TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Gregory Jones...................................................................... Director (Thru June 2016)	2.00 .................	X		0	0	0
(2) Dariush Owlia MD...................................................................... Director	2.00 .................	X		0	0	0
(3) Carol Polifroni...................................................................... Director	2.00 .................	X		0	0	0
(4) Eric Zachs...................................................................... Director	2.00 .................	X		0	0	0
(5) Alexia Cruz...................................................................... Director	2.00 .................	X		0	0	0
(6) Magdelena Rodriguez...................................................................... Director	2.00 .................	X		0	0	0
(7) Westley Thompson...................................................................... Director	2.00 .................	X		0	0	0
(8) James Loree...................................................................... Director	2.00 .................	X		0	0	0
(9) Matthew Saidel MD...................................................................... Director	2.00 .................	X		108,333	0	0
(10) David Zwiener...................................................................... Director	2.00 .................	X		0	0	0
(11) Stacy Nerenstone MD...................................................................... Director	2.00 .................	X		0	0	0
(12) Jeffry Nestler MD...................................................................... Director	2.00 .................	X		0	0	0
(13) Yvette Melendez...................................................................... Director	60.00 .................	X		298,695	0	37,713
(14) Douglas Elliot...................................................................... Chair	3.00 .................	X	X	0	0	0
(15) David McHale...................................................................... Vice Chair	3.00 .................	X	X	0	0	0
(16) Stuart Markowitz MD...................................................................... President	50.00 ................. 10.00	X	X	0	744,015	151,368
(17) Margaret Marchak...................................................................... Secretary & SVP/CLO, HHC	20.00 ................. 40.00		X	0	660,302	141,415

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Gerald Boisvert........................................................................ SVP, Financial Operations, HHC	10.00 .......................50.00	X				0	622,517	112,552
(19) John Greene Jr MD........................................................................ VP	0.00 .......................60.00		X			0	592,869	77,945
(20) Cheryl Ficara........................................................................ VP	0.00 .......................60.00		X			0	412,681	78,030
(21) Peter Fraser........................................................................ VP	0.00 .......................60.00		X			0	389,292	68,793
(22) Harold Schwartz MD........................................................................ VP	30.00 .......................30.00		X			0	607,092	87,493
(23) Barry Kriesberg........................................................................ VP	0.00 .......................60.00		X			0	313,279	46,255
(24) Michael Lindberg MD........................................................................ Dir. Medicine	60.00 .......................			X		785,920	0	61,189
(25) Orlando Kirton MD........................................................................ Dir. Surgery	60.00 .......................			X		798,885	0	80,244
(26) Lenworth Jacobs MD........................................................................ VP	60.00 .......................			X		642,494	0	66,318
(27) Andrew Salner MD........................................................................ Chair Cancer Institute	60.00 .......................			X		589,362	0	68,552
(28) Paul Thompson MD........................................................................ Dir. Cardiology	60.00 .......................			X		548,363	0	67,462
(29) Tracy Church........................................................................ Former - VP	0.00 .......................60.00				X	0	596,462	125,243
(30) Thomas Marchozzi........................................................................ Former - Exec. VP & CFO	0.00 .......................				X	0	466,051	14,105
(31) Rocco Orlando........................................................................ Former - SVP	0.00 .......................60.00				X	0	898,279	106,883
(32) James Blazar........................................................................ Former - VP	0.00 .......................				X	0	652,220	135,887
(33) Richard Stys........................................................................ Former - VP	0.00 .......................60.00				X	0	661,277	70,855

(A) Name and business address	(B) Description of services	(C) Compensation
Gilbane Building Company 208A New London Turnpike Glastonbury,CT06033	Construction	10,382,037
University of CT Health Center 263 Farmington Avenue Farmington,CT06030	Medical Services	7,280,052
FIP Construction Inc 1536 New Britain Avenue Farmington,CT06032	Construction	7,084,737
CFM Construction Corp 150 Sycamore Street Glastonbury,CT06033	Construction	1,445,806
Origin Incorprated 1800 SW 1st Suite 510 Portland,OR97201	Staffing Services	1,119,730
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 87

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

Hartford Hospital

Employer identification number

06-0646668

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization Hartford Hospital

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization Hartford Hospital		Employer identification number 06-0646668

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization Hartford Hospital			Employer identification number 06-0646668
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ..............................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

90,916

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

90,916

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	Hartford Hospital paid annual dues to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. The Organization occasionally asks its employees to volunteer their time to contact state legislators in an effort to lobby on its behalf. The total amount of dues allocated for lobbying expenses for FY16 was $90,916.

Return Reference

Explanation

Part II-B, Line 1:

Hartford Hospital paid annual dues to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. The Organization occasionally asks its employees to volunteer their time to contact state legislators in an effort to lobby on its behalf. The total amount of dues allocated for lobbying expenses for FY16 was $90,916.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII 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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on 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 ....	159,801,523	138,546,174	131,895,671	119,653,630	108,251,287
b	Contributions ...	635,000	27,936,085	1,462,396	4,719,250	959,611
c	Net investment earnings, gains, and losses	12,775,000	-2,385,301	8,092,554	11,002,959	14,072,208
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	4,518,000	4,295,435	2,904,447	3,480,169	3,629,476
f	Administrative expenses ....
g	End of year balance ......	168,693,523	159,801,523	138,546,174	131,895,671	119,653,630

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

51.000 %

Temporarily restricted endowment SchDMd Bullet

49.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	28,182,695		28,182,695
b	Buildings	659,570,193	450,718,611	208,851,582
c	Leasehold improvements
d	Equipment ...	646,620,735	418,525,884	228,094,851
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				465,129,128

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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) Investment in Joint Ventures	6,890,115	F
(B) Investment in Endowment	548,774,495	F
(C) Funds Held in Trust	136,935,859	F
(D) Other Securities	75,772	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	692,676,241

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Other Receivables - Intercompany Bonds				87,599,641
(2) Other Non Current Assets				7,925,214
(3) LT Malpractice Claims				35,598,218
(4) CSV Life Insurance				229,417
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				131,352,490

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Accrued Post Retirement Expenses	12,498,982
Accrued Asbestos Costs	343,109
Other Net Liabilities	64,705,637
Payable to HHC - Interco Bonds	412,139,901
Hospital Provider Tax	15,065,738
Accrued Post Retirement Expenses	314,252,127
Current Accrued Malpractice	11,826,705
Long Term Accrued Malpractice	35,598,218
Due from Affiliates	719,608
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	867,150,025
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Part V, Line 4:

The Hospital has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Hospital must hold in perpetuity or for a donor-specific period(s). Under this policy, the endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of at least 4% over the long term. Actual returns in any given year may vary from this amount. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on 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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Black & Red Ball (event type)	(b) Event #2 Spring Into Action (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,680,207	25,673	1,705,880
2	Less: Contributions . . . .	1,410,882	24,397	1,435,279
3	Gross income (line 1 minus line 2) . . . . . .	269,325	1,276	270,601

4	Cash prizes . . . . .
5	Noncash prizes . . . .		200	200
6	Rent/facility costs . . . .	30,951		30,951
7	Food and beverages . . .	227,654	3,161	230,815
8	Entertainment . . . .	285,827		285,827
9	Other direct expenses . . .	115,256	116	115,372
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			663,165
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			-392,564

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	115,256	116	115,372

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Hartford Hospital

Employer identification number

06-0646668

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	7,724,359	0	7,724,359	0.660 %
b	Medicaid (from Worksheet 3, column a) . . . . .	229,767,310	151,402,817	78,364,493	6.670 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	237,491,669	151,402,817	86,088,852	7.330 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,151,245	1,040,132	2,111,113	0.180 %
f	Health professions education (from Worksheet 5) . . .	60,809,567	14,527,607	46,281,960	3.940 %
g	Subsidized health services (from Worksheet 6) . . . .	4,010,532	1,488,123	2,522,409	0.210 %
h	Research (from Worksheet 7) .	1,739,975	0	1,739,975	0.150 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	25,206,637	13,122,493	12,084,144	1.030 %
j	Total. Other Benefits . .	94,917,956	30,178,355	64,739,601	5.510 %
k	Total. Add lines 7d and 7j .	332,409,625	181,581,172	150,828,453	12.840 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	29,474	5,424	24,050	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	29,474	5,424	24,050

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,677,909

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

255,682,253

Enter Medicare allowable costs of care relating to payments on line 5.....

252,213,720

Subtract line 6 from line 5. This is the surplus (or shortfall)........

3,468,533

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Hartford Hospital 80 Seymour Street Hartford,CT06102 hartfordhospital.org 0046	X	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Hartford Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Hartford Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance

The FAP application form was widely available on a website (list url):

hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance

A plain language summary of the FAP was widely available on a website (list url):
hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Hartford Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Hartford Hospital	Part V, Section B, Line 5: To solicit input from key informants and individuals who have a broad interest in the health of the community, an Online Key Informant Survey was implemented as part of this process. These individuals included physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following: CEO-Capital Workforce PartnersCEO-Community Health ServicesCEO-Community Renewal TeamCEO-CT Association of Human ServicesLocal Health Director-East Hartford Health DepartmentExecutive Director-Hartford Food SystemInterim Local Health Director-Hartford Health DepartmentCEO-Hartford Public LibraryCEO-Hispanic Health CouncilExecutive Director- Hockanum Valley Community CouncilLocal Health Director-Manchester Health DepartmentVice President-Metro Hartford AllianceCEO-United Way of Central & Northeastern CTCEO-Urban League of Greater HartfordLocal Health Dept. Director - Windsor Health DepartmentDirector-Windsor Social Services DepartmentVice President-United Way of CTChief Medical Directors-Hartford HospitalLocal Health Director-Farmington Valley Health DistrictExecutive Director-Southside Institutions Neighborhood Alliance (SINA)Vice President-Hartford Foundation for Public GivingSocial Service Organization-Greater Hartford Legal AidVice President-Saint Francis Hospital & Medical CenterCEO-Billings Forge Community WorksDirector Community Relations-Connecticut Children's Medical CenterExecutive Director-Hartford Gay & Lesbian Collective CEO-Intercommunity, Inc.Executive Director-CT Association of Directors of Health Social Service Organization-Reach CoalitionLocal Health Director-Central Connecticut Health DistrictSr. Vice President-Capital Region Education CouncilCEO-Charter Oak Health CenterExecutive Director-Faithcare, Inc.Social Service Organization-Legal Assistance Resource Center of CTCEO-Jewish FederationCEO-The Village for Families & ChildrenVice President-Connecticut Health FoundationLocal Health Director-North Central Health Regional Mental Health Board Director-North Hartford Promise ZoneCEO-Hartford Public SchoolsDirector-Department of Public Health, West Hartford/BloomfieldLocal Health Director-Department of Public Health, GlastonburyParticipants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the overall community. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Key informants were asked to rate the degrees to which various health issues were a problem in the Hartford Region. Follow-up questions asked them to describe why they identified areas as such, and how these might be better addressed. After reviewing the Community Health Needs Assessment findings, the community representatives met on June 10, 2015 to determine the health needs to be prioritized for action. During a detailed presentation of the CHNA findings, the hospital used audience response system (ARS) technologies to lead steering committee members through a process of understanding key local data findings (Area of Opportunity) and ranking identified health issues against the following established, uniform criteria: Magnitude, Impact/Seriousness/Feasibility, and Consequences of Inaction. From this exercise, the areas of opportunity were prioritized as follows by the committee: Mental Health, Nutrition, Physical Activity & Weight Status, Diabetes, Substance Abuse, Cancer, Heart Disease and Stroke.Part V, Section B, Line 7ahttps://hartfordhospital.org/about-hh/community-outreach/community-health-needs-assessment
Hartford Hospital	Part V, Section B, Line 7d: The needs assessment was published in July 2015 and is available on the hospital's website. In addition, electronic copies are available upon request.
Hartford Hospital	Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the CHNA process, Hartford Hospital determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence: * Nutrition, Physical Activity & Weight* Diabetes* Mental Health* Heart Disease & Stroke* Cancer* Injury and ViolenceHartford Hospital is implementing initiatives that will respond to these identified needs. Additional needs identified as "Areas of Opportunities" were not deemed as significant needs and did not rank highly enough to earn a prioritized ranking. However, in some areas such as Injury Prevention and Dementia, major initiatives are never the less underway at Hartford Hospital. Areas of Opportunity, identified but not prioritized:* Chronic Kidney Disease* Dementia, including Alzheimer's Disease* HIV/AIDS* Infant Health and Family Planning * Sexually Transmitted Disease Health Needs - Not Currently Prioritized:Chronic Kidney Disease:Hartford Hospital through its various departments and specialty designation as a Level 1 trauma Center and acute care hospital treats many individuals with chronic kidney disease. We are one of two regional hospitals serving as a major transplant provider. We believe we are already responding to the identified need appropriately. HIV/Aids:Hartford Hospital already responds to the needs of the community for those infected with HIV/Aids. We are responding to the needs of the underserved in the community and providing services through our Brownstone Clinic. Dementia/Alzheimer's Disease:Hartford Hospital does address this area of need through our identified gerontology services. Various strategies noted in our plan address cognitive wellness and are being addressed through our primary care efforts, including the underserved population. We believe that this approach is responding to the identified need. Infant Health & Family Planning:Family Planning is addressed through our Women's Health Center with particular focus on the underserved. Harford Hospital does not provide pediatric services. The Connecticut Children's Medical Center is on our campus and is solely dedicated to pediatric care.
Hartford Hospital	Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of health care expenses.
Hartford Hospital	Part V, Section B, Line 15e: In addition, patient may ask nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.
Hartford Hospital	Part V, Section B, Line 16i: Patients are informed directly by staff of the availability of the Financial Assistance Policy.
Hartford Hospital	Part V, Section B, Line 22d: For uninsured patients, published rates are reduced by the percentage defined by the IRS as the amounts generally billed using a "look back" retrospective calculation to calculate the amount allowed by governmental (Medicare and Medicaid) and commercially insured patients. This percentage is updated on an annual basis. The annual calculation methodology and the percentages are located in Appendix A of the Hospital's Financial Assistance Policy.Underinsured patients will not be billed more than amounts generally billed (AGB) to insured patients.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?37
Name and address		Type of Facility (describe)
1	1 - Eye Center - Newington 505 Willard Avenue Newington,CT06111	Eye Center
2	2 - West Hartford Surgery Center 65 Memorial Road Suite 500 West Hartford,CT06107	General Cardiology, Integrative Medicine
3	3 - Hartford Hospital Wellness Center 65 Memorial Road West Hartford,CT06107	Wellness Center
4	4 - Helen & Harry Gray Cancer Center 80 Fisher Drive Avon,CT06001	Center Center
5	5 - The Sleep Center 1260 Silas Dean Hwy Wethersfield,CT06109	Sleep Lab
6	6 - Hartford Hospital Rehab Network 85 Seymour Street Suite 604 Hartford,CT06106	Rehabilitation Department
7	7 - Hartford Hospital Rehab Network 100 Hazard Avenue Enfield,CT06082	Rehabilitation Department
8	8 - Hartford Hospital Rehab Network 1025 Silas Deane Highway Wethersfield,CT06109	Rehabilitation Department
9	9 - Hartford Hospital Rehab Network 1559 Sullivan Avenue South Windsor,CT06074	Rehabilitation Department
10	10 - Hartford Hospital Rehab Network 330 Western Boulevard Glastonbury,CT06033	Rehabilitation Department
11	11 - Hartford Hospital Rehab Network 445 South Main Street West Hartford,CT06110	Rehabilitation Department
12	12 - Hartford Hospital Rehab Network 100 Simsbury Road Avon,CT06001	Rehabilitation Department
13	13 - Hartford Hospital Rehab Network 334 North Main Street West Hartford,CT06117	Rehabilitation Department
14	14 - Hartford Hospital Rehab Network 1064 East Main Street Meriden,CT06450	Rehabilitation Department
15	15 - Hartford Hospital Rehab Network 65 Memorial Road West Hartford,CT06107	Rehabilitation Department
16	16 - Family Health Center 35 Talcottville Road Vernon,CT06066	Wellness Center
17	17 - Hartford Hospital Sleep Lab 533 Cottage Grove Road Bloomfield,CT06002	Sleep Lab
18	18 - Enfield Family Wellness Center 100 Hazard Avenue Enfield,CT06082	Wellness Center
19	19 - Hartford Hospital Rehab Network 230 North Main Street Manchester,CT06042	Rehabilitation Department
20	20 - Avon Family Wellness Center 339 West Main Street Avon,CT06001	Wellness Center
21	21 - Hartford Hospital Rehab Network 1060 Day Hill Road Windsor,CT06095	Rehabilitation Department
22	22 - South Windsor Family Wellness Center 1559 Sullivan Avenue South Windsor,CT06074	Wellness Center
23	23 - Hartford Hospital Rehab Network 85 Barnes Road Suite 300 Wallingford,CT06492	Rehabilitation Department
24	24 - Glastonbury Endoscopy Center LLC 300 Western Boulevard Glastonbury,CT06033	Endoscopy Center, Education Center
25	25 - Glastonbury Surgery Center 195 Eastern Boulevard Glastonbury,CT06033	Surgery Center
26	26 - Hartford Hospital Rehab Network 330 Western Boulevard Glastonbury,CT06033	Rehabilitation Department
27	27 - Hartford Hospital Rehab Network 704 Hebron Avenue Glastonbury,CT06033	Rehabilitation Department
28	28 - Hartford Hospital Rehab Network 18 East Granby Road Granby,CT06035	Rehabilitation Department
29	29 - Hartford Hospital Rehab Network 406 Farmington Avenue 2nd Floor Farmington,CT06030	Rehabilitation Department
30	30 - Hartford Hospital Rehab Network 2 Northwestern Drive Bloomfield,CT06002	Rehabilitation Department
31	31 - Hartford Hospital Rehab Network 35 Talcottville Road Vernon,CT06066	Rehabilitation Department
32	32 - Hart Hosp Healthcare - Wethersfield 1260 Silas Dean Hwy Wethersfield,CT06109	Education Center
33	33 - Glastonbury Wellness Center 628 Hebron Avenue Glastonbury,CT06033	Wellness Center
34	34 - Hartford Hosp Healthcare - Windsor 1060 Day Hill Road Windsor,CT06095	Education Center
35	35 - Avon Healthcare Center 100 Simsbury Road Avon,CT06001	Nuclear Cardiology, Education Center
36	36 - Hartford Hospital Rehab Network 335 Westbourne Parkway Hartford,CT06112	Rehabilitation Department
37	37 - Farmington Cardiac Rehabilitation 11 South Road Suite 260 Farmington,CT06032	Cardiac Rehabilitation Program

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Part I, Line 3c:	Hartford Hospital used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:The Organization submits quarterly reports to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Care Access (OHCA) annually.
Part I, Line 7:	The organization utilized an overall cost to charge ratio, (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. The costs of indusstry funded studies were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g.
Part I, Line 7g:	No physician clinic costs were included in the Subsidized Health Services cost calculations.
Part II, Community Building Activities:	Hartford Hospital believes that Community Building activities help to address the social determinants of health. As such it provided support to Family Life Education which helps single mothers build self esteem, return, remain and graduate from school, find employment, learn positive parenting and communication skills, learn proper health care with nutrition; find affordable housing and childcare, address domestic violence and substance abuse.Donations were made in support of "Reaching Home" program which helps to end youth and family homelessness by providing housing support in high resource school districts, employment and training opportunities, and other services to provide new opportunities for low and moderate income households. Support was also provided to the 8th Annual March and Memorial Rally for Mothers United Against Violence in order to bring awareness of gun violence in our communities; Charter Oak Cultural Center to support visual and performing arts, including dance, theater, film, concerts, readings, gallery exhibits through free education for inner city children; to women and children of domestic violence and to provide support for urban youth to aid in their effort to finish high school, graduate from college or vocational institution, find rewarding employment and give back to the community.
Part III, Line 3:	A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted as charity care prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2016 would be immaterial.
Part III, Line 4:	Please see the text of the footnote that describes bad debt expense beginning on page 20 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 2.
Part III, Line 8:	The organization's 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. No Extraordinary Collection Actions (ECA) will be initiated during the first 120 days following the first post-discharge billing statement to a valid address or during the time that patient's Financial Assistance Application is processing. Before initiating any ECA, a notice will be provided to the patient 30 days prior to initiating such event.If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, any ECA's such as negative reporting to a credit bureau or liens that have been filed will be removed.
Part VI, Line 2:	Hartford Hospital uses Emergency Room data to track increases in medical conditions such as falls, flu, drug overdoses, etc. and the same approach is taken in our outpatient clinics. Periodically information is surveyed to determine additional patients needs. Information is also tracked from other entities such as local area non-profits, government agencies and public schools.
Part VI, Line 3:	Hartford Hospital will provide information about its Financial Assistance Policy as follows: (i) provide signs regarding this Policy and written plain language summary information describing the Policy along with Financial Assistance contact information in the Emergency Department, Labor and Delivery areas and other patient registration areas; (ii) provide to each patient written plain language summary information describing the Policy along with Financial Assistance contact information in admission, patient registration, discharge, billing and collection written communications; (iii) make paper copies of the Policy, financial assistance application, and plain language summary of the Policy available upon request and without charge, both by mail and in public locations in the hospital facility, including the emergency room and admissions areas; (iv) post the Policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the HH's home page; (v) educate all admission and registration personnel regarding the Policy so that they can serve as an informational resource to patients regarding the Policy; and (vi) include the tag line "Please ask about our Financial Assistance Policy" in HH written publications.
Part VI, Line 4:	Hartford Hospital is located in the capital of the State of Connecticut. The Hartford Region encompasses 734.9 square miles and houses a total population of approximately 894,000 residents. According to latest census estimates, Hartford County is predominantly urban, with 94.6% of the population living in areas designated as urban. In Hartford County, 22.7% of the population are infants, children or adolescents (age 0-17); another 62.6% are age 18 to 64, while 14.6% are age 65 and older. In looking at race independent of ethnicity (Hispanic or Latino origin), 73.3% of residents of Hartford County are White and 13.1% are Black. A total of 15.4% of Hartford County residents are Hispanic or Latino.The latest census estimate shows 11.5% of the Hartford County population living below the federal poverty level. In all, 24.5% of Hartford County residents (an estimated 212,802 individuals) live below 200% of the federal poverty level. Additionally, 15.8% of Hartford County children age 0-17 live below the 200% poverty threshold. Among the Hartford County population age 25 and older, 12.3% do not have a high school education. There is one other acute care hospital in Hartford, as well as one in a suburb and two smaller acute care hospitals in nearby towns.
Part VI, Line 5:	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 most other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O.
Part VI, Line 6:	Hartford Healthcare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Hartford Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. The Strategic Planning and Community Benefit Committee of the HHC Board of Directors ensures the oversight for these services by each hospital community. HHC and its affiliates, including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care".The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services that Hartford Hospital is able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies.
Part VI, Line 7, Reports Filed With States	CT

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Hartford Hospital

Employer identification number
06-0646668

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC 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) Greater Hartford Arts Council 100 Pearl Street Hartford,CT06123	23-7111486	501(c)(3)	10,000	FMV	Annual membership to the Greater Hartford Arts Council provides support for their nationally-recognized program for inner-city teens to participate in a formal arts apprenticeship program to develop valuable life-long career skills in the arts, as well as interviewing skills.
(2) Boys & Girls Club of Hartford 170 Sigourney Street Hartford,CT06105	06-6026005	501(c)(3)	10,000	FMV	Grant was awarded to the Boys & Girls Club of Hartford. The Club strives to improve the lives of youth and teens in the Hartford community through the programs offered. As the specific needs of Hartford's children have changed over time, these Clubs continue to inspire and enable young people to reach their full potential as productive, caring and responsible citizens.
(3) Intercommunity Inc 281 Main Street East Hartford,CT06118	06-0954809	501(c)(3)	10,000	FMV	Grant was awarded to Intercommunity, Inc., an organization that provides primary care and behavioral health services to individuals, families, and communities within the state of Connecticut.
(4) Compass 55 Airport Road Suite 201 Hartford,CT06114	31-1768549	501(c)(3)	10,000	FMV	Grant was awarded to Compass, an organization that works to reengage youth in their school, family and commuity, help youth and their families navigate challenging social and economic obstacles. Partners in promoting the safety, wellness and academic success of youth, inspires and empower youth to pursue and contribute to a brighter future.
(5) Charter Oak Health Center 21 Grand Street Hartford,CT06106	06-0986747	501(c)(3)	10,000	FMV	Grant was awarded to the Charter Oak Health Center who promotes healthier communities by providing quality, safe, patient-centered health care services in medically underserved areas, regardless of ability to pay.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated 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) Hazel Vail Awards	4	20,000
(2) Sons and Daughters Scholarship Awards	30	30,000
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Part I, Line 2:

Upon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted.

Schedule I, Part III

Once recipients are determined, the funds are sent directly to the institutions and not to individuals. Required qualifications The Sons and Daughters/Hazel Vail Scholarships are available to children of Hartford Hospital employees who meet eligibility requirements. The applicant must be financially dependent on the employee by being claimed on either parent's tax return. The applicant must be enrolled as a full-time student in an Accredited Undergraduate Program. The applicant must be the son or daughter (biological, adopted, stepchild, or legal ward) of a Hartford Hospital employee (full-time or part-time, budgeted to work at least 24 hours per week). The dependent of a Hartford Hospital employee who is also employed at Hartford Hospital is eligible to apply if they are budgeted to work less than 24 hours per week at Hartford Hospital. Applicant must have a verifiable GPA of 3.0 or higher to apply. Applicants are chosen on 1 criteria. 1. GPA (must be at least a 3.0 or higher to apply)

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Hartford Hospital

Employer identification number

06-0646668

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Yvette MelendezDirector	(i) (ii)	249,345 ------------- 0	45,823 ------------- 0	3,527 ------------- 0	20,527 ------------- 0	17,186 ------------- 0	336,408 ------------- 0	0 ------------- 0
2Stuart Markowitz MDPresident	(i) (ii)	0 ------------- 559,531	0 ------------- 162,445	0 ------------- 22,039	0 ------------- 102,732	0 ------------- 48,636	0 ------------- 895,383	0 ------------- 0
3Margaret MarchakSecretary & SVP/CLO, HHC	(i) (ii)	0 ------------- 463,399	0 ------------- 166,749	0 ------------- 30,154	0 ------------- 93,339	0 ------------- 48,076	0 ------------- 801,717	0 ------------- 0
4Gerald BoisvertSVP, Financial Operations, HHC	(i) (ii)	0 ------------- 433,267	0 ------------- 175,942	0 ------------- 13,308	0 ------------- 66,772	0 ------------- 45,780	0 ------------- 735,069	0 ------------- 0
5John Greene Jr MDVP	(i) (ii)	0 ------------- 470,432	0 ------------- 87,091	0 ------------- 35,346	0 ------------- 39,200	0 ------------- 38,745	0 ------------- 670,814	0 ------------- 0
6Cheryl FicaraVP	(i) (ii)	0 ------------- 343,691	0 ------------- 67,251	0 ------------- 1,739	0 ------------- 39,200	0 ------------- 38,830	0 ------------- 490,711	0 ------------- 0
7Peter FraserVP	(i) (ii)	0 ------------- 303,835	0 ------------- 82,555	0 ------------- 2,902	0 ------------- 27,244	0 ------------- 41,549	0 ------------- 458,085	0 ------------- 0
8Harold Schwartz MDVP	(i) (ii)	0 ------------- 460,289	0 ------------- 113,781	0 ------------- 33,022	0 ------------- 33,125	0 ------------- 54,368	0 ------------- 694,585	0 ------------- 0
9Barry KriesbergVP	(i) (ii)	0 ------------- 270,819	0 ------------- 39,043	0 ------------- 3,417	0 ------------- 18,550	0 ------------- 27,705	0 ------------- 359,534	0 ------------- 0
10Michael Lindberg MDDir. Medicine	(i) (ii)	318,250 ------------- 0	43,973 ------------- 0	423,697 ------------- 0	25,908 ------------- 0	35,281 ------------- 0	847,109 ------------- 0	0 ------------- 0
11Orlando Kirton MDDir. Surgery	(i) (ii)	777,956 ------------- 0	0 ------------- 0	20,929 ------------- 0	39,200 ------------- 0	41,044 ------------- 0	879,129 ------------- 0	0 ------------- 0
12Lenworth Jacobs MDVP	(i) (ii)	505,527 ------------- 0	122,298 ------------- 0	14,669 ------------- 0	33,125 ------------- 0	33,193 ------------- 0	708,812 ------------- 0	0 ------------- 0
13Andrew Salner MDChair Cancer Institute	(i) (ii)	584,280 ------------- 0	0 ------------- 0	5,082 ------------- 0	36,550 ------------- 0	32,002 ------------- 0	657,914 ------------- 0	0 ------------- 0
14Paul Thompson MDDir. Cardiology	(i) (ii)	546,641 ------------- 0	0 ------------- 0	1,722 ------------- 0	33,125 ------------- 0	34,337 ------------- 0	615,825 ------------- 0	0 ------------- 0
15Tracy ChurchFormer - VP	(i) (ii)	0 ------------- 426,540	0 ------------- 166,636	0 ------------- 3,286	0 ------------- 89,380	0 ------------- 35,863	0 ------------- 721,705	0 ------------- 0
16Thomas MarchozziFormer - Exec. VP & CFO	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 466,051	0 ------------- 0	0 ------------- 14,105	0 ------------- 480,156	0 ------------- 0
17Rocco OrlandoFormer - SVP	(i) (ii)	0 ------------- 566,368	0 ------------- 203,507	0 ------------- 128,404	0 ------------- 56,425	0 ------------- 50,458	0 ------------- 1,005,162	0 ------------- 0
18James BlazarFormer - VP	(i) (ii)	0 ------------- 468,254	0 ------------- 171,418	0 ------------- 12,548	0 ------------- 92,690	0 ------------- 43,197	0 ------------- 788,107	0 ------------- 0
19Richard StysFormer - VP	(i) (ii)	0 ------------- 444,537	0 ------------- 157,324	0 ------------- 59,416	0 ------------- 36,551	0 ------------- 34,304	0 ------------- 732,132	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1b	Tax indemnification and gross-up payments to individuals for benefits were included as taxable income on their 2015 Form W-2.
Part I, Line 3	The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford Hospital, hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O.
Part I, Lines 4a-b	In 2015, Thomas Marchozzi (former Officer) received a Severance payment in the amount of $450,000. In 2015, Dr. Michael Lindberg received a Severance payment in the amount of $414,527. Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President, Executive Vice President, Senior Vice President and Vice President levels that are reported by Hartford Hospital on Form 990, Part VII. Contributions are made by Hartford Healthcare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause or upon reaching age 65. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2015 SERP Accruals were made on behalf of the following individuals: Mr. Markowitz $66,182 Mr. Blazar $56,140 Ms. Marchak $56,789 Mr. Boisvert $30,222 Ms. Church $52,830 2015 SERP Payouts were made on behalf of the following individuals: Dr. Orlando $68,545 * Mr. Stys $52,938 * *For these individuals, vesting occurred, causing taxable income. A portion of the vested amount was used to pay the associated tax liability. The remaining balance stayed in the SERP account.
Part I, Line 7	Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals 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 Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Hartford Hospital

Employer identification number

06-0646668

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) See Part V	See Part V		See Part V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

Schedule L, Part IV

(a)Name of Person: Gregory Jones(b)Relationship Between Interested Person and Organization: Board Member(c)Amount of Transactions: $62,500(d)Description of Transaction: Mr. Gregory Jones was a board member of Hartford Hospital until June, 2016. Mr. Jones owns Corporate Development Group, LLC. The LLC provided consulting and business advisory services to Hartford HealthCare Corporation (Parent) relating to Managed Care Contract Negotiations. (e)Sharing of Organization's Revenue? No

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

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) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash 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	38	1,290,577	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 ( )
26 Other ( )
27 Other ( )
28 Other ( )

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

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Hartford Hospital

Employer identification number

06-0646668

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	Hartford Hospital is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member.
Form 990, Part VI, Section A, line 7a	The sole member of the organization has the authority to approve/remove members of the governing body.
Form 990, Part VI, Section A, line 7b	The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc.
Form 990, Part VI, Section B, line 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 VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the VP of Finance and then filed with the IRS.
Form 990, Part VI, Section B, line 12c	The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all Covered Individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of Interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee (the Committee) which includes representation from the Medical Staff, the Legal Department, Human Resources, Supply Chain Management and Compliance. The Committee assesses and may recommend the conflicting interest either be (a) eliminated for a continued relationship with HHC/HH, or (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable.
Form 990, Part VI, Section B, line 15	The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford Hospital, hires an outside consultant, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Hartford Hospital, established and regularly reviews Executive Compensation Philosophy - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons" - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability.
Form 990, Part VI, Section C, line 18	The Hospital's Form 990, 990T and form 1023 and its attachments are available upon request.
Form 990, Part VI, Section C, line 19	The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address.
Form 990, Part XI, line 9:	Additional K-I Income (Pass thru entities) 151. Transfer to affiliated entity -75,070,000. Change in pension and post-retirement funding obligation -122,767,000. Change in unrealized gains/losses on investments 42,000. Change in unrealized gains/losses on funds held in trust by others 6,734,000. Rounding 1,432.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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 (if applicable) 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

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 entity?
(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	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 One State Street Suite 19 Hartford,CT06103 22-2672834	Support and Management Services to Hartford Hospital and Affiliates	CT	501(C)(3)	11 (c)	N/A		No
(3)Windham Community Memorial Hospital 112 Mansfield Avenue Willimantic,CT06226 06-0646966	Healthcare Services	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(4)Windham Hospital Foundation Inc 112 Mansfield Avenue Willimantic,CT06226 56-2546632	Supporting Organization	CT	501(C)(3)	11 (a)	Windham Community Memorial Hospital	Yes
(5)MidState Medical Center 435 Lewis Avenue Meriden,CT06451 06-0646715	Healthcare Services	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(6)Natchaug Hospital Inc 189 Storrs Road Mansfield Center,CT06226 06-0966963	Behavioral Health	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(7)Hartford HealthCare At HomeInc 1290 Silas Deane Hwy Suite 4B Wethersfield,CT06109 06-0646938	Home Healthcare	CT	501(C)(3)	7	Hartford HealthCare Corporation	Yes
(8)Rushford Center Inc 883 Paddock Avenue Meriden,CT06450 06-0932875	Substance Abuse Healthcare Services	CT	501(C)(3)	7	Hartford HealthCare Corporation	Yes
(9)HHC Independence at Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield,CT06109 06-1161422	Home Healthcare	CT	501(C)(3)	9	Hartford HealthCare At Home Inc	Yes
(10)Hartford Hospital Auxiliary co Hartford Hospital 80 Seymour Street Hartford,CT06115 06-6040747	Fundraising	CT	501(C)(3)	11 (c)	Hartford Hospital	Yes
(11)The Hospital of Central CT and Bradley Memorial 100 Grand Street New Britain,CT06050 06-0646768	Healthcare Services	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(12)Hartford HealthCare Senior Services Inc 45 Meriden Avenue Southington,CT06489 22-2635676	Sub-Acute & Long Term Healthcare	CT	501(C)(3)	9	Hartford HealthCare Corporation	Yes
(13)Bradley Health Services 100 Grand Street New Britain,CT06050 06-1367014	Healthcare Services	CT	501(C)(3)	9	Hartford HealthCare Corporation	Yes
(14)The Orchards of Southington 34 Hobart Street Southington,CT06489 06-1490803	Residential Services for Senior Care	CT	501(C)(3)	9	Hartford HealthCare Senior Services Inc	Yes
(15)Rushford Foundation Inc 883 Paddock Avenue Meriden,CT06450 06-1432692	Support Organization	CT	501(C)(3)	11 (a)	Rushford Center Inc	Yes
(16)Mulberry Gardens of Southington LLC 58 Mulberry Street Plantsville,CT06479 82-0586577	Assisted Living & Adult Day Care Facility	CT	501(C)(3)	9	Hartford HealthCare Senior Services Inc	Yes
(17)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
(18)MidState Medical Center Auxiliary 435 Lewis Avenue Meriden,CT06451 06-6063082	Fundraising	CT	501(C)(3)	11 (a)	MidState Medical Center	Yes
(19)HHC PhysiciansCare Inc 80 Seymour Street Hartford,CT06102 45-4456939	Medical Services	CT	501(C)(3)	9	Hartford HealthCare Corporation	Yes
(20)Hartford HealthCare Accountable Care Org Inc 1290 Silas Deane Hwy Wethersfield,CT06109 46-0886367	Government Contracts	CT	501(C)(3)	7	HHC PhysiciansCare Inc	Yes
(21)Hartford HealthCare Corp Group (VEBA) 777 Main Street Hartford,CT06102 26-6671355	Medical Benefits Trust	CT	501(C)(9)	N/A	Hartford HealthCare Corporation	Yes
(22)Backus Corporation 326 Washington Street Norwich,CT06360 22-2757608	Support Organization	CT	501(C)(3)	11 (b)	Hartford HealthCare Corporation	Yes
(23)The William W Backus Hospital 326 Washington Street Norwich,CT06360 06-0250773	Hospital	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(24)Backus HealthCare Inc 326 Washington Street Norwich,CT06360 22-2481794	Support Organization	CT	501(C)(3)	11 (a)	Hartford HealthCare Corporation	Yes
(25)Caring for Colleagues Employee Crisis Fund 100 Grand Street New Britain,CT06052 26-4469178	Employee Fund	CT	501(C)(3)	7	Hartford HealthCare Corporation	Yes
(26)Hartford Healthcare Endowment LLC 80 Seymour Street Hartford,CT06102 45-4181103	Endowment Management	CT	501(C)(3)	11 (a)	Hartford HealthCare Corporation	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) New Britain MRI Limited Partnership 100 Grand Street New Britain,CT06050 06-1271349	Magnetic Resonance Imaging	CT	N/A
(2) Omni Home Health Services ECT LLC 12 Case Street - 317 Norwich,CT06360 06-1458837	Backus Home Health Care	CT	N/A
(3) Ambulance Service of Manchester LLC PO Box 300 Manchester,CT06450 06-1557358	Ambulatory Services	CT	N/A
(4) Connecticut Imaging Partners LLC 111 Founders Plaza East Hartford,CT06108 13-4298940	Imaging Service	CT	N/A	Unrelated	663,710	1,565,005		No			No	51.000 %
(5) Glastonbury Endoscopy Center LLC 300 Western Boulevard Glastonbury,CT06033 26-1721234	Endoscopy Services	CT	N/A	Related	850,143	286,113		No			No	50.000 %
(6) Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury,CT06033 26-2600828	Surgery Services	CT	Hartford Hospital	Related	5,992,568	1,549,806		No			No	51.000 %
(7) Hartford - Middlesex Clinical System LLC 80 Seymour Street Hartford,CT06110 06-1543605	Affiliate Support Services	CT	N/A	Unrelated	-135			No			No	50.000 %
(8) Med-East Assoc LLC 1703 West Main Street Willimantic,CT06226 06-1469575	Outpatient Care Clinic	CT	N/A
(9) Hartford HealthCare Endowment LLC 80 Seymour Street Hartford,CT06102 45-4181103	Endowment Management	CT	Hartford Hospital	Investment				No			No
(10) HHC Southington Surgery Center 100 Avon Meadow Lane Avon,CT06001 46-5500829	Surgery Services	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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) HHMOB Corporation & Subsidiary 80 Seymour Street Hartford,CT06102 06-1140244	Real Estate & Parking	CT	N/A	C				Yes
(2) Hartford HealthCare Indemnity Services Ltd FB Perry Bld 40 Church St Hamilton BD	Captive Insurance	BD	N/A	C				Yes
(3) Windham Health Services Inc 112 Mansfield Avenue Willimantic,CT06226 06-1461101	Home Healthcare	CT	N/A	C				Yes
(4) Windham Physician Hospital Organization 112 Mansfield Avenue Willimantic,CT06226 06-1441614	Medical Services	CT	N/A	C				Yes
(5) Windham Family Medical Services 112 Mansfield Avenue Willimantic,CT06226 06-1491649	Medical Services	CT	N/A	C				Yes
(6) CenConn Services Inc 100 Grand Street New Britain,CT06050 22-2836001	Holding Company	CT	N/A	C				Yes
(7) Midstate Medical Group PC 435 Lewis Avenue Meriden,CT06450 20-4327968	Medical Services	CT	N/A	C				Yes
(8) Hartford Physician Services PC 80 Seymour Street Hartford,CT06102 06-1254082	Medical Services	CT	N/A	C				Yes
(9) Meriden Imaging Center 101 North Plains Industrial Road Meriden,CT06429 06-1541468	Imaging	CT	N/A	S				Yes
(10) Hartford Physician Hospital Organization Inc 80 Seymour Street Hartford,CT06102 22-2785918	Physician & Hospital Support	CT	N/A	C	1,467,255	1,093,966	50.000 %	Yes
(11) Aetna Ambulance Service Inc POBOX 1150 Manchester,CT06045 06-0795431	Ambulance Services	CT	N/A	C				Yes
(12) Metro Wheelchair Service Inc POBOX 300 Manchester,CT06045 06-0878432	Wheelchair Services	CT	N/A	C				Yes
(13) WWB Corporation 326 Washington Street Norwich,CT06360 06-1094838	Holding Company	CT	N/A	C				Yes
(14) ConnCare Inc 326 Washington Street Norwich,CT06360 06-1387598	Health Care Services	CT	N/A	C				Yes
(15) Backus Medical Center Condo Assoc Inc 330 Washington Street Norwich,CT06360 06-1542647	Condo Association	CT	N/A	C				Yes
(16) Windham Professional Office Condominium Association Inc 1120 Mansfield Avenue Willimantic,CT06226 06-1090041	Condo Association	CT	N/A	C				Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HHC Rehabilitation Network LLC	O	22,526,969	FMV
(2) HHC Rehabilitation Network LLC	M	1,776,210	FMV
(3) HHC Rehabilitation Network LLC	D	2,796,321	FMV
(4) HHC Rehabilitation Network LLC	A	127,326	FMV
(5) HHMOB	Q	172,220	FMV
(6) HHMOB	S	151,937	FMV
(7) HHMOB	A	1,887,850	FMV
(8) William W Backus Hospital	L	1,538,118	FMV
(9) William W Backus Hospital	O	768,068	FMV
(10) William W Backus Hospital	P	138,708	FMV
(11) MidState Medical Center	L	538,090	FMV
(12) MidState Medical Center	O	207,315	FMV
(13) MidState Medical Center	S	595,062	FMV
(14) MidState Medical Center	Q	315,078	FMV
(15) MidState Medical Center	A	3,266	FMV
(16) Natchaug Hospital	O	210,535	FMV
(17) Natchaug Hospital	L	56,682	FMV
(18) Natchaug Hospital	Q	65,093	FMV
(19) Natchaug Hospital	M	104,299	FMV
(20) Rushford Center Inc	O	99,288	FMV
(21) Rushford Center Inc	A	8,550	FMV
(22) The Hospital of Central Connecticut	O	921,118	FMV
(23) The Hospital of Central Connecticut	L	1,965,783	FMV
(24) The Hospital of Central Connecticut	S	152,015	FMV
(25) Hartford HealthCare At Home Inc	P	449,501	FMV
(26) Hartford HealthCare At Home Inc	S	84,738	FMV
(27) Windham Community Memorial Hospital	L	358,715	FMV
(28) Windham Community Memorial Hospital	Q	197,986	FMV
(29) Windham Community Memorial Hospital	S	143,633	FMV
(30) HHC PhysicianCare Inc	L	354,976	FMV
(31) HHC PhysicianCare Inc	M	6,760,320	FMV
(32) HHC PhysicianCare Inc	A	1,162,602	FMV
(33) HHC PhysicianCare Inc	O	2,101,504	FMV
(34) HHC PhysicianCare Inc	S	215,810	FMV
(35) Hartford Hospital Auxiliary	C	794,663	FMV
(36) Hartford HealthCare Senior Services	P	105,945	FMV
(37) Hartford HealthCare Senior Services	O	390,780	FMV
(38) HHC Indemnity Services Limited	M	50,539	FMV
(39) HHC Rehabilitation Network LLC	L	1,135,420	FMV
(40) HHC Rehabilitation Network LLC	Q	172,038	FMV

Schedule R (Form 990) 2015

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To improve the health and healing of the people and communities we serve.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	7,688
6	Total number of volunteers (estimate if necessary) .............	6	1,049
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,581,979
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-415,982

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	35,215,389	15,826,083
9	Program service revenue (Part VIII, line 2g) .........	1,119,672,558	1,188,662,434
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	39,294,326	11,740,094
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,560,596	5,725,536
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,200,742,869	1,221,954,147
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	250,260	111,330
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)	537,359,680	503,694,863
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,353,576
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	559,546,318	671,419,865
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,097,156,258	1,175,226,058
19	Revenue less expenses. Subtract line 18 from line 12.......	103,586,611	46,728,089
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,486,935,171	1,545,015,774
21	Total liabilities (Part X, line 26).............	825,717,922	988,682,194
22	Net assets or fund balances. Subtract line 21 from line 20.....	661,217,249	556,333,580

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 155,588,825 including grants of $ ) (Revenue $ 176,358,299 )
	At the completion of FY 16, the Division of Cardiology was comprised of 13 full time faculty cardiologists, 1 per diem cardiologist, 7 full time hospitalists, and 1 doctoral-level researcher. Cardiology division members published over 135 publications (not including abstracts) in peer-reviewed journals in 2015/2016. Patient Care ActivitiesCardiac Catheterization Laboratory:For FY16, there were 3,729 total cases performed in the Cardiac Catheterization Laboratory. Diagnostic Coronary procedures for FY16 were 3,547. The Catheterization Laboratory staff performed 162 Trans Aortic Valve Replacements. For FY16, 47% of all Cardiac Lab cases were elective, 37% Urgent, and 15% Emergent. Cardiac Surgery:The Department of Surgery, through its divisions and broad-based exemplary programs endeavors to deliver state of the art, compassionate, patient-centered, high-quality surgical services. For FY16, 1,033 total cases were done. The department completed 437 Valve surgeries, 366 isolated Coronary Artery Bypass Surgery (CABG) surgeries, and 112 CABG/Valve cases as well as other procedures.Advanced Heart Failure and Transplant Center:The Advanced Heart Failure (HF) Infusion Center continues to provide successful outpatient therapy for decompensated HF patients reducing length of stay, preventing re-admission and allowing patients to stay in the comfort of their own homes. Outpatient Infusion Therapy continues to be very popular and highly effective in stabilizing patients with acute HF syndrome. During FY16, the infusion center had a total of 1,802 patient encounters and 1,106 infusions were performed. The Emergency Department Heart Failure Infusion Clinic (EDHFIC) program continues to screen patients in the ED to prevent (re)admissions to the hospital. Patients with HF are screened, and if they meet criteria are assessed for treatment in the Infusion Center rather than being admitted. Echocardiography:Hartford Hospital Echocardiography Lab performed 11,459 total studies/procedures during the year. The lab continues to provide robust support to the structural heart program and the Electrophysiology Lab. HH Heart Transplant Program (HHHTP):In FY16, the HH Heart Transplant Program (HHHTP) performed 12 heart transplant operations. Overall, the program size is stable and remains limited by available organ donations. The HHHTP continues to have one of the longest living transplant patients in the world, some 32+ years of quality post-transplant life.Preventive Cardiology: Preventive Cardiology includes cholesterol management, low-density lipoprotein (LDL) apheresis, cardiovascular sports medicine consultation and cardiac rehabilitation. The LDL Apheresis Cardiology Program continues to serves patients from Connecticut and Western Massachusetts, and there were 68 LDL apheresis procedures performed in FY16. There were 12,675 Cardiac Rehabilitation visits at all sites.Cardiac Intensive Care Unit:The Cardiac Intensive Care Unit (CICU) at Hartford Hospital is a 12-bed, open unit that provides care to patients presenting with acute coronary syndromes, advanced heart failure, advanced atrioventricular block, and post-cardiac arrest. Our post-resuscitation hypothermia program has helped hundreds of patients improve their neurologic outcome after cardiac arrest. We are one of the largest intravascular hypothermia programs in the region. This therapy is offered exclusively in the Cardiac Intensive Care Unit. The Department has a total of 32 Registered Nurses and 8 full time Advanced Nurse Practitioners. The CICU is also one of the major teaching sites for the University of Connecticut Internal Medicine residency.

4b	(Code: ) (Expenses $ 70,050,132 including grants of $ ) (Revenue $ 63,297,494 )
	The Institute of Living (Hartford Hospital's Department of Psychiatry) is referred to as the IOL. The IOL strives to address enormous behavioral healthcare needs through the variety of clinical programs and services it provides, including research programs aimed at better understanding and treating mental illness, through education of the community and through training programs aimed at producing the next generation of behavioral health clinicians.Statistical DataTotal discharges for the year were 3,273. The number of adult day treatments was 6,062. The IOL treated 1,934 patients for Eating Disorder and 5,451 for Schizophrenia rehabilitation. A total of 845 patients received Geriatric day treatment, 3,834 received Professional Day Treatment, 2,660 received Extended Day Treatment, 6,839 received Child/Adolescent day treatment and 1,785 went through the Dialectical Behavioral Therapy (DBT) program. The average length of stay was 10.3 days and the average daily census was 103.1. Hartford residents accounted for 48% of admissions and 50% of admissions were from other areas within the state; 2% were from other states.Patient Care Activities and Program Development:Patient care activities and program developments were guided by the Hartford Hospital Community Needs Assessment. Highlights included a focus on continued growth in the Young Adult and Child and Adolescent Programs, growth and development of an outpatient Peripartum Mood Disorders Program and continued expansion of other initiatives. The Institute of Living's Executive Quality Management Committee continues to oversee quality initiatives and activities. The committee collects and analyzes data to assess quality and safety outcomes of patient care. Results of performance indicators are reported semi-annually to the Hartford Hospital Quality Council and the Behavioral Health Network Quality Council as well as the Board of Directors. Highlights of this year's quality initiatives continue to include suicide prevention and assessment, reduction in the use of seclusion and restraint, elopement prevention and fall prevention.The IOL remains distinctive for its focus on training the mental health workforce of the future with three psychiatric residency programs, psychology internships and post-doctoral programs and training and education programs for virtually all other mental health specialists. The Department's translational research centers have generated over 75 million dollars in research funding over the past 15 years, supporting publications in the leading journals and presentation around the world.

4c	(Code: ) (Expenses $ 61,657,528 including grants of $ ) (Revenue $ 60,556,728 )
	The volume of patients seen at the Hartford Hospital Emergency Department (ED) has increased as the hospital continues to provide emergent care to those in need. The number of transfers from smaller hospitals to the tertiary care centers also continues to increase. FY16 had the highest patient volume ever as 108,219 patients visited the ER. The Hospital continues to give significant attention and effort towards reducing the median time from when patient arrives at the ED and when the patient is first seen by a provider. There have also been continuous efforts towards improving the experience of our patients. Emergency Medicine Residency: The Hospital ED residency program has 54 residents. As the number of residents increased over time, the ED has been able to pursue new educational opportunities. During FY16, the Department recruited physicians trained in Simulation, Toxicology, and Emergency Ultrasound. The Department continues to recruit additional physicians to meet its needs for specialization.LIFE STAR Program: The LIFE STAR helicopter program delivers ICU level care to both adults and pediatric patients requiring scene evacuation or inter-facility transport. In addition, LIFE STAR flight crews provide specialty transport for patients needing intra-aortic balloon pump therapy, ventricular assist devices and Extracorporeal membrane oxygenation. During the fiscal year, LIFE STAR completed 974 patient transports. LIFE STAR is available to all emergency/critical care patients within a 150-mile radius surrounding our bases.Emergency Medicine Research Program: The Research Program provides support for the EM Department faculty to conduct clinical research and quality improvement projects. The EM Research Council provides a forum for faculty and residents to present their research ideas and receive guidance on study design and methods. The Clinical Research Program participated in industry-funded clinical trials.

	(Code: ) (Expenses $ 795,608,880 including grants of $ 111,330 ) (Revenue $ 888,449,913 )
	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, Meriden, Manchester, Vernon, Bloomfield, Windsor and South Windsor.In addition to the programs referred to above, the hospital provides services/programs included but not limited to the following: Bone & Joint Institute Cancer Care Cedar Mountain Commons Critical Care Dental Diabetes Cystic Fibrosis Center Eye Care Eye Surgery Gastroenterology Headache Center Hearing & Balance Hernias Imaging Services Integrative Medicine Jefferson House LIFE STAR Liver & Hepatology Lung & Pulmonary Minimally Invasive Surgery Movement Disorders Center Neurosciences Palliative Care Pain Treatment Pediatrics Physical Rehabilitation Primary Care & Family Medicine Robotic Surgery Senior Services Sleep Disorders Spine Care Stroke Surgical Weight Loss Thoracic Surgery Transplant Services Traumatology Urology & Kidney Vascular Women's Health Services Wound Care

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 795,608,880 including grants of $ 111,330 ) (Revenue $ 888,449,913 )
4e	Total program service expenses1,082,905,365

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,772,052	7,616,336	1,598,302

1a	Federated campaigns..		1a	49,182
b	Membership dues..		1b
c	Fundraising events..		1c	1,435,279
d	Related organizations		1d	843,163
e	Government grants (contributions)		1e	6,056,816

f	All other contributions, gifts, grants, and similar amounts not included above		1f	7,441,643

g	Noncash contributions included in lines 1a-1f:$ 1,302,677
h Total.Add lines 1a-1f.......		15,826,083

			Business Code
2a	Patient Care	624100	1,162,465,789	1,162,465,789
b	Pharmacy	541700	24,235,273	23,911,167	324,106
c	Ref. Testing / Lab	621500	1,257,722		1,257,722
d	Inc. From Inv - Other	900003	703,650	703,499	151
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,188,662,434

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			7,030,596			7,030,596
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		3,102,200
b	Less: rental expenses		0
c	Rental income or (loss)		3,102,200
d	Net rental income or (loss)......			3,102,200			3,102,200
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		5,145,751
b	Less: cost or other basis and sales expenses	436,253	0
c	Gain or (loss)	-436,253	5,145,751
d	Net gain or (loss).....			4,709,498			4,709,498
8a	Gross income from fundraising events (not including $ 1,435,279of contributions reported on line 1c). See Part IV, line 18 ....
	a		270,601
b	Less: direct expenses ...b		663,165
c	Net income or (loss) from fundraising events..			-392,564			-392,564
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..
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..
Business Code			Miscellaneous Revenue
11a	Cafeteria Income		722210	3,015,900			3,015,900
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,015,900
12	Total revenue. See Instructions......			1,221,954,147	1,187,080,455	1,581,979	17,465,630

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	61,330	61,330
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	50,000	50,000
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	7,866,867	4,690,137	3,176,730
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	2,539,064	923,028	1,616,036
7	Other salaries and wages	416,142,046	398,242,781	16,804,323	1,094,942
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,592,955	8,080,331	432,114	80,510
9	Other employee benefits .......	38,025,934	36,058,468	1,928,306	39,160
10	Payroll taxes ...........	30,527,997	28,903,930	1,545,702	78,365
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	359,691		359,691
c	Accounting ...........
d	Lobbying ...........	90,916		90,916
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,701,123	1,701,123
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	88,356,682	88,356,682
12	Advertising and promotion ....	232,149		232,149
13	Office expenses .......	22,158,320	18,152,109	3,984,937	21,274
14	Information technology ......	59,698,413	39,017,781	20,680,632
15	Royalties ..
16	Occupancy ...........	33,022,827	31,252,362	1,770,465
17	Travel ............	1,021,547	982,803	38,705	39
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	945,259	886,090	59,169
20	Interest ...........	12,683,712	12,361,033	322,679
21	Payments to affiliates .......	87,072,125	74,487,513	12,584,612
22	Depreciation, depletion, and amortization ..	46,720,387	39,542,447	7,175,368	2,572
23	Insurance ...	11,432,625	9,280,233	2,152,392
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	197,522,598	197,522,598
b	Hosp Provider/User Tax	56,966,199	56,966,199
c	Purchased Services	25,248,301	16,776,423	8,459,076	12,802
d	Equipment & Ppty Maint	12,344,986	11,778,804	547,045	19,137
e	All other expenses	13,842,005	6,831,160	7,006,070	4,775
25	Total functional expenses. Add lines 1 through 24e	1,175,226,058	1,082,905,365	90,967,117	1,353,576
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			42,274,168	1	27,882,914
2	Savings and temporary cash investments .........			336,578	2	389,712
3	Pledges and grants receivable, net ......			7,560,701	3	8,122,824
4	Accounts receivable, net .............			152,875,255	4	165,657,106
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			14,407,416	8	17,610,739
9	Prepaid expenses and deferred charges ......			5,518,023	9	8,024,071
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,334,373,623
b	Less: accumulated depreciation	10b	869,244,495	391,256,560	10c	465,129,128
11	Investments—publicly traded securities .			3,501,100	11	1,119,344
12	Investments—other securities. See Part IV, line 11 .....			322,220,670	12	692,676,241
13	Investments—program-related. See Part IV, line 11 ..			61,182,475	13	763,088
14	Intangible assets ...............			26,886,034	14	26,288,117
15	Other assets. See Part IV, line 11 ...........			458,916,191	15	131,352,490
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,486,935,171	16	1,545,015,774

17	Accounts payable and accrued expenses .....	90,935,442	17	106,466,264
18	Grants payable ...		18
19	Deferred revenue .........	285,879	19	15,043,968
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 ..	25,467	24	21,937
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	734,471,134	25	867,150,025
26	Total liabilities. Add lines 17 through 25..	825,717,922	26	988,682,194

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	306,590,779	27	180,150,912
28	Temporarily restricted net assets ...........	138,903,091	28	152,538,908
29	Permanently restricted net assets	215,723,379	29	223,643,760
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	661,217,249	33	556,333,580
34	Total liabilities and net assets/fund balances ........	1,486,935,171	34	1,545,015,774