITY LEADERS AND PARTNERS. OUR WORK IS SHARED, AND OUR EXPERTISE IS OFTEN WELCOMED IN THE NUMEROUS SETTINGS TO WHICH WE ARE INVOLVED. WE CONTINUALLY DEVELOP PARTNERSHIPS ON ALL LEVELS AS WE RECOGNIZE THAT AN "ALL SECTORS IN" APPROACH IS WHAT WILL LEAD TO POSITIVE CHANGE. WE BRING A LEVEL OF HEALTH PROMOTION EVIDENT WITH OUR MISSION STATEMENT TO ALL PARTNERSHIPS, WITH CONCEPT THAT WE ALL NEED EACH OTHER'S HELP. SOME OF THE PROGRAMS UNDER THE OFFICE (EASY BREATHING, EDUCATING PRACTICES, CO-MANAGEMENT) WORK WITH HEALTH PROVIDERS ACROSS THE STATE TO IDENTIFY BETTER APPROACHES TO MANAGING CHILDREN'S HEALTH ISSUES. WEEKLY GRAND ROUNDS PRESENTATIONS ARE ALSO HELD FOR BOTH INTERNAL AND EXTERNAL PROVIDERS WITH TOPICS THAT OFTEN INCLUDE THE PROMOTION OF COMMUNITY HEALTH. PROGRAMS LIKE THOSE OF CONNECTICUT CHILDREN'S INJURY PREVENTION CENTER FOCUS MUCH OF THEIR EFFORTS IN THE SHARING OF THEIR RESEARCH AND PROMOTING PREVENTION THROUGH THEIR ACTIVITIES. HEALTHY HOMES, EASY BREATHING, HYHIL, AND RESIDENT EDUCATION IN ADVOCACY AND COMMUNITY HEALTH ALL HAVE HEALTH PROMOTION OR PREVENTION AS COMMON THEMES WITH THEIR ACTIVITIES. THE OFFICE OF GOVERNMENT RELATIONS USES INFORMATION GATHERED FROM THE PROGRAMS UNDER THE OFFICE TO ALSO PROMOTE HEALTH TO KEY LEADERS OF OUR STATE LEGISLATORS AS WELL AS OUR REPRESENTATIVES AT THE FEDERAL LEVEL. AN EXAMPLE OF THEIR WORK CAN BE SEEN THROUGH THEIR EFFORTS IN HELPING STATE OFFICIALS INTERPRET CAR ACCIDENT STATISTICS GATHERED BY OUR INJURY PREVENTION EXPERTS, LEADING TO OUR STATE EXAMINING LAWS SURROUNDING NEW TEEN DRIVERS. CONNECTICUT IMPLEMENTED NEW DRIVER RESTRICTIONS FOR THAT AGE GROUP AS A RESULT. WE HAVE A REFERRING PROVIDER BOARD OF PEDIATRICIANS, REPRESENTING DIFFERENT GEOGRAPHIC PORTIONS OF CONNECTICUT, THAT HELP US UNDERSTAND WHAT THEY SEE AS KEY ISSUES IN THEIR COMMUNITIES, AND SUPPORT OUR MESSAGES ABOUT HEALTH PROMOTION. OUR TUESDAY MORNING GRAND ROUNDS IS OPEN TO COMMUNITY CLINICIANS AND WILL OFTEN DISCUSS NEW RESEARCH, NEW APPROACHES TO TREATMENT, AND HEALTH PROMOTION. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE CCMC CORPORATION AND SUBSIDIARIES: NOT FOR-PROFIT ENTITIES: ======================== CCMC CORPORATION ---------------- CCMC CORPORATION IS THE TAX-EXEMPT PARENT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. CCMC CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION, CCMC CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE CHILDREN OF CONNECTICUT AND SURROUNDING COMMUNITIES. CCMC CORPORATION IS THE SOLE MEMBER OF CONNECTICUT CHILDREN'S MEDICAL CENTER. CONNECTICUT CHILDREN'S MEDICAL CENTER ------------------------------------- CONNECTICUT CHILDREN'S MEDICAL CENTER IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO CHILDREN ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. MOREOVER, CCMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL CHILDREN; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF CCMC CORPORATION. BOTH BOARDS ARE COMPRISED OF A MAJORITY OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CONNECTICUT CHILDREN'S FOUNDATION, INC. --------------------------------------- CONNECTICUT CHILDREN'S FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CCMC AFFILIATES, INC. --------------------- CCMC AFFILIATES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). PRIOR TO CEASING OPERATIONS, THIS ORGANIZATION PROVIDED SPECIALIZED EDUCATION AND CHILD DEVELOPMENT PROGRAMS TO CHILDREN OF CONNECTICUT AND THE SURROUNDING AREAS. CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. -------------------------------------------- CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CHILDREN'S HEALTH AND DEVELOPMENT INSTITUTE, INC. ------------------------------------------------- CHILDREN'S HEALTH AND DEVELOPMENT INSTITUTE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CAPITAL AREA HEALTH CONSORTIUM, INC. ------------------------------------ CAPITAL AREA HEALTH CONSORTIUM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS CONNECTICUT CHILDREN'S MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CONNECTICUT CHILDREN'S CARE NETWORK, LLC ---------------------------------------- CONNECTICUT CHILDREN'S CARE NETWORK, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF CONNECTICUT WHOSE SOLE MEMBER IS CONNECTICUT CHILDREN'S MEDICAL CENTER. THE ORGANIZATION WAS FORMED AS A CLINICALLY INTEGRATED NETWORK, DESIGNED TO EVALUATE AND MODIFY PRACTICES OF PARTICIPATING PHYSICIANS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG PARTICIPATING PHYSICIANS. OTHER HEALTH CARE SYSTEM ENTITIES: ================================== CCMC VENTURES, INC. ------------------- AN ENTITY WHOSE SOLE SHAREHOLDER IS CCMC CORPORATION. THE ORGANIZATION IS LOCATED IN HARTFORD, CONNECTICUT. THIS ENTITY IS CURRENTLY INACTIVE. NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C. --------------------------------------------------- NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C. IS AN ENTITY LOCATED IN NEW YORK. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTH CARE SYSTEM. NEW ENGLAND PEDIATRICS INDEMNITY, LTD. -------------------------------------- NEW ENGLAND PEDIATRIC INDEMNITY, LTD. IS A FOREIGN CORPORATION WHOLLY OWNED BY CCMC CORPORATION. THE ORGANIZATION IS A FINANCIAL VEHICLE THROUGH WHICH THE SYSTEM INSURERS A PORTION OF ITS PROFESSIONAL LIABILITY AND GENERAL LIABILITY RISK THROUGH THE SINGLE PARENT CAPTIVE INSURANCE COMPANY. SCHEDULE H, PART VI; QUESTION 7 THE STATE OF CONNECTICUT HAS AN OFFICE OF THE HEALTHCARE ADVOCATE. THEY SURVEY EACH HOSPITAL'S SCHEDULE H OF THE 990 FILING TO ENSURE THAT COMMUNITY BENEFITS HAVE BEEN REPORTED IN LIEU OF SEPARATE REPORTS FROM HOSPITALS. true Farmington Sports Arena 21 Hyde Road Farmington CT 06032 061634489 50000 PROGRAM SUPPORT CONNECTICUT DOUBLE PLAY LLC PO BOX 231417 HARTFORD CT 06123 452704533 45000 PROGRAM SUPPORT DISCOVERY MUSEUM INC 4450 PARK AVENUE BRIDGEPORT CT 06604 060740527 501(C)(3) 17500 PROGRAM SUPPORT CONNECTICUT ZOOLOGICAL SOCIETY 1875 NOBLE AVENUE BRIDGEPORT CT 06610 237068821 501(C)(3) 10000 PROGRAM SUPPORT MAKE-A-WISH FOUNDATION 56 Commerce Drive Trumbull CT 06611 222710919 501(C)(3) 7500 PROGRAM SUPPORT 3 2 EDUCATIONAL SCHOLARSHIPS 8 43000 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. SCHEDULE I, PART II PLEASE NOTE, THE ORGANIZATION PROVIDED A NUMBER OF GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS THAT DID NOT EXCEED $5,000 AND THEREFORE, ARE NOT REQUIRED TO BE INCLUDED WITHIN SCHEDULE I, PART II. X X X X true true false false false true true true false JAMES E SHMERLINGDHAFACHE Director - President/CEO 1111498 0 602941 0 246672 0 19300 0 27372 0 2007783 0 224136 0 Christine M Finck MD FACS EVP Surgeon-In-Chief 0 915027 0 211152 0 94106 0 114956 0 29533 0 1364774 0 90474 Robert E Duncan EVP Chief Operating Officer 630145 0 206885 0 25132 0 120086 0 37283 0 1019531 0 0 0 Bridgett Feagin MBA EVP Chief Financial Officer 621235 0 202584 0 23908 0 118507 0 20083 0 986317 0 0 0 Juan C Salazar MD MPH EVP/ACAD AFF/PHYS-IN-CHIEF 641446 0 186905 0 70513 0 19300 0 34493 0 952657 0 53474 0 R Moses Vargas Esq SVP Chief Legal Officer 421162 0 113849 0 57630 0 69300 0 36283 0 698224 0 41712 0 Paul H Dworkin MD EVP Community Child Health 472074 0 122274 0 55532 0 19300 0 0 0 669180 0 47207 0 Lawrence E Milan MA SVP Human Resources 450981 0 103667 0 50003 0 19300 0 14085 0 638036 0 45702 0 Deb Pappas MBA VP MKTG/COMMUNICATIONS OFFICER 318299 0 70192 0 180747 0 19300 0 24322 0 612860 0 0 0 Jung Park Former Key Employee 185800 0 91823 0 268805 0 17281 0 24776 0 588485 0 84208 0 Nicole Murray-Posner MD Dir - Pres Med Staff 0 511931 0 5456 0 34068 0 33122 0 0 0 584577 0 13598 Sarah Matney MSOL BSN RN SVP, CLINICAL SERVICES & CNO 361276 0 86616 0 24876 0 60357 0 36283 0 569408 0 23958 0 Lori R Pelletier PhD MBA SVP, CQO & PT SAFETY OFFICER 362749 0 96698 0 2632 0 55827 0 37283 0 555189 0 0 0 Ryan C Calhoun VP Strategy & Care Integration 376152 0 66498 0 551 0 19300 0 30811 0 493312 0 0 0 William A Agostinucci MS VP Corporate Services 310406 0 61862 0 42494 0 19300 0 13226 0 447288 0 0 0 Richelle Demayo MD CHIEF MEDICAL INFO OFFICER 325135 0 66670 0 1408 0 19300 0 11676 0 424189 0 0 0 Aimee Monroy Smith SVP, GOV'T RELATIONS & EXT AFF 225505 0 63276 0 31177 0 41755 0 31443 0 393156 0 11630 0 Jonathan M Carroll MBA SVP CIO (Eff 10/30/23) 59650 0 20000 0 217 0 37877 0 5794 0 123538 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2023 FORMS W-2. SCHEDULE J, PART I; QUESTION 3 EACH YEAR, AN INDEPENDENT COMPENSATION CONSULTANT CONDUCTS A MARKET ANALYSIS OF CONNECTICUT CHILDREN'S MEDICAL CENTER'S ("CONNECTICUT CHILDREN'S") PRESIDENT/CHIEF EXECUTIVE OFFICER, OFFICERS AND OTHER KEY EMPLOYEES. TO AUGMENT THEIR PROPRIETARY AND OTHER DATA TO WHICH THEY HAVE ACCESS, CONNECTICUT CHILDREN'S PROVIDES THE DATA RESULTS FROM SALARY SURVEYS IN WHICH CONNECTICUT CHILDREN'S PARTICIPATES. THE ANALYSIS AND PRESENTATION OF THE DATA IS PRESENTED BY THE INDEPENDENT COMPENSATION CONSULTANT TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ANNUALLY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE BOARD OF DIRECTORS THEN REVIEW AND DISCUSS SALARY RECOMMENDATIONS FOR THE OFFICERS AND OTHER KEY EMPLOYEES AND SIGN OFF ON THE FINAL RECOMMENDATIONS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS INDEPENDENTLY WITH THE PRESIDENT/CHIEF EXECUTIVE OFFICER TO DISCUSS HIS INDIVIDUAL PERFORMANCE. FOLLOWING THE PERFORMANCE EVALUATION, A SALARY RECOMMENDATION IS MADE AND COMMUNICATED TO THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES TO AUTHORIZE PROCESSING. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2023 WHICH Was INCLUDED IN his 2023 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: Jung Park, $183,716. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN), AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. SHMERLING, DHA, FACHE, $224,136; CHRISTINE FINCK, M.D., FACS, $90,474; JUAN C. SALAZAR, M.D., MPH, $53,474; R. MOSES VARGAS, ESQ., $41,712; PAUL H. DWORKIN, M.D., $47,207; LAWRENCE E. MILAN, MA, $45,702; Deb Pappas, MBA, $161,708; NICOLE MURRAY-POSNER, M.D., $14,661; Jung Park, $84,208; SARAH MATNEY, MSOL, BSN, RN, CPON, CENP, $23,958; William A. Agostinucci, MS, RPH, FACHE, $31,608 AND Aimee Monroy Smith, $11,630. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN), WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHRISTINE FINCK, M.D., FACS, $95,656; ROBERT E. DUNCAN, $103,836; BRIDGETT FEAGIN, MBA, $102,257; R. MOSES VARGAS, ESQ., $50,000; NICOLE MURRAY-POSNER, M.D., $13,822; SARAH MATNEY, MSOL, BSN, RN, CPON, CENP, $41,057; LORI R. PELLETIER, PHD, MBA, $39,577; AIMEE MONROY SMITH, $26,200 AND Jonathan M. Carroll, MBA, $36,800. SCHEDULE J, PART I; QUESTIONS 6A & 6B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). ACCORDINGLY, THE ORGANIZATION'S COMMITTEE MAY ELECT TO MAKE INCENTIVE AWARDS IN ITS SOLE DISCRETION. IF THE COMMITTEE ELECTS TO MAKE SUCH INCENTIVE AWARDS, THE AMOUNT OF AN ELIGIBLE EMPLOYEE'S INCENTIVE AWARD IS BASED GENERALLY UPON THE FOLLOWING CRITERIA: - CCMC CORPORATION ACHIEVING THRESHOLD FOR THE FINANCIAL GOALS, OTHERWISE NO INCENTIVE WILL BE PAID; - INDIVIDUAL AND CORPORATION PERFORMANCE AND WHETHER THE LEVEL OF PERFORMANCE ACHIEVED IS AT THRESHOLD, TARGET, OR STRETCH; AND - THE PERCENTAGE OF THE AWARD COMPRISED OF CORPORATION VERSUS INDIVIDUAL PERFORMANCE. THE COMPENSATION FOR CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II OF THIS FORM 990 CONSIST OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK INCENTIVE COMPENSATION SCHEDULE J, PART I; QUESTION 7 IF THE COMPENSATION COMMITTEE ELECTS TO MAKE INCENTIVE AWARDS, THESE AWARDS ARE TO BE PAID NO LATER THAN TWO AND ONE-HALF MONTHS AFTER THE END OF THE FISCAL OR CALENDAR YEAR, WHICHEVER IS LATER, AFTER WHICH THE AMOUNT OF SUCH AWARDS ARE DETERMINED. THEREFORE, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, RULES AND REGULATIONS, CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED INCENTIVE AWARDS DURING CALENDAR YEAR 2023 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE AMOUNTS REPORTED ON PRIOR YEARS' FORMS 990 IN SCHEDULE J, PART II, EITHER IN COLUMN (B)(III) AS FORM W-2, BOX 5, TAXABLE MEDICARE WAGES OR IN COLUMN (C) AS NON-TAXABLE UNVESTED DEFERRED COMPENSATION THAT IS NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. A CT HEALTH & EDUCATIONAL FACILITIES AUTHORITY 060806186 2011-06-30 41580000 REISSUANCE OF SERIES D false false false B CT HEALTH & EDUCATIONAL FACILITIES AUTHORITY 060806186 2023-05-01 100000000 ISSUANCE OF SERIES E false false false A 20650000 0 41580000 0 0 10255050 779214 0 0 0 30545736 0 2032 true true true true B 6119564 0 100000000 0 0 13170263 1512934 0 0 0 100000000 0 2053 true true true true A false true false true true 0.01540 0.00000 0.01540 true false false true B false true false true true 0.01540 0.00000 0.01540 true false false true A false true true true BANK OF AMERICA 20.8 false false false 0 false true B false true true true BANK OF AMERICA 20.8 false false false 0 false true A true B true Gabriella St Pierre FAMILY MEMBER - DIRECTOR 34510 EMPLOYEE false CORE FORM, PAGE 1, SECTION B; AMENDED RETURN This form 990 is being amended to restate a number in Schedule H, Part II: Community Building Activities. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== CONNECTICUT CHILDREN'S MEDICAL CENTER ("CONNECTICUT CHILDREN'S") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES CONNECTICUT CHILDREN'S PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CONNECTICUT CHILDREN'S OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. CONNECTICUT CHILDREN'S PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. CONNECTICUT CHILDREN'S OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL CHILDREN WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. CONNECTICUT CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF CONNECTICUT CHILDREN'S RESTS WITH ITS BOARD OF DIRECTORS. ITS BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF CONNECTICUT CHILDREN'S, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF CONNECTICUT CHILDREN'S IS FOR THE BENEFIT OF THE PUBLIC, AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ADDITIONALLY, CONNECTICUT CHILDREN'S BOARD CERTIFIED PHYSICIANS AND HIGHLY TRAINED SPECIALISTS PROVIDE ADVANCED CLINICAL AND SURGICAL CARE TO CHILDREN OF ALL AGES. HOWEVER, THE IMPACT MADE ON HEALTH CARE IN CONNECTICUT REACHES FAR BEYOND THEIR WALLS AND INTO COMMUNITIES ACROSS THE STATE. CONNECTICUT CHILDREN'S PIONEERED AN INNOVATIVE COMMUNITY CHILD HEALTH MODEL WHICH LEADS RESEARCH, DEVELOPMENT AND DELIVERY OF ROBUST OUTREACH PROGRAMS THAT ADDRESS CRITICAL ISSUES AFFECTING THE HEALTH, DEVELOPMENT AND WELL-BEING OF CONNECTICUT'S CHILDREN. THIS MODEL, WHICH SERVES AS AN EXAMPLE FOR OTHER CHILDREN'S HOSPITALS NATIONWIDE, HELPS KEEP CHILDREN SAFER AND HEALTHIER. IT ALSO EMPOWERS COMMUNITY PEDIATRICIANS TO PROVIDE BETTER PRIMARY CARE, SO THAT TOGETHER THEY CAN SUCCEED IN MAKING CHILDREN IN CONNECTICUT THE HEALTHIEST IN THE NATION. PATIENTS AND FAMILIES FROM EVERY CORNER OF CONNECTICUT, AND NOW MASSACHUSETTS, HAVE BENEFITED FROM CONNECTICUT CHILDREN'S ONGOING CLINICAL AND COMMUNITY-FOCUSED GROWTH. NEW CONSTRUCTION AND EXTENDED PATIENT SERVICES HAVE EXPANDED CAPABILITIES THROUGHOUT CONNECTICUT AND SOUTHERN NEW ENGLAND. HISTORY ======= CONNECTICUT CHILDREN'S IS A NATIONALLY RECOGNIZED NOT-FOR-PROFIT WITH A MEDICAL STAFF OF MORE THAN 1,000 WHO PROVIDE COMPREHENSIVE, WORLD-CLASS HEALTHCARE IN MORE THAN 30 PEDIATRIC SPECIALTIES AND SUBSPECIALTIES. CONNECTICUT CHILDREN'S IS THE PRIMARY PEDIATRIC TEACHING HOSPITAL FOR THE UCONN SCHOOL OF MEDICINE, HAS A TEACHING PARTNERSHIP WITH THE FRANK H. NETTER, M.D. SCHOOL OF MEDICINE AT QUINNIPIAC UNIVERSITY AND IS A RESEARCH PARTNER OF THE JACKSON LABORATORY. THE HISTORY OF CONNECTICUT CHILDREN'S SPANS MORE THAN 100 YEARS. FOUNDED AS A 10-BED HOSPITAL FOR CHILDREN WHO SUFFERED THEN INCURABLE CONDITIONS SUCH AS CEREBRAL PALSY, SPINA BIFIDA AND POLIO, CONNECTICUT CHILDREN'S IS NOW ONE OF ONLY TWO FREESTANDING CHILDREN'S HOSPITALS IN NEW ENGLAND AND IS THE ONLY FREESTANDING CHILDREN'S HOSPITAL IN CONNECTICUT. CONNECTICUT CHILDREN'S PROVIDES AN ARRAY OF PEDIATRIC SERVICES IN LOCATIONS ACROSS CONNECTICUT AND IN MASSACHUSETTS, INCLUDING AT HOSPITALS IN HARTFORD AND WATERBURY, NEONATAL INTENSIVE CARE UNITS IN HARTFORD AND FARMINGTON, AN AMBULATORY SURGERY CENTER IN FARMINGTON PRIMARY CARE CENTERS AND EAST HARTFORD AND WEST HARTFORD, FIVE SPECIALTY CARE CENTERS, AND 11 OTHER LOCATIONS. ITS LEVEL 1 PEDIATRIC TRAUMA CENTER IS THE BUSIEST BETWEEN BOSTON AND NEW YORK. MISSION ======= CONNECTICUT CHILDREN'S IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN THROUGH FAMILY-CENTERED CARE, RESEARCH, EDUCATION AND ADVOCACY. CONNECTICUT CHILDREN'S EMBRACES DISCOVERY, TEAMWORK, INTEGRITY AND EXCELLENCE IN ALL THAT IT DOES. PROGRAMS OF EXCELLENCE ====================== CONNECTICUT CHILDREN'S OFFERS THE HIGHEST LEVEL OF CARE TO CHILDREN AND OUR PHYSICIANS AND PROGRAMS ARE CONSISTENTLY HONORED FOR THEIR EXCELLENCE. CONNECTICUT CHILDREN'S HAS RECEIVED ACCREDITATION FROM THE AMERICAN NURSES CREDENTIAL CENTER (ANCC) THROUGH ITS PRACTICE TRANSITION ACCREDITATION PROGRAM (PTAP). CONNECTICUT CHILDREN'S RECEIVED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITON PROGRAM. RECENT AWARDS INCLUDE THE 2024-2025 WOMEN'S CHOICE AWARD FOR BEST CHILDREN'S HOSPITALS AND THE 2024-2025 U.S. NEWS & WORLD REPORT BEST CHILDREN'S HOSPITAL. CONNECTICUT CHILDREN'S HAS BEEN NAMED AS A LEVEL 1 CHILDREN'S SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS CHILDREN'S SURVEY VERIFICATION QUALITY IMPROVEMENT PROGRAM (ACS CSV). CONNECTICUT CHILDREN'S HAS BEEN NAMED NEW ENGLAND'S FIRST AND ONLY CENTER OF EXCELLENCE BY THE NATIONAL SOCIETY OF PEDIATRIC SEDATION (SPS). CONNECTICUT CHILDREN'S HAS BEEN NAMED THE 2023 eHEALTHCARE LEADERSHIP AWARDS WINNER IN THE CATEGORY OF BEST COVID-19 PANDEMIC RELATED COMMUNICATIONS. ADDITIONAL AWARDS INCLUDE THE 2024 CHIME HEALTHCARE'S MOST WIRED AWARD, 3M AWARD FOR EXCELLENCE IN SKIN SAFETY, 2017-2020 LANTERN AWARD, AND 2024, GET WITH THE GUIDELINES - RESUSCITATION GOLD AWARD FOR NEONATOLOGY AND INFANT CARE. IN ADDITION, THERE ARE SEVERAL PROGRAMS OF EXCELLENCE AT THE MEDICAL CENTER THAT HAVE TIME AND AGAIN EARNED NATIONAL AND INTERNATIONAL HONORS AND ACCOLADES INCLUDING, BUT NOT LIMITED TO: - DIABETES & ENDOCRINOLOGY; - GASTROENTEROLOGY; - NEONATOLOGY; - ORTHOPAEDICS; - RECONSTRUCTIVE AND SOLID TUMOR SURGERY; - SURGERY; AND - UROLOGY. EACH OF OUR PROGRAMS OF EXCELLENCE OFFERS SUPERIOR PEDIATRIC CLINICAL CARE AND HAS DEMONSTRATED THE ABILITY TO: 1) EXPAND ACCESS TO SERVICES TO MEET THE GROWING NEEDS OF CHILDREN AND FAMILIES; 2) INTEGRATE VARIOUS DISCIPLINES OF CLINICAL PRACTICE TO PROVIDE EXPANDED ADVANCED CARE; 3) DEVELOP OPPORTUNITIES TO EXPAND BASIC AND CLINICAL RESEARCH; AND 4) CREATE OPPORTUNITIES TO BE AN INNOVATIVE LEADER IN EDUCATION AND TRAINING. OUTCOMES -------- NOTHING MATTERS MORE THAN THE OUTCOME. CONNECTICUT CHILDREN'S KEEPS KIDS HEALTHY, PROTECTS THEM FROM SURGICAL COMPLICATIONS AND IMPROVES THE QUALITY OF LIFE OF THOSE WITH CHRONIC CONDITIONS. PROCESS OF CARE --------------- SEVERAL ELEMENTS ARE CONSIDERED, INCLUDING HOSPITAL COMPLIANCE WITH BEST PRACTICES AND A COMMITMENT TO INFECTION CONTROL. RESEARCH ======== CONNECTICUT CHILDREN'S IS COMMITTED TO MAKING CHILDREN AND FAMILIES HEALTHIER. OUR TALENTED MEDICAL PROFESSIONALS ARE AT THE FOREFRONT OF RESEARCH AND CLINICAL TRIALS. SUCH SCIENTIFIC INQUIRIES CHANGE THE FUTURE OF CHILDREN'S HEALTHCARE. FROM FUNDAMENTAL MOLECULAR SCIENCE THAT HELPS US UNDERSTAND DISEASES AT THE MOST BASIC LEVEL, TO MOTION STUDIES DESIGNED TO DISCOVER NEW WAYS FOR YOUNG ATHLETES TO AVOID INJURIES AND CLINICAL TRIALS THAT ESTABLISH THE MOST EFFECTIVE AND EFFICIENT PROTOCOLS FOR TREATING CHILDREN, CONNECTICUT CHILDREN'S IS A RESEARCH LEADER. FOR EXAMPLE, CONNECTICUT CHILDREN'S DIVISION OF HEMATOLOGY & ONCOLOGY IS ENGAGED IN CONDUCTING MORE THAN 100 ACTIVE CLINICAL TRIALS AND RESEARCH STUDIES THROUGH THE CHILDREN'S ONCOLOGY GROUP, THE NEUROBLASTOMA AND MEDULLOBLASTOMA TREATMENT RESEARCH CONSORTIUM, THE PEDIATRIC CANCER FOUNDATION'S SUNSHINE PROJECT, THE SUNCOAST COMMUNITY CLINICAL ONCOLOGY PROGRAM AND PHARMACEUTIC COMPANY SPONSORS. THIS NUMBER OF OPEN PROTOCOLS DISTINGUISHES CONNECTICUT CHILDREN'S HEMATOLOGY & ONCOLOGY DIVISION AMONG THE TOP 20 PERCENT AMONG ITS PEERS. ADDITIONALLY, THE DIVISION IS IN THE TOP THIRD PERCENTILE FOR TOTAL PEDIATRIC CANCER PATIENTS ENROLLED IN TRIALS. THIS IS ESPECIALLY IMPRESSIVE GIVEN THAT CONNECTICUT CHILDREN'S IS CONSIDERED ONE OF THE SMALLER FREE-STANDING CHILDREN'S HOSPITALS IN THE COUNTRY. AWARDS AND RECOGNITION ====================== CONNECTICUT CHILDREN'S HAS RECEIVED THE FOLLOWING AWARDS: - 2023 Joy in Medicine Health System Recognition - 2023 Society for Pediatric Sedation Center of Excellence - 2024, Becker's 100 Hospital and Health Systems with Great Oncology Programs - 2024 Becker's Healthcare named Bob Duncan, Executive Vice President and Chief Operating Officer, to it's "Hospital and Health System COOs to Know" list for 2024 CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - 2024 Becker's Healthcare named Sarah Matney, Senior Vice President and Chief Nursing Officer, to it's "Chief Nursing Officer to Know" list for 2024 - 2024 LGBTQ + Healthcare Equality High Performer, Human Rights Campaign - 2024, 2022 GET WITH THE GUIDELINES - RESUSCITATION GOLD AWARD FOR NEONATOLOGY AND INFANT CARE; - 2023, 2022 eHEALTHCARE LEADERSHIP AWARD FOR BEST COVID-19 PANDEMIC RELATED COMMUNICATIONS; - 2021-23 EXTRACORPOREAL LIFE SUPPORT ORGANIZATION GOLD LEVEL CENTER OF EXCELLENCE; - 2024-2025, 2021-22, 2020-21, 2019, 2018 & 2017 U.S. NEWS & WORLD REPORT BEST CHILDREN'S HOSPITAL; - 2024, 2023, 2022, 2021, 2019, 2018 & 2017 WOMEN'S CHOICE AWARD FOR BEST CHILDREN'S HOSPITALS; - 2024, 2023, 2022, 2020, 2019, 2018 & 2017 CHIME HEALTHCARE'S MOST WIRED AWARD; - 2023, 2022, 2018 3M AWARD FOR EXCELLENCE IN SKIN SAFETY; - 2020, 2019, 2018 & 2017 LANTERN AWARD; - 2016 CHILDKIND HOSPITAL DESIGNATION; - 2016 PRESS GANEY SUCCESS STORY AWARD; - 2016 HARTFORD BUSINESS JOURNAL HEALTHCARE HERO (CHRISTINE FINCK, M.D.); - 2016 HARTFORD BUSINESS JOURNAL BEST IN BUSINESS, ONCOLOGY (CENTER FOR CANCER AND BLOOD DISORDERS); - 2016 TOP MASTER'S IN HEALTHCARE ADMINISTRATION; - 2022, 2016 GET WITH THE GUIDELINES - RESUSCITATION SILVER AWARD; AND - 2015 TOP WORKPLACE IN CONNECTICUT, RANKED 10TH IN LARGE ORGANIZATION CATEGORY. OFFICE OF COMMUNITY CHILD HEALTH ("OCCH") ========================================= CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE") ELEVATES THE EFFECTIVENESS AND STATUS OF THE MEDICAL CENTER AS A CRITICAL COMMUNITY RESOURCE BY DEVELOPING, PROMOTING, SUPPORTING, EVALUATING AND DISSEMINATING INNOVATIVE, EFFECTIVE COMMUNITY-ORIENTED PROGRAMS AND SERVICES TO ADDRESS CHILDREN'S CRITICAL HEALTH NEEDS. WHAT WE DO ---------- THE OFFICE ADDRESSES CRITICAL CONTEMPORARY ISSUES IN CHILDREN'S LIVES THAT HAVE THE POTENTIAL TO ADVERSELY AFFECT THEIR HEALTH AND DEVELOPMENT. THE OFFICE NOT ONLY SERVES AS A CRITICAL COMMUNITY RESOURCE, BUT ALSO CULTIVATES INNOVATIVE AND COST-EFFECTIVE SOLUTIONS TO ADDRESS EXISTING GAPS IN OUR HEALTH CARE AND CHILD SERVICE SYSTEMS. THROUGH THE OFFICE, CONNECTICUT CHILDREN'S MEDICAL CENTER ENSURES THAT FAMILIES HAVE ACCESS TO A COMPREHENSIVE SYSTEM OF COMMUNITY PROGRAMS AND SERVICES THAT SUPPORTS THEM IN PROMOTING THEIR CHILDREN'S OPTIMAL HEALTHY DEVELOPMENT. OUR MODEL --------- THE OFFICE OVERSEES A VARIETY OF COMMUNITY-ORIENTED PROGRAMS THAT ADDRESS A WIDE RANGE OF FACTORS THAT INFLUENCE CHILDREN'S HEALTHY DEVELOPMENT. THOSE PROGRAMS, AND THEIR COMMUNITY-BASED PARTNERS, NOT ONLY FOCUS ON THE TRADITIONAL AREAS OF CHILD HEALTH SERVICES, FAMILY SUPPORT, AND EARLY CARE AND EDUCATION, BUT ALSO TOUCH OTHER SECTORS INCLUDING FOOD AND NUTRITION, HOUSING, ECONOMIC DEVELOPMENT, CHILD WELFARE, AND TRANSPORTATION. THE OFFICE TAKES A THREE-PRONGED APPROACH TO PROMOTING CHILDREN'S OPTIMAL HEALTHY DEVELOPMENT: 1. STRENGTHENING EXISTING COMMUNITY-ORIENTED PROGRAMS; 2. FACILITATING SYNERGIES AMONG THOSE PROGRAMS; AND 3. SERVING AS AN INNOVATION INCUBATOR FOR PROMISING APPROACHES THAT IMPROVE SHORT AND LONG-TERM HEALTH OUTCOMES FOR CHILDREN. THE OFFICE SERVES AS A NEW MODEL FOR OTHER CHILDREN'S HOSPITALS TO FOLLOW IN TERMS OF DEMONSTRATING THEIR COMMUNITY BENEFIT TO MAINTAIN TAX EXEMPT STATUS. IN THE PAST, HOSPITALS HAVE TRADITIONALLY RELIED ON DOCUMENTING THE DISCOUNTED AND UNREIMBURSED CARE THAT THEY PROVIDE TO PATIENTS. NOW, UNDER THE AFFORDABLE CARE ACT, THERE HAS BEEN A SHARP REDUCTION IN THE NUMBER OF AMERICANS WHO ARE UNINSURED AND, THEREFORE, A REDUCTION IN THE NEED FOR DISCOUNTED OR UNREIMBURSED CARE. BECAUSE OF THAT, HOSPITALS ARE BEING ENCOURAGED TO FIND NEW WAYS TO DEMONSTRATE THE BENEFIT THEY OFFER TO THEIR COMMUNITIES. THE OFFICE'S MODEL OFFERS A STRATEGIC APPROACH THAT SHOWS HOW ITS PROGRAMS ARE LINKED TO CRITICAL COMMUNITY NEEDS AND HOW THEY ARE ADDRESSING THOSE NEEDS. ALSO, THE OFFICE'S FOCUS ON PREVENTIVE AND COST-EFFECTIVE MODELS OF CARE FOR CHILDREN IS TIMELY GIVEN THE SHIFT IN HEALTHCARE TOWARDS ACCOUNTABLE CARE THAT EMPHASIZES VALUE IN TERMS OF KEEPING POPULATIONS HEALTHY. THE OFFICE TAKES AN ACTIVE LEADERSHIP ROLE IN INFORMING POPULATION HEALTH EFFORTS AT THE LOCAL, STATE AND NATIONAL LEVELS. OUR IMPACT, AT A GLANCE ----------------------- THE OFFICE HAS ESTABLISHED ITSELF AS A CRITICAL RESOURCE IN THE STATE AND ACROSS THE NATION AND IS: - PARTNERING WITH THE CONNECTICUT OFFICE FOR EARLY CHILDHOOD TO LEAD THE DEVELOPMENT OF A COMPREHENSIVE, STATEWIDE EARLY CHILDHOOD SYSTEM; AND - ENGAGED IN ONGOING DIALOGUE ON KEY PUBLIC POLICY CONCEPTS NECESSARY FOR SYSTEM-BUILDING WITH A WIDE ARRAY OF FEDERAL AGENCIES, INCLUDING THE MATERNAL AND CHILD HEALTH BUREAU, THE ADMINISTRATION FOR CHILDREN AND FAMILIES AND THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION. THE OFFICE PROGRAMS ------------------- CONNECTICUT CHILDREN'S OFFICE OF COMMUNITY CHILD HEALTH OPERATES A TOTAL OF 18 PROGRAMS: INNOVATION: - THE HELP ME GROW NATIONAL CENTER; - CHILDHOOD PROSPERITY LAB - EASY BREATHING; - KOHL'S START CHILDHOOD OFF RIGHT PROGRAM; - CARE COORDINATION COLLABORATIVE MODEL; AND - NORTH HARTFORD ASCEND. DIRECT SERVICES: - CONNECTICUT CHILDREN'S CENTER FOR CARE COORDINATION; - CONNECTICUT CHILDREN'S HEALTHY HOMES PROGRAM; - HARTFORD YOUTH HIV IDENTIFICATION AND LINKAGE CONSORTIUM; - PERSON-CENTERED MEDICAL HOME; AND - CONNECTICUT CHILDREN'S NEWBORN SCREENING NETWORK. - Youth Suicide Prevention Center EDUCATION AND RESEARCH: - INJURY PREVENTION CENTER; - CO-MANAGEMENT; - CHILDREN'S CENTER ON FAMILY VIOLENCE; - EDUCATING PRACTICES IN THE COMMUNITY; - RESIDENT EDUCATION IN ADVOCACY AND COMMUNITY HEALTH; AND - CONNECTICUT CHILDREN'S CENTER FOR GLOBAL HEALTH. DESCRIPTIONS OF THOSE PROGRAMS ARE LISTED BELOW: INNOVATION ---------- THE HELP ME GROW NATIONAL CENTER, INNOVATED IN HARTFORD AND BASED AT CONNECTICUT CHILDREN'S MEDICAL CENTER, SERVES AS A NATIONAL RESOURCE FOR SUPPORTING THE REPLICATION OF HELP ME GROW SYSTEMS THROUGHOUT THE COUNTRY. TESTED AS A PILOT PROJECT IN HARTFORD IN 1997, THE PROGRAM EXPANDED STATEWIDE IN 2002 AND IS ALSO BEING REPLICATED AROUND THE COUNTRY. HELP ME GROW LINKS CHILDREN WHO ARE AT RISK FOR DEVELOPMENTAL OR BEHAVIORAL PROBLEMS TO HELPFUL COMMUNITY-BASED PROGRAMS AND SERVICES. CONNECTICUT CHILDREN'S CHILDHOOD PROSPERITY LAB OFFERS INDIVIDUALS AND ORGANIZATIONS AN EXCITING OPPORTUNITY TO GET CRUCIAL GUIDANCE, ACCESS TO KEY STAKEHOLDERS, AND TECHNICAL ASSISTANCE NEEDED TO MAKE INNOVATIONS PROMOTING THE OPTIMAL HEALTHY DEVELOPMENT OF CHILDREN SUCCESSFUL ON A LOCAL, STATEWIDE, AND EVEN NATIONAL LEVEL. THE PROSPERITY LAB, WHICH IS PART OF CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH (THE OFFICE), SEEKS TO ESTABLISH A PIPELINE OF INNOVATIONS THAT FOCUS ON THE HEALTH OF CHILDREN, STRENGTHEN FAMILIES, AND SHOW HIGH POTENTIAL FOR BEING BOTH SUSTAINABLE AND REPLICABLE. THE CHILDHOOD PROSPERITY LAB SEEKS TO ENGAGE A BROAD RANGE OF POTENTIAL COMMUNITY HEALTH INNOVATORS ADDRESSING CRITICAL COMMUNITY HEALTH NEEDS, INCLUDING INDIVIDUAL ENTREPRENEURS, BUSINESSES, COMMUNITY-BASED ORGANIZATIONS; RESEARCHERS; BEHAVIORAL HEALTH PROVIDERS, OTHER HEALTHCARE PROVIDERS, HEALTHCARE PAYERS AND OTHERS COMMITTED TO IMPROVING CHILDREN'S HEALTHY DEVELOPMENT. THE PROGRAM PLANS TO SUPPORT INNOVATIONS AS THEY MOVE TOWARDS MORE EVIDENCE-INFORMED, HIGHER IMPACT SOLUTIONS DESIGNED TO CLOSE EXISTING GAPS IN PROGRAMS AND SERVICES CURRENTLY OFFERED TO CHILDREN ACROSS A VARIETY OF SECTORS. EASY BREATHING IS A COMMUNITY-BASED ASTHMA MANAGEMENT PROGRAM INNOVATED AT CONNECTICUT CHILDREN'S AND HOUSED IN OUR ASTHMA CENTER. IT ENSURES CHILDREN, FAMILIES AND PHYSICIANS WORK TOGETHER TO MANAGE ASTHMA SYMPTOMS USING NATIONAL ASTHMA GUIDELINES. THE PROGRAM IS AVAILABLE TO CHILDREN ACROSS CONNECTICUT AND IS ALSO BEING REPLICATED IN OTHER STATEs. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THE KOHL'S START CHILDHOOD OFF RIGHT (SCOR) PROGRAM IS DEDICATED TO DECREASING OBESITY IN HARTFORD CHILDREN FROM BIRTH TO AGE 2 BY FIVE PERCENT. SCOR IS WORKING TO ACCOMPLISH THAT GOAL THROUGH THE FOLLOWING ACTIVITIES: 1) CONVENE A COLLABORATIVE OF COMMUNITY PARTNERS WHO ARE MOBILIZED TO COMBAT CHILDHOOD OBESITY; 2) EDUCATE PEDIATRIC PROVIDERS TO COUNSEL HARTFORD FAMILIES ON HEALTHY NUTRITION AND ACTIVITY AND PROVIDE REFERRALS TO COMMUNITY RESOURCES FOR AT RISK 0-2 YEAR OLDS; 3) TRAIN COMMUNITY OUTREACH WORKERS ON COUNSELING AND SUPPORTING FAMILIES WITH 0-2 YEAR OLDS TO UTILIZE CONSISTENT HEALTHY GROWTH MESSAGING; 4) CONNECT HARTFORD FAMILIES TO HEALTH PROMOTION ORGANIZATIONS DURING WELLNESS EVENTS AND SHARING HEALTHY EATING MESSAGES; AND 5) REFER AT RISK FAMILIES TO CHILD DEVELOPMENT INFOLINE TO CONNECT THEM TO COMMUNITY RESOURCES. THE CARE COORDINATION COLLABORATIVE MODEL IS THE SIGNATURE INNOVATION OF CONNECTICUT CHILDREN'S CETNER FOR CARE COORDINATION. THE MODEL IMPROVES COLLABORATION AMONG CARE COORDINATORS FROM DIVERSE SECTORS INCLUDING CHILD HEALTH, EARLY CARE AND EDUCATION, AND FAMILY SUPPORT. IT ALSO PROVIDES CHILDREN AND FAMILIES WITH LINKS TO EFFECTIVE SERVICES. IT WORKS BY BRINGING TOGETHER CARE COORDINATORS FROM SEVERAL CHILD-SERVING SECTORS FOR PERIODIC MEETINGS TO LEARN ABOUT AVAILABLE SERVICES AND HOW TO HELP FAMILIES ACCESS THEM, TO REVIEW CHALLENGING CASES AND DEVELOP SOLUTIONS FOR FAMILIES, AND TO ADVOCATE FOR POLICY LEVEL SOLUTIONS TO HELP FAMILIES ADDRESS CHALLENGES THEY FACE CONNECTING TO SERVICES. INITIALLY LAUNCHED IN THE GREATER HARTFORD AREA, THE PROGRAM HAS EXPANDED ACROSS THE STATE OF CONNECTICUT AND INTO ADDITIONAL STATES. THE NORTH HARTFORD ASCEND IS A CRADLE TO CAREER EFFORT TO ENSURE CHILDREN LIVING IN THE NORTH HARTFORD PROMISE ZONE HAVE THE SUPPORTS THEY NEED TO REACH THEIR FULL POTENTIAL. ASCEND PIPELINE WILL ADDRESS ACADEMIC, SOCIAL, ECONOMIC AND HEALTH INEQUITIES FACED BY FAMILIES IN NORTH HARTFORD, WHICH HAVE BEEN EXACERBATED BY THE COVID-19 PANDEMIC. PARTNERS WILL WORK TO ELIMINATE DISPARITIES IN OUTCOMES BASED ON RACE, ETHNICITY, DISABILITIES AND OTHER FACTORS SO CHILDREN AND FAMILIES ARE ABLE TO THRIVE. THE GOAL OF ASCEND IS TO IMPROVE DEVELOPMENTAL OUTCOMES SO CHILDREN ARE HEALTHIER IN THEIR EARLIEST YEARS AND ARE READY TO LEARN WHEN THEY ENTER KINDERGARTEN, ENHANCE ACADEMIC OUTCOMES BY INCREASING STANDARDIZED TEST SCORES AND GRADUATION RATES WHILE REDUCING ABSENTEEISM, AND STRENGHTEN LONG-TERM WELL-BEING AND QUALITY OF LIFE SO CHILDREN CAN SUCCESSFULLY TRANSITION TO COLLEGE OR A CAREER. DIRECT SERVICES --------------- THE CONNECTICUT CHILDREN'S CENTER FOR CARE COORDINATION (THE CENTER) EMPOWERS FAMILIES OF ALL CHILDREN, INCLUDING THOSE WITH SPECIAL NEEDS, BY HELPING THEM ADVOCATE FOR ACCESS TO APPROPRIATE MEDICAL, BEHAVIORAL, EDUCATIONAL, LEGAL, AND SOCIAL SERVICES. THE CENTER ALSO PROVIDES TRAINING AND TECHNICAL SUPPORT FOR COMMUNITY-BASED PRIMARY CARE PROVIDERS, SUPPORTING THEM TO BECOME MEDICAL HOMES FOR THE CHILDREN THEY SERVE. THE CONNECTICUT CHILDREN'S HEALTHY HOMES PROGRAM IMPROVES THE LIVES OF CHILDREN BY MAKING THEIR HOMES HEALTHIER, SAFER AND MORE ENERGY EFFICIENT. THE PROGRAM PROVIDES QUALIFIED HOMEOWNERS AND TENANTS WITH INSPECTIONS AND PLANS FOR THE REMOVAL OF LEAD, ASTHMA TRIGGERS, AND SAFETY HAZARDS. IT ALSO PROVIDES FINANCIAL ASSISTANCE FOR REMEDIATION, RELOCATION ASSISTANCE DURING CONSTRUCTION, REFERRALS TO LOW-COST OR NO-COST WEATHERIZATION PROGRAMS TO INCREASE ENERGY EFFICIENCY, AND EDUCATION PERTAINING TO HEALTHY AND SAFE HOMES. THE HARTFORD YOUTH HIV IDENTIFICATION AND LINKAGE CONSORTIUM WORKS TO PREVENT THE SPREAD OF HIV AND OTHER SEXUALLY TRANSMITTED DISEASES AMONG YOUTH. THE PROGRAM PROVIDES INTERACTIVE PREVENTION EDUCATION, COMMUNITY ENGAGEMENT AND OUTREACH, AND YOUTH FRIENDLY HIV/STD SCREENINGS. THE CONSORTIUM ALSO LINKS YOUTH TO MEDICAL CARE SERVICES, EMPLOYMENT SERVICES AND OTHER COMMUNITY RESOURCES. THE CONNECTICUT CHILDREN'S PRIMARY CARE CENTER RECENTLY RECEIVED DESIGNATION AS A PERSON CENTERED MEDICAL HOME. IN ACHIEVING THAT RECOGNITION, THE CENTER MET RIGOROUS STANDARDS SET BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AND WAS RECOGNIZED FOR COORDINATING PATIENT CARE, MAINTAINING A HIGH LEVEL OF QUALITY IN SERVICE DELIVERY, AND ENSURING THAT PATIENTS AND FAMILIES REMAIN AT THE CENTER OF ALL CARE. SEVERAL PROGRAMS OVERSEEN BY THE OFFICE FOR COMMUNITY CHILD HEALTH SUPPORT THE PRIMARY CARE CENTER IN ITS MEDICAL HOME STATUS. THE CONNECTICUT CHILDREN'S NEWBORN SCREENING NETWORK IS A STATEWIDE NETWORK THAT RESPONDS TO ALL REPORTS OF INFANTS WHO HAVE A NEWBORN SCREEN THAT IS FLAGGED AS OUT OF RANGE. NEWBORN SCREENING IS ONE OF, IF NOT THE MOST EFFECTIVE OF ALL SCREENING PROGRAMS - PROVIDING FAMILIES WITH ANSWERS TO QUESTIONS, TIMELY DIAGNOSES, AND IMMEDIATE ACCESS TO HIGH-QUALITY AND POTENTIALLY LIFE-SAVING MEDICAL CARE, WHEN NEEDED. THE NETWORK HAS REVOLUTIONIZED NEWBORN SCREENING BY BUILDING A SYSTEM THAT REDUCES THE TIME FAMILIES WAIT FOR A DIAGNOSIS, PROVIDES A VITAL LINK BETWEEN FAMILIES AND PROVDIERS ONCE A DIAGNOSIS TAKES PLACE, AND ENSURES LONG-TERM FOLLOW UP CARE SO CHILDREN HAVE EVERY OPPORTUNITY TO THRIVE. EDUCATION AND RESEARCH ---------------------- THE INJURY PREVENTION CENTER ENGAGES IN RESEARCH, COMMUNITY OUTREACH, EDUCATION, TRAINING, AND PUBLIC POLICY WORK TO REDUCE PREVENTABLE INJURIES AND VIOLENCE TO CHILDREN. ITS THREE PRIMARY FOCUS AREAS ARE TEEN DRIVING SAFETY, TEEN SUICIDE PREVENTION AND DOMESTIC VIOLENCE PREVENTION. ITS COMMUNITY PROGRAMS, INCLUDING SAFE KIDS CONNECTICUT AND THE INJURY FREE COALITION FOR KIDS OF HARTFORD, ADDRESS A WIDE RANGE OF CHILD SAFETY CONCERNS RANGING FROM CHILD PASSENGER SAFETY TO POISONING PREVENTION AND OTHER HOME SAFETY ISSUES. CO-MANAGEMENT EMPOWERS PRIMARY CARE PROVIDERS TO IMPROVE THE BREADTH AND QUALITY OF CARE THEY PROVIDE TO CHILDREN. PRIMARY CARE PROVIDERS PARTNER WITH SUBSPECIALISTS TO DESIGN PROTOCOLS FOR THE CARE OF CERTAIN HIGH PREVALENCE CONDITIONS THAT ARE TYPICALLY REFERRED TO SUBSPECIALISTS. BY DOING SO, THIS CARE MODEL ALLOWS CHILDREN TO RECEIVE SOME SUBSPECIALTY CARE WITHIN THEIR MEDICAL HOME AND ENSURES THAT THEY RECEIVE TIMELY ACCESS TO SUBSPECIALTY CARE WHEN NEEDED. THE MODEL FREES UP SUBSPECIALTY APPOINTMENTS FOR CHILDREN WHO'S CONDITIONS CANNOT BE MANAGED IN THE PRIMARY CARE SETTING. THE CHILDREN'S CENTER ON FAMLIY VIOLENCE AIMS TO INCREASE UNDERSTANDING ABOUT THE IMPACT FAMILY VIOLENCE HAS ON CHILDREN AND TO INCREASE SUPPORT SERVICES FOR AFFECTED CHILDREN. THE CENTER IS A PARTNERSHIP BETWEEN THE CONNECTICUT CHILDREN'S SUSPECTED CHILD ABUSE AND NEGLECT PROGRAM, THE CONNECTICUT CHILDREN'S INJURY PREVENTION CENTER, AND THE CONNECTICUT COALITION AGAINST DOMESTIC VIOLENCE. THE CENTER'S GOALS INCLUDE IMPROVING SERVICE SYSTEMS FOR AFFECTED FAMILIES, WHICH CURRENTLY OFTEN DO NOT UTILIZE BEST PRACTICES, AND ENHANCING RESEARCH EFFORTS FOR CHILD-FOCUSED INTERVENTIONS, WHERE THE EVIDENCE BASE IS CURRENTLY INADEQUATE. THE CENTER ALSO PLANS TO ESTABLISH A STATEWIDE FAMILY VIOLENCE INFORMATION SYSTEM TO GATHER DATA, IDENTIFY TRENDS, AND TRACK PROGRESS OVER TIME. THE EDUCATING PRACTICES IN THE COMMUNITY PROGRAM IS A SIGNATURE INNOVATION OF THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT AND IS SUPPORTED BY THE CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH. IT'S DESIGNED TO BRING THE NEWEST DEVELOPMENTS IN PEDIATRIC PRIMARY CARE TO CONNECTICUT'S CHILD HEALTH PROVIDERS THROUGH THE PROCESS OF ACADEMIC DETAILING AND WORKS TO ADVANCE SUSTAINABLE IMPROVEMENTS IN PRIMARY AND PREVENTIVE HEALTH AND MENTAL HEALTH CARE PRACTICES FOR ALL CONNECTICUT CHILDREN. THE RESIDENT EDUCATION IN ADVOCACY AND COMMUNITY HEALTH PROGRAM HELPS TO FOSTER THE GROWTH OF FUTURE GENERATIONS OF PEDIATRICIANS WHO ARE COMMUNITY CHILD HEALTH ADVOCATES. THE PROGRAM NURTURES PEDIATRIC RESIDENTS TO BECOME FUTURE LEADERS BY PROVIDING THEM WITH UNIQUE OPPORTUNITIES TO DEVELOP KNOWLEDGE AND SKILLS IN THE AREAS OF ADVOCACY, COMMUNITY HEALTH AND PUBLIC POLICY. DURING THEIR TIME IN THE PROGRAM, PEDIATRIC RESIDENTS WORK CLOSELY WITH EXPERTS IN THE FIELDS OF POPULATION HEALTH, COMMUNITY RESEARCH, POLICY REFORM, AND SOCIAL INNOVATION ALL WITH THE GOAL OF PROMOTING CHILDREN'S HEALTHY DEVELOPMENT. THE CONNECTICUT CHILDREN'S CENTER FOR GLOBAL HEALTH IS DEDICATED TO IMPROVING THE PHYSICAL AND EMOTIONAL HEALTH OF CHILDREN AROUND THE WORLD BY SUPPORTING OUR STAFF AND FACULTY IN THEIR ACTIVITIES TO BUILD THE CAPACITY OF NURSES, PHYSICIANS AND OTHER LEATHCARE PROVIDERS IN DEVELOPING COUNTRIES. THE CENTER FOR GLOBAL HEALTH TEAM HELPS TO DEVELOP LONG-TERM STRATEGIES TO INCREASE THE CAPACITY OF LOCAL HEALTHCARE PROVIDERS, SERVES AS CONSULTANTS FOR CHILDREN WITH ADVANCED AND COMPLEX DISEASES, SECURE AND PROVIDE EDUCATION REGARDING THE NECESSITY FOR CLEAN DRINKING WATER, EDUCATE MEDICAL PERSONNEL TO IMPROVE NEWBORN MORTALITY RATES, PROVIDE MEDICAL AND SURGICAL CARE, PERFORM CARDIAC SURGERY, TREATS HIV, ESTABLISH PROGRAMS FOR CHILDREN WITH IN CORE FORM, PART V; QUESTION 15 JAMES E. SHMERLING, DHA, FACHE IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL TIME BASIS. ADDITIONALLY, MR. SHMERLING IS EMPLOYED AND RECEIVES A FORM W-2 FROM THIS ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER (EIN: 06-0646755). ACCORDINGLY, THIS ORGANIZATION FILED A 2023 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SHMERLING'S COMPENSATION IN EXCESS OF $1M. CHRISTINE FINCK, M.D., FACS IS THE EXECUTIVE VICE PRESIDENT, SURGEON IN CHIEF OF THIS ORGANIZATION AND THUS, IS REPORTED AS A KEY EMPLOYEE ON THIS ORGANIZATION'S FEDERAL FORM 990. ALTHOUGH DR. FINCK RECEIVES A FEDERAL FORM W-2 FROM CONNECTICUT CHILDREN'S SPECIALTY GROUP; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER. DR. FINCK is a Licensed Medical Provider whose compensation was for clinical services, AS WELL AS, NON-CLINICAL SERVICES. THIS ORGANIZATION WAS NOT REQUIRED TO FILE A FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. FINCK BECAUSE THE PORTION OF HER COMPENSATION ATTRIBUTABLE TO NON-CLINICAL SERVICES WAS NOT IN EXCESS OF $1M AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CCMC CORPORATION IS THE SOLE MEMBER OF THIS ORGANIZATION. CCMC CORPORATION HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE ASSUMES THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEM'S FINANCE PERSONNEL INCLUDING THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, CORPORATE CONTROLLER, ACCOUNTING MANAGER AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR REVIEW. THE SYSTEM'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE SYSTEM'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THE FORM 990 WAS THEN PROVIDED AND PRESENTED TO THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE AND SUBSEQUENTLY TO EACH VOTING MEMBER OF ITS GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE ORGANIZATION'S CORPORATE COMPLIANCE/CONFLICT OF INTEREST COMMITTEE ("COMMITTEE") HAS OVERSIGHT OVER THE MANAGEMENT OF IDENTIFIED OR REPORTED CASES OF CONFLICTS OF INTEREST. THE COMMITTEE IS ALSO RESPONSIBLE FOR DEVELOPING, APPROVING, AND IMPLEMENTING, AS APPROPRIATE, POLICIES AND EDUCATION RELATING TO VARIOUS TYPES OF CONFLICTS OF INTEREST. THE COMMITTEE HAS DELEGATED THE DAY TO DAY INVESTIGATION OF DISCLOSURES TO THE SYSTEM'S GENERAL COUNSEL AND DIRECTOR OF COMPLIANCE. COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S GENERAL COUNSEL, WHO PERFORMS AN INITIAL SCREENING OF THE CONFLICT OF INTEREST DISCLOSURES. IF POTENTIAL CONFLICTS OF INTERESTS ARE REPORTED, GENERAL COUNSEL COMPLETES FURTHER INVESTIGATION AND RECOMMENDS A MANAGEMENT PLAN OR OTHER CORRECTIVE ACTIONS TO THE COMMITTEE. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF CONNECTICUT CHILDREN'S SENIOR MANAGEMENT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE, INCLUDING COMPLEXITY OF SERVICES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S SENIOR VICE PRESIDENT OF HUMAN RESOURCES AND THE HUMAN RESOURCES DEPARTMENT, IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. PLEASE ALSO REFER TO OUR RESPONSE INCLUDED IN SCHEDULE J, PART III, QUESTION 3 FOR FURTHER INFORMATION ON HOW CONNECTICUT CHILDREN'S MEDICAL CENTER SATISFIES THE CRITERIA TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO EXECUTIVE COMPENSATION REVIEW AND APPROVAL. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE CONNECTICUT SECRETARY OF STATE. ADDITIONALLY, THE ORGANIZATION'S GOVERNING POLICIES AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR THE RELATED ORGANIZATION; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS INCLUDE: - CHANGE IN EQUITY INTEREST IN THE NET ASSETS OF CONNECTICUT CHILDREN'S FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $32,878,342; - CHANGE IN FUNDED STATUS OF PENSION AND POST-RETIREMENT PLANS - $6,036,694; - CHANGE IN INTEREST IN NET ASSETS OF CONNECTICUT CHILDREN'S FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; DUE TO TRANSFERS AND FORGIVENESS - ($78,083,290); - DONOR RESTRICTED CHANGE IN EQUITY INTEREST IN THE NET ASSETS OF CONNECTICUT CHILDREN'S FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $14,259,233; - NET PERIODIC PENSION CREDIT - $1,742,744; AND - DONOR RESTRICTED CHANGE IN FUNDS HELD IN TRUST BY OTHERS - $11,713,273. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CONNECTICUT CHILDREN'S MEDICAL CENTER AND SUBSIDIARIES, FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2024 AND SEPTEMBER 30, 2023; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, CCMC CORPORATION AND SUBSIDIARIES ALSO RECEIVED AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2024 AND SEPTEMBER 30, 2023; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:25072305 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:13572496 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:13332082 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:5802511 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:822574 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE FEES TOTAL FEES:427154 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES TOTAL FEES:125544 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:820643 CONNECTICUT CHILDREN'S CARE NETWORK LLC 282 WASHINGTON STREET HARTFORD CT 06106 834451707 CLIN INT NTWK CT 0 0 CT CHILDRENS CCMC CORPORATION 282 WASHINGTON STREET HARTFORD CT 06106 222619876 HLTHCARE SVCS CT 501(C)(3) 12a NA false CONNECTICUT CHILDREN'S FOUNDATION INC 282 WASHINGTON STREET HARTFORD CT 06106 222619869 FUNDRAISING CT 501(C)(3) 7 CCMC CORP false CCMC AFFILIATES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619870 INACTIVE CT 501(C)(3) 10 CCMC CORP false CONNECTICUT CHILDREN'S SPECIALTY GROUP 282 WASHINGTON STREET HARTFORD CT 06106 061446900 HLTHCARE SVCS CT 501(C)(3) 10 CT CHILDRENS true CHILDREN'S FUND OF CONNECTICUT INC 270 FARMINGTON AVENUE FARMINGTON CT 06032 061364513 HLTHCARE SVCS CT 501(C)(3) 12a CT CHILDRENS true CHILD HEALTH AND DEV INSTITUTE OF CT 270 FARMINGTON AVENUE FARMINGTON CT 06032 061504725 HLTHCARE SVCS CT 501(C)(3) 7 CFCT false CAPITAL AREA HEALTH CONSORTIUM INC 270 FARMINGTON AVENUE FARMINGTON CT 06032 510173264 SUPPORT SVCS CT 501(C)(3) 12a CT CHILDRENS true CCMC VENTURES INC 282 WASHINGTON STREET HARTFORD CT 06106 222619873 INACTIVE CT NA C CORP. false NEW ENGLAND PEDIATRICS INDEMNITY LTD 50 CEDAR AVENUE HAMILTON BERMUDA BD HM 11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false NY CHILDREN'S MEDICAL PROVIDER SVCS PC 282 WASHINGTON STREET HARTFORD CT 06106 853381942 HEALTH SERVICES NY CCMC C CORP. 8200630 1944056 1.00000 true false false true true true false false false true true false false false true true true true true true CONNECTICUT CHILDREN'S SPECIALTY GROUP P 21791818 COST CONNECTICUT CHILDREN'S SPECIALTY FOUNDATION R 46173749 COST SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF CCMC CORPORATION AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE CCMC CORPORATION ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.