Form990
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Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
Hartford Hospital
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
80 Seymour Street PO Box 5037
 
Room/suite
City or town, state or country, and ZIP + 4
Hartford, CT061025037
D Employer identification number

06-0646668
E Telephone number

G Gross receipts $ 1,163,585,472
F Name and address of principal officer:
Jeffrey Flaks
80 Seymour Street
Hartford,CT06102
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
HARTHOSP.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1854
M State of legal domicile: CT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Hartford Hospital, founded in 1854, is one of the largest teaching hospitals and tertiary care centers in New England. The hospital is home to a particularly extensive surgical practice. It has been training physicians for 130 years, primarily in collaboration with the University of Connecticut School of Medicine. It is a member of Hartford Health Care Corporation, a large, diversified health care system. The hospital is an 867-bed regional referral center that provides high-quality care in all clinical disciplines, enhanced by robust research endeavors. Among its divisions are the Institute of Living, a 114-bed mental health facility, and Jefferson House, a 104-bed long-term care facility. The hospital's active medical staff includes over 1,000 physicians and dentists within 17 departments. In 2011, the hospital had 40,674 discharges and 95,567 emergency department visits. The Hospital owns and operates the State's only Air Ambulance System (LifeStar).
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 10
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 7,944
6 Total number of volunteers (estimate if necessary) .... 6 1,361
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,809,179
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 42,109,452 39,885,454
9 Program service revenue (Part VIII, line 2g) ......... 863,898,071 911,673,420
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,341,574 26,731,204
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 25,439,041 7,662,857
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 941,788,138 985,952,935
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 70,000 1,390,713
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 499,138,884 559,021,985
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,312,918    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 425,027,480 389,765,452
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 924,236,364 950,178,150
19 Revenue less expenses. Subtract line 18 from line 12...... 17,551,774 35,774,785
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,021,484,968 1,166,702,504
21 Total liabilities (Part X, line 26)............ 485,865,740 659,754,390
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 535,619,228 506,948,114
Part II
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Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: To offer comprehensive services in an environment where innovation and teaching are integral to care; where we are proud to serve all; where meeting the challenge of complex medical needs is viewed as a defining competency; and where quality and safety of care are a constant.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 128,515,522 including grants of $   ) (Revenue $ 468,788,816 )
CardiologyAt the completion of fiscal year 2011 (FY2011), there were 67 medical staff members in Hartford Hospital's Division of Cardiology. The staffing was comprised of fourteen full-time hospital-employed faculty cardiologists, 44 private practice cardiologists, seven full-time employed hospitalists and two doctoral-level researchers. Additions to the Cardiology division in FY 11 included Dr. Meir Friedman to Electrophysiology. The Cardiology division members did 58 publications in peer-reviewed journals in 2011.Dr Jeffrey Kluger received the Distinguished Service Award from the Hartford Hospital Medical Staff which recognizes a physician for consistent, extraordinary contributions to the health and welfare of our community. Dr. Detlef Wencker received the Young Practitioner Award. He was honored for his leadership, excellence in clinical care and research, innovation, teaching, advocacy and activism. Dr. Justin Lundbye was named by Hartford Business Journal as one of Hartford's "40 Under Forty." Jeanne Bodett, RN, BSN, MBA, Manager of the Cath Lab, was awarded the President's Award from the Connecticut Nurses' Association. Barbara Cordts, RN, MSN, CCRN, a senior critical care nurse for the Cardiothoracic Surgical Intensive Care Unit, was awarded the New England Regional Finalist in the Nursing Spectrum Nurse Excellence program in the Teaching Category. Sebastiano Golino, RN, an intensive care nurse for the Cardiac Care Unit, was the first recipient of the Department of Nursing Caring Award. Total cardiology full-time equivalent employees including patient care units for 2011 were 360 versus an actual of 345 in 2010. Medical Cardiology Non-ICU units had 5,016 discharges, 264 less than 2010. Patient days were 21,565, 1,060 less than 2010. Medical Cardiology ICU discharges were 1,209 (75 less than 2010) with 4,087 days (67 less days than 2010). In FY 2012, the Division expects increases in the volume of: transcatheter aortic valve replacement (TAVR), Ventricular Assist Device (VAD) patients, heart transplants, heart failure patients, electrophysiology device placements, and LDL Apheresis. DIVISION OF CARDIOLOGY PATIENT CARE ACTIVITIESCardiac Catheterization Laboratory* 3871 total cases: 3,383 Coronary; 488 Peripheral* Coronary: 2,101 Diagnostic; 1,282 Interventional -9% increase in Cardiac Interventions -10% decrease in Cardiac Diagnostic Studies* Peripheral: 488 total cases; 163 diagnostic; 325 Interventional -21% increase in peripheral cases performed in the Cardiac Catheterization Lab* 95% of all cardiac interventions were stented; 76% received drug-eluting stents and 24% bare metal. This was a 6% increase in drug-eluting stents from 2010.* The PCI length of stay (LOS) was 3.42 days, slightly up from previous year (3.32). ACC NCDR average is 2.92 days. The "Emergent" case status for PCI's at Hartford Hospital was 25.2% compared to 15.2% for similar hospitals (source: Q2, 2011 ACC NCDR Report). * 12.3% of all PCIs were by radial access, up from 7.9% in FY2010. 16.5% (1 in 6) cases were done via the radial artery for Diagnostic Caths. * 44.3% of all cardiac cases were elective, a 7.7% drop from FY2010; 42.2% were urgent, a 5% increase; 13.4% were emergent, up 2.4%.*The percent of patients transferred to the Cardiac Lab from our partner hospitals continues to increase. In FY2011 it was 26%, up 3% from FY2010.Cardiac Electrophysiology Laboratory* For FY2011, there were a total of 1,105 cases performed. This represented an overall 30% increase in total cases compared to FY2010. * There were 679 patient visits. This represented an overall 12% increase in patient visits compared to FY2010. * There were 230 cardiac ablations; this representing a 26% increase from FY2010. * For the year, 261 implantable cardioverter defibrillator (ICD) cases were performed. Of these, 17% were ICD generator changes, 19% were biventricular ICD generator changes, 27% were initial biventricular ICD implants, and 37% were initial single or dual chamber ICD implants. * 116 pacemaker (PM) cases were performed; a 45% increase from FY2010. Of these, 14% were PM generator changes, 10% were initial biventricular PM implants, and 76% were initial single or dual chamber PM implants. * 16 laser lead extractions were performed; this represents a 43% decrease from FY2010. * 42 lead cases other than laser, were performed; this represents a 27% increase from FY2010. * 135 Lead / Device explants were preformed; this represents a 25% increase from FY2010.Nuclear Cardiology / Exercise Stress Test LaboratoriesThere was a total 3,522 nuclear cardiology imaging studies performed at Hartford Hospital in FY2011. Cardiac PET represented 536 of the total procedures. Among the satellite nuclear cardiology programs, there were 122 scans performed in Avon; 337 scans performed in Glastonbury; 631 performed at Retreat Avenue; 225 scans performed at Blue Back Square, West Hartford, and 173 performed in Farmington. Overall, FY2011 nuclear cardiology volume for both the Hospital and satellites (including Cardiac PET) totaled 4,155 procedures. This volume represented a decrease of approximately 9.0% compared to FY2010. This decrease was due to a recall of the PET isotope and loss of physician coverage at the satellites. There were a total of 2,986 stress tests performed at Hartford Hospital in FY2011. Of these, 362 were standard ETT, 2088 were combined with perfusion imaging, and 536 were with Cardiac PET.EchocardiographyIn FY2011, the Hartford Hospital Echocardiography Lab performed 9381 transthoracic studies, 605 transesophageal echocardiographic studies, and 173 stress echocardiograms. These totals represented a 2% increase compared to last year's total. Full-time sonographer staff has increased from 6.5 to 7. Approximately 48% of transthoracic studies were performed at the bedside (a 16% increase from last year's totals and a 40% increase over the last 2 years). 13% of studies were performed on outpatients. The number of late discharges per month due to the Echo Lab continued to remain in the single digits. New services included the establishment of a weekly left ventricular assist device imaging clinic in conjunction with the heart failure service. The lab has also begun offering diastolic stress echocardiography on a routine basis. Cardiac Surgery* 762 cases were done in FY2011, a 1.7% increase from FY2010* There were 390 CABG-only cases; 126 CABG + Valve procedures; 159 Valve only surgeries. There was a slight decrease in CABG surgeries but a compensatory increase in Valve surgeries.* 51% of all CABG only surgeries were off pump, a 2% decrease from prior year.* Hartford Hospital was in the top 5% in the United States for CAB and CAB/Valve volume and top 10% for Valves. (Source: STS Fall 2011 report)* Our CABG mortality was 1.3% and our risk adjusted Observed to Expected Mortality ratio continues to go down (which is favorable). Our fall 2011 report showed the ratio at 0.91. In other words our outcomes are better then expected. (Source: STS Fall 2011 Report)* Hartford Hospital maintained our 2 star (average) rating for avoidance of mortality and morbidity on the National Quality Forum (NQF Measures).* The LOS for isolated CABG went up slightly from the previous FY by almost one day (0.8).* 19 Heart Transplants were done at Hartford Hospital in FY2011, the same as in FY2010.Advanced Heart Failure and Transplant CenterThe Advanced Heart Failure Infusion Center (AHFC) continues to provide successful outpatient therapy for decompensated heart failure patients reducing length of stay, preventing re-admission and allowing patients to stay in the comfort of their own home. Outpatient Infusion Therapy remains to be very popular and highly effective in stabilizing patients with acute heart failure syndrome. During FY2011, a total of 1,278 infusions were performed (40 more than 2010). A number of heart failure (re)admissions to the hospital were prevented due to a new program initiated by Dr. Jason Gluck and the Emergency Room. Patients with heart failure are screened, and if they meet certain criteria they are assessed for treatment in the Infusion Center rather than being admitted. This has provided better patient care as well as decreased readmissions for this heart failure population. The Hartford Hospital Mechanical Circulatory Support ("VAD") Program has shown continued growth within the last year with a 70% increase of implants from 2010. More than 20 VAD patients are managed in the outpatient setting, many of those as destination therapy (DT) with excellent quality of life and functional capacity. This DT Program is a significant milestone in the therapy for advanced heart failure and has the potential for further future growth considering the many end-stage HF patients that are not eligible for heart transplantation. Part III, Line 4a Continues on Sch O
4b (Code:   ) (Expenses $ 48,570,979 including grants of $   ) (Revenue $ 102,728,354 )
The Institute of Living (Hartford Hospital's Department of Psychiatry) is referred to as the IOL. The Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that in 2011 less than 40% of individuals experiencing a mental illness received treatment and less than 60% of those with a severe mental illness received any psychiatric services. The IOL's efforts to meet the demand for services led the Hospital to expand ambulatory services in several program areas (described below) and to improve throughput from our psychiatric emergency service and consultation/liaison service to our inpatient beds. Our multi-year "culture change" program has led to such patient-focused innovations as the introduction of comfort rooms, hourly rounding on all inpatient units, and significant reductions in the use of seclusion and restraint. The IOL's residency programs continued to thrive with an outstanding class of new residents in both our general adult and child and adolescent residencies. Our research programs had an excellent year as well with over $5 million in new grants awarded and 100 publications generated. As we enter 2012, we look forward to the many challenges that will face our system of care and we anticipate and accommodate the needs of health care reform.Statistical Data:Total discharges for the year were 4,242. The number of adult day treatments was 8,590. The IOL treated 1,713 patients for eating disorder, 4,107 patients for Schizophrenia rehabilitation, and 2,980 patients went through the DBT program. The average length of stay was 8.7 days and the average daily census was 100.9. 35% of admissions were Hartford residents, while the rest were from other areas within the State of Connecticut. Patient Care Activities and Program Development:Patient care activities and program development were guided by the IOL's internal goals for 2011. Highlights included a focus on significant growth in two ambulatory programs, the Young Adult Program and the Center for Cognitive Behavioral Therapy. Another significant development was the consolidation of The Webb School Bloomfield campus into the Grace Webb School at the IOL. The consolidation provided significant cost savings and creative opportunities for programming within the school. Our Health Psychology Service continued to expand with strategic decisions to staff psychology positions within Hartford Hospital's Transplant Program and the Nascent Epilepsy Program.Quality and Performance Measures:For the year, the department focused on achieving its internal goals and as a result saw a significant reduction in falls with injury. We continued our program implementation of the IOL's Best Practices, establishing comfort rooms/spaces on all of our inpatient units and ensuring the implementation of a comfort plan for all adult and geriatric patients. Perhaps the most significant achievement of the IOL's multi-year culture change program has been the reduction in the use of seclusion and restraint. In 2011, we reduced the number of unique individuals secluded or restrained by 11.5%. This was accompanied by significant reductions in the number of hours spent in seclusion/restraint. A number of other initiatives touched on service excellence/quality or financial strength. We implemented hourly rounding on all inpatient rooms between 7:00 a.m. and 11:00 p.m. We implemented an electronic format for our Emergency Department - IOL handoff and revised and standardized an inpatient satisfaction tool.Research, Training and Education:Research: The research enterprise at The Institute of Living is organized in four specialized centers. The Olin Neuropsychiatry Research Center, directed by Godfrey Pearlson, M.D., focuses on studies of the major psychiatric disorders using brain imaging and electrophysiological techniques along with genetic analysis. The Anxiety Disorders Center, directed by David Tolin, Ph.D., researches treatments for Obsessive-Compulsive Disorder (OCD), Panic Disorder, Compulsive Hoarding and other disorders on the anxiety spectrum. The Braceland Center for Mental Health and Aging (Karen Blank, M.D., Director) addresses issues related to memory in normal aging and in individuals with Alzheimer's Disease or other dementing processes. Finally, the Burlingame Center for Psychiatric Research and Education, directed by John Goethe, M.D., focuses on outcomes and best practices research as well as pharmacogenetics, metabolic syndrome and treatment resistant mood disorders.Our research centers continued to perform well in competitive funding with a total of $5.5 million awarded to IOL researchers. Three significant projects were funded by the newly established Hartford Healthcare Research Institute. Of these, two reflect a growing trend towards collaboration with other Hartford Hospital Departments. One of these studies, the Neurobiology of Obesity, collaborates with bariatric surgeons Darren Tishler, M.D. and Pavlos Papasavas, M.D. The other, on presurgical mapping for awake craniotomy, is in collaboration with the Chief of Neurosurgery, Inam Kureshi, M.D. The success of our research enterprise can be measured through grants awarded, the dissemination of important findings and the synergy between our research efforts and our training and clinical programs. IOL researchers and scholars published 108 articles, book chapters, and books. Training: The IOL's three psychiatry residency programs are complemented by psychology internship and post-doctoral programs as well as training opportunities in psychiatric social work, nursing and occupational/vocational therapies. Our training programs remain extremely competitive.Continuing Education: The mission of the Institute's Continuing Medical Education program is to support the hospital's quality care goals by promoting continuous improvement in clinical practice through education. The Institute has received the "Excellence in CME Award" from the CT State Medical Society in each of the last 13 years. Our continuing education program consisted of weekly presentations including Ground Rounds, Case Conferences and Psychopharmacology/Neuroscience Rounds.
4c (Code:   ) (Expenses $ 24,991,460 including grants of $   ) (Revenue $ 209,473,210 )
IMAGING CENTER AT HARTFORD HOSPITALFor fiscal year 2011 (FY 11), there were approximately 189 full time employees in the Radiology Department. The Department remained committed to developing solutions to maintain and grow the expertise it offers to Hartford Hospital's patients, physicians, and community healthcare providers. Hartford Hospital and Jefferson Radiology under Connecticut Imaging Partners have a joint ventured MRI in Wethersfield and an office at 100 Hazard Avenue in Enfield, CT, a successful full service imaging office. The volume for MRI patients in this office was 1275 patients. This relationship continued to flourish with other prospects on the horizon. During the year, the Department experienced a drop in the number of activities performed. The decrease in the listed number of procedures performed was actually due to changes in how exams are bundled and coded. In actuality, the Department increased the services provided as well as increased the number of patients served. The number of procedures performed for FY 11 was 186,383 which represented a 5.3% increase from FY 10. Trends in Frequency of Operations/Procedures:General radiology procedures increased from 33,100 to 36,747 for an 11% increase. MRI procedures decrease from 9,977 to 9893. CT procedures decreased from 43,826 to 41,322 which is a 5.71% decrease, but patients increased from 26,350 to 28,749 which again is the result of CPT codes being combined. Patients increased by 9.1%. Fluoroscopy volumes increased by 13.54%, which was an additional 560 procedures or 396 patients. Nuclear Medicine nationally has continued to decrease. Our decrease was 2.09%. ED imaging increased from 40,886 in FY 10 to 43,916 for a 7.4% increase. Ultrasound volume increased by 11.47% from 11,487 to 12,805, this was an additional 856 patients. Mammography showed a growth of 14.92% which was an increase of 1453 procedures for FY 11. There were 802 more patients than in the previous year. OR imaging showed growth which was more outpatients than inpatients. The increase was 10.3% or 740 more procedures. The number of Interventional Radiology patients increased by 4.18%. The number of Interventional Neuro Radiology volume increased by 32.8%. Diagnostic procedures increased by 33.9% while therapeutic cases increased by 30.9%. In August 2011, a Pipeline Stent procedure was performed at Hartford Hospital by Drs. Gary Spiegel, Martin Ollenschleger and Stephan Ohki. This was a first in New England.Medical Staffing:The following Radiologists joined the department staff over the past year: Dr. Anu Bansal: Neuroradiologist, trained at Beth Israel and Brigham and Women's hospital, with Fellowship training at Mallinckrodt Institute. Dr. Niv Decalo: General Radiologist completing his Residency at Hartford Hospital. Dr. Prachi Dubey: General Radiologist trained at BI Deaconess and Johns Hopkins. Dr. Joanna Jacunski: Completed her Diagnostic Radiology Residency at Hartford Hospital followed by a Vascular Interventional Fellowship at Brigham & Women's Hospital. Dr. Diana James: Diagnostic Radiology and Breast Imaging Fellowship at Beth Israel Deaconess Medical Center.Dr. Ryan Kaliney: General Radiology Residency followed by MSK Fellowship at University of Virginia Health System. Dr. David Marinelli: Trained in General Radiology followed by Angio/Interventional Fellowship at Hospital of University of Pennsylvania. Department Staffing:Jefferson Radiology and Hartford Hospital Department of Radiology continue to attract outstanding talent. Once again our doctors are recognized in the 'Best Docs of Greater Hartford' publications with 13 of the 17 named Radiologists being members of Jefferson Radiology and on staff at the hospital. This year for the first time, Connecticut Magazine listed the Top Radiologists in CT and Drs. Markowitz and Cronin were recognized in that publication. Dr. Thomas Farquhar will be joining Jefferson Radiology and the Department at Hartford Hospital in January 2012. He completed his training at UCSF with a Fellowship in MRI at UCSD. His specialty is Oncologic Imaging and will bring great expertise and vision to our program. Technology Assessment:Radiology's technologic focus during the past year was directed toward improving radiography and interventional radiology (IR) quality and reducing patient radiation dose by upgrading radiography and IR systems to state-of-the-art flat panel digital radiography (DR)-based systems. The radiography DR project is being implemented as a 2-phase, 2-year project to include the following:1) Replace all four radiographic rooms (two in ED, two in Bliss) with flat panel DR systems.2) Replace the portable radiography units with three fully integrated DR-equipped portable units.3) Upgrade trauma radiography capability to DR.The two ED rooms were renovated this fall, and equipped with dual flat panel DR detectors systems. Both rooms are now in full clinical use. Bliss radiography room expansions and renovations for DR installation begin January 2, 2012. The 1st DR portable unit is also now in clinical use; the 2nd and 3rd units are due to arrive the last week of December. Negotiations have been completed with Konica to upgrade trauma radiography to flat panel DR. Purchase order award is imminent with installation scheduled for early 2012.Two state-of-the-art Siemens interventional radiology (IR) suites were installed during this past summer. These systems improve image quality by using flat-panel detectors rather than image intensifiers, and provide several new technologies for interventional guidance and to acquire CT-like images from rotational acquisitions. Also, in line with the Hospital's patient radiation dose reduction initiative, these new IR systems provide sophisticated dose-minimizing capabilities such as automatic beam filter adjustment and collimation on last-image-hold.Of particular note, this past year is the near fruition of a long-sought overhaul of our mobile mammography program. The previous program, using film-based unit transported by a mini-van, is to be replaced with a fully self-contained bus-based system with a modern full-field digital mammography unit. This new program, jointly proposed and developed by HH Radiology and HH Partnership for Breast Care, received enough private donations to acquire the required equipment (vehicle, digital mammography unit and workstation), to build a home base on the Newington campus, and to gear up for beginning the new service in February of 2012. The new service will provide a major improvement in the quality of the service. One other technological advancement implemented during this past year was replacement of the film-based specimen radiography unit with a digital specimen unit. The film-based unit introduced significant delays into the operating room workflow, because specimen radiographs had to be taken to the radiology mammography area for development and the resulting films taken back up to the surgeons in the OR. This process was often repeated 2-3 times per case, adding up to an hour of surgical time. The new digital specimen unit provides instant image availability via the fast digital acquisition (a few seconds) and transmittal via PACS to surgeons.Neuroradiology:The Department continued to assess radiation dose in all our imaging areas including Neuro CT imaging where it has lowered the doses as much as possible without compromising image quality. We continue to deploy eye and thyroid shielding whenever possible. Multidisciplinary meetings and conferences are continuing including Neuro-oncology, Neurology and ENT services in addition to Neuro-oncology and Neurosurgery. Ear, Nose & Throat (ENT):The biweekly Head and Neck conference continues to be strongly attended by ENT physicians from the region in addition to members of the Dentistry, OMF and Radiology Departments. Teleconferencing is in place with the University of Connecticut staff. New imaging protocols are continually evaluated with plans to investigate the utility of diffusion MRI in the detection of pathological nodal disease in cases of recurrent malignancy.CT Imaging:A project to standardize all CT imaging protocols between Hartford Hospital and Jefferson Radiology outpatient offices was completed this past spring, bringing the highest quality standardized imaging to our communities. We continue to review our radiation dosages and adjust our systems and protocols whenever possible to provide the lowest imaging doses without significantly compromising image quality. We recently tested the use of a portable head CT system which will allow us to bring CT imaging directly to patients in the ICU setting thereby improving patient safety and providing more effective use of our clinical staff on the intensive care units.
(Code:   ) (Expenses $ 618,038,459 including grants of $ 1,240,873 ) (Revenue $ 131,170,470 )
Founded in 1854, Hartford Hospital is one of the largest teaching hospitals and tertiary care centers in New England and has a robust clinical research program. It is an 867-bed hospital occupying a 65-acre campus in downtown Hartford and operating satellite facilities in Avon, Enfield, Glastonbury, Newington, West Hartford, Wethersfield and Windsor.Hartford Hospital has New England's second-busiest surgical practice, after Massachusetts General. It is ranked among the top 10 centers in the country for experience in robotic surgery and performs more minimally invasive surgery than any hospital in the region. The hospital owns and operates LIFE STAR, the state's only critical-care air transport system, and is Hartford's only Level I trauma center.Exciting changes are taking place at Hartford Hospital, which will be of great benefit to our community. These changes are part of our "journey to excellence," a comprehensive, hospital-wide initiative focused on transforming this great institution into one of the country's premier medical centers.Our journey to excellence involves every member of the Hartford Hospital staff, who are empowered through our How Hartford Health Care Works program to improve processes throughout our hospital. With every improvement, we become a stronger institution in every respect. We will be better able to meet the fiscal challenges of the 21st century health care environment so that we can continue to fulfill our mission, which includes reaching out to enhance the health and well-being of the people of our community. Caring for our community family is a long-standing tradition at Hartford Hospital, and we look forward to continuing that tradition.Hartford Hospital continues to spend a tremendous amount of money on Community Benefit activities. As you'll read in this report, The Hospital's community benefit activities took many forms, involved numerous partners and served a variety of populations. But these efforts shared one overarching goal: helping the people of our community, people we consider our extended family, to experience better health at every stage of life. Community benefit activities are programs and services that address a community health need in such a way as to improve residents' access to health care services, enhance the health of the community, advance medical or health knowledge, or relieve/reduce the burden on government or community groups. Hartford Hospital uses the reporting model recommended by the Internal Revenue Service.Hartford Hospital is committed to promoting and sustaining the health and well-being of the people in our community. We treat the community like family, providing our world-class clinical care to everyone, regardless of their ability to pay. We are the second-largest provider of Medicaid services in the state, with approximately 10 percent of all Medicaid discharges.The Hospital collaborates with numerous partners in an ongoing effort to identify the health needs of our community. We've taken part in many studies and surveys aimed at obtaining this information. We are currently conducting a Health Needs Assessment in collaboration with the Hartford Department of Health and Human Services, St. Francis Hospital and Medical Center and Connecticut Children's Medical Center. We use the findings from these studies to be sure our programs match the community's health needs.The Hospital provides free and low-cost care that respects the dignity of each patient. We offer prompt Medicaid eligibility assessments and financial assistance reviews. Financial assistance brochures are available on-site and online in both English and Spanish. Financial assistance coordinators are available in the hospital, in our Emergency Department and at our outpatient locations. When necessary, we work with patients to develop payment plans. The Hospital meets the community's multifaceted needs with a multifaceted community benefit effort that includes:Partnerships - We partner with numerous community-based organizations to advance our shared goals, stimulate economic development, and improve both the health and quality of life of our neighbors.Support Groups - Individuals and families can obtain support and education from our many disease-specific support groups.Subsidized Health Services - We operate several low or no-cost outpatient clinics to provide even the poorest among us with high-quality health care.Community Outreach - We regularly bring health education and screenings out into the community through health fairs, lectures and special events. We particularly reach out to those who are uninsured or underinsured.Contributions - We provide financial and in-kind contributions to nonprofit organizations that serve the community.Health Professions Education - Hartford Hospital contributes to the long-term health of our community by educating hundreds of physicians, nurses and other health care professionals every year. Since many remain to practice in the area, we help ensure that there will be enough qualified health professionals to meet the community's growing needs.Cancer Outreach - Hartford Hospital is a national leader in providing expert, state-of-the-art cancer care. We bring that expertise to the community through:* Community-based screenings for prostate and colorectal cancer * Mobile mammography* The Partnership for Breast Care, a comprehensive center that coordinates prompt evaluation and treatment of breast problemsEmergency Services - From minor injuries to large-scale catastrophes, Hartford Hospital is the region's leading resource in an emergency.* Our Emergency Department had more than 95,000 visits in 2011. It is the primary source of care for the uninsured in Greater Hartford.* We are the area's only Level I Trauma Center.* We operate LIFE STAR, the state's only critical care air transport system.* We are the state-designated Center of Excellence for Bioterrorism andEmergency Preparedness, responsible for planning and coordinating emergency response throughout north-central and eastern Connecticut.Research - In 2011, we supported numerous community-benefit research projects, expending a total of $16,753,971. Our research helps expand the medical community's knowledge and gives our patients access to leading-edge treatments.Helping newborn babies get off to a healthy start is one of a family's most important roles, and Hartford Hospital is reaching out to its community family to help. Research shows that breastfeeding is the healthiest choice for infants and mothers and provides benefits that last a lifetime. Recent years have seen a resurgence of breastfeeding among more affluent women. But statistics show that low-income women are less likely to breastfeed. Often they're unaware of the health benefits and don't have access to support services that could help them succeed. Hartford Hospital is working to address this disparity by partnering with the Hispanic Health Council to provide the Breastfeeding Heritage and Pride peer counseling program.The Breastfeeding Heritage and Pride program reaches out to pregnant and postpartum low-income women through a team of specially trained peer counselors. Counselors are fluent in both English and Spanish and have successfully breastfed their own babies. They meet with women several times before delivery, either at patients' homes or in Hartford Hospital's Women's Ambulatory Health Services clinic. Counselors explain the benefits of breastfeeding and encourage women to choose to nurse their babies. They visit new mothers in the hospital daily, helping them learn techniques for successful breastfeeding. After patients are discharged, counselors call them or visit them at home, offering advice and support to empower them to continue to breastfeed exclusively. A program coordinator provides daily administrative support to the program, while a certified lactation consultant provides clinical oversight of the peer counseling services.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 618,038,459 including grants of $ 1,240,873 ) (Revenue $ 131,170,470 )
4e Total program service expensesMediumBullet$ 820,116,420
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
853
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
7,944
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBD
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
14
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NH
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Carol Wardell
80 Seymour Street
Hartford,CT061025037
(860) 696-6200
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Jeffrey Flaks
President & CEO
 20.00 X   X       715,723 0 62,126
(2) Laura R Estes
Director
 3.00 X           0 0 0
(3) Douglas G Elliot
Chair of the Board
 3.00 X   X       0 0 0
(4) Greg Deavens
Director
 2.00 X           0 0 0
(5) Ramani Ayer
Director
 2.00 X           0 0 0
(6) Mary C Fox
Director
 2.00 X           0 0 0
(7) Stuart Markowitz MD
Ex-Officio
 2.00 X           0 0 0
(8) Brian MacLean
Director
 2.00 X           0 0 0
(9) Jeffry Nestler MD
Ex-Officio
 2.00 X           0 0 0
(10) Andrew L Salner MD
Dir., Dir. of Cancer Prgm.
 3.00 X           194,879 0 0
(11) William H Trachsel
Director
 2.00 X           0 0 0
(12) Joseph Henry
Director
 2.00 X           0 0 0
(13) Gregory M Jones
Director
 2.00 X           0 0 0
(14) Roger Klene
Director
 2.00 X           0 0 0
(15) David R McHale
Director
 2.00 X           0 0 0
(16) Jarrod B Post
Director
 2.00 X           0 0 0
(17) Magdalena Rodriguez
Director
 2.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Westley V Thompson
Director
 2.00 X           0 0 0
(19) James M Loree
Director
 2.00 X           0 0 0
(20) Neil Yeston MD
Vice President
 40.00     X       719,743 0 82,819
(21) Joseph J Klimek MD
Vice President
 40.00     X       566,813 0 19,417
(22) Harold I Schwartz MD
Vice President
 40.00     X       562,657 0 174,455
(23) Jamie M Roche MD
Vice President
 40.00     X       420,031 0 71,314
(24) Thomas J Marchozzi
Exec. VP & CFO
 20.00     X       615,663 0 47,824
(25) Wendy E Elberth
Vice President
 40.00     X       275,481 0 57,814
(26) Laurine Bow
Vice President
 40.00     X       244,758 0 78,127
(27) Carol S Garlick
Vice President
 40.00     X       214,632 0 34,957
(28) Rocco Orlando
Senior Vice President
 30.00     X       454,287 0 84,261
(29) Bimal Patel
Vice President
 40.00     X       349,305 0 36,138
(30) Donna Handley
Vice President
 40.00     X       277,331 0 26,286
(31) James M Blazar
Vice President
 20.00     X       513,860 0 59,931
(32) Richard G Stys
Vice President
 20.00     X       367,232 0 46,078
(33) Sonal Shah
Vice President
 30.00     X       156,664 0 19,235
(34) Yvette Melendez
Vice President
 35.00     X       190,166 0 14,569
(35) Michele B Bush Esq
Vice President
 20.00     X       529,800 0 31,738
(36) Karen T Goyette
Vice President
 40.00     X       208,030 0 35,161
(37) Betsy Boatman
Vice President
 40.00     X       230,025 0 27,714
(38) Rita Parisi
Vice President
 20.00     X       297,723 0 39,074
(39) Inam Kureshi MD
Dir. Neurosurgery
 40.00     X       256,561 0 0
(40) Cheryl Ficara
Vice President
 40.00     X       196,798 0 46,328
(41) Tracy Church
Vice President
 20.00     X       0 0 0
(42) Luis Taveras
Vice President
 20.00     X       0 0 0
(43) Lenworth Jacobs MD
Dir. EM Trauma Program
 40.00       X     631,924 0 25,373
(44) Orlando C Kirton MD
Dir. Surgery
 40.00       X     662,455 0 88,777
(45) Joel I Sorosky MD
Dir. Womens Health
 40.00       X     565,617 0 67,276
(46) Paul Thompson MD
Dir. Cardiology
 40.00       X     559,155 0 170,430
(47) Michael Lindberg MD
Dir. Medicine
 40.00       X     377,264 0 61,504
(48) Kevin P Keating MD
Dir. Surgical Critical Care
 40.00       X     415,928 0 68,129
(49) Judith Pepe
Dir. OP Clinical
 40.00       X     368,452 0 55,868
(50) Vernon Y Kwok MD
Dir. Dental Clinic
 40.00       X     244,551 0 19,092
(51) Robert S Dicks MD
Dir. Geriatrics Medicine
 40.00       X     209,754 0 50,453
(52) Alan Laites
Dir. Jefferson House
 40.00       X     226,472 0 10,465
(53) Christopher Clyne
Dir. Electrophysiology
 40.00       X     428,201 0 65,307
(54) Karyn L Butler
Dir. Surg. Critical Care
 40.00       X     414,147 0 44,928
(55) Paul W Crespi
Dir. Managed Care Contracts
 40.00       X     385,932 0 40,182
(56) Alan J Smally
Dir. ER Physicians
 40.00       X     397,654 0 72,638
(57) Detlef Wencker
Dir. Cardiac Transplant
 40.00       X     383,808 0 53,864
(58) Jeffrey Kluger MD
Assoc. Dir., Cardiology
 40.00         X   1,871,695 0 43,350
(59) Steven L Zweibel
Dir. Electrophysiology
 40.00         X   406,426 0 50,712
(60) John F Greene Jr
Co-Dir. WAHS
 40.00         X   430,999 0 63,334
(61) Joseph V Portereiko
Assistant Director, Trauma
 40.00         X   385,182 0 36,216
(62) Mark W Sebastian
Medical Director - Surgery
 40.00         X   465,246 0 33,574
(63) Elliot T Joseph
Former-President & CEO
             X 1,516,592 0 195,323
(64) Stephan O'Neill
Vice President - Former
             X 413,622 0 62,234
(65) James K Kinsella
Vice President - Former
             X 435,902 0 91,317
(66) Linda B Spivack
Vice President - Former
             X 266,453 0 37,243
(67) Paul S Besson Esq
Former-Vice President
             X 352,594 0 32,851
(68) John J Meehan
Former-President & CEO
             X 1,189,989 0 33,465
(69) John M Biancamano
Former-Vice President & Treas
             X 300,397 0 10,977
(70) Alfred Herzog
Former-Vice President
             X 121,771 0 8,387
(71) Gary V Heller MD
Former - Director
             X 446,322 0 73,964
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 23,432,666 0 2,762,599
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet776
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
University of Connecticut Health Center
263 Farmington Avenue
Farmington,CT06030 		Medical Services 20,228,325
FIP Construction Inc
10 McKee Place
Cheshire,CT06410 		Construction 15,759,521
Eclipsys Solutions Corp
Lockbox 077133 PO Box 8538-0133
Philadelphia,PA19171 		Software 4,875,620
CFM Construction Corp
150 Sycamore Street
Glastonbury,CT06033 		Construction 4,706,614
Siemens Medical Solutions USA Inc
Dept 0733 PO Box 120001
Dallas,TX75312 		Software 4,207,960
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet167
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 1,079,431
d Related organizations...1d 170,204
e Government grants (contributions)1e 33,793,014
f All other contributions, gifts, grants, and
similar amounts not included above1f 		4,842,805
g Noncash contributions included in lines 1a-1f:$ 1,282,604
h Total. Add lines 1a-1f.......MediumBullet 39,885,454
Program Service Revenue Business Code
2a Patient Care 624,100 904,606,831 904,606,831    
b Ref. Testing & Fees 621,500 4,321,069 2,798,682 1,522,387  
c Free Bed Income 621,400 2,456,175 2,456,175    
d Sale of By Products 900,099 286,628 286,628    
e Library & Misc Reimb. 541,700 2,717   2,717  
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 911,673,420
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 6,070,466   10 6,070,456
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 2,685,408  
b Less: rental expenses    
c Rental income or (loss) 2,685,408  
d Net rental income or (loss).......MediumBullet 2,685,408     2,685,408
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 196,712,360 1,178,743
b Less: cost or other basis and sales expenses 177,184,075 46,290
c Gain or (loss) 19,528,285 1,132,453
d Net gain or (loss)..........MediumBullet 20,660,738     20,660,738
8a Gross income from fundraising events (not including
$ 1,079,431
of contributions reported on line 1c). See Part IV, line 18 ...
a 180,850
b Less: direct expenses ...b 402,172
c Net income or (loss) from fundraising events..MediumBullet -221,322   -221,322
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a Cafeteria Income 722,210 3,611,827     3,611,827
b Employee Pharmacy 900,099 1,099,524     1,099,524
c Inc. From Inv - Other 900,003 487,420 203,355 284,065  
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 5,198,771
12 Total revenue. See Instructions....MediumBullet 985,952,935 910,351,671 1,809,179 33,906,631
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,320,713 1,320,713
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 70,000 70,000
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 17,265,944 10,786,963 6,478,981  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 407,425,755 363,337,909 43,040,960 1,046,886
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 36,231,696 29,577,995 6,653,701  
9 Other employee benefits ....... 67,555,589 55,335,578 12,220,011  
10 Payroll taxes ........... 30,543,001 25,492,251 5,050,750  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,689,069   1,689,069  
c Accounting ........... 309,049   309,049  
d Lobbying ........... 191,673   191,673  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 1,712,035 1,355,126 356,909  
g Other .......... 55,355,115 49,511,148 5,843,967  
12 Advertising and promotion .... 2,261,293 70,078 2,191,215  
13 Office expenses ....... 148,036,234 144,267,738 3,654,044 114,452
14 Information technology ...... 551,441 43,652 485,479 22,310
15 Royalties ..        
16 Occupancy ........... 24,278,199 20,865,437 3,412,618 144
17 Travel ............ 1,862,953 1,669,424 187,840 5,689
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 173,680 88,824 84,856  
20 Interest ........... 1,558,782 95,412 1,463,370  
21 Payments to affiliates ....... 7,412,444 3,706,222 3,706,222  
22 Depreciation, depletion, and amortization ..... 44,502,185 31,426,428 13,061,753 14,004
23 Insurance .............. 15,452,292 12,682,453 2,769,839  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Purchased Services 42,805,628 32,046,664 10,654,811 104,153
b Equipment & Ppty Maint 15,470,844 12,914,863 2,555,981  
c Bad Debt 12,969,171 12,915,771 53,400  
d Miscellaneous Expenses 5,948,662 5,700,768 247,894  
e Research 3,148,466 3,148,466    
f All other expenses 4,076,237 1,686,537 2,384,420 5,280
25 Total functional expenses. Add lines 1 through 24f 950,178,150 820,116,420 128,748,812 1,312,918
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 23,846,904 1 37,959,740
2 Savings and temporary cash investments ....... 23,607,710 2 90,183,767
3 Pledges and grants receivable, net ......... 5,088,374 3 5,069,321
4 Accounts receivable, net ......... 133,062,558 4 136,565,342
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 10,906,251 8 11,054,903
9 Prepaid expenses and deferred charges ............ 16,917,828 9 10,161,480
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 926,383,194
b Less: accumulated depreciation. ..... 10b 606,889,519 292,176,941 10c 319,493,675
11 Investments—publicly traded securities .......... 337,546,757 11 329,477,915
12 Investments—other securities. See Part IV, line 11 ...... 118,043,209 12 114,096,152
13 Investments—program-related. See Part IV, line 11 .. 15,290,164 13 81,481,163
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 44,998,272 15 31,159,046
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,021,484,968 16 1,166,702,504
Liabilities 17 Accounts payable and accrued expenses . 133,895,032 17 120,841,013
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 62,156,676 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 289,814,032 25 538,913,377
26 Total liabilities. Add lines 17 through 25..... 485,865,740 26 659,754,390
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 258,064,561 27 240,155,196
28 Temporarily restricted net assets ..... 92,970,325 28 85,467,133
29 Permanently restricted net assets ..... 184,584,342 29 181,325,785
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 535,619,228 33 506,948,114
34 Total liabilities and net assets/fund balances ..... 1,021,484,968 34 1,166,702,504
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
985,952,935
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
950,178,150
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
35,774,785
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
535,619,228
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-64,445,899
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
506,948,114
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
Hartford Hospital
 
Employer identification number

06-0646668
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
Hartford Hospital
  		Employer identification number

06-0646668
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
Hartford Hospital
  		Employer identification number

06-0646668
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
Hartford Hospital
  		Employer identification number

06-0646668
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
191,673
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
191,673
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Explanation of Other Lobbying Activities: Part II-B, Line 1i: Hartford Hospital paid Kenneth L. Przybysz, LLC and Gaffney Bennett & Associates for their lobbying efforts on behalf of the organization during the fiscal year. Przybysz, LLC and Gaffney Bennett & Associates were paid $16,960 and $101,500 respectively. Efforts mainly included lobbying of Connecticut State Legislators in the interest of a group of specialty hospitals in the State of Connecticut. Hartford Hospital also pays annual dues to Connecticut Hospital Association (CHA) and American Hospital Association (AHA). Both CHA and AHA allocate a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA and AHA conducts lobbying activities under current Medicare rules. CHA and AHA conducts lobbying activities on behalf of their members. The total amount of dues allocated for lobbying expenses for FY11 was $73,213.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 112,783,609 106,412,056 111,529,519
b Contributions ........ 329,266 1,357,240 175,575
c Investment earnings or losses ... 106,788 6,795,833 -2,825,233
d Grants or scholarships ..... 0 0 0
e Other expenditures for facilities
and programs ........ 		4,968,376 1,781,520 2,467,805
f Administrative expenses ....      
g End of year balance ...... 108,251,287 112,783,609 106,412,056
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet62.000 %
c
Term endowment: SchDMd Bullet38.000 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   18,380,552 18,380,552
b Buildings ................   491,890,782 328,769,264 163,121,518
c Leasehold improvements ............   416,111,860 278,120,255 137,991,605
d Equipment ................        
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 319,493,675
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) Funds Held in Trust 		114,096,152 F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 114,096,152
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Goodwill 25,811,034 F
(2) Investment Malpractice Captive 38,920,554 F
(3) Other Assets 16,749,575 F






Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 81,481,163
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
Accrued Post Retirement 340,366,785
Accrued Asbestos Costs 3,141,783
Other Net Liabilities 3,816,000
Long Term Debt - Interco Bonds 169,208,309
Other Long Term Debt Payable to Affiliate 22,380,500




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 538,913,377
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Description of Intended Use of Endowment Funds: Part V, Line 4: The Hospital has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Hospital must hold in perpetuity or for a donor-specific period(s). Under this policy, as approved by the Board of Directors, the endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of a least 4% over the long term. Actual returns in any given year may vary from this amount. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes. The endowment includes donor-restricted endowment funds. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
North America/Caribbean 0 0 Program Services Insurance 12,624,224
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 12,624,224
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 12,624,224
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

Black & Red Ball
(event type) 		(b) Event #2

Pink Flamingos
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 1,208,145 52,136   1,260,281
2 Less: Charitable
contributions . . . 		1,033,145 46,286   1,079,431
3 Gross income (line 1
minus line 2) . . . 		175,000 5,850   180,850
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . . 62,654 1,297   63,951
7 Food and beverages . . 152,100 9,041   161,141
8 Entertainment . . . 95,955     95,955
9 Other direct expenses . 73,639 7,486   81,125
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 402,172
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -221,322
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    6,001,571 706,177 5,295,394 0.570 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    141,512,659 115,237,805 26,274,854 2.800 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    147,514,230 115,943,982 31,570,248 3.370 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    4,037,014 0 4,037,014 0.430 %
f Health professions education
(from Worksheet 5) .. 		    47,539,845 15,238,469 32,301,376 3.450 %
g Subsidized health services
(from Worksheet 6) .. 		    9,530,774 4,224,324 5,306,450 0.570 %
h Research (from Worksheet 7)     16,753,971 0 16,753,971 1.790 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    18,038,006 10,819,676 7,218,330 0.770 %
jTotal Other Benefits ...     95,899,610 30,282,469 65,617,141 7.010 %
kTotal. Add lines 7d and 7j. ..     243,413,840 146,226,451 97,187,389 10.380 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     295,803   295,803 0.030 %
2 Economic development            
3 Community support     1,217,244   1,217,244 0.130 %
4 Environmental improvements     3,312   3,312 0 %
5 Leadership development and training for community members     25,350   25,350 0 %
6 Coalition building     24,870   24,870 0 %
7 Community health improvement advocacy     18,036   18,036 0 %
8 Workforce development     21,631   21,631 0 %
9 Other            
10 Total     1,606,246   1,606,246 0.160 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
3,766,940
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
1,092,413
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
252,938,360
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
221,607,433
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
31,330,927
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 Hartford Hospital
80 Seymour Street
Hartford,CT06102 		X X   X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:Hartford Hospital
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?10
Name and address Type of Facility (Describe)
1 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
2 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
3 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
4 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
5 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
6 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
7 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
8 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
9 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
10 Avon Healthcare Center
100 Simsbury Road
Avon,CT06001 		Nuclear Cardiology, Education Center
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    Part I, Line 3c: Hartford Hospital used Federal Poverty Guidelines to determine eligibility.
    Part I, Line 7: The organization utilized an overall cost to charge ratio, (RCC), developed from the audited Financial Statements, (AFS). Total expense was adjusted for: bad debt expense, directly identified community benefit expense and non-patient care expense, (as adjusted from the Medicare cost report). This was then divided by the total AFS gross revenue to develop the cost to charge ratio. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g, and Part III Section A2. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g.
    Part I, Line 7g: No physician clinic costs were included in the subsidized Health Services cost calculations.
    Part I, L7 Col(f): The Bad Debt Expenses included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 12,969,171.
    Part II: Hartford Hospital recognizes the impact that the social determinants of health have on the wellness of the community it serves. The Hospital spent in excess of $1.6M on Community Building activities for for fiscal 2011. The Hospital has addressed quality of life issues affecting residents in our community, who are predominantly minorities. Examples of these efforts to affect job opportunities and poverty, quality of housing, neighborhood safety, and education can be found in the following Community Building activities. Advocacy for Community Health Improvement - Since the community the Hospital serves is predominantly minorities, senior management provides expertise and resources to organizations in order to address social inequities and civil rights issues. Among these organizations are the Connecticut Coalition for Environmental Justice, Community Partners in Action (to assist people in the criminal justice system), Community Solutions (to provide alternatives to incarceration programs), and the Anti Defamation League.Coalition Building - Hartford Hospital provides senior management support and resources to affect the allocation decisions and fundraising efforts by local organizations such as the United Way, Hartford Foundation for Giving, and the Connecticut Council for Philanthropy to ensure programs to improve the wellness of local residents. These organizations make financial contributions to local agencies to provide free social services to our underprivileged population. Community Support - To address the personal safety for participants at evening activities, as well as to prevent vandalism and break-ins, Hartford Hospital provides security patrols around the Girl Scout campus 24/7. Management participates on the boards of local homeless and domestic violence shelters and supports periodic employee activities to provide personal care and food items to those in need. The Hospital has donated funds to provide free ice skating at Bushnell Park during the winter season to allow underprivileged children and their families an opportunity to exercise outdoors in a safe environment.Economic Development - Hartford Hospital is active in the marketing efforts to promote Hartford by the following organizations in order to bring more jobs and commerce to the city: Greater Hartford Visitors Convention Bureau; Metro Hartford Alliance; The Children's Museum, Connecticut Center for Advanced Technology; and Chambers of Commerce for towns in the Hospital's service area.Environmental Improvements - Working with the City of Hartford, Hartford Hospital responded to serious traffic accidents on a street adjacent to the campus by installing an island, increasing visibility at crosswalks and installing a speed detector. These road safety improvement changes have helped to reduce accidents and injuries. Another example is the organizing, support and promotion of clean-up projects such as the one held at the Thirman L. Miller School, which not only cleaned up the property, but included planting flowers and shrubs to encourage student pride to keep the property in good condition.Housing - Hartford Hospital is a member of the Southside Institutions Neighborhood Alliance (SINA), a collaborative effort of Hartford Hospital, Connecticut Children's Medical Center and Trinity College. The City of Hartford has one of the lowest percentages of home ownership in the country. Renters are often exposed to lead paint, a potentially dangerous toxin to children. SINA is currently developing a construction project of 10 new one family homes for sale to first time home buyers to address the need for safe, clean housing and to provide commitment to the community and neighborhood through home ownership. Leadership Development - Hartford Hospital supported the Latinas and Power Symposium, which provided professional development sessions on financial stability, personal growth, entrepreneurship and career building. This effort enhanced the job opportunities and improved the financial judgment of those currently living in poverty.Mentoring Programs - Hartford Hospital provides support to programs such as Our Piece of the Pie for social and personal growth of urban youth; spelling bees; Hartford Public Schools city-wide Science Fair; and college scholarships through Capital Community College and Southside Institutions Neighborhood Alliance.
    Part III, Line 4: The organization's financial statements are prepared in accordance with Generally Accepted Accounting Principles (GAAP). GAAP does not require a foot note for bad debt expenses, however, the charity care footnote reads as follows: "The Hospital 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 Hospital. Essentially, these policies define charity care services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital 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 incomes." In the event a patient fails to qualify for financial assistance or fails to pay their portion of discounted charges, and the patient does not pay timely their obligation to the Hospital, the Hospital reserves the right to institute and pursue collection actions and to pursue any remedies available at law or in equity, including but not limited to, imposing wage garnishments or filing and foreclosing on liens on primary residences or other assets, instituting and prosecuting legal actions and reporting the matter to one or more credit rating agencies. In the event the Hospital is unable to collect, the outstanding amounts are written off as bad debt. For those patients who qualify for financial assistance and are cooperating in good faith to resolve outstanding accounts, the Hospital may offer extended payment plans and will not impose collection efforts described above.The organization utilized an overall cost to charge ratio, (RCC), developed from the audited Financial Statements, (AFS). This cost to charge ratio was developed and applied to the Bad Debt expense on Part III, Line 2 & 3. In FY10, in order to determine the amount of bad debt that could be reasonably attributable to patients who would likely qualify for financial assistance, the organization reviewed and analyzed random patient accounts in order to determine the likelihood of the ability for those patients to pay based upon certain criteria. Eligibility criteria for financial assistance included, but were not limited to such factors as family size, household income and poverty guidelines. This information was analyzed using an independent database. The result of the analysis was used to determine the amount of bad debt that could have qualified for charity care reported on Part III, Line 2. As of August 2011, the organization has implemented a new process including updated software to assist in qualifying patients for appropriate financial assistance before initiating the collection process. As a result of these changes, the amount of bad that would qualify for charity care should be significantly reduced and the amount was reported on line 3.For FY11, the organization took the FY10 bad debt expense at cost that could have qualified for charity care and divided the amount by the total bad debt expense at cost from prior year, thus establishing a percentage. This percentage was applied to the bad debt expense at cost for FY 11 and the amount was reported on line 3.
    Part III, Line 8: Providing for those in need, including Medicare patients and serving all patients regardless of their ability to pay is an essential part of the organization's mission. The hospital serves all patients without regard to any payment shortfall. The organization Medicare Cost Report was used to accumulate actual costs related to Part III, Section B, Line 6.
    Part III, Line 9b: The Financial Assistance Policy states: In the event a patient fails to qualify for Financial Assistance or fails to pay their portion of discounted Charges pursuant to this Policy, and the patient does not pay timely their obligations to Hartford Hospital, the Hospital reserves the right to begin collection actions, including but not limited to, imposing wage garnishments or liens on primary residences, instituting legal action and reporting the matter to one or more credit rating agencies. For those patients that qualify for Financial Assistance and who are cooperating in good faith to resolve the Hospital's outstanding accounts, the Hospital may offer extended payment plans to eligible patients, will not impose wage garnishments or liens on primary residences, will not send unpaid bills to outside collection agencies and will cease all collection efforts.
    Part VI, Line 2: In FY2011, Hartford Hospital conducted a Community Health Needs Assessment in collaboration with the Hartford Department of Health and Human Services, St. Francis Hospital and the Connecticut Children's Medical Center, which was completed in March, 2012. The consortium hired a national consulting firm to conduct Key Respondent interviews with local social service, health, government and community leaders. In addition, the results from a survey of over 400 Hartford residents by the Urban Alliance were incorporated into the findings.
    Part VI, Line 3: Hartford Hospital disseminates information about its Financial Assistance Policy as follows: (i) provide signage regarding this Policy and written summary information describing the Policy along with financial assistance contact information in the Emergency Department, Labor and Delivery areas and all other Hospital patient registration areas: (ii) directly provide to each patient written summary information describing the Policy along with financial assistance contact information in all admission, patient registration discharge, billing and collection written communications; (iii) post the Policy on the Hospital's Home page; (iv) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy.
    Part VI, Line 4: Hartford Hospital is located in the capital of the State of Connecticut, which is one of the poorest cities in the nation with 31.9% of all of its residents and 38.3% of its families with children under the age of 18 living below the poverty line (US Census 2010). According to the CHNA just completed, the City of Hartford's population of 124,775+/- remains overwhelmingly minority and is comprised of 42% Hispanic, 37% Black. White and other groups make up the rest of the population. The median age of Hartford residents is 31 (CERC, 2011). This compares unfavorably with Hartford County's median age of 40. In 2010, the median income per household within the City of Hartford was $26,055(CERC, 2011). This compares unfavorably with Hartford County's median household income of $60,177 (CERC, 2011). According to the Connecticut Department of Labor, the unemployment rate in the City of Hartford was estimated to be 15.4% in October, 2011 versus a statewide rate of 8.2%. There is one other acute care hospital in Hartford proper and two smaller acute care hospitals in nearby suburbs.
    Part VI, Line 6: The majority of Hartford Hospital's governing board is comprised of persons who either reside or work in its primary service area, and they are neither employees nor contractors of the Hospital.Hartford Hospital extends medical staff privileges to all qualified physicians in its community. The Hospital has partnered with the City of Hartford Department of Health and Human Services and the Hispanic Health Center to provide health services to the underserved in the community. In addition, the Hospital participates in research projects with the Hispanic Health Council to improve community health and well-being.The Hospital has contracted to use the services of an organization to assist its patients in determining eligibility and applying for state and federal means-tested programs, as well as for the Hospital's Financial Assistance Program.As a tertiary health center, teaching hospital and Level 1 Trauma Center, Hartford Hospital provides specialized services not available at other hospitals. These services are provided regardless of a patient's ability to pay.Hartford Hospital is the Center for Emergency Medical Preparedness for the Connecticut Department of Emergency Management and Homeland Security for Regions 3 and 4. These regions include 15 hospitals. HH has responsibility for planning and training activities that service all of these hospitals. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Sch O.
    Part VI, Line 7: Hartford Hospital is an affiliate of Hartford HealthCare Corporation (HHC). HHC strives to provide compassionate care designed to deliver the necessary health services needed by the community. The Strategic Planning and Community Benefit Committee of the HHC Board of Directors ensures the oversight for these services by each hospital community. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care."HHC affiliation creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows the small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital, the largest of the system hospitals.The affiliation further enhances the hospitals' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as containment strategies. Additionally, the hospital is affiliated with several other non-hospital charitable organizations. These organizations provide significant benefits to the community. These benefits are not reported in the Community Benefit data provided by the hospital.
Reports Filed With States Part VI, Line 7 CT
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Hartford Hospital
 
Employer identification number
06-0646668
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Connecticut Childrens Medical Center282 Washington Street
Hartford,CT06106 		06-0646755 501(c)(3) 170,873   FMV   "The Mature Driver Safety Program" and "A Matter of Balance Program"
(2) VNA HealthCare Inc103 Woodland Street
Hartford,CT06105 		06-0646938 501(c)(3) 250,000   FMV   "The Care Tansition Program" and "Telemonitoring of CHF Patients"
(3) Southside Institutions Neighborhood Alliance Inc207 Washington Street
Hartford,CT06106 		06-0993174 501(c)(3) 750,000   FMV   Redevelopment efforts on affordable housing, revitalization of commercial properties and streetscape improvements.
(4) State of CT Health Dept - Maternal and Infant Outreach Program131 Coventry Street
Hartford,CT06112 		06-6001870 12-412(1) 105,000   FMV   To provide a free case management and home visitation program with the goal of reducing infant mortality and low birth weight rates, as well as to improve the overall health and well-being of women, children, and their families under the auspices of the Department of Health and Human Services in response to the high infant mortality rate in Hartford.
(5) Hispanic Health Council - Comadrona Program175 Main Street
Hartford,CT06106 		06-1018979 501(c)(3) 19,840   FMV   To provide assistance to low income Latina pregnant women and their babies up to 2 years of age, including helping with insurance coverage, applying for WIC assistance, and providing baby items. The program makes contact with the mothers every 2 months after the baby is born to provide support and assistance.
(6) American Liver Foundation39 Broadway Suite 2700
New York,NY10006 		36-2883000 501(c)(3) 25,000   FMV   To promote education, support and research for the prevention, treatment and cure for liver disease.












2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
5
3
Enter total number of other organizations ................................ . Bullet Image
1
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Tapestry Awards 3 9,000      
(2) Sons and Daughters Scholarship Awards 61 61,000      











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The hospital works closely with Connecticut Children's Medical Center and the VNA Health Care, Inc. to help promote the programs for which the dollars are granted. The hospital also partners with SINA on various community projects. In addition, the gifts are restricted to specific purposes by the Hospital in written communication that accompanies these payments.
Other Information: Part IV: Schedule I, Part III Once recipients are determined, the funds are sent directly to the institutions and not to individuals. Required qualifications * The applicant must be financially dependent on the employee by being claimed on either parent's tax return. The applicant must be enrolled as a full-time student in an Accredited Undergraduate Program or attending any of Hartford Hospital's School of Allied Health Programs. The applicant must be the son or daughter (biological, adopted, stepchild, or legal ward) of a Hartford Hospital, Institute of Living, Jefferson House, or Cedar Mountain employee (full-time or part-time, budgeted to work at least 20 hours per week). The dependent of a Hartford Hospital employee who is also employed at Hartford Hospital is eligible to apply if they are budgeted to work less than 20 hours per week at Hartford Hospital. If the student is budgeted to work more than 20 hours at Hartford Hospital, the student is not eligible for the scholarship, but may instead apply for tuition reimbursement from the hospital. Applicant must have a verifiable GPA of 3.0 or higher to apply Applicants are chosen on 3 criteria. 1. Based on parent's years of service to Hartford Hospital. 2. GPA (must be at least a 3.0 or higher to apply) 3. Essay score
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Jeffrey Flaks (i)
(ii)		 539,289
0 		159,250
0 		17,184
0 		32,425
0 		29,701
0 		777,849
0 		0
0
(2) Andrew L Salner MD (i)
(ii)		 194,879
0 		0
0 		0
0 		0
0 		0
0 		194,879
0 		0
0
(3) Neil Yeston MD (i)
(ii)		 485,404
0 		211,914
0 		22,425
0 		53,083
0 		29,736
0 		802,562
0 		0
0
(4) Joseph J Klimek MD (i)
(ii)		 477,143
0 		55,852
0 		33,818
0 		0
0 		19,417
0 		586,230
0 		0
0
(5) Harold I Schwartz MD (i)
(ii)		 448,673
0 		78,704
0 		35,280
0 		146,973
0 		27,482
0 		737,112
0 		0
0
(6) Jamie M Roche MD (i)
(ii)		 337,846
0 		64,272
0 		17,913
0 		45,900
0 		25,414
0 		491,345
0 		0
0
(7) Thomas J Marchozzi (i)
(ii)		 479,348
0 		135,150
0 		1,165
0 		19,600
0 		28,224
0 		663,487
0 		0
0
(8) Wendy E Elberth (i)
(ii)		 233,731
0 		28,166
0 		13,584
0 		42,613
0 		15,201
0 		333,295
0 		0
0
(9) Laurine Bow (i)
(ii)		 198,303
0 		33,129
0 		13,326
0 		55,255
0 		22,872
0 		322,885
0 		0
0
(10) Carol S Garlick (i)
(ii)		 182,499
0 		31,709
0 		424
0 		20,639
0 		14,318
0 		249,589
0 		0
0
(11) Rocco Orlando (i)
(ii)		 360,637
0 		75,000
0 		18,650
0 		59,375
0 		24,886
0 		538,548
0 		0
0
(12) Bimal Patel (i)
(ii)		 259,002
0 		65,000
0 		25,303
0 		24,451
0 		11,687
0 		385,443
0 		0
0
(13) Donna Handley (i)
(ii)		 248,003
0 		28,563
0 		765
0 		14,791
0 		11,495
0 		303,617
0 		0
0
(14) James M Blazar (i)
(ii)		 393,987
0 		117,420
0 		2,453
0 		36,269
0 		23,662
0 		573,791
0 		0
0
(15) Richard G Stys (i)
(ii)		 305,789
0 		60,600
0 		843
0 		22,301
0 		23,777
0 		413,310
0 		0
0
(16) Sonal Shah (i)
(ii)		 109,344
0 		22,031
0 		25,289
0 		8,317
0 		10,918
0 		175,899
0 		0
0
(17) Yvette Melendez (i)
(ii)		 160,132
0 		29,333
0 		701
0 		11,812
0 		2,757
0 		204,735
0 		0
0
(18) Michele B Bush Esq (i)
(ii)		 424,528
0 		102,640
0 		2,632
0 		17,150
0 		14,588
0 		561,538
0 		0
0
(19) Karen T Goyette (i)
(ii)		 181,797
0 		26,033
0 		200
0 		12,821
0 		22,340
0 		243,191
0 		0
0
(20) Betsy Boatman (i)
(ii)		 181,153
0 		19,125
0 		29,747
0 		13,928
0 		13,786
0 		257,739
0 		0
0
(21) Rita Parisi (i)
(ii)		 237,671
0 		58,904
0 		1,148
0 		23,275
0 		15,799
0 		336,797
0 		0
0
(22) Inam Kureshi MD (i)
(ii)		 256,561
0 		0
0 		0
0 		0
0 		0
0 		256,561
0 		0
0
(23) Cheryl Ficara (i)
(ii)		 196,549
0 		0
0 		249
0 		24,151
0 		22,177
0 		243,126
0 		0
0
(24) Lenworth Jacobs MD (i)
(ii)		 600,508
0 		0
0 		31,416
0 		0
0 		25,373
0 		657,297
0 		0
0
(25) Orlando C Kirton MD (i)
(ii)		 594,160
0 		29,176
0 		39,119
0 		59,848
0 		28,929
0 		751,232
0 		0
0
(26) Joel I Sorosky MD (i)
(ii)		 546,795
0 		0
0 		18,822
0 		39,775
0 		27,501
0 		632,893
0 		0
0
(27) Paul Thompson MD (i)
(ii)		 539,101
0 		0
0 		20,054
0 		146,112
0 		24,318
0 		729,585
0 		0
0
(28) Michael Lindberg MD (i)
(ii)		 362,313
0 		0
0 		14,951
0 		36,734
0 		24,770
0 		438,768
0 		0
0
(29) Kevin P Keating MD (i)
(ii)		 401,111
0 		0
0 		14,817
0 		42,775
0 		25,354
0 		484,057
0 		0
0
(30) Judith Pepe (i)
(ii)		 359,796
0 		0
0 		8,656
0 		31,202
0 		24,666
0 		424,320
0 		0
0
(31) Vernon Y Kwok MD (i)
(ii)		 236,260
0 		0
0 		8,291
0 		0
0 		19,092
0 		263,643
0 		0
0
(32) Robert S Dicks MD (i)
(ii)		 208,982
0 		0
0 		772
0 		28,112
0 		22,341
0 		260,207
0 		0
0
(33) Alan Laites (i)
(ii)		 189,227
0 		32,824
0 		4,421
0 		0
0 		10,465
0 		236,937
0 		0
0
(34) Christopher Clyne (i)
(ii)		 410,779
0 		0
0 		17,422
0 		39,775
0 		25,532
0 		493,508
0 		0
0
(35) Karyn L Butler (i)
(ii)		 413,296
0 		0
0 		851
0 		19,600
0 		25,328
0 		459,075
0 		0
0
(36) Paul W Crespi (i)
(ii)		 308,622
0 		75,000
0 		2,310
0 		18,375
0 		21,807
0 		426,114
0 		0
0
(37) Alan J Smally (i)
(ii)		 365,337
0 		0
0 		32,317
0 		59,375
0 		13,263
0 		470,292
0 		0
0
(38) Detlef Wencker (i)
(ii)		 373,884
0 		0
0 		9,924
0 		28,976
0 		24,888
0 		437,672
0 		0
0
(39) Jeffrey Kluger MD (i)
(ii)		 405,018
0 		0
0 		1,466,677
0 		0
0 		43,350
0 		1,915,045
0 		1,425,541
0
(40) Steven L Zweibel (i)
(ii)		 396,425
0 		0
0 		10,001
0 		25,519
0 		25,193
0 		457,138
0 		0
0
(41) John F Greene Jr (i)
(ii)		 393,782
0 		0
0 		37,217
0 		37,211
0 		26,123
0 		494,333
0 		0
0
(42) Joseph V Portereiko (i)
(ii)		 381,406
0 		0
0 		3,776
0 		19,425
0 		16,791
0 		421,398
0 		0
0
(43) Mark W Sebastian (i)
(ii)		 464,576
0 		0
0 		670
0 		17,150
0 		16,424
0 		498,820
0 		0
0
(44) Elliot T Joseph (i)
(ii)		 1,029,754
0 		375,000
0 		111,838
0 		157,255
0 		38,068
0 		1,711,915
0 		0
0
(45) Stephan O'Neill (i)
(ii)		 341,560
0 		53,255
0 		18,807
0 		39,775
0 		22,459
0 		475,856
0 		0
0
(46) James K Kinsella (i)
(ii)		 252,327
0 		143,838
0 		39,737
0 		69,585
0 		21,732
0 		527,219
0 		0
0
(47) Linda B Spivack (i)
(ii)		 235,305
0 		24,415
0 		6,733
0 		25,905
0 		11,338
0 		303,696
0 		0
0
(48) Paul S Besson Esq (i)
(ii)		 351,181
0 		0
0 		1,413
0 		21,117
0 		11,734
0 		385,445
0 		0
0
(49) John J Meehan (i)
(ii)		 0
0 		4,935
0 		1,185,054
0 		0
0 		33,465
0 		1,223,454
0 		0
0
(50) John M Biancamano (i)
(ii)		 0
0 		0
0 		300,397
0 		0
0 		10,977
0 		311,374
0 		0
0
(51) Alfred Herzog (i)
(ii)		 106,605
0 		0
0 		15,166
0 		0
0 		8,387
0 		130,158
0 		0
0
(52) Gary V Heller MD (i)
(ii)		 398,068
0 		45,310
0 		2,944
0 		51,264
0 		22,700
0 		520,286
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  Part I, Line 1a Tax indemification and gross-up payments to individuals for benefits are included as taxable income on Form W-2. The box related to health or social club dues or initiation fees is checked. Hartford Hospital, a member of Hartford HealthCare Corporation maintains memberships at two local clubs. These clubs do not allow for corporate memberships, therefore, the membership fees are paid directly to the clubs, but accounts are assigned to individual executives. These executives do not derive any personal benefit from the use of the clubs and any use is for business purposes only. These executives are not taxed, and are required to sign an annual attestation that they do not derive any personal benefit from the use of these club memberships. The memberships resides at Hartford Hospital and can be reassigned at will.
  Part I, Line 1b The organization does not have a formal written policy relating to gross-up payments. Requests for gross-up payments are reviewed by both the Tax & Payroll departments to ensure compliance with Federal and State regulations. Payments are included in the recipient's form W-2 and are taxed as required.
  Part I, Lines 4a-b Mr. John Meehan's (former CEO) severance agreement began in January of 2009. Per the agreement, Mr. Meehan received 24 months of severance based upon an annual salary of $868,400 plus incentives. Total payments to Mr. Meehan for Severance and other benefits totaled $1,223,454. Mr. John Biancamano's (former CFO) severance agreement began in January of 2009 and ended in June 2010. Per the agreement, Mr. Biancamano received 16 months of severance based upon an annual salary of $545,160 plus additional incentives. Total payments to Mr. Biancamano for Severance and other benefits totaled $311,374. Dr. Jeffrey Kluger was paid a lump sum amount of $1,425,540.99 for his participation in the Hartford Hospital Supplemental Employee Retirement Plan (SERP). Total compensation to Dr. Kluger including the SERP payment was $1,915,045. 2010 SERP accrual made on behalf of the following individuals: Dr. Harold Schwartz $71,166 Dr. Paul Thompson $70,242 Dr. Orlonda Kirton $20,073 Mr. Elliot Joseph $121,155 SERP Description - Elliot Joseph The purpose of the SERP Agreement is to provide a Supplemental Retirement Benefit to Elliot Joseph upon certain termination events or upon disability, death or attainment of age 63 while employed. The Agreement is intended to: (a) Constitute an unfunded plan maintained primarily for the purpose of providing deferred compensation benefits for a select group of management or highly compensated employees under Sections 201 (2), 301 (a)(3) and 401 (a)(1) of the Employee Retirement Income Security Act of 1974, as amended ("ERISA"); (b) constitute an "ineligible plan of deferred compensation" within the meaning of Section 457(f) of the Internal Revenue Code of 1986, as amended (the "Code") and Treasury Regulation Section 1A57-2(h); and (c) be excepted from Section 409A of the Code as a "short term deferral," and it shall be interpreted and administered accordingly. Amount of Benefit: The amount of the Supplemental Retirement Benefit shall be calculated as follows: (a) minus the sum of (b) and (c), as each is defined below. (a) The amount that would be Executive's Cash Balance Account under the Retirement Plan for Employees of Hartford Hospital (the "Qualified Plan") if: (i) Executive were eligible for an additional four percent (4%) Annual Pension Credit under the Qualified Plan (commencing at the same time as Executive's Annual Pension Credits under the Qualified Plan); and (ii) the Internal Revenue Code compensation limit (Code Section 401(a)(17)) and maximum benefit limitation (Code Section 415) did not apply to Executive. (b) Executive's actual Cash Balance Account under the Qualified Plan. (c) The amount, if any, that would be Executive's Account balance under the Hartford Hospital Section 457(b) Plan attributable to Employer Contributions and earnings thereon, if such earnings had been determined solely by application of the Credited Interest Rate defined in the Qualified Plan. Notwithstanding the foregoing, no additional benefits shall accrue under this Agreement after Executive's attainment of age 63. SERP Description - Others Hartford Hospital provides a retirement plan known as the Retirement Plan for Employees of Hartford Hospital (the "Qualified Plan). Hartford Hospital intends to compensate affected employees for the reduction in benefits under the Qualified Plan by providing supplemental retirement benefits under this Agreement and also by providing deferred compensation benefits under a deferred compensation plan satisfying the requirements of section 457(b) of the Internal Revenue Code. This Agreement describes the terms and conditions surrounding your right to receive the supplemental retirement benefit covered by this Agreement and Hartford Hospital's obligation to pay it. The terms and conditions of Hartford Hospital's Section 457(b) Plan set forth the rights to receive the deferred compensation benefits under that Plan and Hartford Hospital's obligation to pay it. Amount of Benefit (a) If an employee is a grandfathered participant as defined In the Qualified Plan, that employee shall be entitled to a Supplemental Retirement Benefit that shall become non-forfeitable and shall be subject to the other conditions outlined in the Agreement, in an amount equal to the lump sum equivalent (using an interest rate equal to that used In the Qualified Plan minus 1%) of (i) -{ii)-(iii) as follows: (i) the monthly single life annuity ("SLAj that would be paid at the Qualified Plan's normal or late retirement date from the Qualified Plan without the above Internal Revenue Code Compensation and Maximum Benefit Limitations; and (ii) the actual benefit under the Qualified Plan payable as a SLA at the Qualified Plan's normal or late retirement date; and (iii) the annuitized value of the notional account balance under Hartford Hospital's Section 457(b) Plan, provided (A) any elective salary reduction contributions made to said plan are excluded from said account balance for this purpose, (B) the account growth is based on the Credited Interest Rate as defined in the Qualified Plan, and (C) the annuitized value is for an SLA form of benefit payable at the Qualified Plan's normal or late retirement date using the lump sum factors from the Qualified Plan but without the 1 % decrease referred to in subsection (a) above. (b) If the employee is not a grandfathered participant as defined in the Qualified Plan, they shall be entitled to a Supplemental Retirement Benefit that shall become non-forfeitable and shall be subject to the other conditions outlined in this Agreement, in an amount equal to (i) - (ii) -(iii), as follows: (i) the Cash Balance Account as defined in the Qualified Plan that would be paid from the Qualified Plan without the above Internal Revenue Code Compensation and Maximum Benefit Limitations; and (ii) the actual Cash Balance Account under the Qualified Plan; and (iii) the notional account balance under Hartford Hospital's Section 457(b) Plan where the account growth is based on the Credited Interest Rate as defined in the Qualified Plan.
  Part I, Line 7 The hospiital has an At Risk Plan that encourages and rewards achievements of significant functional goals for management that contribute to organization(s) strategic and financial direction. The Plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Compensation Committee discretionary assessment of overall performance and individual contribution to results.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) See Part V See Part V   See Part V   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
  business transactions involving interested persons (a)Name of Person: Douglas Elliot(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $76,156(d)Description of Transaction: Mr Douglas Elliot is a board member of Hartford Hospital. He is also an executive at the The Hartford Insurance Group (The Hartford). The Hartford provided property casualty insurance to Hartford Hospital and received premium fees for the risk. Premium paid for the year was $76,156.(e)Sharing of Organization's Revenue? No(a)Name of Person: Brian MacLean(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $5,718,119(d)Description of Transaction: Mr Brian MacLean is a board member of Hartford Hospital and Hartford HealthCare Corporation (related organization). Mr MacLean is the President and Chief Operating Officer of the Travelers Insurance Company. The company provides certain insurance coverages for Hartford HealthCare and affiliates. Mr MacLean has no personal involvement in any of these transactions which are not material to the financial position of Travelers.(e)Sharing of Organization's Revenue? No(a)Name of Person: Stuart Markowitz(b)Relationship Between Interested Person and Organization: Ex-Officio(c)Amount of Transactions: $100,000(d)Description of Transaction: Dr. Stuart Markowitz is a board member of Hartford Hospital. Dr. Markowitz served as Chairman of the Department of Radiology at Hartford Hospital and is also an officer at Jefferson Radiology. Jefferson Radiology is engaged in a joint venture relationship with Hartford Hospital under an entity called CT Imaging Partners. There are management fees that were paid directly to Dr Markowitz. Hartford Hospital paid Dr. Markowitz $100,000 for his duties as Medical Staff Officer. (e)Sharing of Organization's Revenue? No
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 8 1,282,604 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Identifier Return Reference Explanation
New Program Services Form 990, Part III, line 2 On February 4, 2011 the Hospital acquired certain assets of an Eye Surgery Center from Constitution Surgery Centers. The acquisition was to enhance ophthalmology services available to patients. Cash paid for the transaction was $27.5 million. The purchase price paid in excess of fair value of identified assets aggregated $25.8 million which has been recorded as goodwill. The Eye Surgery Center results (net patient revenue of $11.8 million and operating expense of $4.3 million) are included in the consolidated statement of operations since the acquisition date.
Form 990, Part VI, Section A, line 1   There were several board members whose term expired in May, 2011. As a result, they were not considered voting members at the end of the tax year.
Form 990, Part VI, Section A, line 6   Hartford Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member.
Form 990, Part VI, Section A, line 7a   The sole member of the organization has the authority to approve/deny members of the governing body.
Form 990, Part VI, Section A, line 7b   The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc.
Form 990, Part VI, Section B, line 11   The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the CFO for review. The Form was also reviewed by the Finance Committee prior to submission to the Board. The final form was provided to the entire Board and reviewed by the Board at one of its scheduled meetings. Once the entire review process was completed, the form was signed by the CFO and then filed with the Internal Revenue Service.
  Form 990, Part VI, Section B, line 12c The hospital's board has adopted the policy of the member organization, Hartford HealthCare Corporation. All directors and officers of the organization shall complete and sign a Conflict of Interest statement. The statement will include an itemization and description of any actual or potential conflict of interest and all material facts related thereto for such director or officer by virtue of his or her activities or the activities of related persons. Directors and officers are urged to be inclusive in this disclosure since the disclosure of potential and actual conflicts of interest is essential to ensuring discussion of the conflict. Conflict of Interest disclosure statements shall be returned to the Compliance Officer. All disclosures made will be reviewed by the Compliance Officer and the Director of Compliance and Audit, under the direction of the Chairman and the President, who shall exercise good faith judgment as to whether a conflict exists. The Chairman and President shall be responsible for monitoring transactions or arrangements in which a director or officer may have a conflict of interest and for assuring that the director or officer serves the hospital's best interests. The Compliance Officer, Director of Compliance and Audit, Chairman and/or President may consult with any director or officer and obtain information necessary for an ordinarily prudent person to make a judgment as to whether a conflict exists and each director and officer shall cooperate with such requests. The Compliance Officer, Director of Compliance and Audit, Chairman and/or the President shall provide guidance to the director or officer and to the board of directors as to the appropriate course of action. The Chairman and the President shall seek the advice and approval of the full Board of Directors in determining whether a conflict of interest exists and that the director or officer serves the organization's best interests. When a conflict of interest is discovered, such director and/or officer with the conflict will be required to refrain from participating in any discussion or action concerning such conflicted situation in accordance with the section entitled "Restraint on Participation" set forth in the Conflict of Interest policy. If, after completing and signing the annual disclosure statement, an actual or potential conflict arises, the director or officer with the conflict shall promptly notify the Compliance Officer and Director of Compliance and Audit in writing.
  Form 990, Part VI, Section B, line 15 The Compensation Committee hires an outside Consultant, Integrated Healthcare Strategies, to determine best practices in governing executive compensation. The following steps are taken: - Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare established and regularly reviews Executive Compensation Philosophy - Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" - National and regional peer groups are determined based on organizational size, operating revenue, geography and other relevant factors - Analysis of current total compensation versus market performed by independent third party compensation consulting firm, reviewed by the committee - Recommendations made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy - CEO compensation determined by Committee based on organizational performance - All changes reviewed and approved by Executive Compensation Committee The compensation determination process is reviewed on an annual basis.
  Form 990, Part VI, Section C, line 19 Form 990, 990T and Form 1023 and its attachments are available upon request. Hartford Hospital's governing documents, financial statements and Conflict of Interest statements are also made available upon request.
Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -28379625. Sch K-1 Reconciling Items 1223482. Pension Adjustment -34379210. Transfer to Affiliates -2910546. Total to Form 990, Part XI, Line 5: -64445899.
  Form 990 Part XII, Line 2c The process did not change from prior year.
Cardiology Form 990 Part III, Line 4a Heart Transplant Program (HHTP) The Heart Transplant Center continues to grow during the FY2011 remaining the largest referral center and heart transplant program in the state of CT. In FY11, the Hartford Hospital Heart Transplant Program (HHHTP) performed 19 orthotopic heart transplants with a one year survival rate over 90%. Approximately 149 previously transplanted heart patients are followed by the Hartford Hospital Transplant team. The Heart Transplant program's waiting list for the United Network for Organ Sharing (UNOS) continues to be one of the northeast "shorter than average" wait times. Sara Thompson, APRN has joined the Transplant Team as a Coordinator with Lynn O'Bara, Dr. Detlef Wencker, Dr Jason Gluck and Dr. Joseph Radojevic in the Heart Failure and Transplant Center. The HHHTP continues to expand its use of Allomap blood testing which remains an adjunct to endomyocardial biopsy to help with the surveillance and management of rejection in Heart Transplant patients. The continued growth of the program has resulted in further integration of Dr. Hammond and his surgical colleagues. Preventive Cardiology Preventive Cardiology includes: cholesterol management, LDL-apheresis, cardiovascular sports medicine consultation, counseling/stress management, smoking cessation and cardiac rehabilitation. LDL Apheresis was relocated to the Cardiology Department and serves patients from Connecticut and Western Massachusetts. The program has doubled in size over the last few years and is one of the largest programs in the country. Cardiac Rehabilitation continued to expand with an automatic referral system for patients being discharged with cardiac diagnoses. There were over 12,000 Cardiac Rehabilitation visits at the four sites: Hartford, Glastonbury, Avon and West Hartford. The smoking cessation program continues to provide services to both patients and employees. Community Outreach Hartford Hospital actively supported the American Heart Association's Annual Heart Walk. Multiple heart health screenings were well attended at Big Y locations throughout central Connecticut. Cardiac Rehab did multiple BP screenings as part of Cardiac Rehab week, and to raise awareness of their four sites across the region. Cardiology 101, an educational program for the public, completed another successful spring semester course.
  Form 990 Part III, Line 4d In 2010, Breastfeeding Heritage and Pride served more than 1,200 women. Two-thirds were Latino, and many were African American. Overall, a remarkable 61 percent of women served by this program were still breastfeeding 90 days after giving birth. The program's model has proven so successful that it's been replicated elsewhere in Connecticut. In addition to Hartford Hospital and the Hispanic Health Council, partners in the Breastfeeding Heritage and Pride Program are the federal Women, Infants and Children (WIC) program and the University of Connecticut. Sharing good food is a family tradition. At Hartford Hospital, we want to help our community family enjoy foods that taste great, but are also good for their health. That's why we're collaborating with key partners to support "Revolucion de Nutricion," or "Nutrition Revolution," a local television program aimed at the Latino community. "Revolucion de Nutricion" airs as a segment on the popular "El Show de Analeh" on the Spanish-language network Univision (WUVN Channel 18, Hartford). Filmed in the Kitchen @ Billings Forge, the segments show viewers how to modify classic Latin dishes so they retain their distinctive flavors but contain fewer calories and less fat and sodium. The program also includes advice on proper portion sizes and choosing healthy foods at the market. Hartford Hospital President and CEO Elliot Joseph and Ramon Jimenez, MD, of our medical staff have both appeared on the program. The program meets a significant need among our community family, which is largely Latino. Urban, low-income Latinos have high rates of obesity, type 2 diabetes, heart disease and other cardiovascular problems. The reasons are many. Traditional dishes tend to be high in fat, salt and calories. Shopping options are often limited to local bodegas, which may not stock healthy, whole foods. Families often have little money to spend on food, so may choose cheaper, less nutritious foods over more expensive, healthier ones. And language barriers and lower education levels can contribute to people being less informed about health and nutrition. "Nutrition Revolution" addresses these obstacles by empowering viewers to make healthier lifestyle choices. The Hospital and its partners hope to expand the television program, create an interactive website featuring recipes and nutrition information, and reach out to neighborhood bodega owners to encourage them to stock the healthier alternative food items featured on the show and to make nutrition information more available to their customers. Anyone who's ever raised a teenager, knows the teen years can be challenging for families. With greater freedom and mobility, teens must make more independent decisions than ever. Caring families provide their young people with information and guidance to help them make smart choices and stay safe. That's exactly what Hartford Hospital is doing through its LIFE STAR DUI and Distracted Driving Awareness Training. During the spring prom season each year, crews from Hartford Hospital's LIFE STAR critical care air transport service visit Connecticut high schools to talk with students about the dangers of driving after drinking or when distracted by texting, talking or other activities. Wearing their flight uniforms and using a powerful visual presentation, crew members impress upon students the very real risks of these behaviors and how they can affect students' own lives and the lives of their friends, immediately and over the long term. By the end of the presentation, the once-boisterous audience is typically completely silent, as students come face-to-face with the potentially serious consequences of their actions. The visit may also include a realistic drill that simulates an auto accident. Students play the roles of victims, the "injured" are transported by stretcher into the LIFE STAR helicopter on the scene and local firefighters/EMTs use special equipment to extract "victims" from the crashed car. The effect on students is visibly profound. The life of almost every family is touched in some way by mental illness. Addiction, depression, anxiety, schizophrenia and other disorders cause untold suffering for the patient and heartache and stress for family members. To make matters worse, society's misconceptions about mental illness often make people and their families feel ashamed of the problem. The tragic result is that people are less likely to seek or continue treatment that could help them recover and live productive lives. Eliminating this unwarranted stigma is the goal of the annual BrainDance Awards program, an innovative initiative of Hartford Hospital and its Institute of Living. Launched in 2004, BrainDance offers cash prizes to Connecticut high school and college students who submit creative or scientific projects exploring some aspect of mental illness. The main goal is to encourage students to gain knowledge about psychiatric diseases and develop a more tolerant and realistic perspective toward people with psychiatric problems. The program also seeks to educate students about current neuroscience findings suggesting physical causes for mental illness and to promote students' interest in mental health careers. Hundreds of students have participated in BrainDance over the years, including 132 in 2010, and they've submitted a wide range of high-quality projects. Winners receive their awards at a special ceremony on The Institute of Living campus. Each winner presents his or her project, and the program features a talk by a leading mental health professional. Through BrainDance, Hartford Hospital is helping to educate both students and the broader community about mental illness.
  Part IV, Line 12 and Part XII, Line 2b Hartford Hospital did not receive a separate audited financial statement and is included in a consolidated audited financial statement.
Average Hours Per Week Form 990 Part VII, Column B Certain employees listed on Part VII of Form 990 share their time between Hartford Hospital and other related organizations. These are all full time employees that average 40-60 hours per week. Their hours and salaries are allocated between Hartford Hospital and Hartford Health Care Corporation for expenditure purposes.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Hartford Hospital
 
Employer identification number

06-0646668
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) Clinical Laboratory Partners LLC
129 Patricia M Genova Drive
Newington,CT06111
06-1525596 		Medical Laboratories CT 0 0 N/A
(2) Practice Central LLC
85 seymour Street
Hartford,CT06102
36-4692507 		Information Technology CT 0 0 N/A








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) Connecticut Health System Inc

80 Seymour Street

Hartford,CT06102
22-2779421 		Coordination of Health Care Delivery CT 501(C)(3) 11 (c) N/A
Yes
 
(2) Hartford HealthCare Corporation

80 Seymour Street

Hartford,CT06102
22-2672834 		Support and Management Services to Hartford Hospital and Affiliates CT 501(C)(3) 11 (c) N/A
Yes
 
(3) Institute of Living

200 Retreat Avenue

Hartford,CT06106
06-0646683 		Psychiatric Services CT 501(C)(3) 11 (c) Hartford HealthCare Corp
 
Yes
 
(4) Windham Community Memorial Hospital

112 Mansfield Avenue

Willimantic,CT06226
06-0646966 		Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corp
 
Yes
 
(5) Windham Hospital Foundation Inc

112 Mansfield Avenue

Willimantic,CT06226
56-2546632 		Supporting Organization CT 501(C)(3) 11 (a) Windham Community Memorial Hospital
 
Yes
 
(6) Midstate Medical Center

435 Lewis Avenue

Meriden,CT06451
06-0646715 		Healthcare Services CT 501(C)(3) 3 Hartford HealthCare Corp
 
Yes
 
(7) Natchaug Hospital Inc

189 Storrs Road

Mansfield Center,CT06226
06-0966963 		Behavioral Health CT 501(C)(3) 3 Hartford HealthCare Corp
 
Yes
 
(8) VNA Health Care Inc

103 Woodland Street

Hartford,CT06105
06-0646938 		Home Healthcare CT 501(C)(3) 7 Hartford HealthCare Corp
 
Yes
 
(9) Rushford Center Inc

883 Paddock Avenue

Meriden,CT06450
06-0932875 		Substance Abuse Healthcare Services CT 501(C)(3) 7 Hartford HealthCare Corp
 
Yes
 
(10) VNA Health Resources Inc

103 Woodland Street

Hartford,CT06105
06-1161422 		Home Healthcare CT 501(C)(3) 9 Hartford HealthCare Corp
 
Yes
 
(11) Hartford Hospital Auxiliary co Hartford Hospital

80 Seymour Street

Hartford,CT06115
06-6040747 		Fundraising CT 501(C)(3) 11 (c) Hartford Hospital
 
Yes
 
(12) The Hospital of Central CT and Bradley Memorial

100 Grand Street

New Britain,CT06050
06-0646768 		Healthcare Services CT 501(C)(3) 3 Central CT Health Alliance
 
Yes
 
(13) Central CT Senior Health Svc dba Southington Care

45 Meriden Avenue

Southington,CT06489
22-2635676 		Sub-Acute & Long Term Healthcare CT 501(C)(3) 9 Central CT Health Alliance
 
Yes
 
(14) Bradley Health Services

100 Grand Street

New Britain,CT06050
06-1367014 		Healthcare Services CT 501(C)(3) 9 Central CT Health Alliance
 
Yes
 
(15) Central CT Health Alliance

100 Grand Street

New Britain,CT06050
22-2785033 		Support & Management Svcs. to TOCC and Affiliates - Shell CT 501(C)(3) 11 (b) Hartford HealthCare Corp
 
Yes
 
(16) VNA of Central CT Inc

205 West Main Street

New Britain,CT06050
06-0646940 		Public Health Nursing & Home Care CT 501(C)(3) 9 Central CT Health Alliance
 
Yes
 
(17) The Orchards of Southington

34 Hobart Street

Southington,CT06489
06-1490803 		Residential Services for Senior Care CT 501(C)(3) 9 Central CT Senior Health Services Inc
 
Yes
 
(18) Community Mental Health Affiliates

270 John Downey Drive

New Britain,CT06051
06-0934544 		Mental Health & Substance Abuse Treatment Provider CT 501(C)(3) 7 Central Ct Health Alliance
 
Yes
 
(19) Mulberry Gardens of Southington LLC

58 Mulberry Street

Plantsville,CT06479
82-0586577 		Assisted Living & Adult Day Care Facility CT 501(C)(3) 9 Central CT Senior Health Services Inc
 
Yes
 
(20)  

 
 
         
Yes
 
(21) The Hatch Hospital Corp

112 Mansfield Avenue

Willimantic,CT06226
06-6076412 		Healthcare Services CT 501(C)(3) 3 Windham Community Memorial Hospital
 
Yes
 
(22) Windham Community Memorial Hospital Women's Auxiliary Inc

112 Mansfield Avenue

Willimantic,CT06226
06-0677728 		Fundraising CT 501(C)(3) 11 (a) Windham Community Memorial Hospital
 
Yes
 
(23) Midstate Medical Center Auxiliary

435 Lewis Avenue

Meriden,CT06451
06-6063082 		Fundraising CT 501(C)(3) 3 Midstate Medical Center
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Central CT Sports Medicine Center LLC

15 Masairio Drive Suite 104
Berlin,CT06037
22-3196509 		Physical Therapy CT N/A
                  
(2) New Britain MRI Limited Partnership

100 Grand Street
New Britain,CT06050
06-1271349 		Magnetic Resonance Imaging CT N/A
                  
(3) New Britain Occupational Health Center LLC

440 New Britain Avenue
Plainville,CT06062
06-1484904 		Occupational Healthcare CT N/A
                  
(4) Ambulance Service of Manchester LLC

PO Box 300
Manchester,CT06450
06-1557358 		Ambulatory Services CT N/A
                  
(5) Connecticut Imaging Partners LLC

111 Founders Plaza
East Hartford,CT06108
13-4298940 		Imaging Service CT N/A
 Unrelated 283,223 801,673   No     No 50.000 %
(6) Glastonbury Endoscopy Center LLC

300 Western Boulevard
Glastonbury,CT06033
26-1721234 		Endoscopy Services CT N/A
 Related 410,457 116,841   No     No 50.000 %
(7) Glastonbury Surgery Center

195 Eastern Boulevard
Glastonbury,CT06033
26-2600828 		Surgery Services CT N/A
 Related -454,193 145,794   No     No 50.000 %
(8) Hartford - Middlesex Clinical System LLC

80 Seymour Street
Hartford,CT06110
06-1543605 		Affiliate Support Services CT N/A
 Unrelated -135     No     No 50.000 %
(9) Med-East Assoc LLC

1703 West Main Street
Willimantic,CT06226
06-1469575 		Outpatient Care Clinic CT N/A
                  
(10) Hartford HealthCare Endowment LLC

80 Seymour Street
Hartford,CT06102
45-4181103 		Endowment Management CT N/A
                  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) HHMOB Corporation & Subsidiary
80 Seymour Street
Hartford,CT06102
06-1140244 		Real Estate Parking CT N/A
 C      
(2) CHS Insurance LTD
FB Perry Bld 40 Church St
  Hamilton  
BD
Captive Insurance BD N/A
 C 20,669,407 175,625,615 72.500 %
(3) Windham Health Services Inc
112 Mansfield Avenue
Willimantic,CT06226
06-1461101 		Home Healthcare CT N/A
 C      
(4) Windham Physician Hospital Organization
112 Mansfield Avenue
Willimantic,CT06226
06-1441614 		Medical Services CT N/A
 C      
(5) Windham Family Medical Services
112 Mansfield Avenue
Willimantic,CT06226
06-1491649 		Medical Services CT N/A
 C      
(6) CenConn Services Inc
100 Grand Street
New Britain,CT06050
22-2836001 		Investment Management CT N/A
 C      
(7) Grand Indemnity Co LTD
40 Church Street
  Hamilton  
BD
98-0609499 		Professional Liability BD N/A
 C      
(8) Hartford Physician Services PC
80 Seymour Street
Hartford,CT06102
06-1254082 		Medical Services CT N/A
 C      
(9) Meriden Imaging Center
101 North Plains Industrial Road
Meriden,CT06429
06-1541468 		Imaging CT N/A
 S      
(10) Hartford Physician Hospital Organization Inc
80 Seymour Street
Hartford,CT06102
22-2785918 		Physician & Hospital Support CT N/A
 C -118,509 1,119,015 50.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CHS Insurance Ltd

 K 1,184,052 FMV
(2) CHS Insurance Ltd

 Q 12,624,000 FMV
(3) CHS Insurance Ltd

 P 321,255 FMV
(4) Eastern Rehabilitation Network

 L 2,201,908 FMV
(5) Eastern Rehabilitation Network

 N 11,045,518 FMV
(6) Eastern Rehabilitation Network

 P 312,179 FMV
(7) HHMOB

 N 623,748 FMV
(8) HHMOB

 I 125,337 FMV
(9) HHMOB

 P 1,069,799 FMV
(10) HHMOB

 J 807,680 FMV
(11) HHMOB

 A 9,673 FMV
(12) HHMOB

 O 887,138 FMV
(13) Immediate Medical Care Center

 P 3,672,468 FMV
(14) Immediate Medical Care Center

 K 378,770 FMV
(15) Immediate Medical Care Center

 A 219,578 FMV
(16) Immediate Medical Care Center

 N 314,933 FMV
(17) Immediate Medical Care Center

 L 673,603 FMV
(18) Midstate Medical Center

 P 3,672,468 FMV
(19) Midstate Medical Center

 K 7,747,286 FMV
(20) Midstate Medical Center

 N 1,868,574 FMV
(21) Rushford Center Inc

 P 159,937 FMV
(22) The Hospital of Central Connecticut

 K 1,775,179 FMV
(23) The Hospital of Central Connecticut

 P 50,139 FMV
(24) Institute Of Living

 J 239,236 FMV
(25) Institute Of Living

 P 70,483 FMV
(26) VNA Health Care Inc

 K 144,772 FMV
(27) Natchaug Hospital Inc

 P 191,468 FMV
(28) Windham Hospital

 K 275,413 FMV
(29) Windham Hospital

 P 1,244,787 FMV
(30) Windham Hospital

 D 1,062,629 FMV
(31) Hartford Hospital Auxiliary

 C 165,204 FMV
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: